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Declarations of Interest
There were none on this occasion.
Minutes of the Joint Healthy Staffordshire Select Committee Accountability Session with South Staffordshire and Shropshire Healthcare NHS Foundation Trust and Staffordshire and Stoke on Trent Partnership Trust held on 10 May 2018 PDF 152 KB
RESOLVED That the minutes of the Joint Healthy Staffordshire Select Committee Accountability Session held on 10 May 2018 be confirmed and signed by the Chairman
RESOLVED That the minutes of the Joint Healthy Staffordshire Select Committee Accountability Session held on 4 June 2018 be confirmed and signed by the Chairman
With regard to Minute 2, the Chairman explained that the letter to the Independent Reconfiguration Panel had been written to again and all members would receive a copy of the correspondence following the meeting.
With regard to Minute 3, a member asked why the University Hospital North Midlands had not responded to the Committees request for more information on the financial stability of the health economy in the county. Officers informed members that they had spoken to the Trust and the information should be with the Committee within the week.
RESOLVED That the minutes of the meeting held on 11 June 2018 be confirmed and signed by the Chairman
Report of the Partnership Director
Caroline Donovan, Chief Executive Officer, North Staffordshire Combined Healthcare Trust (NSCHT) and Senior Responsible Officer (SRO) of the Mental Health Work stream of the Sustainability and Transformation Partnership (STP); Mr Abid Khan, Clinical Lead for Mental Health; and Jon O’Brien, Director of Operations and Programme Director of Mental Health gave a presentation summarising the STP Programme Vision and Workstream Overview. The programmes scope covered:
· Children and Young People
· Integrated Physical and Mental Health
· Suicide Prevention
· Out of Area Placement
· Mental Health Crisis/Urgent Care
The Committee were informed that these were in line with a national taskforce which had produced a report setting out nine transformation deliverables which would be achieved by 2020.
Within the Children, Adolescent and Mental Health Service (CAMHS) work stream, it was explained that all children with eating disorders were prioritised and should be seen within one week dependant on their need. It was acknowledged that this was far from satisfactory and that every effort was made to reduce this.
Integrating services for people with Physical and Mental Health Services should see a more co-ordinated approach. There has been significant investment in both the North and South of the County particularly around the frail elderly services which had seen a reduced the number of patients having to go into the hospital and a significant reduction in the number of days spent waiting to leave hospital. This was particularly the case in the Royal Stoke Hospital mainly down to the restructuring of locality teams and ways of working.
Recruitment and workforce planning is the biggest challenge for the Trusts after finance. The Committee heard that nationally there is a Mental Health five year forward plan which ideally would see a growth of 309 workers across Staffordshire. This could be done given the finance but currently, the growth was hoped to be 85 posts over both organisations.
There is a need to invest in Mental Health services with current STP spend being 9% of the its total spend. This needs to be closer to 13% which was proving to be a real challenge.
A Member asked how the Trust would be working with employers to help get people with mental health issues into employment. The SRO said that she was talking to both public and private sector organisations and there was a specialist employment service team which was seeing progress. Dr Abid Khan informed the Committee that this was a 10 year strategy and the third sector where also an important partner.
Following another question from a Member, the SRO explained that two organisations (North and South) providing the same services as opposed to one was a topic of discussion. However, both Trusts provided a good service and it was more important that the two collaborate and integrate with the voluntary sector. Dr Khan felt that it was not a draw back as there was a close working relationship and when one needed support the other always tried to provide it. The Member felt that there were different ... view the full minutes text for item 11.
Report of the Partnership Director
Richard Harling, Director of Health and Care and STP lead on the Prevention Programme, Tony Bullock, Lead Commissioner and Lianne Brook Smith, gave a presentation on the STP Prevention Programme.
The six population groupings which are defined by age and other key characteristics are:
· Working Age
· Adults with Multiple Complexities
· Older Age
The new car models have 4 outcomes:
· Preventative Pathways
· Healthy Environments
· Supportive Communities
· Digital and Voice
The plans for each group will be tailored to respond to the specific circumstances in each area which have been based on the 8 District and Borough geographies.
One of the main risks associated with the prevention programme was that it relied on others changing the way they work and historically there hadn’t been much success of working with the communities to change culture.
As part of the presentation, the Committee looked at the anticipated impact of the changes for example, by reducing the number of falls there would be a reduction in A&E admissions and possibly social care support when people returned home.
More connections need to be made in the communities, a lot goes on at a local level but it needs to be recognised and more connections made to realise its potential and forge links between partners.
Healthy Literature has to be fit for purpose and understood and there is a piece of work being done to understand what the public want and how much of it is understood.
The Chair asked what the programmes overall aim was. The Director responded to say that the work was being done by Public Health prior to STP and the overall aim is to improve the health and well-being of the County but also to reduce the need on care services.
Following a question on the measures used to monitor the success of the programme, the Director responded to say that Healthy life expectance is the overall measure used, however, there are a number of other measures such as a reduction in falls which can also be used.
A Member asked if the Health Life expectancy programme would be focused on the worst wards in an area (hotpots) or would it be accessed by the whole of the County.
If was felt that Obesity and Diabetes go hand in hand and the Committee asked how it was intended to communicate with some of the communities and would it be based though groups or individuals. The Director felt that there was a need for a conversation with people about taking responsibility for their own health and it may be beneficial to target communities as well as individuals.
The Chairman was concerned that there was very little mention of diet in the prevention programme and yet it was a key component to good health. Again the need for a mixed approach of targeting communities and individuals would be needed. The Director stated that activities such as cookery classes would not be arranged directly by the local authority however it was ... view the full minutes text for item 12.
Report of the Scrutiny and Support Manager
The Scrutiny and Support Manager outlined proposed changes to the work programme for 2018-19.
RESOLVED That the work Programme 2018-19 be approved.
Exclusion of the Public
The Chairman to move:-
That the public be excluded from the meeting for the following items of business which involve the likely disclosure of exempt information as defined in the paragraphs Part 1 of Schedule 12A Local Government Act 1972 (as amended) indicated below.
RESOLVED - That the public be excluded from the meeting for the following items of business which involve the likely disclosure of exempt information as
defined in the paragraphs Part 1 of Schedule 12A Local Government Act 1972 (as amended) indicated below.
Adult Learning Disability Community Offer 2022 Programme
Report of Cllr Alan White, Deputy Leader & Cabinet Member for Health, Care and Wellbeing
The Committee considered a report on the Adult Learning Community Offer 2022 Programme.
(Exemption Paragraph 4)