Cllr Mary Lanigan, Leader of Redcar & Cleveland Council

Cllr David Coupe, Executive Member for Adult Social Care, Public Health, Public Protection and Digital Inclusion – Middlesbrough Council

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

Cllr Mary Lanigan, Leader Redcar & Cleveland Council

Cllr David Coupe, Executive Member for Adult Social Care, Public Health, Public Protection and Digital Inclusion – Middlesbrough Council

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

Cllr Mary Lanigan, Leader of Redcar & Cleveland Council

Cllr David Coupe, Executive Member for Adult Social Care, Public Health, Public Protection and Digital Inclusion – Middlesbrough Council

The minutes of the Live Well South Tees Board meeting held on 26 September 2022 were submitted and approved as a correct record.

The Board received a presentation on the Whole System Approach to Adult Mental Health in South Tees.

The presentation provided information on the following services that are delivering Adult Mental Health Services across South Tees.

·        Changing Futures

·        Impact

·        Primary Care Practitioners/ARRS

·        Community Mental Health Framework

·        Voluntary and Community Services

South Tees Changing Futures (STCF)

·        The STCF programme has mental health and substance misuse as the two, main underpinning factors of issues relating to ‘multiple vulnerabilities’

·        Majority of people in STCF scope but with primary issue of Drug/Alcohol, criminal justice-related or acute housing issue are significantly affected by mental health and alcohol/drugs

·        The Board contains director-level representation from both TEWV and South Tess Public Health

·        Collaboration from the bid stage and throughout at every level

·        Greater understanding of common issues – personal, geographical, societal

·        Lived Experience Network developed and invaluable

·        Developing system improvements as a result

·        Operational level includes frontline support and advocacy, harm reduction and plans to get keyworkers addressing unmet needs

Impact on Teesside

·        Previous Improving Access to Psychological Therapies (IAPT) provision provided by 5 separate organisations

·        Impact launched 1^st April 2020

·        1 service covering North and South Tees

·        Partnership – Alliance Psychological Services and Middlesbrough and Stockton Mind

2022-23 Challenges

·        National trend for increased sessions post Covid

·        Loss of staff to remote only contracts and NHS IAPT providers, cost of living crisis has exacerbated this

·        Starting the service in April 2020 with a large inherited waiting list of approximately 6000  cases which are still impacting on current waiting times

·        Reduced GP surgery and other primary care room capacity

·        Difficulty recruiting qualified staff to fill vacancies – national trend

·        Support for client’s who fall between primary and secondary care

2022-23 Achievements

·        Variety of options and choice in addition to IAPT and range of modes of delivery i.e. 1:1, online, face to face, groups, portal, SilverCloud

·        Reduction in 1:1 waiting times and numbers through group work expansion

·        Improved joint working, communication and collaboration with statutory and voluntary organisations (e.g huddles)

·        Impact Resource Hub

·        Launch of service user involvement forum and volunteer support within pathways

·        Largest number of high intensity and low intensity trainees recruited and qualified so far

·        Increase in Mental Health Support Worker team to free up therapists to take on additional clinical work

·        Increased integration into mental health offer across Tees through robust networking, promotion and engagement work

Mental Health Primary Care Offer ARRS Roles across Teesside Primary Care Networks

2021-2022 – Year One ARRS/PCN roles

·        The National Health Service Executive (NHSE) announced the mental health roles and funding [50/50] through the additional role reimbursement scheme- April 2021 for one mental health practitioner per Primary Care Network (PCN)

·        Overall aim to improve the quality of care for people struggling with Severe Mental Illness and/or complex needs who are too complex for IAPT services and not complex enough for secondary care mental health services by access to specialist mental health advice in their local GP surgery.

·        Regular reporting through the Clinical Directors meetings to facilitate dialogue with PCNs  ...  view the full minutes text for item 22/18

The Chair of the South Tees Safeguarding Children’s Partnership (STSCP) presented the Annual Report to the Live Well South Tees Board.  The report had previously been circulated to the Board for information. 

The report summarised and reflected on the work of the partnership between 1 April 21-31 March 2022.  The report covered the second full financial year of operation by the STSCP, which succeeded the Middlesbrough Local Safeguarding Children board and the Redcar & Cleveland Safeguarding Children Board (LSCBs) from September 2019.

The Chair of the South Tees Safeguarding Partnership highlighted the following in the report to the Board:

·        The Partnership is a statutory body, led by an Executive. The Executive is made up of representatives from Redcar & Cleveland Council, Middlesbrough Council, North East, North Cumbria Integrated Care Board formerly Tees Valley Clinical Commissioning Group and Cleveland Police

·        The STSCP carries coordination and accountability responsibilities which were previously covered by both the LSCB’s. The STSCP is the accountable and report-receiving and approving body for work under all 4 Priorities of the STSCP.

·        The 4 priorities of the STSCP are:

o   VEMT (vulnerable, Exploited, Missing, Trafficked

o   Neglect

o   Empowering young people

o   Working together

·        Learning and development was key to the work of the STSCP.  Training themes have included neglect, non-accidental injury to non-mobile babies and hidden relationships

ORDERED: That the Live Well South Tees Board note the report

The aim is to achieve excellent partnership working across all areas

Rebecca Scott, Public Health South Tees

Rebecca Scott, Advanced Public Health Practitioner provided an update to the Board on the work being carried out in response to the Cost of Living Crisis.

The Board heard that both Local Authorities had been working with partners to coordinate a planned approach to advise on where people can access support for food, warmth, money, health and transport throughout the crisis.

Following a discussion at the Live Well South Tees Executive a workstream was established led by Public Health South Tees to focus on how to get targeted messages to those most at risk.

To support the response, it was agreed we would like to ensure that staff/organisations working directly with the identified at risks groups have information on where people can access support.  

To achieve this a series of briefing sessions in partnership with our Local Authority leads for financial support were arranged throughout December 2022 via the South Tees Wellbeing Network.

The Board were advised that 235 delegates attended the two sessions in December from a wide range of organisations including LA’s, NHS Trusts, GP practices, VCS and Education.

The sessions covered the following information;

·        Background

·        At Risk Groups

·        Government Support offer

·        Local support offer for South Tees

·        Making Every Contact Count

·        South Tees Wellbeing Network

·        Q&A

·        Sessions were well received and follow up materials had been distributed to attendees

·        The sessions will be running again at the end of January through February

·        Public Health South Tees have also been providing information and training to ensure that the council and wider partners adopt a MECC (Making Every Contact Count) approach as part of the normal interactions with residents.

Public Health South Tees had also been providing information and training to ensure that the council and wider partners adopt a MECC (Making Every Contact Count) approach as part of the normal interactions with residents.

Public Health South Tees had also been working with key partners to implement several actions including:

·        Taking the lead on developing the warm welcome, warm spaces brand across South Tees from accessible community venues

·        Developing a “heat map” for warm welcome, warm spaces

·        Engaging with marketing to ensure a joined approach to promotion of warm welcome/warm spaces

·        Developed the process and venue check lists

·        Developed venue packs and posters for the project

·        Developed monitoring processes to engage with service providers and venues to oversee engagement

·        Hosting a monthly collaboration call for all service providers and venues of warm welcome, warm spaces

In partnership with the Financial Inclusion Group, Public Health South Tees have been leading forward some insights into poverty which consider the following aims:

·      Develop a broader understanding of poverty and its impact;

·      Start to understand how we can work with people in our communities  to understand better the local experiences of poverty & build better relationships between the council and our communities

In total 89 community interviews were carried out

·        Key themes identified and shared with a wider stakeholder group:

·        Opportunities – 60 participants felt that people in Middlesbrough didn’t have the same  ...  view the full minutes text for item 22/20

Kathryn Warnock, South Tees Integration Programme Manager

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

The Board were advised that the 2022/23 Better Care Fund plans for Middlesbrough and Redcar & Cleveland were submitted on 26th September.

The 2 main outcomes of all BCF funded schemes should be to 'enable people to stay well, safe and independent at home for longer' and to 'provide the right care in the right place at the right time'.  It was advised that a review of our BCF schemes was being carried out to be assured that they contribute to these aims and to determine on-going funding for 2023/24.

The Board heard that the Government has announced additional funding this winter to support with discharges from hospital to the most appropriate location for their ongoing care.

Middlesbrough and Redcar & Cleveland had been allocated over £2.4m through the

Adult Social Care Discharge Fund. The funding must be used for new or additional

initiatives to support with discharges. It is non-recurrent and should be spent by 31st

March 2023.

Working together with system partners, and with governance arrangements in place for the Better Care Fund, plans had been completed to spend this additional funding.

The Board was advised that following feedback from all partners on the Integrated Care Strategy the strategy was shared at the formal North East Cumbria Integrated Care Partnership meeting on 15 December 2022 and this version of the Strategy was approved for publication.