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Agenda and minutes

Venue: Committee Room 2 - County Hall. View directions

Contact: Jackie Graham  03000 269704

Items
No. Item

1.

Apologies for Absence

Minutes:

Apologies for absence were received from N Bailey, Dr S Findlay, Councillor O Gunn, C Harries, C Martin, A Reiss, Dr D Smart, Dr J Smith and M Whellans.

2.

Substitute Members

Minutes:

Councillor M McKeon for Councillor O Gunn, Dr N O’Brien for Dr D Smart and Dr J Smith, J Carling for A Reiss and G O’Neill for M Whellans.

3.

Declarations of Interest

Minutes:

There were no declarations of interest.

4.

Minutes of the meeting held on 26 July 2017 pdf icon PDF 308 KB

Minutes:

The minutes of the meeting held on 26 July 2017 were agreed as a correct record and signed by the Chairman.

5.

Sustainability and Transformation Plans Update Report: Northumberland, Tyne and Wear and North Durham and Durham, Darlington, Tees, Hambleton, Richmondshire and Whitby Draft Sustainability and Transformation Plans - Report of Chief Operating Officer, North Durham and Durham Dales Easington and Sedgefield Clinical Commissioning Groups and Chief Clinical Officer, Durham Dales, Easington and Sedgefield Clinical Commissioning Group pdf icon PDF 246 KB

Minutes:

The Board considered a joint report of the Chief Operating Officer, North Durham Clinical Commissioning Group (NDCCG) and Chief Clinical Officer, Durham Dales, Easington and Sedgefield Clinical Commissioning Group which provided an update on the two Sustainability and Transformation Plans: Northumberland, Tyne and Wear and North Durham Draft Sustainability and Transformation Plan and the Durham, Darlington, Tees, Hambleton, Richmondshire and Whitby Draft Sustainability and Transformation Plan (for copy see file of Minutes).

 

Dr Neil O’Brien, Chief Clinical Officer, NDCCG presented the report to the Board.  Work was ongoing to consider ways of bringing the work streams of the two STP’s together and their governance arrangements.  Alan Foster, Chief Executive, North Tees and Hartlepool NHS Foundation Trust informed the Board that he expected there would be some communication towards the end of the week which would provide details of where STP’s may be brought together in areas where it made sense to do more at a strategic level.  Local working and integration was the key to success.

 

Brian Jackson of Healthwatch County Durham asked whether Healthwatch would have any representative’s on STP Boards and work streams.  Mr Foster replied that nothing had yet been decided adding that there was a need to have appropriate representation.

 

Resolved:

(a)  That the progress report be noted

(b)  That further joint updates be received at future Board meetings.

6.

Healthwatch County Durham Annual Report 2016-17 - Report of Chair, Healthwatch County Durham pdf icon PDF 147 KB

Additional documents:

Minutes:

The Board considered the Healthwatch Annual Report 2016/17 (for copy see file of Minutes).

 

Marianne Patterson of Healthwatch presented the Annual Report to the Board.  Councillor Hovvels informed the Board that the Annual Report demonstrated that Healthwatch had moved on at a pace.  Joseph Chandy echoed the good work of Healthwatch carried out over the year.

 

Resolved:

(a)  That the Healthwatch County Durham Annual Report be received

(b)  That the alignment of the Healthwatch County Durham work programme with the Joint Health and Wellbeing Strategy be noted.

7.

Development of the Joint Health and Wellbeing Strategy - Report of Strategic Manager Policy, Planning and Partnerships, Transformation and Partnerships, Durham County Council pdf icon PDF 421 KB

Minutes:

The Board considered a report of the Strategic Manager, Policy, Planning and Partnerships, Transformation and Partnerships, Durham County Council which provided an update on the development of the Joint Health and Wellbeing Strategy (JHWS) 2018/21 and proposed the draft priorities of the JHWS for wider consultation (for copy see file of Minutes).

 

The Director of Public Health identified that the Stragegy would also be clear in terms of responsibilites of the wider determinants of health.

 

Resolved:

(a)  That the draft strategic priorities for the Joint Health and Wellbeing Strategy 2018-21 be agreed for wider consultation;

(b)  That the process for the development of the Joint Health and Wellbeing Strategy 2018-21 be noted;

(c)  That the draft priorities may be subject to change as a result of the consultation process be noted;

(d)  That the planned engagement activities be noted.

8.

Special Educational Needs and Disability (SEND) Joint Commissioning Plan 2017/18 - Report of Strategic Commissioning Manager, Adults and Health Services, Durham County Council pdf icon PDF 157 KB

Additional documents:

Minutes:

The Board considered a report of the Strategic Commissioning Manager, Adults and Health Services, Durham County Council which provided an update on joint commissioning activity relating to children and young people with special educational needs and/or disability (SEND) and sought approval of the SEND Joint Commissioning Plan 2017-2018 (for copy see file of Minutes).

 

Councillor McKeon asked how the SEND Joint Commissioning Plan linked with the work of the Healthy Child Programme Board.  The Strategic Commissioning Manager replied that the SEND Joint Commissioning Plan pre-dated the Healthy Child Programme Board and that overall progress of the Plan would be reported on a quarterly basis with the Healthy Child Programme Board.

 

Resolved:

(a)  That the joint commissioning activity relating to children and young people with SEND planned for 2017-18 be noted;

(b)  That the Durham SEND Joint Commissioning Plan 2017-18 be approved.

9.

County Durham Gypsy, Roma and Traveller Health Project - An independent Evaluation - Report of Director of Public Health County Durham, Adult and Health Services, Durham County Council pdf icon PDF 419 KB

Minutes:

The Board considered a report of the Director of Public Health, Durham County Council which provided an update on the final evaluation carried out by an independent researcher on County Durham’s Gypsy and Roma Traveller (GRT) Health Project (for copy see file of Minutes).

 

Bernie Crooks, Specialist Nurse for GRT, Michaela Tyers, GRT Health Trainer and Catriona Grime, GRT Health Trainer gave a presentation of some case studies to the Board.

 

Councillor Allen informed the Board that this was a subject which was close to both herself and Councillor Hovvels.  She had attended the conference referred to in the presentation and commended the quality of speakers, some of whom were champions within their community.

 

The Director of Integration, Durham County Council reported work which was ongoing to engage with frail older people and offered to brief the presenters outside of the meeting on the work being undertaken and provide some useful contacts.

 

S Lamb, Harrogate and District NHS Foundation Trust asked how hate crime and racial abuse towards the Gypsy and Traveller Community was being addressed.  Councillor Hovvels replied that this was addressed by colleagues in the County Durham Safer Partnership and the Joint Hate Crime Action Group.

 

Councillor Hovvels thanked the officers for their presentation.

 

Resolved:

(a)  That the evaluation report be noted

(b)  That the work of the GRT health team to promote health and wellbeing in this most disadvantaged community be supported

(c)  That work continue in individual organisations to address discrimination and prejudice faced by GRT communities and work to overcome barriers to their improved health.

10.

Cancer Health Equity Audit 2017 - Report of Director of Public Health County Durham, Adult and Health Services, Durham County Council pdf icon PDF 189 KB

Additional documents:

Minutes:

The Board considered a report of the Director of Public Health, Durham County Council which presented the Health Equity Audit 2017 (for copy see file of Minutes).

 

N Springham, Consultant in Public Health presented the report to the Board, the key findings from which could be found at paragraph 11 of the covering report.

 

A Foster, North Tees and Hartlepool NHS Foundation Trust asked whether the Audit had thrown up any surprises.  The Consultant in Public Health replied the Audit had shown that inequality for males in DDES CCG was widening, with the gap incidence between the most and least deprived areas more than doubling.  Additionally inequality had risen sharply for males in North Durham CCG and had widened for females in both CCG’s.

 

Resolved:

(a)  That partners and agencies of the Board consider the findings of the Audit in the context of planning for cancer services provided for people living in County Durham;

(b)  That all partners sign up to the development of a strategic Action Plan to address the identified inequalities in cancer incidence and mortality outlined in the Health Equality Audit.

11.

Macmillan Joining the Dots Programme update - Report of Director of Public Health County Durham, Adult and Health Services, Durham County Council pdf icon PDF 533 KB

Minutes:

The Board considered a report of the Director of Public Health, Durham County Council which provided an update on the MacMillan Joining the Dots County Durham project and provided notification of the intent to consult on the proposed model (for copy see file of Minutes).

 

A Healy, Director of Public Health, Durham County Council presented the report to the Board together with a video presentation.

 

J Robinson, Corporate Director, Adult and Health Services informed the Board that the report and video presentation was a powerful example of what could be produced in a relatively short period of time.  A Foster added that lessons needed to be learned from the project, which would not only apply to cancer patients but to all patients.

 

Councillor Allen praised the infographic at page 191 of the agenda pack.  While this made the information easy to follow, it would be important to ensure that any email and telephone number was memorable.

 

Resolved:

(a)  That the work undertaken so far through the Macmillan Joining the Dots County Durham project be acknowledged;

(b)  That the dissemination of the consultation to partners and the general public be facilitated;

(c)  That the model for consultation be agreed.

12.

Better Care Fund 2017-19 plan - Report of Strategic Programme Manager Care Act Implementation and Integration, Adult and Health Services, Durham County Council pdf icon PDF 156 KB

Additional documents:

Minutes:

The Board considered a joint report of the Chief Operating Officer, North Durham and Durham Dales, Easington and Sedgefield Clinical Commissioning Groups, Corporate Director, Adult and Health Services, Durham County Council and Chief Operating Officer, Durham Dales, Easington and Sedgefield Clinical Commissioning Group which presented the Better Care Fund Narrative Plan for 2017/19 which was submitted to NHS England on 11 September 2017 (for copy see file of Minutes).

 

S Jacques, County Durham and Darlington NHS Foundation Trust asked about likely consequences if targets were not delivered.  P Copeland, Strategic Programme Manager, Better Care Fund and Integration replied that paragraph 73 of the Integration and Better Care Fund Planning Guidance stated that the Government would consider a review of 2018-19 allocations of the social care funding provided at Spring Budget 2017 for areas that were poorly performing.

 

Resolved:

(i)            That the report be noted

(ii)          That the Better Care Fund Plan for 2017/19 for County Durham be ratified.

13.

System Resilience update - Report of Chief Executive, County Durham and Darlington NHS Foundation Trust pdf icon PDF 279 KB

Minutes:

The Board considered a report of the Chair of the Local Accident and Emergency Delivery Board for Durham and Darlington which provided an overview of preparations for winter 2017/18 across the health and social care system for County Durham (for copy see file of Minutes).

 

Resolved:

That the Board note the preparations that are well underway for preparing the system for winter 2017/18 and the improvement in performance compared to the same time in 2016/17.

14.

Carers Update: support for carers in County Durham - Report of Interim Head of Commissioning, Adult and Health Services, Durham County Council pdf icon PDF 246 KB

Minutes:

The Board considered a report of the Interim Head of Commissioning, Adult and Health Services, Durham County Council which provided an update on carer developments over the last year and work scheduled for the coming months (for copy see file of Minutes).

 

Councillor McKeon asked how engagement with young carers took place.  D Elliott, Interim Head of Commissioning, Adult and Health Services, Durham County Council replied that Family Action, who had the contract to provide core services to young carers had almost 500 carers registered with their service, had fed into the development of a service specification.

 

Resolved:

That the report be noted.

15.

Dementia and Planning - Joint report of Head of Planning and Assets, Durham County Council, Interim Head of Commissioning and Head of Partnerships and Community Engagement, Durham County Council pdf icon PDF 262 KB

Minutes:

The Board considered a joint report of the Head of Planning and Assets, the Interim Head of Commissioning and the Head of Partnerships and Community Engagement, Durham County Council which provided a progress update on work taking place with the Alzheimer’s Society and Durham County Council planning and assets service to support the implementation of the County Durham and Darlington Dementia Strategy 2014-17 by creating better environments for people living with dementia throughout the county (for copy see file of Minutes).

 

Michelle Robinson, Spatial Policy Manager presented the report to the Board.  Councillor Hovvels informed the Board that this was a big agenda adding that all taxi drivers across the county were now dementia trained.  More work needed to take place with the business sector and Councillor Hovvels hoped the Board would endorse the report.

 

Resolved:

(a)  That the report be noted;

(b)  That a health impact assessment be undertaken with the Board once a timetable for the County Durham Plan had been agreed.

16.

Local Government Association: Prevention Offer - Report of Strategic Manager Policy, Planning and Partnerships, Transformation and Partnerships, Durham County Council pdf icon PDF 316 KB

Minutes:

The Board considered a report of the Strategic Manager, Policy, Planning and Partnerships, Transformation and Partnerships, Durham County Council which provided an outline of the Local Government Association Prevention offer and sought endorsement for County Durham to become a pilot area for progressing the Prevention at Scale offer between September 2017 and September 2018 (for copy see file of Minutes)

 

Resolved:

(a)  That the Board endorse County Durham becoming a pilot area for progressing the Local Government Association Prevention at Scale offer in relation to mental health;

(b)  That the Board receive updates as the work progresses.

17.

Improving Palliative and End of Life Care: Strategic Commissioning Plan 2013 - 2018 - Report of Macmillan Commissioning and Development Lead, North of England Commissioning Support Unit pdf icon PDF 645 KB

Minutes:

The Board considered a report of the Macmillan Commissioning and Development Lead, North of England Commissioning Support Unit which presented the Improving Palliative and End of Life Care: Strategic Commissioning Plan 2013-2018 (for copy see file of Minutes).

 

D Hand, Macmillan Commissioning and Development Lead, North of England Commissioning Support Unit played an audio interview to the Board with the relative of somebody who had experienced a palliative and end of life care service which highlighted problems that had previously existed in the service.

 

The Board agreed that there were also areas of good practice in the services provided to patients coming to the end of their life.

 

Resolved:

That the content of the report be noted.

18.

Such other business as, in the opinion of the Chairman of the meeting, is of sufficient urgency to warrant consideration

19.

Any resolution relating to the exclusion of the public during the discussion of items containing exempt information

20.

Such other business as, in the opinion of the Chairman of the meeting, is of sufficient urgency to warrant consideration

 

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