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Agenda and minutes

Venue: County Hall, Durham

Contact: Jackie Graham  03000 269704

Items
No. Item

1.

Apologies for Absence

Minutes:

Apologies for absence were received from S Jacques, L Buckley and J Gillon.

2.

Substitute Members

Minutes:

G Curry for S Jacques, J Naokami for L Buckley and J Parkes for J Gillon.

3.

Declarations of Interest

Minutes:

There were no declarations of interest.

4.

Minutes of the meeting held on 29 November 2018 pdf icon PDF 307 KB

Minutes:

The minutes of the meeting held on 29 November 2018 were agreed as a correct record and signed by the Chairman.

 

A Healy, Director of Public Health informed the Board that, following the last meeting, the Chairman had written to Matt Hancock, Secretary of State for Health and Social Care regarding the Public Health Grant and had received a generic reply about the Public Health Grant formula.  The Director of Public Health informed the Board that it was important for representations on the Public Health Grant formula to continue to be made and that Public Health registrars were active in this field.

 

Councillor O Gunn informed the Board she was pleased that there was such an ongoing campaign.  It was important that letters of representation and any responses received were copied to local M.P.s, Corporate Directors and Portfolio Holders.

5.

Health and Social Care Plan (standard item): Update from Corporate Director Adult and Health Services, Durham County Council; Chief Operating Officer, North Durham and Durham Dales Easington and Sedgefield Clinical Commissioning Groups; and Director of Integrated Community Services, NHS County Durham and Durham County Council

Minutes:

The Board received an update from the Dr S Findlay, Chief Clinical Officer, Durham Dales, Easington and Sedgefield Clinical Commissioning Group in relation to the Health and Social Care Plan.

 

Dr Findlay informed the Board of progress towards the establishment of the shadow ICS for the North East and North Cumbria with effect from 1 April 2019.

 

Resolved:

That the update be noted.

6.

Summaries of Planning Guidance and NHS Long Term Plan: Report of Chief Operating Officer, North Durham and Durham Dales Easington and Sedgefield Clinical Commissioning Groups pdf icon PDF 540 KB

Minutes:

The Board considered a report of the Chief Operating Officer, Durham Dales, Easington and Sedgefield and North Durham Clinical Commissioning Groups which presented a summary of the recent published NHS Planning Guidance 2019/20 and the NHS Long Term Plan and how Durham would work together to develop a single plan (for copy see file of Minutes).

 

Councillor Hovvels asked how the Long Term Plan would be aligned to and complement other plans which were currently running.  The Chief Operating Officer, Durham Dales, Easington and Sedgefield and North Durham Clinical Commissioning Groups replied that it was planned to have a Durham system one-year plan, which would include a communication and engagement plan for the system, for submission by 4 April 2019, which would come to the Board in March 2019.  A longer 4-year plan for Durham which would take into consideration the NHS Long Term Plan and Health and Wellbeing Strategy would be completed for autumn 2019 and would include a communication and engagement plan.

 

Resolved:

(i)            That the report and next steps be noted.

(ii)              That a further report be reported to a future meeting.

7.

Monitoring update of SEND written statement of action: Report of Corporate Director, Children and Young People's Services, Durham County Council pdf icon PDF 795 KB

Minutes:

The Board considered a report of the Corporate Director of Children and Young People’s Services which provided information on local area progress one year on from the Ofsted and Care Quality Commission SEND Inspection and notified of the next steps in the inspection of the Local Area (for copy see file of Minutes).

 

P Shadforth, Strategic Manager, Special Education Needs presented the report to the Board.

 

Councillor Hovvels informed the Board that she was pleased that the views and voices of children and young people were being heard.  Councillor Gunn, Portfolio Holder for Children and Young People’s Services thanked the Strategic Manager, Special Education Needs for the presentation which highlighted the work which was ongoing and highlighted the partnership working which was taking place.  However, the work was being carried out under severe financial pressure, with a national shortfall in high needs budgets and Durham drawing on £4.1m of reserves to fund special needs.  The Council worked closely to support schools and would protect the education of young people who required this type of education.  While the Council was committed to funding, it was within the context of financial pressures it and other local authorities were experiencing.

 

Resolved:

That the report be noted.

8.

Health and Wellbeing Board Charters: Report of Strategic Manager Partnerships, Transformation and Partnerships, Durham County Council pdf icon PDF 293 KB

Additional documents:

Minutes:

The Board considered a report of the Strategic Manager – Partnerships, Durham County Council which provided an update on how partners met the requirements of the charters/pledges which the Board had signed up to (for copy see file of Minutes).

 

Resolved:

(a)   That the report be noted;

(b)   That the work being done by partners to meet the charters/pledges be noted;

(c)    That the report be provided to organisations who administer the Charters as an update from the Health and Wellbeing Board on the continued work to meet the commitments.

9.

Health Protection Annual Assurance: Report of Director of Public Health County Durham, Durham County Council pdf icon PDF 292 KB

Additional documents:

Minutes:

The Board considered a joint report of the Corporate Director of Adults and Health and the Director of Public Health which provided an overview on health protection assurance arrangements in County Durham and updates on the relevant activity from the health protection scorecard.

 

The report also presented the new health protection action plan which represented an update of the original ‘plan on a page’; drawing together key health protection programmes and identifying where assurance had been obtained in each area. 

 

The report highlighted how the implementation of the action plan and the management of the health protection scorecard would form an important strand of future public health assurance priorities.  This process would be overseen by the newly formed Health Protection Assurance and Development Group, which would meet quarterly and report to the Health and Wellbeing Board.

 

Resolved:

(a)         That the content of the report and the action plan be noted

(b)         That performance was generally higher than England averages and above target for most immunisation and screening programmes be noted.

(c)          That the DPH was largely satisfied that effective assurance processes were in place for communicable disease control, strategic regulation intervention and emergency preparedness be noted. 

(d)         That the implementation of the newly formed health protection assurance and development group which would oversee the reporting of progress towards achieving the goals detailed in the action plan be supported

(e)         That further development of the links with commissioning and health and safety (for e.g. legionella testing) be supported.

(f)           That further identification and response to emerging health protection priorities be supported.

10.

Children, Young People and Adults with Autism: Report of Head of Commissioning, Durham County Council, and Principal Educational Psychologist, Durham County Council pdf icon PDF 253 KB

Additional documents:

Minutes:

The Board considered a joint report of the Head of Commissioning, Durham County Council and the Principal Educational Psychologist, Durham County Council which presented an update on the development of an all-age approach to autism in County Durham, which encompassed the delivery of a revised 14+ Autism Strategy Implementation Action Plan and the strategic review for children and young people with complex social communication needs including autism and proposed Integrated Autism and Social Communication Strategy for County Durham (for copy see file of minutes).

 

This report provided an update on the joint strategic approach to autism in County Durham across the age range involving Health, Social Care, Education and other partners.  The report and action plan had been presented for approval at the various Durham County Council Adults, Children, Young People and Health management teams, as well as to relevant Clinical Commissioning Groups and Tees, Esk and Wear Valley (TEWV) NHS Foundation Trust senior managers.

The report reflected the work undertaken by multi-agency planning groups, including engagement with stakeholders such as people with autism, parents, families, carers and providers.

 

Resolved:

a)        That the report and next steps be noted.

b)        That the detailed all age action plan had been developed and ws available on request be noted.

c)        That further information regarding the World Autism Day programme of events be received and the Board member organisations participate in these events.

11.

Review of suicide rates and mental health and wellbeing in County Durham: Report of Chair of Adults Wellbeing and Health Overview and Scrutiny Committee, Durham County Council pdf icon PDF 318 KB

Additional documents:

Minutes:

The Board considered a report of the Director of Transformation and Partnerships which presented the key findings of the Adults Wellbeing and Health Overview and Scrutiny Committee’s Review Group report into suicide rates and mental health and wellbeing in County Durham (for copy see file of Minutes).

 

S Gwillym, Principal Overview and Scrutiny Officer presented the report to the Board and submitted apologies for absence on behalf of Councillor J Robinson, Chairman of the Adults Wellbeing and Health Overview and Scrutiny Committee.

 

Councillor Hovvels thanked the Principal Overview and Scrutiny Officer for presenting the report and the Adults Wellbeing and Health Overview and Scrutiny Committee for the work it had undertaken.  The review, which was undertaken following concerns identified during consideration of reports which highlighted that suicide rates for County Durham were above the National and North East average figures, had gathered useful evidence, given the sensitivity of the subject matter.

 

Resolved:

That the recommendations contained within the review report be noted.

12.

Sustainable Primary Care Services in County Durham - GP surgeries: Report of Chief Clinical Officer, North Durham and Durham Dales, Easington and Sedgefield Clinical Commissioning Groups pdf icon PDF 926 KB

Minutes:

The Board considered a report of the Director of Primary Care, North Durham Clinical Commissioning Group and Durham Dales, Easington and Sedgefield Clinical Commissioning Group which provided an update on challenges faced by general practices and initiatives being taken forward to support sustainability and transformation of general practice primary care in Durham Dales, Easington and Sedgefield Clinical Commissioning Group (DDES CCG) and North Durham Clinical Commissioning Group (ND CCG), in line with national policy and local strategy (for copy see file of Minutes)

 

Councillor Gunn referred to Brexit and asked what pressures this may cause.  Dr Findlay replied that Brexit would have a negative impact on Health and Social Care and this was being closely monitored.

 

Resolved:

That the report be noted and the challenge faced by general practices and the work being undertaken to support sustainability and transformation, aligned to national and local strategy, to improve services for the patients/local residents be recognised.

13.

JTAI Action Plan: Report of Corporate Director of Children and Young People's Services, Durham County Council pdf icon PDF 330 KB

Additional documents:

Minutes:

The Board considered a report of the Corporate Director of Children and Young People’s Services which provided an update following the Joint Targeted Area Inspection (JTAI) of the Multi-Agency Response to Domestic Abuse in Durham and presented the Improvement Action Plan for information (for copy see file of Minutes).

 

Resolved:

That the report and the JTAI Improvement Action Plan be noted.

14.

County Durham Plan: Report of Corporate Director of Regeneration and Local Services, Durham County Council pdf icon PDF 203 KB

Additional documents:

Minutes:

The Board considered a report of the Corporate Director of regeneration and Local Services which contained the Pre-Submission Draft of the County Durham Plan which was subject to a six-week consultation between 25 January until 8 March 2019 (for copy see file of Minutes).

 

Councillor Hovvels encouraged partners to feed in to the consultation process, with all documents being available on the Council’s website.

 

Resolved:

That the report be noted.

15.

Public Health Campaigns: Presentation of Director of Public Health County Durham, Durham County Council pdf icon PDF 546 KB

Minutes:

The Board noted presentations by the Director of Public Health County Durham, Durham County Council regarding public health campaigns on Dry January, Time to Talk and National Autism Awareness Week (for copy see file of Minutes).

 

Councillor Hovvels requested that members of the Board provide feedback to the Director of Public Health.

 

Contacts
Democratic Services
Durham County Council
County Hall
Durham
County Durham
DH1 5UL
email:
Tel:
03000 269 714