Agenda and draft minutes

Health and Wellbeing Board
Friday, 6th September, 2019 9.00 am

Venue: Whickham Room - Civic Centre. View directions

Contact: Melvyn Mallam-Churchill - Tel: 0191 433 2149 - Email:  melvynmallam-churchill@gateshead.gov.uk 

Items
No. Item

HW132

Apologies for Absence

Minutes:

Apologies for absence were received from Councillor Beadle, Councillor Caffrey, Councillor M Foy, Councillor McNestry, Bill Westwood, Caroline O’Neill, Elaine Devaney, Lynn Wilson, Mark Adams, Mark Dornan and Sheena Ramsey.

 

HW133

Minutes pdf icon PDF 88 KB

The minutes of the business meeting held on 19th July 2019 and Action List are attached for approval

 

Additional documents:

Minutes:

RESOLVED:

(i)            The minutes of the last meeting held on 19 July 2019 were agreed as a correct record.

 

The Board also received an update from the Gateshead Health and Wellbeing Board Action List highlighting that an update on the involvement and engagement with the voluntary sector in relation to Delivering Together (Mental Health) would be provided at a future meeting. The Board were also advised that the head teacher of Whickham School is to be invited to a future meeting to discuss mental health prevention work in schools.

 

HW134

Declarations of Interest

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

Minutes:

RESOLVED:

(i)            There were no declarations of interest.

 

HW135

Transforming care: older persons care home model - Barry Norman pdf icon PDF 213 KB

Minutes:

The Board received a report and presentation to seek views on the current Older Persons Care Home (OPCH) model in Gateshead along with recommendations to transform the way services are delivered and contracted.

 

From the presentation it was noted that the case for change arose from the need to tackle the challenges faced in the social care market; it was also stated that the existing contracted model is outdated.

 

An overview of the key findings following a market analysis was summarised; it was noted that there continues to be an oversupply in the market, with the main oversupply in the East of the borough - wards such as Felling, Deckham and High Fell are suffering. It was also noted that  one in two people have a dementia need and a good proportion of private clients probably don’t need to be in a care home.

 

It was reported that the main conclusion form the data analysis is that a small number of homes in Gateshead are dealing with patients with the most complex needs.

 

The Board were advised that the care home sector has acknowledged that a different approach is needed to meet the challenges across the system. It was stated that the current contract model is no longer fit for purpose and that with an aging population due to people live longer, more people will require health and social care support in the years to come.

 

A summary of reasons to implement an integrated model was noted from the presentation; it was said that the timing is perfect due to the good relationships with the market and that some issues relating to CHC have now being resolved. It was also stated that there is no real choice but to change.

 

The Board were advised that the consultation period is underway which involved senior management across both the local authority and CCG. The Board were also provided with an overview of the benefits of an integrated model which include streamlined payments. An overview of the next steps in the process was also provided for the Board and detailed within the report.

 

A comment was made stating that thirty years of privatisation has led to the current position. A further comment was made stating that workforce stability was needed in order to ensure that the new model was sustainable; notably ensuring that conditions and rates of pay were fair.

 

The Board highlighted the importance of consultation and liaison with the voluntary sector prior to public consultation; it was further noted that the Carers Association should be consulted. A comment was also made expressing the importance of demand forecasting; it was stated that it is the aim to reduce the time individuals spend in hospital and to make greater use of community care.

 

RESOLVED:

(i)            The Board supported a joint approach for the LA and CCG, including a proposed pooled budget approach.

(ii)           The Board agreed to the formation of a Steering Group with representatives across key stakeholders.

 

 

 

 

HW136

CAMHS New Structure - Judith Turner pdf icon PDF 65 KB

Minutes:

The Board received a presentation and report providing an update on the CAMHS new structure.

 

It was noted from the report that children and young people’s mental health services for Newcastle and Gateshead have adapted and changed dramatically over the past year to incorporate the shift in demand and capacity and the new commissioned lead provider contract.

 

The Board were advised that the 1st April 2019 saw a chang in the commissioning of children’s mental health services from the CCG with NTW becoming the lead provider directly commissioning five VSO’s: Streetwise, NE Counselling, Counselling Northeast and Kalmer Counselling/EWT.

 

An overview of services was provided for information; it was also noted that the previous Tier 2 and Tier 3 services have merged to become “getting help” and “getting more help”.

 

It was confirmed that all services receive referrals through the single point of access situated within the NTW children service. The Board were also advised that the SPA provided fully integrated and direct clinician support for all providers and all referrers to children’s mental health services.

 

It was noted from the report that to date the lead provider model is working well with no significant issues to report. It was reported that targeted work has resulted in a significant reduction in over 18 weeks waiting times for both assessment and treatment. It was stated that NTW and the other providers are working to improve the service and therefore all the mental health providers meet weekly to review and adapt the pathways to identify gaps in provision.

 

A comment was made noting that voluntary sector providers require assurance that contracts are going to be awarded for terms long enough in order to provide the best care for patients. It was also stated that whilst this is the beginning of the journey with the new model, a lot of good work is being done.

 

The Board were advised that a multi-case audit is underway with regards to children’s mental health; it was noted that the Children’s Safeguarding Board could link up with NTW in order to ensure a wider spread of services and providers are aware of the new system.

 

RESOLVED:

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

 

HW137

Consultation on Public Health Green Paper 'Advancing our health: prevention in the 2020s' - Gerald Tompkins pdf icon PDF 96 KB

Minutes:

RESOLVED:

(i)            The Board agreed to defer this item due to the prorogation of Parliament.

 

HW138

Better Care Fund 2019/20 - John Costello pdf icon PDF 86 KB

Minutes:

The Board received a report on the Better Care Fund Plan submission requirements for 2019-20 to set out the current position in relation to the development of the Gateshead submission.

 

It was highlighted from the report that for 2019-20 there are four national conditions relating to the BCF, similar to those for the previous round of BCF programme; there were summarised within the report.

 

An overview of BCF schemes was also provided within the report; it was noted that schemes are being grouped under fiver broad areas which reflect key priority areas and arrangements in place to address them:

 

·         Service Transformation

·         Market Shaping and Stabilisation

·         Managing discharges and admission avoidance

·         Planned care

·         Service pressures

 

Details of the BCF financial breakdown were provided in addition to information relating to the approval of BCF plans. The Board were advised that NHS England will approve plans for spend from the CCG minimum contributions in consultation with DHSC and MHCLG as part of overall approval of BCF plans.

 

RESOLVED:

(i)            The Board noted the key components of the national BCF planning requirements for 2019/20 and the arrangements for developing the Gateshead BCF Plan.

(ii)           The Board agreed to receive a further report at the 18 October meeting to formally agree to the Gateshead BCF Plan retrospectively.

 

HW139

Gateshead Health & Care System Update - All

Minutes:

A verbal update was provided on the work of the Gateshead Health & Care System which included updates on the relationships with ICP (North) and the ICS. An update was also provided on ICP and ICS approaches to services and delivery in the context of the NHS long term plan.

 

It was noted that the System is seeking to develop relationships with new Primary Care Networks and to look at ways in which they can be supported.

 

The Board were advised that discussions are taking place on how the workforce can be better supported across the system. It was further noted that climate sustainability is being looked at within the system in addition to further joint working with local authorities.

 

RESOLVED:

(i)            The Board noted the update.

(ii)           The Board requested an update on ICP/ICS planning at a future meeting.

 

HW140

Safeguarding Annual Reports & Plans: Adults and Children - Sir Paul Ennals pdf icon PDF 77 KB

Additional documents:

Minutes:

The Board received the Safeguarding Annual Reports and Plans for Adults and Children. The views of the Board were sought on the reports. An overview of multi-agency safeguarding arrangements/plans for children in Gateshead was provided and the 2019-2024 Safeguarding Adults Board Strategic Plan was presented.

 

The SAB 2018/19 Annual Report provided a policy context and an overview of the SAB structure, governance and scrutiny arrangements and performance information. A summary of key achievements was also provided for information.

 

The Board were advised that the SAB Strategic Plan 2019/24 was developed following a period of consultation involving service users, key partners and providers. It was also stated that the consultation identified that five SAB strategic priorities (in place since 2016) continued to be fit for purpose; these were:

 

Quality Assurance

Prevention

Community Engagement and Communication

Improved Operational Practise

Implementing Mental Capacity Act/Deprivation of Liberty Standards.

 

It was highlighted that the LSCB annual report 2018-19 detailed the developments for both the LSCB itself and its partner agencies in relation to safeguarding and promoting the welfare of children in the borough.

 

The Board were advised that a major focus of work during 2018-19 has been around developing a new multi-agency safeguarding arrangement and safeguarding plan. It was also noted that during the course of 2019-20 further work will be completed on integrating functions across the Northumbria footprint with a wider review to be undertaken in 2020.

 

A comment was made noting that the reports provided good updates of work undertaken and planned. Sally Young expressed her thanks to staff and other colleagues involved in the work. It was asked how trustees are made aware of their responsibilities to safeguarding; it was confirmed that the Council provides trustees with training and hold a checklist of requirements that is used.

 

A question was asked regarding the increasing concerns regarding County Lines. It was stated that there is a child exploitation framework in use that is also being applied nationwide. It was also noted that Jeanne Pratt of Care, Wellbeing and Learning is involved in monitoring the situation in relation to school exclusions.

 

RESOLVED:

(i)            The Board noted the contents of the report and agreed to receive additional updates when necessary.

 

HW141

Updates from Board Members

Minutes:

The Board were advised that NTW are taking on services in Cumbria; consequently, there will be a name change to CNTW. It was noted that this is being seen as a very positive step.

 

The Board were provided with an overview of the Canaries in the Coalmine report from the NCVS that had been circulated prior to the meeting; the Board were also advised that Sally Young’s replacement will be Lisa Goodwin. The Board thanked Sally for her contributions to Board and to the voluntary sector in Gateshead.

 

It was highlighted that the formal CQC report on Gateshead Health NHS FT had been issued which declared services as ‘good’ with an ‘outstanding’ in care.

 

It was stated that the Tyne and Wear Fire and Rescue Service are able to provide informal mentoring services to children experiencing mental health problems; it was agreed that Lyndsey McVay would speak to Saira Park about this outside of the meeting.

 

RESOLVED:

(i)            The Board noted the updates.

 

HW142

A.O.B.

Minutes:

RESOLVED:

(i)            There was no other business.