Agenda and minutes

Venue: Room 0.02, Quadrant, The Silverlink North, Cobalt Business Park, NE27 0BY

Contact: Michael Robson  Email: democraticsupport@northtyneside.gov.uk

Items
No. Item

HW1/19

Appointment of Substitute Members

To receive a report on the appointment of Substitute Members.

Any Member of the Board who is unable to attend the meeting

may appoint a substitute member. The Contact Officer

must be notified prior to the commencement of the meeting.

Minutes:

Pursuant to the Council’s Constitution, the appointment of the following substitute members was reported:

Councillor T Brady for Councillor M Wilson

S Thompson for P Stanley (Tynehealth)

J Coe for C Riley (Northumbria Healthcare)

N Bruce for K Simpson (Newcastle Hospitals)

K Soady for L McVay (Tyne and Wear Fire and Rescue)

HW2/19

Declarations of Interest and Dispensations

Voting Members of the Board are invited to declare any

registerable and/or non-registerable interests in matters

appearing on the agenda, and the nature of that interest. They

are also invited to disclose any dispensation in relation to any

registerable and/or non-registerable interests that have been

granted in respect of any matters appearing on the agenda.

 

Non voting members are invited to declare any conflicts of

interest in matters appearing on the agenda and the nature of

that interest.

 

Please complete the Declarations of Interests card available at

the meeting and return it to the Democratic Services Officer

before leaving the meeting.

Minutes:

There were no declarations of interest or dispensations reported.

HW3/19

Minutes

To confirm the minutes of the meeting held on 11 April 2019.

Minutes:

In relation to the last meeting on 11 April 20019, It was noted that Professor Burns had made reference to prevention and early intervention. It was suggested that organisations can have different understandings and approaches to prevention and it may be helpful to receive a future presentation on these different approaches.

 

Resolved that the minutes of the meeting held on 11 April 2019 be confirmed and signed by the Chair.

HW4/19

Further Report on the Board’s Strategic Objectives No.s 4 and 7 "Comprehensive Support for people with Dementia" and "To improve the mental and emotional resilience of the North Tyneside Population." pdf icon PDF 405 KB

To receive an update on delivery of the Board’s strategic objectives incorporating delivery of the Children and Young People’s Strategy and the Joint Mental Health and Wellbeing Strategy for Working Age Adults and the Mental Wellbeing in Later Life Strategy 2018 – 2023.

Minutes:

1. Children and Young People

 

The Board considered the information contained in the report in relation to the Children and Young People’s Mental Health and Emotional Wellbeing Strategy 2016-21.

 

It was noted that the three strategic priorities are:

· Promoting Resilience, Prevention and Early Intervention;

· Improving Access to Support

· Services for High Risk and Vulnerable Groups

 

In relation to promoting resilience, prevention and early intervention there has been a focus on the schools agenda. In support of this a trailblazer application has been submitted to NHS England in relation to funding for Mental Health Support Teams in schools.

 

There was some discussion about the CAMHS service and it was acknowledged that there are pressures on the service and increased waiting times, particularly in relation to neurodevelopmental assessments. This is believed to be linked with increasing awareness of AHAD and Autism and an increase in numbers coming forward for assessment. There has been some additional investment by the CCG through the Helios team aimed at reducing wait times through the introduction of core CAMHS assessment and interventions using an online/Skype type model of delivery. It was noted that a peer review process was working with CAMHS to understand what can be done better and what other services could be provided to reduce the pressure on CAMHS. It was acknowledged that CAMHS may not always be the answer, but is often seen as the only service available to refer to. Members requested that an update report/presentation on CAMHS should be provided to the Board in 6 months time.

 

The Director of Public Health highlighted that the majority of young people do enjoy good mental health and well-being. But it is important to work hard across the system to support those who don’t, and developing capacity in schools is a big part of this. It was also highlighted that universal services are important, in addition to the commissioning of specialist services.

 

2. Working Age Adults

The Board considered the update on the Joint Mental Health and Wellbeing Strategy 2016-21 Working Age Adults.

 

It was noted that this is a multi-agency strategy across the Local Authority and the NHS and is supported by partner agencies and organisations. The strategy highlights six achievements linked to the overarching objective of improving the mental health and emotional resilience of the working age population in North Tyneside.

 

The Board noted progress in relation to early intervention and prevention aimed at reducing the pressure on secondary mental health services.

The Board was interested to note that, as part of the recommendation from the Crisis review carried out by North Tyneside Healthwatch, the CCG has commissioned a new service called Together in a Crisis. This is a non-clinical response to people identified as being in crisis but who don’t meet the threshold for statutory crisis provision.

 

The Board noted the update in relation to suicide prevention, including the suicide prevention work being carried out across the Integrated Care System and noted that 440K of funding has been awarded by  ...  view the full minutes text for item HW4/19

HW5/19

Healthwatch North Tyneside pdf icon PDF 636 KB

To consider the trends in the feedback gathered by Healthwatch

North Tyneside over the past 6 months.

Minutes:

The Board considered the report from Healthwatch North Tyneside which provided a progress update on the work of Healthwatch North Tyneside (HWNT), set out identified priorities for 2019/20 and provided an overview of feedback received.

 

It was noted that Healthwatch North Tyneside had conducted their first annual survey which had been successful and had received 531 responses. This was a high response rate and included responses from groups who don’t usually respond to health surveys, including men. This was proving a useful basis to feed back to health services and also for setting priorities going forward.

 

The following service priorities have been identified for 2019/20:

· Cancer Services

· Older People’s Mental Health

· Access to GP and Primary Care

· NHS 111

 

It was noted that Healthwatch has been commissioned by NHS England to undertake some work in relation to the NHS Ten Year Plan.

 

The Chair thanked Healthwatch North Tyneside for the report.

HW6/19

Primary Care Networks pdf icon PDF 1 MB

To receive a presentation in relation to the development of Primary Care Networks in North Tyneside.

Minutes:

Dr Richard Scott provided a presentation on Primary Care Networks. It was noted that Primary Care Networks (PCNs) formed part of the developments around place based future care. This is focussed on providers working together, strengthening primary/community services and hospital by exception. The NHS Long Term Plan confirmed a £4.5 billion uplift to primary medical and community health services with the objective of improving out-of-hospital care. In addition, all of England will be covered by integrated care systems (ICSs) by April 2021 and key responsibilities placed on PCNs.

 

It was noted that PCNs will be formed by groups of GP practices commissioned to provide primary care services to scale. They will typically cover 30-50,000 patients and will be delivered and funded via a contract. It was noted that PCNs in North Tyneside would be based around four established GP localities: North West, Whitley Bay, North Shields and Wallsend.

 

It was noted that the PCNs will go live in July 2019 and that the contract covers the following three specific areas in the first year: Extended Hours Access; Clinical Pharmacy; and Social Prescribing. PCNs will be led by a Clinical Director in each locality.

 

There was some discussion about how the governance of the networks will work and where public accountability and the patient voice would fit into the structure. The Board was advised that PCNs are not intended to be organisational structures but more a way of working across groups of practices. The PCNs will be working under a contract with the CCG.

 

Members of the Board raised some questions about the involvement of other health organisations within the partnership area, and it was highlighted that GPs form only one part of the primary care picture. It was noted that PCNs are partnerships of GP practices, but it is not clear if this could develop further over time.

 

A specific issue was raised about the role of community pharmacies within the partnerships. It was noted that community pharmacies did not form part of the PCN contract but that this is something that could be discussed further outside of the meeting.

 

There was some discussion about the role of Physician Associates, which was one of the additional roles highlighted in the presentation as forming part of the workforce of PCNs in 2020/21. It was noted that these are doctor assistant roles that could be rolled out in the future, and was a role that was used in the US system.

 

At the end of the discussion an issue was highlighted about changes to child safeguarding arrangements which will come into effect in October 2019 with responsibility passing to the local authority, police and CCG on an equal footing. It was noted that an update on this would be available in September 2019.

 

The Chair thanked Dr Scott for the presentation.

 

Resolved that the Board should receive a further report on progress with PCNs once they have been in operation for a year.