Agenda and minutes

 

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

 

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 7 July 2023 were submitted and approved as a correct record.

 

How our Better Care Fund Schemes contribute to admission avoidance and discharge home and improve outcomes for our residents

 

Kathryn Warnock South Tees Integration Programme Manager and Colleagues

The South Tees Integrated Programme Manager sought formal approval from the Live Well South Tees Board of the 2022/23 Better Care Fund (BCF) Plans for Middlesbrough and Redcar & Cleveland.

 

The Board were advised that the Department of Health and Social Care (DHSC) and the Department for Levelling Up, Housing and Communities (DLUHC) had published a Policy Framework for the implementation of the Better Care Fund (BCF) in 2022-23. The framework forms part of the NHS mandate for 2022-23.

 

The two objectives for 2022-23 BCF are:

 

i.                 Enable people to stay well, safe and independent at home for longer.

ii.                ii. Provide the right care in the right place at the right time.

National condition four of the BCF has been amended to reflect these two objectives and now requires HWB to agree an approach within the BCF Plan to make progress against these objectives in 2022-23.

 

The Board were advised that the South Tees BCF Implementation and Monitoring Group worked together to draft the narrative and planning templates.  They were submitted to the local Better Care Manager for initial review and feedback on 29^th August, as recommended nationally.  These draft templates were also reviewed by the Health and Wellbeing Executive on 6^th September.

 

The Board heard that the feedback was positive with only a few minor points highlighted.   The templates had now been updated in response and the plans were endorsed by the South Tees Executive Governance Board – 20^th September.

 

As part of the BCF update a number of representatives from the following BCF schemes attended the meeting to update the Board on the type of work that had been funded through the BCF and how their work contributed to admission avoidance and discharge home and improve outcomes for our residents:

 

·        Middlesbrough Independent Living Service

·        Care Home Enhanced Rapid Response (CHERRS)

·        Single Point of Access (SPA)

·        Frailty Team

·        Transfer of Care Hub

·        Home First Service

·        Meadowgate Intermediate Care Centre – Redcar and Cleveland

The Chair asked that the representatives be thanked for attending the meeting and for the invaluable work that each of the services provided to residents. 

 

ORDERED: The Live Well South Tees Board approved the 2022/23 Better Care Fund (BCF) Plans for Middlesbrough and Redcar & Cleveland.

 

 

 

 

Mark Adams, Director of Public Health South Tees

The Director of Public Health South Tees presented a report to the Live Well South Tees Board outlining proposed missions and goals for the Live Well South Tees Board.

 

The Live Well South Tees Board had previously agreed to a “mission-led” approach. 

 

The Board heard that each mission is a response to a significant local challenge, one where innovation, working together and aligning resources had a big part to play in driving large-scale change.  The Missions each have a set of ambitious goals that further articulate and explain the Mission.

 

The Board were advised of the draft principles behind the selection of the Live Well Mission(s):

 

• Important and improving it will contribute to the citizens of South Tees living longer and healthier lives;
• Broad enough to include many areas that would need to feed in to shift the outcome(s);
• Tackles complicated problems which cannot be solved by any single agency;
• Long term solution of many parts required;
• Understandable, particularly by partners;

 

The Joint Strategic Needs Assessment would provide the intelligence behind the Mission(s) – it will develop our collective understanding of the Mission(s); the issues behind the Mission(s) and broad contributing factors to the current outcomes experienced. 

 

The Board were advised that the process of establishing the intelligence may also result in amending and sharpening the missions or goals, particularly where the current articulation is a potentially too broad.

 

The Director of Public Health outlined the draft missions:

Start Well:  Children and Young People have the Best Start in Life

           

·       We will narrow the outcome gap between children growing up in disadvantage and the national average by 2030

·        We want to improve education, training and work prospects for young people

·        We will prioritise and improve mental health and outcomes for young people

Live Well:  People live healthier and longer lives

 

·        We will reduce the proportion of our families who are living in poverty

·        We will create places and systems that promote wellbeing

·        We will support people and communities to build better health

·       We will build an inclusive model of care for people suffering from multiple disadvantage across all partners

 

Age Well:  More people lead safe, independent lives

 

·                We will promote independence for older people

·                We will narrow the gap in Healthy Life Expectancy

 

The Board were advised that the final Joint Strategic Needs Assessment would be presented to the Board in March 2023 and approval of the Health and Wellbeing Strategy would be sought in June 2023.

 

ORDERED:

 

·        The Live Well South Tees Board agreed to the proposed Missions and Goals

·        Noted the process to develop the JSNA and Health and Wellbeing Strategy against those Missions

·        Noted that the process of establishing the intelligence behind each Mission may also result in amending and sharpening the missions or goals.

 

 

 

 

 

 

 

 

 

 

 

Mark Adams, Director of Public Health South Tees

The Director of Public Health South Tees delivered a presentation to the Live Well South Tees Board around the current cost of living crisis.

 

The Board were advised that:

 

•        Cost of living has increased both nationally and locally

•        Everyone will be affected, however the impact will be the greatest for those who are already under financial pressures

•        In addition to the household expenditure increases, inflation exceeds increases in wages – many individuals will face the equivalent of a real-term pay cut

•        Unknown the extent of the impact on individuals and businesses

 

The Director of Public Health stated that several high risk groups including the following would be impacted upon by the cost of living crisis as well as people who are not normally known to services:

 

•        Housebound or otherwise low mobility

•        People on low income

•        Fuel poor

•        Older people living along

•        Homeless people

•        People with ill health

•        People with disabilities

•        Pregnant women

 

The Live Well South Tees Board were asked to consider:

 

•        How are agencies planning to respond to the cost of living crisis?

•        What is the support offer across the system?

•        How is this coordinated and communicated?

•        Should we have standard communication?

•        What is the Governance to ensure a coordinated response?

 

Following discussions it was agreed that a partnership approach would be needed to provide a local response to the cost of living crisis and that schools would play an important part in this response.  It was felt that a task and finish group should be established as a matter of urgency and that the actions be picked up at the next Health and Wellbeing Board Executive meeting.

 

ORDERED: That a task and finish group be established to provide a local response to the cost of living crisis.

 

 

 

Kathryn Warnock, South Tees Integration Programme Manager

The South Tees Integrated Programme Manager presented a report and provided assurance that the Health and Wellbeing Executive was fulfilling its statutory obligations.

 

South Tees Health and Wellbeing Board had a statutory responsibility for producing and publishing 2022-25 Pharmaceutical Needs Assessments (PNAs) for Middlesbrough and Redcar & Cleveland Councils by 1st October 2022. Members were asked to note and endorse these PNAs.

 

A multiagency Public Health South Tees PNA Steering Group, with representatives from across the local health and social care system, including public and patient champions and local community pharmacy, had overseen the development of 2022-25 PNAs for the two councils.

 

This had included a formal 60-day consultation. The two councils’ 2022-25 PNAs have been produced in accordance with the NHS (Pharmaceutical Services and Local Pharmaceutical Services) Regulations 2013 and 2021 Department of Health and Social Care Information Pack.

 

Summary recommendations:

 

a) There is adequate provision of pharmaceutical services across the two boroughs to serve the needs of our population, with no current gaps identified

 

b) There is a reasonable choice of both providers and services available

 

c) Community pharmacies play a critical role in delivering locally commissioned services on behalf of both Public Health South Tees and North East and North Cumbria Integrated Care Board (formerly Tees Valley Clinical Commissioning Group).

 

d) Public Health South Tees should work with local system stakeholders to facilitate improved signposting to language access services Page 26

 

e) Community pharmacy is an important asset for promoting public health and health protection preparedness, which Public Health South Tees should encompass in its ongoing place-based approach

 

f) Public Health South Tees should work with the wider council to continue to ensure that access to community pharmacy (and other healthcare services) continues to be considered in public transport planning. The PNAs will be used to provide NHS England and NHS Improvement with the relevant information needed to make commissioning decisions, specifically regarding market entry, but also provides information that will be useful to Public Health South Tees commissioning and strategy development.

 

ORDERED:  That the Live Well South Tees Board noted the report and endorsed the Pharmaceutical Needs Assessment for Middlesbrough and Redcar and Cleveland.