Democracy

Agenda and minutes

Venue: Virtual meeting

Contact: Caroline Breheny 

Items
No. Item

20/53

Apologies for Absence

20/54

Declarations of Interest

Minutes:

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

20/55

Minutes - Health Scrutiny Panel - 8 December 2020 pdf icon PDF 233 KB

Minutes:

The minutes of the Health Scrutiny Panel meeting held on 8 December 2021 were submitted and approved as a correct record.

 

20/56

Covid-19 update pdf icon PDF 846 KB

Mark Adams, Director of Public Heath (South Tees) and a representative from Tees Valley CCG will be in attendance to provide an update on COVID-19 and the local Public Health / NHS response.

Additional documents:

Minutes:

The Head of Planning and Assurance and the Commissioning and Delivery Manager for Planned Care at Tees Valley NHS Clinical Commissioning Group (TVCCG) were in attendance to provide an update to the panel on the Vaccination Programme and Covid Oximetry at Home Service.

 

The panel was advised that TVCCG was experiencing issues in receiving locality data in respect of vaccination rates and the information released from the data warehouse nationally was currently very high level. Data was being reported at an NHS region and Integrated Care System (ICS) level and was yet to be produced at a STCCG or locality (Middlesbrough) level.

 

Currently the Joint Committee on Vaccination and Immunisation (JCVI) priority list, included nine priority groups (as of 7 January 2021), as detailed in the presentation and vaccinations were being administered in line with these requirements. A number of vaccination offers were in place including a local vaccination service, hospital vaccinations service, pharmacy vaccination service and mass vaccination programme. 

 

The local vaccination service included 13 Primary Care Network (PCN) vaccination sites across the Tees Valley covering 14 PCN’s. There were two sites in Middlesbrough including:-

 

·         Holgate/Greater Middlesbrough Primary Care Network – North Ormesby Branch – Linthorpe Surgery

·         Central Middlesbrough Primary Care Network – Thorntree Surgery

 

The hospital vaccination service focused on providing vaccinations for Health service staff and Care workers including care home staff. This service was in place at South Tees hospitals NHS Foundation Trust, North Tees and Hartlepool Foundation Trust and County Durham and Darlington NHS Foundation Trust.

 

The local pharmacy vaccination service was operating from 2 sites; Acklam in Middlesbrough and Fairfield in Stockton. The large scale vaccination service (mass) vaccination programme was also in place. 

 

It was advised that the number of vaccinations administered in North East and Yorkshire, up to 14 February 2021, was now over 2.1m. On 13 February 2021 77,229 vaccinations had been administered in the region. In terms of cumulative comparisons, as of 7 February 2021 18.9 per cent of the North East and North Cumbria (NENC) ICS population had received its first vaccine. In addition 93.8 per cent of the population aged 80+ in the NENC ICS had received their first dose. The NENC ICS was above the national average in both ‘% population received first dose’ and ‘% of 80+ received first dose’. The national average for these figures were 17.4 per cent and 90.2 per cent respectively.

 

It was explained that the vaccination programme had been a massive undertaking both regionally and nationally. Locally STCCG was in a really positive position. The national requirement for individuals in the top 4 priority groups to have received their first dose of the vaccine by 1 February 2021 had been achieved.

 

The Chair congratulated TVCCG, as well as the regional and national NHS teams, on the delivery of the vaccination programme to date. Positive comments were also expressed by Members in respect of the testing facilities that had been established locally.

 

It was queried as to whether a decision had been  ...  view the full minutes text for item 20/56

20/57

Draft Final Report - Opioid Dependency: What happens next? pdf icon PDF 2 MB

Additional documents:

Minutes:

The Chair invited the Democratic Services Officer to highlight the salient points contained in the Draft Final Report prior a discussion on the proposed recommendations. The Democratic Service Officer made reference to a number of key points and following discussion Members concluded that based on the evidence presented the Health Scrutiny Panel wished to put forward the following recommendations:-

 

a) That the public health approach to drug dependence be continued and the benefits of introducing safe spaces in Middlesbrough for people to consume substances (drug consumption rooms) be further explored. Drug consumptions rooms have been successfully used elsewhere in the world (including in Europe and in Canada) for approximately 16 years and no one has ever died of a drug overdose in any of these facilities. Middlesbrough could in the future be a pilot for the adoption of such an approach in the UK.

 

b) That a new capital funding bid for a 16-18 bedded detox and drug rehabilitation facility at Letitia House be submitted. Public health benefits and financial savings could be achieved when compared to the current costs of funding individual 7-10 day detox programmes out of area.

 

c) That funding for the Heroin Assisted Treatment (HAT) programme be priortised by partners in South Tees and the current level of investment continued for the foreseeable future. 

 

d) That the local authority write to the relevant Minister highlighting the success of the Heroin Assisted Treatment Programme (HAT) in Middlesbrough and how it is a demonstrably effective way of treating drug addiction.  

 

e) That the high quality drug treatment facilities available in Middlesbrough are recognised and that the town further develops as a Recovery Orientated System of Care (ROSC).

 

f) That in an effort to reduce the stigma associated with drug dependency a proactive approach is undertaken to promote the town’s vibrant recovery community. Middlesbrough is a town where recovery from drug dependency is possible, recognised and celebrated. The town has outstanding substance misuse treatment services and innovative harm reduction initiatives in place. Work needs to be undertaken to ensure Middlesbrough is recognised locally and nationally as a Recovery Town/City.  

 

g) That in respect of the areas for improvement put forward by Tees, Esk and Wear Valley NHS Foundation Trust it is ensured that a number of measures are implemented including:-

 

i) That quick and reliable access to specialist Substance Misuse support is made available to the Community Crisis Team, Crisis Assessment Suite and Inpatient wards

ii) That Substance Misuse workers, Social Workers and other colleagues are included in the single point of access in Mental Health for joint triage/joint initial assessment

iii) That Substance Misuse workers attend joint meetings, as arranged by TEWV, including formulation and pre-discharge

iv) That Substance Misuse Services contribute to TEWV’s co-produced Crisis management plans / Wellness Recovery Action Plans (WRAP)

v) That a programme of joint clinics (Mental Health/Substance Misuse) to meet the needs of dual diagnosis patients be established

vi) That the role of peer support workers across all organisations be increased

vii)  ...  view the full minutes text for item 20/57

20/58

Regional Health Scrutiny Update

The panel is requested to consider an update on the work recently undertaken by the following regional Joint Health Scrutiny Committee:-

 

Tees Valley Joint Health Scrutiny Committee – 29 January 2020

 

Recommendation: That the update provided be noted.

 

Minutes:

A verbal update was provided in relation to the business conducted at the Tees Valley Joint Health Scrutiny Committee held on 29 January 2021, as follows:-

 

· Covid Update – Presentation from Mark Adams (Director of Public Health for South Tees)

· North East Ambulance Service Performance Update – Presentation from Mark Cotton (Assistant Director – Communications) and Victoria Court (Deputy Chief Operating Officer)

· Tees Suicide Prevention Plan – Jo Cook (Tees Suicide Prevention Officer)

· Tees, Esk and Wear Valleys NHS Foundation Trust: Our Big Conversation – Draft Strategic Framework – Discussion with Dominic Gardner (Director of Operations)

 

AGREED that the update provided be noted.

20/59

Overview & Scrutiny Board - An update

The Chair will present a verbal update on the matters that were considered at the meetings of the Overview and Scrutiny Board held on 11 February 2020.

Minutes:

A verbal update was provided in relation to the business conducted at the Overview and Scrutiny Board meeting held on 11 February 2021, as follows:-

 

· Executive Forward Work Programme.

· Middlesbrough Council’s Response to Covid-19 Response – Chief Executive & Director of Public Health.

· Executive Member update – Executive Member for Regeneration (Councillor Waters).

· Final Report – Culture and Communities Scrutiny Panel – Social Cohesion and Integration.

· Scrutiny Panel Chairs’ Updates.

 

AGREED that the information provided be noted.