Public Health Delivery Partnership
MINUTES
Wednesday 6 August 2014
10 – 12noon
Oberhausen Room, Middlesbrough Town Hall
Attendance
Edward Kunonga, Director of Public Health, Middlesbrough Council (CHAIR)
Sue Perkin, Health Improvement Partnership Manager, Middlesbrough Council
Becky James, Public Health Programme Officer, Middlesbrough Council
Judith Hedgley, Environmental Health Manager, Middlesbrough Council
Julie Cordiner, Middlesbrough Achievement Partnership (part of meeting)
Mark Davis, Strategic Development Manager, MVDA
Jonathan Bowden, Commissioning Manager, Middlesbrough Council
Graeme Nicholson, Coordination and Support Officer, Middlesbrough Council
Sarah Ross, Community Regeneration, Middlesbrough Council
Philippa Poole, South Tees Clinical Commissioning Group
Gill Carton, South Tees Clinical Commissioning Group (part of meeting)
Lesley Spaven, Social Prescribing, MVDA
Apologies
Tom Boyd, Toks Sangowawa, Martin Harvey, Julie Bailey
1. Minutes of last meeting / actions arisingMinutes of meeting 25.06.14 checked for accuracy.
Actions arising:
Quality in Primary Care – work has begun on this workstream, focusing initially on diabetes, and an update will be provided at the next meeting. In addition, the health and social care partnership are looking at demand management and the impact on services of people not managing their long term conditions effectively. EK is providing a report for the group which will be brought to the public health delivery partnership.
Food Action Plan – Mark Fishpool submitted a proposal to take forward the revised food action plan, following his presentation at the meeting held 12 May 2014. An issue was raised with regard to food banks and the high demand and insufficient supply of food for those who are struggling to feed themselves and their families.
SR raised the issue using Newport Settlement as an example. They are hosting an informal food bank utilising leftovers and donations from official food banks as there is high demand from families in the area. Demand is vastly outstripping supply however, and often there is nothing to give families who turn up at the centre.
It was agreed that a review of current food bank arrangements should be carried out looking at demand management, geographical locations and how the system is coordinated. An update will be brought to the next meeting.
A further point was raised around food banks and the lack of healthy options and fresh fruit and vegetables offered. Consideration needs to be given to this, possibly through the Food Action Plan in terms of ensuring people have access to healthy food options.
The group agreed to the recommendations set out in Mark’s report. It was agreed that a lead from the public health team would be identified to work with MEC to take this forward. SP to advise. Budget implications also need to be considered.
High numbers of takeaways and availability of fast food across the town is contradictory to the principles of the food action plan. This needs to be considered as part of the development of the plan in terms of policy influence and whether partnership links with the licensing / planning committees could be developed to address this.
Clear assessment – A one-day tobacco control peer assessment has been carried out and some initial outcomes provided:
Strengths:
· strong commitment to Smoke free alliance
· good membership and leadership and a detailed action plan
· newly commissioned stop smoking service
· joint working around smoking policy etc
Areas for improvement:
· long term vision for tobacco could be built on to make it more ambitious
· joined up working with young people
· targeted work in areas of high prevalence and review of return on investment in those areas
· targets need to be more measureable and smart
· utilising public health resources within local authority more effectively
The full report should be available shortly and will be circulated to the group.
Illicit tobacco – JH provided a report on illicit tobacco covering the scale of the issue and proposals to tackle the problem.
It was suggested a social marketing campaign in various languages could raise awareness of the issue and the dangers of smoking unregulated products.
A key problem remains the incoming supply of illicit tobacco. Trading Standards work closely with HMRC who are stopping products entering the country but it is still filtering through.
The recommendations set out in the paper will be picked up within the smokefree alliance and progress shared with this group.
Middlesbrough doesn’t have any baseline information regarding young smokers. Redcar and Cleveland have commissioned the SHEU survey to look at this issue. It was felt something similar could be beneficial for Middlesbrough to link tobacco control work with schools and young people. It could be combined as one general health and wellbeing survey to cover a range of public health themes and the results used to inform future planning. SP to explore and feedback at next meeting.
School Nursing – SP provided a paper summarising the review of the existing school nursing contract. There are significant issues with the current service in terms of capacity, the way the Healthy Child Programme is managed and safeguarding, amongst others. A total review was deemed necessary which has impacted on original timescales for recommissioning.
A new 5-19 children’s public health service will be recommissioned by 1st June 2015. The new service will prioritise the healthy child programme and will ensure that it covers all children and young people including those not in education. The service needs to be aligned to 0-19 services. The review will remain a standing agenda item for future updates.
2. Public Health Delivery Plan
Item deferred. The revised plan will be refreshed and circulated to the group.
3. Local Alcohol Action Area
JH presented briefing paper. PP requested the paper is presented at the CCG executive meeting.
Regular updates to be received at this group.
An alcohol related harm consultation forum event would be effective to inform the refresh of the alcohol strategy.
4. Substance Misuse
JB presented two papers covering the new Middlesbrough Recovering Together (MRT) model and prevention and early intervention initiatives.
The MRT service has seen good results and is much more effective than the previous arrangements of numerous providers offering separate treatment services. Building in payment by results has been effective in improving and influencing the wider health and wellbeing remit.
A MRT steering group is in place to oversee the whole system approach and the use of one IT system (Halo) aims to stop people falling between services. The true test will be a marked improvement in overall substance outcomes and feedback will be provided at a future meeting once the data becomes available.
It is estimated that for every 1 person in treatment for substance misuse there are 10 that are not. Prevention and early intervention is key to tackling the wider issue. The paper set out some key initiatives that are underway.
Lessons could be learned from the work tackling illicit tobacco and going forward, clear links need to be made to tackle drugs, alcohol and smoking in a joined up way. Links could be enhanced with children and adult interventions utilising family based approach. JB to speak to Lesley Spaven re. social prescribing.
We need to ensure key messages around substance misuse and alcohol are fed through schools via the 5-19 health and wellbeing service and the 0-19 service.
JSNA presentation covering illicit drug use has been circulated for information.
5. Men’s Health
GN presented a paper on Men’s Health and proposed priority work areas to reduce local health inequalities between men and women. It was highlighted that there are existing community and workplace groups that could be used for insight work. Links have been made with community regeneration to take this forward.
Links could be made with social prescribing as part of insight work. MVDA have facility within their database to search for male specific groups if required.
Strengthening work that is already taking place, with renewed focus on men will be key. There is an opportunity for outcome measures to take into account gender inequalities.
6. Winter Planning
Gill Carton presented a paper on winter planning arrangements via CCG. The national monitoring period for winter activity is November – March. Plans are overseen by the Urgent Care Workstream who have been tasked with looking at demand and gaps and how this can be addressed to sustain the system during the winter period. An action plan will be developed following consultation with lead providers.
A £15,000 communication budget has been put in place to ensure key prevention messages are delivered. It was suggested links could be made with fuel poverty (via Middlesbrough Environment City), Faith Network, VCS and the local authority public health communication team.
7. Pharmaceutical Needs Assessment / Community Pharmacy Applications
It was agreed, subject to ratification by Health and Well Being Board, that the public health delivery partnership will consider any community pharmacy applications received, through delegated responsibility from the board.
8. Any Other Business
A development session is to be held in October for all members of the Health and Well Being Board delivery partnerships. Further details to follow.
Social Prescribing update to be put on the agenda for the next meeting.
9. Date and time of next meeting
Wednesday 3 September 2014
10 – 12noon , Spencer Room, Middlesbrough Town Hall / Victoria Ononeze
EK
EK
MF
MF / SP
MF
JH
SP
BJ
JH
JB / LS
EK
EK