Agenda and minutes

Councillor (s) Schofield (Newcastle CC), Thirlaway and Craven (North Tyneside Council), Armstrong, Simpson and Watson (Northumberland CC), Hetherington and  Huntley (South Tyneside Council), Robinson and Temple (Durham CC)

Councillor Taylor (Newcastle CC) declared an interest as an employeer of Newcastle Hospitals NHS Foundation Trust.

Councillor Mendelson (Newcastle CC) declared an interest as a member f NTW NHS FT Council of Governors.

The minutes of the meetings of the Joint Committee held on 19 March and 25 June 2018 are attached for approval.

The minutes of the meetings of the Joint Committee held on 19 March and 25 June 2018 were approved as a correct record.

Matters Arising from Minutes of 19 March 2018

Pharmacy Update

Councillor Taylor requested that information regarding the outcome of the evaluation of the Community Pharmacy Referral Scheme be brought back to this Joint Committee at an appropriate point in the work programme.

Interim Update – Workforce Workstream

Councillor Taylor reiterated the earlier request for information to be provided on the numbers of migrant worker leaving the NHS as a result of the impact of Brexit. Cllr Taylor requested that this information was provided for the next meeting of the Joint Committee.

Matters Arising from Minutes of 25 June 2018

Response to Issues Arising from the last meeting

Councillor Mendelson note the position set out at the last meeting but indicated that she would like a formal response from NEAS as to whether they had any involvement in the delivery of any part of the NHS 111 service provided in the region.

Workforce Workstream Progress Update

The Chair advised that at a recent meeting of NEREO involving all local authority employers and at the NE Provincial Council involving Trade Unions discussions took place relating to the integration of health and social care. NERO was now going to organise an event to get the two sides together with health colleagues and it had been agreed that those involved would be invited to indicate if there were other relevant parties who should be involved in the event and give views on what the outcomes should be.

The Chair advised that information regarding the event would be circulated shortly and everyone should feed in views via NEREO representatives.

The Joint Committee also requested that as part of the next workforce progress update that information be provided on what work is taking place in relation to the recruitment and retention of ancilliary staff.

Integrated Care System Update

Reference had been made to the fact that a Green Paper was due to be published this summer setting out how Adult Social Care was to be funded and it was noted that the Green Paper had been delayed and it was queried when this was likely to come forward.

The Chair advised the Committee that further information would be sought.

Mary Bewley, Head of Communications and Engagement, North East Commissioning Support, will provide the Joint Committee with a presentation on this issue.

Mary Bewley, Head of Communications and Engagement, North East Commissioning Support provided the Joint Committee and representatives from Healthwatch organisations across the patch with information on a proposed approach to communications and engagement in relation to integrated health and care and sought views.

Mary explained that in order to successfully deliver transformation and change, it was necessary to develop an approach based upon the needs of local patients, carers and communities, and effectively engage health and care professionals. In addition, in order to manage demands on services, the public facing campaigns that needed to be delivered must be designed to result in patients / public using services more wisely and increasing self-care.

The aims of any strategy developed are therefore to:-

·         Support communications and engagement teams across providers and commissioners to develop and share good practice through a network.

·         Provide expertise and guidance at the right level to drive improvements for our population.

·         Keep public and staff confidence in health and care services and leadership, supported by a consistent narrative.

·         Ensure the voice of patients and our communities is heard at all levels of the system and at every step of change and improvement – this is most important.

·         Deliver effective, evidence based behavioural change campaigns.

·         Undertake robust engagement processes for transformation and change.

It was proposed that the strategy developed as a result would:-

·         Embed a system-wide approach to communications, engagement and -  where necessary - formal consultation activity across organisational boundaries.

·         Develop a joint regional communications and engagement strategy and narrative to help create a better understanding amongst patients, staff and residents about what is happening.

·         Deliver joint communications strategies and activities to support system and service change at place based level.

Mary explained that the strategy developed would not be top down in approach as whilst there would be some issues dealt with at a NE and Cumbria level 95% of the work would occur at placed based level as this is where the activity is.

Key challenges would be:-

·         Maintaining public, staff and partner confidence in the system -  we need a clear and compelling narrative for change

·         Working from ‘places’ and communities upwards – need commitment and structures in place to do this as default is top down

·         Working within our resources – we will ensure our delivery is proportionate to the resource available but aspires to the delivery of best practice and empowering communities

·         Ensuring we have robust processes to demonstrate good governance and engagement through service transformation change

It would therefore be necessary to adopt a collaborative approach and

·         Use consistent language to support a wider understanding of the rationale and evidence for service change – the narrative. This has been a key issue which has emerged as different terminology can mean different things to different people and this is an area where further work / progress needs to be made.

·         Use agreed key messages and resources to support internal and external communications and engagement

·         Co-ordinate timings where possible for briefings and papers  ...  view the full minutes text for item 39.

Health colleagues have indicated that it is proposed to update the Joint Committee on the following areas during the course of the work programme and timings for the respective updates will be confirmed in due course, following consultation with respective workstream leads.

·         Optimising acute and phasing of vulnerable services

·         Care Closer to Home

·         Prevention

·         Mental Health

Members of the Joint Committee have also been asked to identify potential items for inclusion in the work programme for discussion at the meeting.  

The Joint Committee considered and agreed its provisional work programme as follows:-

The Joint Committee noted that health colleagues proposed to update the Joint Committee on the following areas during the course of the work programme and timings for respective updates would be confirmed following consultation with respective workstream leads.

·         Optimising acute and phasing of vulnerable services

·         Care Closer to Home

·         Prevention

·         Mental Health

In addition to the above, the Joint Committee also requested updates on the following areas during the course of the work programme and again timings for the respective updates would be confirmed following consultation with relevant health colleagues:-

·         Community Pharmacy Referral Scheme – Outcome of Evaluation (scheme committed to run until September 2018)

·         ICS Progress Updates – regular updates as appropriate.

·         Smoking Cessation – Progress Update

The Joint Committee also requested that details of the up to date position in relation to the workstreams / the areas they were covering and the lead officers for these workstreams were provided to the Joint Committee.

Future meetings of the Northumberland Tyne and Wear and North Durham STP OSC will be held at Gateshead Civic Centre on the following dates and times:-

·         Monday 24 September 2018 at 2pm

·         Monday 26 November 2018 at 2pm

·         Monday 21 January 2019 at 2pm

·         Monday 25 March 2019 at 2pm

Membership

Gateshead Council

Councillor L Caffrey

Councillor M Hall

Councillor P Maughan

Substitutes

Councillor M Charlton

Councillor P Foy

Councillor J Wallace

Newcastle City Council

Councillor W Taylor

Councillor F Mendelson

Councillor A Schofield

North Tyneside Council

Councillor M Thirlaway

Councillor K Clark

Councillor N Craven

Substitutes

Councillor M Green

Councillor T Mulvenna

Councillor L Spillard

Northumberland County Council

Councillor E Simpson

Councillor E Armstrong

Councillor J Watson

Substitute

Councillor R Dodd

South Tyneside Council

Councillor W Flynn

Councillor A Hetherington

Councillor A Huntley

Durham

Councillor J Robinson

Councillor O Temple

Councillor J Stephenson

Sunderland

Councillor D Snowdon

Councillor S Leadbitter

Councillor D Dixon

AGREED        That future meetings of the Joint Committee be held on the following

                        dates and times at Gateshead Civic Centre:-

·         Monday 24 September 2018 at 2pm

·         Monday 26 November 2018 at 2pm

·         Monday 21 January 2019 at 2pm

·         Monday 25 March 2019 at 2pm