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Appointment of Substitute Members
To be notified of the appointment of Substitute Members.
Pursuant to the Council's Constitution, the appointment of the following substitute member was reported.
Cllr J O’Shea for Cllr J Cassidy
Declarations of Interest
You are invited to declare any registerable and/or non registerable interests in matters appearing on the agenda, and the nature of that interest.
You are also invited to disclose any dispensation in relation to any registerable and/or non-registerable interests that have been granted to you in respect of any matters appearing on the agenda.
Please complete the Declarations of Interests card available at the meeting and return it to the Democratic Services Officer before leaving the meeting.
Councillor L Arkley declared a personal interests in relation to Item 5 as a family member is in receipt of home care services.
To Confirm the minutes of the meeting held on 26 January 2022.
Resolved: That the minutes of the meeting held on 26 January 2022 be confirmed and signed by the Chair.
To consider the report of the Home Care Study Group.
Councillor John O’Shea presented the report which outlined the findings and conclusions of the review of Home Care which had been undertaken by the Home Care Study Group.
It was noted that the Study Group had been established by this Sub-committee in July 2021 and six members had joined the Group. The Group had met with a range of officers as well as external organisations, including representatives of private home care providers, front line staff, Unison, Healthwatch, North Tyneside Carers’ Centre and individual carers.
The Study Group had concluded that there are concerns about the current situation with home care in the borough which mirrors the national situation, and that currently services are not able to meet the increased demands for home care. This is resulting in many people waiting on the brokerage list for care packages to be put in place. One of the major problems contributing to issues with home care is staff retention and recruitment.
The report set out 15 recommendations, the majority for Cabinet.
Cllr O’Shea thanked those who had contributed to the work of the Study Group, and also the officers who had supported the work of the Group, including Scott Woodhouse, Leanne Fairbairn and Joanne Holmes.
The Sub-committee was asked to consider and agree the following recommendation that was within the remit of the Sub-committee (recommendation 15):
That the Adult Social Care, Health and Wellbeing Sub-committee:
• Continues to receive updates on the development of the Health and Care Pilot;
• Requests updates from Northumbria Healthcare Trust on the home care service they are developing outside of the pilot.
The Sub-committee was also asked to approve the report and its recommendations for submission to Cabinet in May, subject to authorisation from the Chair and Deputy Chair of the Overview, Scrutiny and Policy Development Committee.
The Chair thanked Cllr O’Shea and members of the Study Group for the report.
• That the report and recommendations be approved for submission to Cabinet;
• That recommendation 15 as set out above be approved by the Sub-committee.
To receive a presentation from Northumbria Healthcare NHS Foundation Trust.
The Sub-committee received a presentation from Jonathan Pearson-Stuttard, Chair of the Health Inequalities Programme Board, Jill Harland, Consultant, Public Health and Alistair Blair, Medical Director, who were from Northumbria Healthcare NHS Foundation Trust. The presentation set out the approach of the Trust to embed a health inequalities approach across the Trust and with partners.
The presentation included information on the work of the Health Inequalities programme Board which aims to be a centre of health inequalities work across the trust and to facilitate and spread good practice. This is taking a data analytical approach to identify and measure health inequalities and to take action to address those that are within the locus of control of the Trust. The initial strategic priorities are smoking, lung cancer, health while waiting for treatment, DNSs – colposcopy, workforce wellbeing, Local Health Index and the community promise.
The presentation also set out how the Trust is addressing inequalities through their public health programme through the integration of public health analysis across business units. The presentation set out some of the priority work steams, including smoking in pregnancy, healthy weight, maternal mental health Covid 19, treating tobacco dependency, active hospitals and staff health and wellbeing. The Trust is also promoting the ‘Make Every Contact Count’ approach to encourage changes in behaviour that have a positive effect on health and wellbeing.
The Sub-committee was provided with information on some of the targeted approaches to addressing inequalities. In particular, the work to analyse inequalities in lung cancer referrals and diagnoses and the introduction of a case finding pilot aimed at high-risk patients. This had been successful in picking up a much higher proportion of lung cancer cases at an early stage in the targeted group and plans are in place to roll the pilot out to a wider area.
It was noted that the Trust is working in partnership with Local Authorities and other agencies, including education, in recognition of the complex factors impacting on health inequalities.
Members highlighted the current cost of living crisis and the concern that increasing numbers of people are likely to be facing increased financial hardship and the additional pressure this will place on health services and the likely impact on health inequalities. It was highlighted that the work of the Health Inequalities Programme Board was focusing on action within the Trust’s control and influence, both within the Trust and working through partners in the community. The Trust will also be looking at how it can target resources to address inequalities.
Members questioned whether there was enough resource put into preventative public health measures. They highlighted a need for resources for mental health treatment. The Trust highlighted that the value of preventative action is recognised and that prevention can be better and usually cheaper than cure, and they work with partners in relation to this. However, decisions on funding are made at a government level.
There was some discussion about the work of the Trust in relation to smoking interventions and ... view the full minutes text for item ASCH42/21
To receive a presentation from Northumbria Healthcare NHS Foundation Trust setting out the Annual Plan and Quality Account and priorities for the year ahead.
Jeremy Rushmer, Executive Medical Director and Rachel Carter, Director of Patient Safety, Northumbria Healthcare Trust, attended the meeting to present information about the Quality Account.
It was highlighted that not all targets have been achieved this year due to a combination of factors, primarily Covid but also an increase in referrals. It was noted that the Quality Account was being aligned with the wider patient safety strategy.
It was noted that the eight safety and quality priorities for 2021-22 had been: Access Standards, Outpatients, Deteriorating Patient, Delirium, Patient Group Directives, Child and Adolescent Mental Health Services, Patient Experience and Staff Experience.
Six priorities have been identified for 2021-22 and will be set out in the Quality Account. These are: Ambulance Handover, Medication Errors – Community, Cancer Pathway – Urology, Maternity – Medical Devices Training/E-quip, Patient Experience, Staff Experience.
It was noted that the Trust had achieved well against national performance statistics, and in particular the national staff survey where staff satisfaction was highest in the country.
A question was raised about how lessons from the success of the Trust in terms of patient experience could be disseminated across the wider ICS area.
A Member raised a question about considering patient experience at a macro and micro level, and that although overall patient experience was good, there is a lot that can be learnt from individual cases where patients have not had a good experience. This was accepted by the Trust.
It was noted that the Quality Account would be circulated in early May with the Sub-committee requested to submit a response in May with the final Quality Account published at the end of June.
The Chair thanked officers for attending the meeting and for the informative presentation.
That the presentation be noted and the Chair of the Sub-committee to agree a submission to the Trust on the Quality Account in May 2022.
Update from the Joint OSC for the North East and North Cumbria ICS and North and Central ICPs
To receive an update from Members who attended the meeting of the Joint Overview and Scrutiny Committee on 21 March 2022.
Cllr Brady gave an update from the recent meeting of the joint regional health scrutiny committee.
It was noted that the new chief executive of the ICS, Sam Allan, had attended the meeting and the Committee were provided with more information about the development of the ICS, including recent senior appointments.