Agenda and minutes

Alec Brown, Leader Redcar and Cleveland Council

Chris Cooke, Elected Mayor of Middlesbrough

The Chair welcomed everyone to the meeting and introductions were made.

Alec Brown, Leader of Redcar & Cleveland Council

Chris Cooke, Elected Mayor of Middlesbrough

 

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

Alec Brown, Leader of Redcar & Cleveland Council

Chris Cooke, Elected Mayor of Middlesbrough

 

The minutes of the Live Well South Tees Board meeting held on 12 September 2024 were submitted and approved as a correct record.

 

Mark Adams, Director of Public Health South Tees

The Health Improvement Manager for Public Health South Tees delivered a presentation to the Live Well South Tees Board regarding recommendations for the Mission-led approach to the Health and Wellbeing Strategy.

 

The Live Well South Tees Board had agreed to a “Mission-led” approach for the development of the Health & Wellbeing Strategy and the Joint Strategic Needs Assessment (JSNA).

 

Members were advised that the Mission-led approach was about shifting from working in isolated silos, where each agency fixed its own small problems, to collaborating across organisations and with communities, tackling the deeper issues together and creating bigger lasting changes.

 

Missions were measurable, ambitious and time-bound objectives that had the potential to help enable transformative change.

 

The Live Well Board were asked to consider the following recommendations and provide comment:

 

System Leadership

 

Recommendation 1

 

We will identify system leaders for each mission considering the importance of developing new system leaders and engaging with latent system leaders.  We will establish our long-term approach to give confidence that our System Leaders could be part of leading something that has the chance to produce real change across partners.

 

It was advised that 4 System Leaders had been appointed but there were 5 outstanding vacancies.

 

Recommendation 2

 

We will develop a model of support for System Leaders that considers:

 

·        Supportive methodologies for problem-solving and decision making

·        Clarity on the role of System Leader, focusing on leadership, insight and learning

·        Training and support on building a learning culture, capturing, sharing learning and contributing to the development of the learning framework

 

Recommendation 3

 

We will create a regular facilitated space for System Leaders to identify and share learning, achievements, barriers, issues and decision-making governance.

 

Mission-Level Governance

 

Recommendation 4

 

We will develop mission-led governance structures to support the delivery of the missions that consider devolved autonomy to facilitate information sharing, support mission leadership and enable more agile decision-making across agencies.

 

 

 

Recommendation 5  

 

We will connect our mission-led approach to the Tees Valley Anchor Network to explore the additional value we could generate by co-ordinating missions across approaches to procurement, employment, education and environment.

 

Engaging Communities and People

 

Recommendation 6

 

We will develop a model of mission-level community engagement that is embedded into policy development, decision making and learning processes to inform the development of our plans and approaches to deliver the missions.

 

Developing our Learning Approach

 

Recommendation 7

 

We will develop our learning approach and shared understanding of system change building on the learning from YGT to co-ordinate action across agencies to deliver our Missions.

 

Delivery through the Policy Frameworks and Powers

 

Recommendation 8

 

We will work with both Council’s and partners to embed the ambitions of the Health and Wellbeing Strategy Missions into organisational policy frameworks.

 

Recommendation 9

 

We will consider how we can better use roles and powers of both Council’s (and partners) to deliver our Missions.

 

Following the presentation Board Members discussed the recommendations the following points were raised.

 

·        Duplication, lots of work already being undertaken across Tees for example in children’s mental health, would it  ...  view the full minutes text for item 24/9

Sarah Slater, Advanced Public Health Practitioner, Public Health South Tees

The Advanced Public Health Practitioner for Public Health South Tees presented the South Tees Health Protection Assurance Report 2023/24 to the Live Well Board.

 

Members heard that Local Authorities through their Directors of Public Health, required assurance that appropriate arrangements were in place to protect the public’s health.  The report provided a summary of the assurance functions of the Public Health South Tees Health Assurance Partnership and reviewed performance for the period of 1 April 2023 to 31 March 2024 for the Live Well South Tees Board.

 

The report considered the following key domains of Health Protection.

 

·        Protection from environmental hazards

·        Prevention of communicable diseases and outbreak management

·        Improvement of community resilience around health protection issues

·        Increase equitable uptake of immunisation programmes

·        Increase equitable uptake of screening programmes 

 

The Advanced Public Health Practitioner highlighted the following to the Live Well Board Members:

 

Environmental

 

·        Air Quality - Middlesbrough and Redcar & Cleveland councils produce annual Air Quality Status Reports for DEFRA, showing compliance with national air quality standards and a steady decline in NO₂ levels primarily caused by road vehicles; both councils promote sustainable transport and low-emission vehicle use, supported by a joint Clean Air Strategy (2024) with defined actions to improve and maintain air quality in the South Tees area.

 

·        Noise - The Public Protection Service addressed noise complaints and ensured compliance with licensing laws to prevent public nuisance; in 2023-24, Middlesbrough recorded 983 complaints (down from 1203 in 2022-23) with minimal enforcement action (4 abatement notices), while Redcar & Cleveland recorded 629 complaints (slightly down from 634) with limited use of Community Protection Warnings and Notices, primarily related to barking dogs, loud music, and parties.

 

·        Housing Standards - Good quality housing was essential for health and well-being, with Middlesbrough and Redcar & Cleveland Councils addressing housing standards through statutory powers, Selective Landlord Licensing (SLL) schemes, and responses to tenant complaints; SLL schemes had identified numerous Category 1 and 2 hazards, prompting remedial actions and enforcement where needed, while broader efforts focused on tackling damp, mould, and energy efficiency, alongside national legislative changes to improve housing conditions and tenant protections.

 

·        Houses of Multiple Occupation (HMOs) - HMOs, often housing vulnerable residents, require licensing for properties with 5+ occupants from multiple households. Middlesbrough had 240 licensed HMOs, and Redcar & Cleveland had 32. Inspections ensure compliance with housing standards, including fire and electrical safety, with enforcement actions taken as needed.

 

·        Affordable Warmth - Redcar & Cleveland’s "Warm & Well" service and Middlesbrough’s South Tees Affordable Warmth Partnership provided advice and access to grants for energy efficiency. Initiatives like LAD2 and HUG schemes had improved over 200 homes, while partnerships like "Stay Safe and Warm" assist residents struggling to heat their homes.

 

·        Control of Environmental and Foodborne Infections:
In 2023-24, Middlesbrough inspected 593 food businesses (75% rated 5) and Redcar & Cleveland inspected 648 (91% rated 5). Regulatory actions included business closures for hygiene breaches. Both councils overseen cosmetic treatment premises to ensure public health compliance, with enforcement taken against unregistered operators.

 

·        Emergency Preparedness:
The Cleveland Emergency Planning  ...  view the full minutes text for item 24/10

Kathryn Warnock, South Tees Integration Programme Manager

The South Tees Integration Programme Manager presented the Health and Wellbeing Executive Assurance report, which provided an update on progress with the delivery of the Board’s vision and priorities and assurance that the Board was fulfilling its statutory obligations.

 

Members were advised that the  Better Care Fund (BCF) policy framework, planning requirements and confirmation of national minimum funding contributions for 2025/26 were yet to be released.

 

Indications are that the principles for the 2025/26 BCF Policy Framework would be:

 

·        To support the government’s Health Mission and the shift to a “neighbourhood health” approach”

·        To better support patients and service users by enabling people to live more healthy and independent lives for longer

·        To support hospital flow and positively contribute to the NHS ability to move towards constitutional standards

·        To make the BCF work better for local authorities and the NHS by reducing administrative burdens and providing greater flexibility in to meet BCF priorities

 

It was advised that the next Pharmaceutical Needs Assessment (PNA) was due to be published in October 2025.  The Health and Wellbeing Executive had agreed to delegate responsibility to the PNA Steering Group and would receive updates by exception when required.

 

ORDERED: The Live Well South Tees Board note the report.