Agenda and minutes

The Committee agreed the minutes of the last meeting, held on 22 January 2019 as a correct record.

Report of Gateshead Healthwatch

Kim Newton and Michael Brown from Healthwatch provided a verbal update on progress made by Healthwatch and its work on the Continuing Care Recommendations.

Steph Downey, Service Director Adult Social Care also provided a verbal update on progress relating to recommendations from the Council on Continuing Care and Julia Young, Director of Quality Development, Newcastle Gateshead CCG provided a presentation and verbal update on the progress relating to recommendations for CCG.

The Committee requested that live case studies be brought to a future meeting of the

Committee for information.

Presentation and update by Michael Laing, Associate Director Community Services, Gateshead Care Partnership

Michael Laing, Associate Director, Community Services, Gateshead Care Partnership provided a powerpoint presentation and verbal update on the Dunston Hill Proposals, which included the proposals agreed previously by the OSC relating to an exit strategy for St Bede’s Day Care Services and the Younger Persons Dementia Unit which were situated at the Dunston Hill site.

The Committee requested that a site visit would be beneficial in the near future to the Bensham Hospital Site to view the new facilities for the relocated Younger Persons Dementia Unit.

Report of Strategic Director, Care, Wellbeing and Learning

The Committee received the final report as part of its review “Helping People Stay at Home Safely”.  The review has been carried out over a six month period and centred on the 6 core themes of:-

·         Assistive technology and digital information;

·         Enablement services;

·         Housing options to support independent living;

·         Commissioning for enablement services;

·         Emergency and community services;

·         Personalisation and choice.

As a result of the review, the following draft recommendations have been proposed:-

Recommendation 1 – to explore potential delivery models (with colleagues in health), in relation to the prevention of admissions to hospital for those people who arrive at A&E/Urgent Care, building on best practice evidence nationally and regionally.

Recommendation 2 – to work with partners in the Council, the ADASS regional team, and the ICS workforce stream to develop career pathways for health and social care, in order to address the workforce issues across the sectors.

Recommendation 3 – to further develop the Extra Care offer in Gateshead, in particular focusing on the provision of Dementia Specific Extra Care provision, which can meet the needs of people with cognitive impairment, and enable them to continue living in the community, thereby preventing admissions to care.

Recommendation 4 – to continue to further develop the enablement offer within the services the Council provides and commissions, thereby preventing more people from requiring long term care.

Recommendation 5 – to continue to work with NHS colleagues and commissioned providers to continue the downward trajectory of Delayed Transfers of care (DTOCs), enabling people to be “discharged to assess”, and reducing delayed transfers of care from hospital.

Recommendation 6 – to undertake a systematic review of all assessment functions, to explore the potential to introduce “Trusted Assessor” models, thereby reducing duplication across the system whilst improving the journey for people using health and care services.

Recommendation 7 – develop and operationalise an Assistive Technology strategy, including the opportunity to learn from local, regional and national technology projects.

Report of the Director of Public Health

The Committee received a report providing a twelve month review update on the recommendations into the work to address the harms caused by tobacco.

RESOLVED -              That the information be noted

Report of the Strategic Director, Care, Wellbeing and Learning

The Committee received a report providing an update on the work of the Gateshead and Wellbeing Board for the six month period October 2018 to March 2019.

The following key issues considered by the Health and Wellbeing Board:

·         Joint Strategic Needs Assessment: Update/Refresh

·         Thriving in Gateshead – rethinking Health & Wellbeing Conference

·         Integrating Health and Care in Gateshead

·         Director of Public Health Annual Report 2018

·         Strategic and Operational Plans

·         Impact of the Roll out of Universal Credit

·         OFSTED Inspection of LA Children’s Services: Self Evaluation & Annual Conversation Update

·         Annual Report on Permanent Exclusions (2017/18)

·         Adult Mental Health – ‘Gateshead Newcastle Deciding Together, Delivering Together’

·         Personal Health Budgets Update

·         Assurance Agenda

The Committee were asked if they wished to be involved in the Health and Wellbeing Board Draft Strategy, currently under development.

Joint Report of the Chief Executive and the Strategic Director, Corporate Services and Governance

The Committee received a report set out in two parts. The first part highlights how the work of this Committee has helped influence/shape the development of policy/decision making/performance improvement work during 2018-19 and the second part details proposals for the development of the work programme for OSC’S and sets out the provisional work programme for the Care, Health and Wellbeing OSC for the municipal year 2019-20.

The Committee requested that the Health and Wellbeing Board Draft Strategy be included in the forthcoming work programme.