Halton Public Health Commissioning Sub Group Meeting Minutes

Halton Public Health Commissioning Sub Group Meeting
Minutes – 17/5/12
Present
Dwayne Johnson (DJ) - Chair
John Bucknall (JB) - representing Ann McIntyre
Glenda Cave (GC)
Angela McNamara (AMcN)
Sharon McAteer (SMcA)
Eileen O’Meara (EO’M)
Collette Walsh (CW)
Halton Borough Council
Halton Borough Council
NHS Merseyside
Halton Borough Council
NHS Merseyside
NHS Merseyside
NHS Merseyside
Apologies:
Jane Lunt, Jenny Owen & Sue Forster who was also unavailable to attend in Jenny
Owen’s absence.
1. Minutes/of the previous meeting
These were reviewed along with the summary around existing PH
Commissioning Plans in Halton and the position against the JSNA
developed at the last meeting. Both were accepted and approved as an
accurate record.
Action by:
2. Matters arising
Alcohol – EO’M sought clarity on the position with alcohol and which
areas/tiers need to be developed or reviewed as her understanding
differed from how the alcohol service is now structured. CW confirmed it
was Tiers 1 (GPs & front line professionals) & Tier 4 (inpatient detox)
which need further work doing on them.
Sexual Health – as the contracts for this service all end on 31/3/13, this
area is an immediate priority. JB advised that a meeting between the
Council, NHS Merseyside & Simon Henning from the Sexual Health
Network to discuss this had taken place and it had been agreed that Sue
Forster from NHS Merseyside would pull together a paper on how this
can move forward.
Contracts – GC advised that work is still ongoing in terms of locating,
summarising and submitting contract information for those commissioning
responsibilities that will be transferring to the Councils from April 2013.
All copies of the contracts which have been submitted to date have been
forwarded to Louise Wilson. The external contracts which have been
requested but are still outstanding are:
- Specialist weight management with Knowsley Integrated Provider
Service (now 5BP)
- Alcohol Liaison Nurse (lead Warrington PCT)
- Inpatient Detox at the Windsor clinic [Mersey Care] (lead Liverpool
PCT)
CW stated that a series of Contract Transition workshops have been set
up by NHS Merseyside in order to ensure comprehensive capture of all
contract information. She advised that the drugs and alcohol workshop is
on 22/5/12 and there is work ongoing around establishing detail around
Medicines Management (community pharmacies and needle exchange
services and also around the Medicines Management prescribing
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udget). Part of this work will involve risk mitigation around whether GPs
may have been overpaid or underpaid under the Drugs Misuse Shared
Care Locally Enhanced Scheme (LES).
The upshot is that both the Council and NHS Merseyside need to review
these areas of substance misuse.
3. Revised Terms of Reference/Membership
These were approved as the final version.
4. Public Health Commissioning Timeline & Milestones 2012/13
This item was carried forward from the previous meeting as it sets out the
key actions, timeline and milestones for PH commissioning going
forward.
AMcN suggested that the actions identified for June 2012, given the
amount of work involved, were perhaps optimistic. In response, EO’M
stated that the Health & Wellbeing Strategy needs to be signed off by the
end of June and it is this that is determining the actions and timeline.
DJ stated that he would like this to go to the next Shadow Health &
Wellbeing Board (Shadow H&WB Board) with the meeting minutes and
he would also like to take it to Chief Officers.
DJ
• Joint Strategic Needs Assessment
SMcA circulated a “JSNA Priorities Wall” which sets out the issues
against a life course stage & social determinant approach and looks at
where we think there are challenges and priorities for action. This needs
to be debated by the Shadow H&WB Board and SMcA suggested that a
shortlist of 14/15 from this list be drawn up. EO’M explained that some of
the areas eg. Long Term Conditions (no. 23) are overarching so will
include coronary heart disease, respiratory disease and diabetes for
example, and thought needs to be given on specifics within these
priorities which might be on the shortlist.
In consideration of priorities for commissioning, thought needs to be
given on meeting the outcomes frameworks (ie. Public Health, Social
Care and NHS) and on which priorities will become health premiums. As
health premiums will not be paid out on mandatory services this excludes
the National Child Measurement Programme and Health Checks.
DJ asked SMcA how the local priorities (LO) on the Priorities Wall had
been identified SMcA advised that they had come from a variety of
sources including the JSNA (where commissioners had described the
need to review services or ways of working) and some had come from
the Residents Survey.
EO’M asked for suggestions on how to perhaps condense this further and
how to take it forward with the Shadow H&WB Board. She suggested
giving H&WB Board members a list of priorities (c.15) from the JSNA,
giving them a set of priorities that have been identified from consultation,
looking at how the two compare and then go through all the priorities and
assess where we are up to on them. DJ suggested that the Priorities
Wall go to the next Shadow H&WB Board and that the categories be
broken down into cohort areas and the respective leads for those areas
be asked to break out into groups to look at these with the aim of
prioritising the priorities so that they agree what they are and buy into
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them.
SMcA advised the she would circulate the Priorities Wall electronically
and it was suggested that it be shared with as many people as possible.
DJ stated that he would like to take it to the next SMT and would speak to
the Leader and David Parr regarding the approach to discuss at the next
Shadow H&W Board.
• Update on Health & Wellbeing Strategy (H&W Strategy)
EO’M advised:
- introduction has been written & she will circulate to group members
- bubble diagrams have been drafted in terms of where the key needs
are for the Shadow H&WB Board & the Priorities Wall will be included
- Consultation – workforce and CCG consultation events have already
been undertaken and the community one is on 30/5/12. Interviews
with people around health zones (350 interviews with a wide variety of
individuals) have taken place.
- June’s Shadow H&WB Board will look at priorities and following that
outcomes will nee to be agreed and action plans drawn up.
- Approach will be to try and keep to a couple of pages per section and
the draft will go to the Health Strategy Group and Shadow H&W
Board.
- She is part of a national group working on this and they have done a
couple of presentations on behalf of the LGA which have outlined what
a H&W Strategy should look like & EO’M agreed to circulate to
members.
DJ
EO’M
EO’M
5. NHS Commissioning Board role in commissioning local public
health services
The document was reviewed and the salient points were:
• Public Health Services for Children 0-5 years – Halton is worst in
the country for healthy child development in under 5s. Whilst the LA
will hold the target, the National Commissioning Board (NCB) will
commission so the LA will need to hold both Bridgewater and
Community Nursing to account and ensure that robust contracts are in
place which are monitored and evaluated.
• Have had problems with health visitors in the past in Halton and will
need to ensure that services are lined up.
These two issues can be raised with Shadow H&WB members from the
acute sector (ie. Whiston and Warrington Hospitals) and individuals held
to account.
• Gypsy travellers do not access primary care although work is done
with them on an ad hoc basis ie. infection control, HIT (alcohol testing).
• The area of infection control needs to be looked at in terms of what we
want to do about it.
• A lot of money is going into the child nurse partnership to build up
services in terms of community staff provision, the level of service and
what kind of outcomes should be expected.
CW suggested that the group look at gaps in the transition process be
looked around commissioning and a risk register be drawn up.
All
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6. Analysis of PH Spend & Health Status in the NW
EO’M advised that there is an additional £1.2m allocated to Public Health
of which Halton will receive £0.5m and St Helens £0.7m. NHS
Merseyside are concerned that the Public Health team is small therefore
£240k of this will be used to employ staff to take the team up to its
original headcount of 18.7 staff.
DJ asked about the loss of commissioning and contracting staff and it
was agreed to discuss following the meeting.
7. Any Other Business
In addition to the DoH asking for confirmation of the 2010/11 outturn
figures for Public Health by 24/5/12, CW stated that the NTA were also
urgently asking for confirmation of the 2010/11 substance misuse outturn
figures. GC to check on who is co-ordinating and responding to this
request.
DJ/EO’M/AMcN
GC
Date of next meeting
Thursday 7 June, 1100-1230 hrs – Boardroom, Ground Floor Municipal
Building, Widnes
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