Agenda and minutes

Councillor Davison welcomed everyone to the meeting of the Live Well South Tees Board.

Cllr Mary Lanigan / Cllr Dorothy Davison

There were no declarations of interest received at this point in the meeting.

The minutes of the Live Well South Tees Board meeting held on 14 December 2021 were submitted and approved as a correct record.

  Kathryn Boulton - Corporate Director Children & Family Services – Redcar & Cleveland Borough Council

The Board received a presentation from Kathryn Boulton, Corporate Director of Children and Family Services at Redcar and Cleveland Council on behalf of herself and also Sue Butcher Director of Children’s Services at Middlesbrough Council and Mark Adams, Director of Public Health South Tees. The work of Rebecca Scott from Public Health was also acknowledged by Kathryn Boulton.

The presentation provided an update on the work undertaken so far to develop a Whole System Change for Children and Families and an outline of next steps.

The Board heard that there is a dedicated and passionate workforce and good examples of evidence based practice but we are not seeing rates change on child health profiles at the pace we would like.

The Live Well South Tees Board had previously given a mandate to:

•           Focus on PLACE (not organisations)

•           Build common purpose (vision, values, common function) across members

•           Shared insight and credible strategies

•           Mission-driven

•           Strong, collaborative System leadership

•           Closer connection to communities

The Corporate Director advised that there had been many challenges over the past year including:

•           Global Pandemic

•           Further inequalities

•           Lock down babies Children’s Commissioner Report

•           Lack of face to face contact with families

•           Responding to the emotional health and well-being of children and families

•           Increase in safeguarding concerns

The Board heard that to effect change we need to be focussing on the earliest years and why early years are so important.

•           When very young children thrive communities thrive

•           From conception stable caring relationships, enriching experiencing and our surroundings shape a child's life course

•           Adversity can also shape our bodies and brain development

•           Our earliest experiences shape our health as an adult

Framing

•           How we communicate about the importance of early childhood development is a critical factor

-           Use of metaphors such as - Serve and return; interaction back and forth that builds the brain

-           Overloaded lorry; when parents are over-burdened they struggle to care for their children's needs and how we view this shapes community and services response

-           We need a common language and common understanding to build capacity

The Corporate Director provided an overview of the outcomes of the workshop that had been held:

Partnership working

•           We need the community as partners from the beginning – engaging community is not a key strength

•           On-going strategic buy in is key to success – strategic governance

•           A shared understanding and a common language

•           Alignment of services could be key – need to be joined up in thinking/delivery

•           The development of early years is important for the future of South Tees

Dedicated Resources

•           Need a focused team – this cannot be done on top of somebody's day job

•           Freedom to focus on the early years and develop new ways of working – this is not a quick fix

•           Pump prime early years – be smarter with the investment we have, look at resource  ...  view the full minutes text for item 20/16

Dominic Gardner - Director of Operations – Tees -Tees Esk and Wear Valleys NHS Trust

Dominic Gardner, Director of Operations at TEWV delivered a presentation to the Board on the South Tees Wellbeing Network Launch and provided a Mental Health Update.

The Director of Operations provided a brief overview of the South Tees Wellbeing Network.  It was advised that is a large scale South Tees network, likely in the 1000’s, of front line employees/volunteers whose work is to improve the broad wellbeing of South Tees residents.

•        Soft Launch – February 4^th 2021 –

•        Over 400 contacts on interim list at present – awaiting formal sign up

•        Format and next 12 months mapped out for functions – Currently awaiting GDPR and approvals for I.T. platforms to formally launch the network – Now expected during April/May 2021

It was advised that Formal paper to be submitted to the Live Well South Tees Board once all technical/GDPR approvals given

The Director of Operations then provided the Board with an overview of work currently being undertaken in regards to Mental Health.

The Board was advised that the South Tees Mental Health and Recovery Group’s purpose was to identify actions to support system recovery to enhance mental health protective factors and to mitigate the impact of Covid-19 and prevent further harm.

The key actions of the group include:

•        Develop a picture of local level mental health need

•        Build capacity and capability across our workforce to prevent mental health problems and promote good mental health

•        Increase awareness of wellbeing and common understanding and adoption of wellbeing measures

•        Increase individual and community resilience

•        Support recovery from mental health problems and equip people with social and emotional skills to manage their lives

•        To make connections between existing recovery structures and partnerships

Resilience

•        Population Resilience - Increase VCS Capacity to provide sustainable mental health and wellbeing support within neighbourhoods and communities (Services to begin recruiting in March / April 2021)

•        Investment via Local Authorities into our local voluntary Care Sector (VCS), this investment will be aimed at increasing capacity within existing local community hubs which have been developed by our local authority colleagues.

•        The funds will enable our local voluntary care sector partners to embed mental health and wellbeing support into our community hubs

Community Mental Health Framework

•        A joined up model; not a  focus on the parts  

•        Delivery of specific aims identified in the NHS long term plan

•        Transformation of community mental health care; change not ‘more of the same’

•        Collectively led by health, local authority and voluntary sector

•        Coproduced with our service users, carers and families, a focus on inequalities

•        Driven from Place, Locality

•        Delivered within the framework of an integrated person centred model

Next Steps 2021/22

January-March

•        Establish governance structures and work streams/ task and finish groups

•        Create a strong communication plan

•        Have in place coproduction with the intention to evolve this as the programme grows.

•        Deliver staff engagement events (updates and question and answers)

•        Identify  ...  view the full minutes text for item 20/17

The Tees Safeguarding Adults Board Annual Report had been circulated to the Live Well South Tees Board prior to the meeting for information.  Darren Best the Independent Chair of the Tees Safeguarding Adults Board informed Members that the annual report pre-dated Covid and that a planning day had taken place on 11 March 2021 to look at future priorities.  Some of the priorities that had been identified included:

·         Involving service users and their carers to shape the direction of the Board

·         Creating closer links with other partnerships such as the Live Well South Tees Board and Community Safety Partnershios

·         Communication and engagement with service users and their carers

·         Linking with the Children’s Safeguarding Board

The Live Well South Tees Board noted the report.

In March 2020, local areas were informed that publication of the Government’s approach to the Better Care Fund (BCF) in 2020-21 would be delayed to allow areas to better focus on responding to the COVID-19 pandemic, but that minimal changes would be made for 2020-21.

It was confirmed in December 2020, that areas will not be required to submit BCF plans in 2020-21 but must agree the use of the mandatory minimum funding streams locally and place these into a pooling arrangement governed by an agreement under section 75

The Board were informed that a representative from ICS North East will be invited to attend a future meeting to give an update on the ICS White paper that was published in February 2021.

TBC

TBC