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Councillors and committees

Agenda and minutes

Venue: Whickham Room - Civic Centre. View directions

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

Items
No. Item

HW47

Apologies for Absence

Minutes:

Apologies for absense were received from Councillor Ron Beadle, Councillor Martin Gannon, Bill Westwood, Caroline O’Neill, James Duncan, John Pratt and Sheena Ramsey.

HW48

Minutes pdf icon PDF 97 KB

Additional documents:

Minutes:

It was highlighted that the apologies of Councillor Gary Haley were not noted on the previous minutes – this will be updated online.

 

An overview of items to be fed in to the Boards forward plan was also provided from the Action List report.

 

RESOLVED:

(i)            The remaining minutes of the meeting held on 20 July 2018 and Action List were agreed as a correct record.

HW49

Declarations of Interest

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

Minutes:

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

 

RESOLVED:

(i)            There were no declarations of interest.

 

HW50

LGA Green Paper for Adult Social Care and Wellbeing - Steph Downey pdf icon PDF 156 KB

Additional documents:

Minutes:

Steph Downey attended to provide the Board with an overview of the LGA Green Paper on the future of adult social care. It was highlighted that the paper provides an excellent opportunity for a whole system response to the proposals.

 

It was noted from the report that the LGA will reflect on the consultation findings in a future publication to influence the Government’s plans for their Green paper, budget, the NHS Plan and the Spending Review.

 

A presentation was delivered to the Board providing further information and detail on the Green Paper. It was noted from the presentation that adult social care has been underfunded for many years and that things cannot continue as they are. It was further highlighted that this is a nationwide debate about how to fund the care we want for adults of all ages and how social care, the NHS and other public services can work together to support and improve people’s wellbeing.

 

It was noted that as a Health & Wellbeing Board our focus should be on three of the six areas covered by the Green Paper which are: Funding for adult social care, options for change and how changes should be paid for.

 

From the presentation an overview of the Council’s role in improving health and wellbeing was provided in addition to a breakdown of the questions being asked of Councils from the Green Paper.

 

It was said that whilst the presentation provided many facts and figures the issue of funding adult social care is largely a moral issue. It was further stated that the question of funding social care should be a public decision, particularly if there is the likelihood of increased taxation. It was highlighted that the current funding model is unsustainable in light of Council budget cuts and increasing social care expenditure.

 

A comment was made that those who work within the adult social care sector often have little to no options for career progression and are poorly paid; it was said that this is a strain on the workforce which impacts on service delivery across the country and this needs to change.

 

It was noted that profiteering from social care provision needs to stop and that a progressive taxation would be needed to fund provision. It was also agreed that the voice of those working within the sector should be heard in this consultation and could be done so via trade unions.

 

The prevention agenda within Gateshead was highlighted noting that preventative care will reduce demand for many adult social care services. It was also noted that whilst Gateshead is trying its best there is still inequality of funding across the country for care services which is unfair.

 

It was said that currently, the adult social care system and the way it is funded provides a false economy. It was also stated that the prevention agenda and the funding of mental health services should be made a priority.

 

A comment was made that health services acknowledge the pressures on adult  ...  view the full minutes text for item HW50

HW51

Fulfilling Lives - Lindsay Henderson pdf icon PDF 213 KB

Minutes:

The Board received a briefing paper and presentation outlining the new Fulfilling Lives Newcastle Gateshead model introduced in April 2018.

 

From the presentation the Board were advised that Fulling Lives is a Big Lottery Fund Learning Programme funded for 8 years up to 2022. It was highlighted that the new model will run five streams of work:

 

·         Direct client work: pilot new model until 2020

·         Experts by Experience Network: Co Production

·         Workforce Development: system wide training and skills mapping

·         System Change: strategic priorities 2018-20

·         Research and Evaluation

 

It was noted that no new referrals will be taken to the programme to prevent a ‘cliff edge’ in year 7 – it was further noted that the current caseload will remain and be worked with. It was also highlighted that the programme has just recruited a female engagement worker.

 

An overview of the system change strategy 2018-20 was provided. It was also noted that universal credit case studies are being collated to help improve access to benefits for those with multiple needs – this is being done in partnership with DWP.

 

A summary of client findings and outcomes was provided highlighting that 267 people have been worked with since 2014, of this caseload 109 are female. It was also noted that accepted client needs at referral include homelessness, history of offending, mental health problems and substance misuse.

 

The Board were provided with an overview of Fulfilling Lives’ responses to the Health Needs Assessment that was undertaken of people who are homeless / have multiple complex needs.

 

A comment was made that within Gateshead, people with multiple and complex needs should be seen as a priority group requiring a whole system response. A further comment was made noting that the report was useful with particular reference to the homeless needs assessment.

 

RESOLVED:

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

 

 

HW52

Update on Integrated Care System / Integrated Care Partnership - Mark Adams (Presentation only)

Minutes:

The Board received a presentation to provide an overview of the NHS Direction of Travel regarding an integrated care system for the North East and Cumbria.

 

It was noted from the presentation that there are 12 Clinical Commissioning Groups,12 unitary local authorities and 2 county councils with districts within the footprint covered by the NE and North Cumbria ICS. A breakdown of the 13 provider trusts within the ICS was also displayed noting that the North East is the biggest provider of specialised services in the country.

 

A series of slides were presented highlighting why an integrated care system is needed. It was noted that the North East and Cumbria work together well which is why performance within the districts is high.

 

From the presentation it was also noted that ‘place-based’ statutory decision making is important. An overview of the four integrated care partnerships was also summarised.

 

The Board were provided with a further overview of the re-prioritised work streams which reinforced the need to work together for the benefit of all. It was also noted that all 14 work programmes have been reviewed to determine priority areas and to distinguish between established programmes and gaps.

 

The NHS Funding Settlement was also highlighted noting that a 10-year plan has been developed. From the presentation an overview of Government proposals was also summarised.

 

A comment was made that the presentation was very informative. It was also asked whether people from other parts of the UK are travelling to the North East for care due to the high standards and performance – it was noted that there is no evidence of this although for many children’s services Newcastle hospitals do serve a wider geography.

 

It was said that the issue of underfunding remains despite increases in demand. It was also asked what is being done to engage with the public – it was noted that there is a communications lead who has been made responsible for overseeing engagement with partners. It was further noted that an update on the communication plan will come back to a future Health & Wellbeing Board meeting.

 

RESOLVED:

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

(ii)           The Board agreed to receive further updates at a future meeting.

 

 

 

 

HW53

Health & Wellbeing Strategy Refresh - Alice Wiseman pdf icon PDF 98 KB

Minutes:

The Board received a report to propose an inclusive approach to refresh the Gateshead Health and Wellbeing Strategy.

 

It was highlighted from the report that during 2017/2018 partners of the Health & Wellbeing Board signed up to the pledge to ‘make Gateshead a place where everyone thrives’. It was also noted that the Thrive pledge provides a central policy position by which decisions, across the partnership, will be considered and made.

 

It was noted from the report that the Council and its partners should target resources to those individuals and communities most in need. It was further highlighted that robust evaluation of reach and impact should be undertaken regularly using a Health Equity approach.

 

An overview of the proposed approach to refreshing the strategy was then provided, in addition to the proposed establishment of a steering group and the holding of a late Autumn conference to shape the emerging strategy content.

 

 

RESOLVED:

(i)            The Board endorsed the approach and agreed to identify partners for the steering group.

HW54

Local Safeguarding Adults Board Annual Report - Sir Paul Ennals pdf icon PDF 69 KB

Additional documents:

Minutes:

The Board received a report to seek views on the Safeguarding Adults Board Annual Report 2017/18 and the 2016/19 (2018 update) Strategic Plan. It was noted that the Local Safeguarding Children’s Board Annual Report would be presented at a future meeting.

 

It was highlighted from the covering report that key areas of work in 2017/18 include the development of a performance dashboard, the development of practice guidance for adult sexual exploitation, the implementation of a community and engagement strategy, improved links with the voluntary and community sector, maintaining compliance with Deprivation of Liberty Safeguards and a revised approach for responding to statutory Safeguarding Adult Reviews. It was further noted that during 2017/18 the Safeguarding Adults Board continued to explore opportunities for working collaboratively at a regional level.

 

It was asked how relevant discussions at the Health & Wellbeing Board (HWB) feed in to the Safeguarding Adults Board (SAB) – it was noted that there are Board members who sit on/are represented on the SAB. It was further noted that as Sir Paul Ennals is an associate member of the HWB and as part of this role he also provides feedback to and from the respective Boards where appropriate.

 

It was then asked how the Safeguarding Adults Board plans to engage with partners in preparing for the next three year strategy; it was noted that this engagement activity lies with the Board members.

 

RESOLVED:

(i)            The Board accepted the report.

(ii)           The Board agreed to receive updates from the SAB at future meetings.

 

HW55

Updates from Board Members

Minutes:

The upcoming ‘Falls Awareness Week’ was highlighted – it was agreed that further information on this would be sent to Board members for information.

 

It was also highlighted that an inspection by the CQC is expected in late December 2018 or early January 2019.

HW56

A.O.B

Minutes:

RESOLVED:

(i)            There was no other business.

 

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