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Declarations of Interest
There were no declarations.
RESOLVED: That the minutes of the meeting held on 17 September 2018 be approved by the Committee and signed as a correct record by the Chairman.
The Committee considered a report of the Staffordshire and Stoke on Trent Sustainability and Transformation Partnership which summarised the work that had been conducted by the Committee whilst scrutinising the Strategic Transformation Plan (STP) workstreams. The workstreams included: Urgent and Emergency Care; Mental Health; Prevention; Workforce; Enhanced Primary and Community Care, Planned Care and Estates. Childcare and Maternity was scheduled for the December meeting. The report listed the meetings held and any outstanding issues raised at those meetings and the STPs response to questions raised which were not answered at the related meetings.
Simon Whitehouse, STP Chief Executive and Programme Director (CEPD), Sir Neil McKay, STP Chairman (STPC) and Roger Wade, Medical Director (MD) attended the meeting to present the report and answer questions.
The STPC informed the Committee that the SSTSTP was responsible for producing a long-term plan to address the issues in Staffordshire and Stoke on Trent, that is both clinically sustainable and financially affordable, is achievable through partnership working and meets the health and care needs of the local population. The original STP was published at the end of 2016 and was due to be refreshed imminently in line with the national publication of the NHS 10 year plan. He expressed his opinion that the Integrated Care Teams and their integration with was one of the areas the Committee may want to spend more time looking at. Also, he felt that the concept of Health and Social Care campuses had not been covered/explained and suggested that the Committee may want to look at these in more detail.
The scrutiny process had helped the SSTSTP to focus on the challenges ahead in implementing the programmes. As they progress forward into the STP pre-engagement in 2019, Officers would come back to the Committee for advice on how to deal with the consultation.
The Chairman thanked the Officers for attending the meeting and confirmed that looking at the workstreams of the STP was part of the overview role of Scrutiny. The Committee went on to review the responses in the report to questions that had been asked at the previous meetings.
A Member of the Committee asked how many GP practices accommodated Mental Health practitioners and how did the SSTSTP listen to families and the problems experienced when people are unable to access services. In response, the STPC, explained that the clinicians and officers on the SSTSTP bring with them a lot of experience and offered an insight into the problems experienced. It was agreed that the actual number would need to be brought back at a later date.
A Councillor requested more information on the urgent and emergency care programme and how teams worked together. The CEPD informed the Committee that he had a weekly meeting with staff on, for example performance information, which then enables him to have high level bi-weekly meetings to discuss the way the STP is progressing. He went on to explain that the interdependency between the different workstreams was vital for the STP to ... view the full minutes text for item 44.
Report of the Cabinet Member for Children and Young People
The Committee considered the report of the Cabinet Member for Children and Young People, covering the “Starting Well, Living Well, Supporting Well 2018 - 2023” Children and Adolescent Mental Health (CAMH) Strategy covering Staffordshire and Stoke on Trent.
The Cabinet Member for Children and Young People; Liz Mellor, the Child Commissioning and Development Manager (CCDM); and Jill Mogg, the Commissioning Manager (CM) attended the meeting to present the strategy and answer questions. The Cabinet Member informed the Committee that unfortunately no-one could be at the meeting to represent the Health partners.
The document pledged to deliver POSITIVE change in supporting children and young people to thrive. POSITIVE stood for:
P - Promote positive mental health and emotional wellbeing and build resilience in stakeholders and communities.
O – Overcome challenges and be open to new ways of working which embrace innovative, creative and digital solutions in delivering positive outcomes for children, young people and their families.
S – Seek to positively engage the voice of children and young people and those who support them to plan and deliver services more effectively.
I – Identify emerging issues for children and young people at the earliest possible stage, intervening promptly to prevent needs from escalating.
T – Target effective and high-quality help and support when it is needed for those most vulnerable children and young people which delivers sustainable improvements in their mental health.
I – Improve access to information, advice, training and support for children and young people and their families, professionals and the communities they live in to better equip them to manage their mental health.
V- Value the fundamental importance of the family in supporting the development of good physical and mental health for their children.
E – Engage with communities and in the place, people live to build capacity and resilience to help children and young people achieve their potential.
The Strategy recognised that the current commissioned service provision to meet the mental health and emotional wellbeing needs of children and young people was not as cohesive as it could be, and provision was variable across the County and City. There was less support available to intervene early to meet low to moderate needs and to prevent these escalating, which inevitably put pressure on the more specialist services in meeting higher or critical needs.
The POSITIVE approach to change will be based upon the principles developed in the Thrive model. The Strategy was also supported by the Local Transformation Plan which was the document that would evidence how success would be measured.
The CCDM explained that the CAMHs Strategy is a whole system approach to children and young people’s mental health and wellbeing with needs that may emerge in pregnancy with the mental health of the mother and included all 4 tiers of support available. The Strategy would enable partners to work collaboratively to develop an integrated approach designed to make best use of the resources available. The changes would start with the commissioning of a new model ... view the full minutes text for item 45.
Report of the Scrutiny and Support Manager
The Scrutiny and Support Manager presented the report which outlined the activity of Borough and District Councils since the last meeting.
The Chairman of the Borough and District Committees who were present at the meeting each gave a brief update on their work programmes.
At the last meeting Members asked if the East Staffordshire Borough Council’s review into domestic abuse would be looking at the effect of the movement of service provider from the County Council and the Police and Crime Commissioner to other providers? The Chairman of the East Staffordshire Committee Informed Members that the review had started before the change, but it would be covered in the report.
Several Chairman asked for clarification on their role at both this Committee and when they return to the Boroughs/Districts. The Scrutiny Manager agreed to liaise with the Committees to remind them of their role and that of the Chairman.
A question was asked on the ‘Better Working Together’ STP consultation, when this would begin, and would the Districts and Boroughs be involved. The Chairman reminded the Committee that the statutory consultee would be the Health Staffordshire Select Committee, but this did not preclude the Districts and Brough’s being consulted as part of the engagement process.
RESOLVED: That the report be noted.
Report of the Scrutiny and Support Manager
The Scrutiny and Support Manager presented the Committees Work Programme Report.
The Chairman of the Committee informed the meeting that a number of Members had attended the Wolverhampton City Council Health Scrutiny Committee on the 23 October to consider the mortality rates at Royal Wolverhampton NHS Trust.
The next scheduled meeting of the Committee was 3 December 2018 and Maternity services had been added to the STP workstream with Childrens services.
Members were also reminded that there was a briefing session on STP Finance on 14 November and on 29 November, a workshop on the modernisation of Adult Social Care.
RESOLVED: That the report be noted.