Agenda and minutes

Apologies for absence were received from Claire Wheatley, Councillor Bernadette Oliphant and Councillor Michael McNestry.

The minutes of the meeting held on the 27^th January 2023 are attached for approval, together with the Action List

RESOLVED:

(i)            That the minutes of the meeting held on 27 January 2023 be approved.

(ii)           That the action list update be noted.

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

RESOLVED:

(i)            That there were no declarations of interest.

Alice Wiseman provided the Board with an update on the Public Health Grant; Alice advised that whilst the grant received is in real terms a cut in previous funding, it was noted that the grant will be used to support treatment and recovery services for addictions. Alice also highlighted that the Health Equality Report had been published; this is available to view/read here:Health Equality Report

Joanna Clark advised the Board that the housebound vaccinations programme is running until the end of June 2023. Joanna also advised that the joint Stroke Service with Newcastle had received its yearly audit and had received a grade B which is an improvement on the previous grade. The Board were also provided with an update on the urgent care centre at the QE.

Lynn Wilson noted that the ICB Strategy Forward Plan is to launch on 9 May 2023; it was also agreed that the Gateshead Place Plan would be circulated to the Board.

Dale Owens advised the Board that draft guides had been published by the CQC and that services are working towards an inspection in the next 12-18 months; the Board were further advised that the inspection regime will be live from 1^st April 2023. The Board agreed to receive a further update on this in due course.

Nicola Allen provided the Board with feedback following the Easter weekend; it was noted that services were especially busy over the weekend, particularly in urgent/emergency care.

Mark Dornan gave an update on the impact of recent industrial action on waiting times and acknowledged public fatigue with regards to Covid vaccinations.

Helen Fergusson advised the Board that the Gateshead Youth Justice Service had recently undergone an inspection from HMIP; it was suggested that a report on the outcome be presented to the Board in due course. Helen also highlighted that the SEND strategy consultation had ended in March 2023 and that the final strategy has been developed after a review of the feedback received.

The Board also noted an update from Steve Kirk in relation to the new national contract for GP’s which will introduce new access targets for practises. The Board noted that the targets would be a challenge to meet for GP practises who remain under pressure and in demand. It was suggested that this matter be discussed at the upcoming System Board meeting.

RESOLVED:

(i)            That the Board note the updates provided.

The Board received a report and presentation providing an update on the Health and Wellbeing Strategy Implementation Group; a draft of the Implementation Approach and Plan was also provided.

From the presentation, the Board noted updates in relation to the need for action across policy objectives and the wider determinants of health through a cost-of-living crisis. Concern was noted that the cost of living is having a detrimental impact on health and consequently there will be more people living in poverty.

An example objective map was presented; the Board acknowledged that there would be both ‘key’ and ‘targeted’ strategies coving each objective of the Health and Wellbeing Strategy across the entire system. A summary of staff consultation responses for the development of the strategy was provided, it was reported that some staff did not understand what health inequalities were and were not aware of the information on the strategy. The Board were advised that following this process work began to identify areas of action and priorities, these included partnership working, communication and community engagement.

The Board were advised that the next steps in the implementation of the strategy will include:

•       Creating a digital home for this Implementation Approach and Plan

•       Working with the Implementation group to:

•       Capture and develop a deeper understanding of Governance Structures within Part 2 of the plan. This will also consider this work in the context of statutory duties.

•       Development of processes for monitoring progress, learning and improvement

•       Identify and establish leads and groups to take forward the implementation themes, starting with Health and Wellbeing in all Policies

•       Implementation Group to focus on strategic areas at future meetings, to further develop this work and support system involvement and collaboration. Focus this spring/summer:

•       Poverty, Economic Development, and Mental Health

•       Housing, Neighbourhoods, and Community safety

The recommendations of the report were:

·         The Health and Wellbeing Board agree to, and endorse, the plan and approach for implementation of the Health and Wellbeing Strategy.

·         The Health and Wellbeing Board agree to the approach and plan being a live and iterative document, shared and owned by partners, with ongoing review, annual reflection, and reporting on progress to the Health and Wellbeing Board.

·         Health and Wellbeing Board members and partner organisations agree to ensure their plans and strategies clearly align to Thrive and the Health and Wellbeing strategy and support their staff to understand their role in delivering them to provide a strong foundation for the implementation of the H&W Strategy.

·         Health and Wellbeing Board members and partner organisations commit staff

time and capacity to enable prioritisation of the delivery of this plan going forward to ensure progress.

·         The Implementation group continues in its current form to enable continued

progress, partnership, and collaboration on strategy implementation. Members of the Board are invited to consider whether further representation is required within the group.

The Board discussed the recommendations of the report; a comment was made noting that the strategy could open opportunities for joint  ...  view the full minutes text for item HW5

The Board received a report providing feedback and key messages from the Health & Wellbeing Board planning session held on 10 March 2023. Appended to the report was a full breakdown of each question considered at the session for information.

Board members agreed that the session was worthwhile and a success. The Board also agreed that the session made a positive contribution to strengthening the “Gateshead voice” across the system and beyond.

The Board discussed the matter of transparency and honestly in addressing the inequalities gap; the Board agreed that existing funding arrangements can perpetuate health inequalities and that there is a need to focus resources so that they can be targeted more equitably. The Board also noted that seeking the views of residents and service users when working towards service priorities was important.

The Chair highlighted that 2023 marks the 10-year anniversary of Health and Wellbeing Boards and noted that the timing of the session was apt and reinforced the importance of Health and Wellbeing Boards in shaping how services are run for local people.

The Board requested that a ‘systems map’ be developed to illustrate how services and organisations ‘fit in’ together across the Gateshead system.

RESOLVED:

(i)            That the Board noted the report.

The Board received an update on the Physical Activity Strategy for Gateshead.

As part of the update, the Board noted current activities being undertaken, these are:

•       Leisure Services review of facilities

•       Community Physical Activity team

o   Falls Prevention – Otago, Staying Steady

o   Active through football

o   Family hubs

o   Sports / clubs development

•       Active Travel and Social prescribing Pilot

o   Walking and Cycling activities

o   Active Travel infrastructure

o   Public Health initiatives

o   Healthy weight

o   MECC

o   Substance misuse

o   Wellbeing promotion and social media

o   BHAWA

The Board were advised that the strategy had been approved by Cabinet and thusly adopted by the Council. The Board were also advised that feedback from the pilots outlined above would be reported back in the Autumn.

RESOLVED:

(i)            That the Board noted the updated.

(ii)           That the Board agreed to receive a further update report in Autumn.

The Board received a report providing notification of the closure of Lloyds Pharmacy Ltd inside Sainsburys, Eleventh Avenue, Team Valley Trading Estate, Gateshead, NE11 0NJ.

The Board expressed concern again regarding the accessibility of pharmacy services outside normal hours, which remains largely unchanged since the previous PNA. The Board agreed to make the ICP North meeting aware of this concern.

It was proposed that the out of hours and weekend provision be reviewed and added to the PNA 2022 as a supplementary statement; a suggestion was also made that Healthwatch be involved.

RESOLVED:

(i)            That the Board approved a review of Pharmacy provision specifically in relation to out of hours and weekend hours.

The Board received a presentation providing an update from the Gateshead Cares System Board.

From the update, the Board received an update on progress against the programme areas as follows:

Children & Young People / SEND:

•       A Strategic overview of key SEND initiatives and the development of a SEND Strategy

•       Current work of the SEND Board

•       Details of the SEND Inspection Framework and its application

•       The production of a final version of the ‘orange book’ for teenagers

Mental Health Transformation:

•       An overview of progress against priorities for 2022/23 and plans for 2023/24 including the integration of teams at primary care level; development of the Older Adults Mental Health Pathway; procurement of MH rehabilitation offer for individuals with complex needs; a continued focus on reducing inequalities; and a focus on children and young people’s mental health pathways

People@theheart (MCN):

•       Overview of progress during 2022/23 (including the End of Phase 1 Report) and plans for 2023/24 including a reduction in frequent attenders at A&E and better outcomes for those most frequently using emergency services; improved attendance rates across all services in Gateshead; and further development of a Data Sharing Agreement

It was also reported that workforce plans for 2023/24 include the development of a Gateshead Summer School to engage with Year 9+ students with an interest in health and care careers. It was highlighted that a Gateshead Place report is being developed which can include bespoke focus on local metrics for the Axym/Gateshead Outcomes Framework.

The Board also received a summary of other issues considered, this included the The NHS Planning Round including work to develop a NENC Joint Forward Plan and Gateshead Place Plan, including the links to other plans at Gateshead Place level such as Gateshead’s Health & Wellbeing Strategy.

RESOLVED:

(i)            That the Board noted the update provided.

RESOLVED:

(i)            That the Board noted this report for information.

RESOLVED:

(i)            That the Board noted this report for information.

RESOLVED:

(i)            That the Board noted this report for information.

There was no other business.