Agenda and minutes

RESOLVED:

(i)            The minutes of the meeting held on 7 September 2018 were agreed as a correct record.

The Board were provided with an update of the Action List from the agenda pack. It was highlighted that the system wide response to the LGA Green Paper is now complete; the Chair expressed her thanks for those who had contributed.

It was also noted that there will be further updates as required on the update on Integrated Care System/Integrated Care Partnership. It was further noted that the work to identify members for the Health & Wellbeing Strategy Refresh steering group is ongoing.

From the report it was also noted that updates from the Local Safeguarding Adults Board will continue to feed in to the Board’s forward plan.

RESOLVED:

(i)            The Board noted the updates from the Action List.

Members of the Board to declare an interest in any particular agenda item.

RESOLVED:

(i)            There were no declarations of interest.

The Board received a report providing an update from the local systems leaders on the progress in taking the integration of health and care in Gateshead, building upon the recommendations agreed by the Board on 8 September 2017 and a report-out from a week-long workshop to Board members.

It was noted from the report that a Gateshead ‘Place’ based approach to Health and Care needs to support the ‘Thrive’ agenda. It was highlighted that a key outcome from the June workshop was the commitment to pursue a primacy of place approach in taking forward health and care integration in Gateshead. It was noted that it also means that it is recognised that it is of importance to local people, local politicians and professionals to be directly involved in shaping health and care services.

It was highlighted that a place-based approach has implications for the relationship with wider footprints at Integrated Care System (ISC) level and Integrated Care Partnership (ICP) North level that includes Gateshead.

From the report a summary of the Integrated Planning proposals was also provided. It was noted that the development of integrated health and care planning is complex and multi-faceted but provides an opportunity to bring together the health and care system.

It was also noted from the report that there is an opportunity to jointly address key challenges facing the local health and care economy and to make the most of opportunities to do things differently through joint working arrangements.

It was noted that a Gateshead Plan is being developed to capture the key components of the new approach, it was also highlighted that the plans are not a ‘strategy’.

An overview of the System Priority Areas for 2019/20 was provided which included children and young people’s mental health, frailty and people with multiple and complex needs. A summary of system behaviours was also provided noting that discussions have identified the need for a better way of having conversations regarding the contracting round and that arrangements are being made to get the appropriate people together to move this forward.

From the report the role of the voluntary and community sector was also detailed. It was noted that the work of the sector is recognised by the local system whether or not contracted health and care services are provided. The Board were also provided with a summary of the report appendix which illustrated the Gateshead ‘Primacy of Place’ based approach to health and care integration and the Gateshead Care Partnership Framework for Better Outcomes.

A comment was made that the prevent agenda needs to be pushed to minimise the strain on local services in the first place. The Board were also advised that at a recent summit in Manchester it became clear that Gateshead are ahead of the game in terms of integrated care.

A question was asked regarding the integration of ICT systems, it was also asked whether staff who deliver services are being consulted. It was noted that a bid has been submitted for north  ...  view the full minutes text for item HW61

The Board received a report and presentation to provide an update on progress made against ongoing action areas and next steps identified in the Gateshead Joint Strategic Needs Assessment since 8 September 2017.

From the presentation and report a summary of areas for action were provided, these included:

1.    Develop a film on ‘How to use the JSNA’

2.    Look to pull together information on getting support with benefits claims in time for the roll out of Universal Credit

3.    Engage appropriate members of Migrant communities in development of the Migrant health section of the JSNA

4.    Get agreement, and plan, a Members seminar on JSNA

5.    Explore Physical Disability and Sensory Impairment Issues

6.    Discuss ways to incorporate intelligence on Gateshead’s assets, community infrastructure and support into the JSNA to support the importance of social networks in the wellbeing of members of the community

7.    To review and update the ‘expert authors’ list and to continue to engage ‘expert authors’ in developing and reviewing the content of the JSNA and to secure the outstanding updates required

Further details on the evidence and rationale for prioritisation were provided within the report appendix.

A suggestion was made that the issue of air quality could be included in a future update at the Health and Wellbeing Board; this feedback was noted by the presenting officers.

It was asked what the impact of Universal Credit had had on Gateshead. It was stated that there is no finalised data at present but that a review of the impact is currently underway.

A comment was made that the JSNA website is a useful tool for partners and the public.

RESOLVED:

(i)            The Board noted the progress on the continuing developments of the JSNA.

(ii)           The Board supported the planned next steps of the JSNA.

(iii)          The Board agreed to retain the existing strategic priorities for October 2018 with the addition of air quality.

(iv)          The Board agreed to receive a further update in September 2019.

The Board received a report to advise how Newcastle Gateshead Clinical Commissioning Group (NG CCG) will continuously develop the local offer for Personal Health Budgets.

From the report the Board were advised that the NHS Five Year Forward View sets out a vision for the future NHS including a new relationship with patients and communities that supports people to gain far greater control of their own care when they need health services. It was also noted that a key part of this is developing how Personalised Care is offered to individuals.

It was highlighted from the report that Personal Health Budgets offer people a chance to take as much or as little control over the care that they receive as they want. It was further noted that some individuals don’t want to have the responsibilities that come with having direct payment personal health budgets and have chosen to have a ‘notional’ personal health budget.

From the report the Board were then provided with a summary of the CCG’s progress to date which included an update on efforts to develop the offer with a joined mentorship programme and engagement with Hull CCG.

RESOLVED:

(i)            The Board noted the contents of the report.

The Board received a report outlining the proposed response to the Department of Health and Social Care’s consultation on ending the sale of energy drinks to children.

From the report it was noted that the online consultation was launched in August 2018 as part of the larger Childhood Obesity plan for action. It was noted that there is evidence to suggest that excessive consumption of energy drinks by children is linked to negative health outcomes, affecting children’s physical and mental health as well as sleep latency and duration.

It was highlighted from the report that the Government has heard strong calls from parents, health professionals, teachers, industry bodies and retailers to end the sale of caffeine energy drinks to children. It was noted that many large retailers and supermarkets have voluntarily stopped selling energy drinks to under 16’s.

The Board were provided with the responses to the consultation within the report in the appendix.

A comment was made noting that young people have been reported to drink less alcohol in the national press; it was suggested that energy drinks may have become the new trend. It was asked whether it was the sugar or the caffeine that is the main cause of concern within the drinks; it was said that both have high contributing factors to poor health in children and young people.

The responses to the consultation are to be submitted on 10 November 2018.

RESOLVED:

(i)            The Board commented on the draft responses to the consultation and noted the contents of the report.

The Board were provided with a summary of the report presented for endorsement of the Better Care Fund return to NHS England for the 2^nd Quarter of 2018/19.

The Board were advised that the Better Care Fund submission for 2017-19 that was approved at its meeting on 8 September 2017 was approved in full by NHS England on 27 October 2017.

It was highlighted that things are going well however there are challenges presented in the figures for transfers of care. It was highlighted that the targets are stretching due to previous overachievement.

A copy of the Better Care Fund Template Q2 2018/19 was provided within the report.

RESOLVED:

(i)            The Board endorsed the Better Care Fund 2^nd Quarter return for 2018/19.

Councillor Caffrey advised the Board that a letter sent to the Exchequer Secretary to the Treasury Robert Jenrick MP regarding an increase in alcohol duty has been acknowledged.

Wendy Hodgson of Healthwatch announced her departure from the company to pursue other interests. The Chair thanked Wendy for her contributions at the Board to date and wished her well.

The closure of a surgery at Dunston Hill was highlighted; it was noted that the dementia service is also to move temporarily but that a permanent home for the service is needed.

RESOLVED:

(i)            The Board noted the updates from members.

RESOLVED:

(i)            There was no other business.