Page 10 - 20180424 - Minutes - TSAB V4 - PUBLIC

HBC had been selected for the first round of reviews due to delayed transfers
resulting from a lack of nursing bed availability. At the time of the review this situation
had been addressed. The review helped to give impetus to the plans and confirmed
that the steps that had been taken to address issues were appropriate. Jill Harrison
acknowledged that HBC had received excellent feedback regarding frontline staff
and that service users had good outcomes. It was good to receive some positive
external feedback and to be able to pass this on to staff. The action plan from the
review will be monitored by the Health and Wellbeing Board.
Action Points Action Deadline
Owner
1. Link to full report to be circulated to members once Business Unit 29/06/2018
available
2. Results of Gateshead peer review to be fed back to Chair 29/06/2018
Board

Agenda Item 10 Observer Report Presenter: Chair
Discussion James Hart attended a number of TSAB meetings to observe discussions and
interactions as part of his PhD work examining multi agency working. A report will
be presented at the November TSAB meeting.
Action Points Action Owner Deadline
1. Observer Report to be added to November Board agenda Business Unit 15/05/2018

Agenda Item 11 Transforming Care Update (c/f) Presenter: Ann Workman
Discussion The South of the region’s Local Implementation Group includes the four Tees Local
Authorities: Darlington and Durham have established their own group. The focus
for the group, working with Michael Holton from the NHS, is local people and issues
relating to provider availability. Consideration is also being given to what will happen
beyond 2019 in relation to young people and community clinical support. Neil
Reveley is the LGA advisor and acts as a link to the national Transforming Care
programme.

ES voiced concern that the complexity and fragility of some care packages on
discharge from a hospital setting may result in a person living in a community setting
where the environment is no different to a hospital, but without the same
safeguards. As chair of MAPPA Ann Powell suggested that there may be benefits
in linking to the Transforming Care Group. Initially there had been some concern
that the LAs were not connected in their approach to Transforming Care, but this
now seems to have progressed and been resolved.
Action Points Action Owner Deadline
1. Links to be established with MAPPA AW/AP 29/06/2018

Agenda Item 12 NPS practice improvement Tool Presenter: Ann Powell
Discussion This document relates to children, so inclusion on the TSAB agenda may have been
requested in error.

Agenda Item 13 Hoarding – Powers of Entry and the Presenter: Dave Turton
Merseyside Case Study
Discussion Dave Turton (DT) shared the Merseyside case study in order for the learning to be
compared against TSAB policies and procedures. DT queried whether the correct
systems are in place to trigger a risk and vulnerability panel to pick up on hoarding
cases.

It was noted that it would not be appropriate for all hoarding cases to be addressed
through the safeguarding process and DT queried the existing framework that is in
place outside of safeguarding, and whether cases would be considered under
community MARACs.
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