Agenda and minutes

The Chair gave feedback on a workshop held on 22 November 2024 for members of the Health and Wellbeing Board and other interested local parties as part of the national conversation on the future of the NHS.  The 10 Year Health Plan was the response to the Darzi report and was part of the Government’s health mission to build a health service fit for the future.

The workshop was well attended and Rachel Mitcheson,Director of Delivery Northumberland and North Tyneside, North East and North Cumbria ICB, gave a

helpful presentation in providing some context about the situation in North Tyneside, some of the areas of the NHS that work well and some of the local challenges.  Delegates at the workshop were asked to comment on the key challenges and enablers to:

·   Move more care from hospitals to communities

·   Making better use of technology in health and care

·   Focusing on preventing sickness, not just treating it.

The themes from the workshop formed a response that was submitted by Rachel Nicholson as the North Tyneside HWBB contribution to the NHS Change consultation. 

To receive apologies for absence from the meeting.

Apologies for absence were received from Councillors P Earley,B Bartoli and J Hunter, W Burke, J Firth, E Binks, J Sparkes, C Gavin,

H Hudson, P Garner, C Nevison, V Nixon, D McNally and G Morris.

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.

Pursuant to the Council’s constitution the appointment of the following substitute members was reported:-

M Mirfin for J Firth

S Woodhouse for E Binks

R Nicholson for W Burke

D Slater for C Nevison

T McMullen for V Nixon

S Roe for D McNally

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.

Councillor J Shaw declared a registerable personal interest as she was a Governor of CNTW Trust, and her niece was employed by Newcastle NHS Trust.

To confirm the minutes of the meeting held on 26 September 2024

Resolved that the minutes of the previous meeting held on 26 September 2024 be confirmed and signed by the Chair.

A report and presentation updating on the ‘best start in life’ theme of the Joint Health and Wellbeing Strategy “Equally Well: A healthier, fairer future for North Tyneside 2021-2025” will be provided

The Board considered a report which provided a progress update in relation to the Best Start in Life (BSIL) theme of the Joint Health and Wellbeing Strategy, “Equally Well: A healthier, fairer future for North Tyneside 2021- 2025” and updates on progress against the 2024/25 implementation plan. 

The Children and Young People’s Partnership (CYPP) is responsible for the leadership and governance of this theme.  Mary Connor, Head of Safeguarding and Children’s Services took the Board through the highlights of the report and the progress from partners against the actions within the implementation plan for 2024/25 with achievements were summarised in Sections 3.1 to 3.9 of the report.

This report was supplemented by a presentation on Developing North Tyneside’s Early Years Childcare offer by Graham Cowie, Commissioning Officer.  As outlined in “Equally Well” every child in North Tyneside should be given the best start in life supported by families, communities, and high-quality integrated services.  As part of the ‘Best Start’ there is a statutory duty on local authorities to:

• Secure sufficient childcare for working parents.
• Secure early years provision free of charge
• Prepare annual childcare sufficiency statement

Following the report and presentation members of the Board asked questions, which Rachel Nicholson responded to, which included:

·       The range of targeted support available for women smoking during pregnancy which includes nicotine replacement therapy (NRT), e-cigarettes/vapes and getting support from a health professional.

·       The criteria for by providing baby boxes for those families in North Tyneside with the 0-19 Children's Public Health Service working closely with maternity services to ensure all eligible families in receive the boxes.

·       The need for all partners to raise awareness about the high quality childcare available because of the complexity of navigating the system.

The Chair thanked officers for the comprehensive report.

Resolved that the progress in delivering the Best Start in Life by the Children and Young Person’s Partnership be noted.

A report and presentation updating on the ‘maximising the capabilities of children, young people and adults’ theme of the Joint Health and Wellbeing Strategy “Equally Well: A healthier, fairer future for North Tyneside 2021-2025” will be provided

The Board considered a report by Mark Mirfin, Head of Service, Commissioning, Partnerships and Transformation on the progress update on the work relating to Maximising the Capabilities of Children, Young People and Adults theme of the Joint Health and Wellbeing Strategy, “Equally Well: A healthier, fairer future for North Tyneside 2021- 2025”.  The comprehensive report outlined progress against the implementation plan for 2024/25, as summarised in Sections 3.1 to 3.9 of the report and performance indicators.

This report was supplemented by a presentation on the strategic system-wide approach to supporting the Mental Health and Emotional Wellbeing of Children and Young People in North Tyneside, delivered by Jane Pickthall, Senior Integrated Services Manager and Virtual School Head and Dr. Julie Owens, NHS Clinical Lead, CAMHS. 

The presentation outlined the vast amount of multi-agency work that has happened in North Tyneside in recent years to address the wide range of needs from preventing poor mental health, to early intervention in schools and communities through to more specialist help including:

·       Specialist CAMHS update: progress with waiting times

·       Neurodiversity Transformation Programme

·       The Mental Health and Emotional Wellbeing Collaborative

Following the presentation members of the Board asked questions of officers which were responded to appropriately, which included:

·       The need to maximise opportunities in older age groups and ensure learning opportunities are available and promoted to older people.

·       Recognising and acknowledging the local and national challenges and continue to build on the strategic work so that children with mental health issues can access appropriate support in a timely way.

The Chair thanked officers for the comprehensive report.

Resolved that (1) the Board was assured that the North Tyneside Children and Young People Partnership was making progress in delivering the actions for Maximising the Capabilities of Children, Young People and Adults and to reduce health inequalities;

(2) the approach and progress being made to support Children and Young People’s Mental Health and Emotional Wellbeing be noted;

(3) the comments on areas requiring further action be noted; and

(4) the North Tyneside Children and Young People Partnership to submit further progress reports to the Board in relation to its implementation plan for next year, the delivery of those actions and their outcomes.

To receive a report and presentation that will provide an overview of North Tyneside Council’s proposed Adult Care Strategy 2025/26, including the process of development, engagement and consultation activity and the resulting draft strategy.

The Board considered a report on the Adult Social Care Strategy 2025-2026 including the process of development, engagement and consultation activity, and the resulting draft strategy.

In Summer 2023, Cabinet resolved to establish Adult Social Care and Children’s Services as separate directorates. An Adult Social Care Strategy was needed to provide a robust plan to address the challenges facing the Adult Social Care sector, and enable scrutiny of progress towards these aims.

In recognition of the political and strategic context, a shorter than usual two year lifespan for the strategy was proposed, because of:  The detail of the new Government’s plans for Adult Social Care was still emerging; The forthcoming Mayoral election would be followed by a new Council Plan; and the current Health and Wellbeing Strategy ended in 2025.  As these developments emerged, they would inform the creation of a successor strategy to lead Adult Social Care through to the end of the decade.

The Adult Social Care Strategy 2025-2026 would support the achievement of several key areas of the Joint Local Health and Wellbeing Strategy, “Equally Well: A healthier, fairer future for North Tyneside 2021-2025”, including: Enabling all children, young people and adults to maximise their capabilities and have control over their lives; Ensuring a healthy standard of living for all Supporting everyone to live healthier and fulfilling lives; and maintaining independence for longer.  Furthermore, the strategy would support delivery of the current Our North Tyneside Plan 2021-2025 commitments, under the theme of ‘A Caring North Tyneside’.  The Adult Social Care Strategy 2025/26 also complemented and supported the Authority’s multi-agency strategic commitments including Ageing Well 2020-2025; the All-Age Autism Strategy 2021-2026; and North Tyneside’s Commitment to Carers 2024-2029.

The process of development included work to create the strategy began in August 2024, with four phrases of co-design and engagement undertaken with internal colleagues, external partners, people with care and support needs and carers. This was followed by a wider public consultation window in October and November 2024. The process of development was outlined in Section 4.1 of the report.  A detailed report on the consultation findings was attached at Appendix B and the process of development, engagement and consultation activity summarised in Sections 4.2 to 4.8 of the report. 

Phase 4: Final draft - At the time of preparing this report, the proposed Adult Social Care Strategy 2025-2026 was being finalised prior to submission for Cabinet approval. It was presented in draft form in Appendix C, with design work under way.  The original four aims had been revised to three namely -

(i) Empowering people; (ii) Effective, efficient services; and (iii) Support and safeguarding. The original proposals had all been retained, however rearranged under the above three aims. This enabled clearer delivery planning, with each workstream led by an Adult Social Care Head of Service, reporting on progress to the Director of Adult Services. These workstreams were detailed in Section 4.9 of the report.

The report concluded that given the strong agreement for the strategy’s proposals, no substantive  ...  view the full minutes text for item HW26/24

A verbal update will be provided at the meeting

The Board received a verbal update on the current position regarding the Health, Care and Wellbeing Executive Board from the Director of Delivery Northumberland and North Tyneside NENC ICB.

A report was received on the North Tyneside Safeguarding Adults Board Annual Report for the period April 2023 – March 2024. 

The Care Act 2014 brings a statutory requirement for each local authority to set up a Safeguarding Adults Board (SAB). The main objectives of a SAB were to assure itself that local safeguarding arrangements were in place and that partners acted to help protect adults in its area who met the criteria under the act.  The Safeguarding Adults Board reported into the wider system of the Health and Wellbeing Board and Safer North Tyneside arrangements. 

Over the last year the Board had accomplished many things through the Authority’s strong working relationships across the partnership.  Collectively the Board had achieved a great deal as a multi-agency partnership, that had worked closely with North Tyneside residents to ensure the Authority’s services to those who needed its support and experience were embedded within the borough. The Board’s partners would continue to build on the understanding of its communities and those with lived experience as it further develops its delivery as a Board.

Full details of the Safeguarding Adults Board’s strategic priorities and achievements during 2023-2024 were detailed in the report. 

Resolved that the North Tyneside Safeguarding Adults Board Annual

Report 2023-2024 be noted.

A report was received on the North Tyneside Safeguarding Children Partnership Annual Report for the period April 2023 – March 2024.  

The Children and Young People’s Partnership Board focused on the priorities embodied in the North Tyneside Children and Young Peoples Plan 2024-2025 (revised March 2024), and provided one place where partners could consider the wider agreed strategies priorities that were intended to impact on and improve outcomes for children and young people across North Tyneside. 

The Board valued its strong and effective multi-agency safeguarding arrangements, and the relationships that, as a partnership, they had with children and young people.  The work was built on the belief that building these trusting relationships, providing the right support at the right time and in the right place, would keep children and young people safe within their families, networks and communities.

Full details of the Children and Young People’s Partnership Board’s priorities and achievements during 2023-2024 were detailed in the report.

Resolved that the North Tyneside Safeguarding Children Partnership Annual Report 2023-2024 be noted.

10.00am, Thursday 23 January 2025.