Stockton-on-Tees Borough Council

Big plans, bright future

Children and Young People's Partnership Minutes

Date:
Wednesday, 16th May, 2018
Time:
1.30pm
Place:
Jim Cooke Conference Suite, Stockton Central Library, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Martin Gray (Chairman)(SBC),

Emma Champley (SBC), Alastair Simpson (Cleveland Police), Rhona Bollands (SBC), Chris Davis (TEWV), Karen Grundy (Healthwatch), Dianne McConnell (SBC), Cllr Ann McCoy (SBC), Janet Mackie (North Tees Foundation Trust), Julia Armstrong (Primary School Representative), Sara Dalton (Catalyst)
Officers:
Michael Henderson, Gemma McCann, James O'Donnell, Roland Todd, Tanja Braun, Jane Smith, Jane Wright (SBC)
In Attendance:
Tracey Hamilton (Eastern Ravens Trust), Sarah Massiter, Darren Storey (Harrogate Foundation Trust), Jan Rock (Matrix Neurological)
Apologies for absence:
Bev Bearne (SBC), Mark Flannery (SRC), Simon White (Secondary School Representative), Sarah Bowman-Abouna (SBC), Jo Heaney (CCG)
Item Description Decision
Public
CHP
1/18
DECLARATIONS OF INTEREST
 
CHP
2/18
MINUTES OF THE MEETING HELD ON 21 FEBRUARY 2018
 
CHP
3/18
CHILDHOOD BRAIN DAMAGE PREVALENCE AND IMPACT
RESOLVED that the presentation and discussion be noted and taken forward as appropriate.
CHP
4/18
EASTERN RAVENS - BIG LOTTERY FUND BID
RESOLVED that the discussion be noted and actioned as appropriate
CHP
5/18
0 - 19 SERVICE
RESOLVED that the presentation and discussion be noted and actioned as appropriate.
CHP
6/18
JSNA - SEXUAL HEALTH, EMPLOYMENT, DIABETES
RESOLVED that the JSNA templates be approved for publication.
CHP
7/18
FORWARD PLAN
 

Preamble

ItemPreamble
CHP
1/18
There were no declarations of interest.
CHP
2/18
The minutes of the meeting held on 21 February 2018 were confirmed as a correct record.
CHP
3/18
Members received a presentation relating to a childhood brain injury, acquired after birth, following a physical trauma or an illness.

The presentation provided an opportunity for the Partnership to consider the prevalence of such injuries, the impact it was having on services and how they might work together to address the issues caused.

Members noted that there was likely to be a significant number of children in Stockton Borough's area who had brain injuries that may have not been diagnosed. Such injuries could result in multiple problems for the children.

These included:

- difficulty speaking, reading, writing, understanding

- impaired memory, attention, perception, problem solving

- unstable emotions

- mood changes

- aggressive outbursts

- fatigue

- pain

- Sensory/motor deficits.

It was suggested that potential brain injuries were not being adequately diagnosed, highlighted or followed up, and there was a lack of understanding, or coordination across services, around how a child's brain injury could affect them.

Some case studies were provided to the Partnership, which demonstrated the difficulties families could face during their interactions with services, where the consequences of brain injuries may not have been known, or fully considered.

The Partnership were advised of the Matrix Neurological project that looked to support families affected.

Discussion:

- engaging with GPs to increase the number of referrals to specialist consultants continued to be a focus.

- it was suggested that services needed to start asking a simple question when a child presented with issues, as the response to that question could fundamentally change the context in which services developed its approach to helping the child:

' has this child ever had a head injury, or
Neurological illness'?

- Children with head injuries did not routinely receive MRI scans.

- Discussions about picking up possible brain injuries, during assessment processes, would be helpful and these discussions could take place outside this meeting. It was noted that a brain injuries assessment tool was being developed further and would be shared at an appropriate point.
CHP
4/18
Members received a note that outlined a Big Lottery Bid that was to be submitted by Eastern Ravens Trust relating to finding hidden young carers.

Members were requested to provide input to assist with the bid and, in particular:

- Suggestions on how young carers in the Borough could be identified, especially those affected by mental health illness/substance misuse.

- was there anything that should be developed for young carers

- was there any innovative practice that Eastern Ravens and the Council could develop as part of the bid.

Members and officers identified potential areas for further discussion and potential joint working, some of which may help strengthen the bid:

- development of a community engagement model

- Engagement with Adult Mental Health Services.

- making sure young carers were 'on the agenda' for all organisations.

- identifying siblings of brain injured children.

- Innovative practice, particularly within the 0 -19 model.

- referrals from drugs and alcohol services

- closer working with GPs
CHP
5/18
Members received a presentation relating to the new 0- 19 service. The presentation also introduced Harrogate and District NHS Foundation Trust and Family Action who had been commissioned to provide the service.

Members noted that Children and Families would be at the centre of the new service. Details of the 'one team approach' and service model were provided. The flexible model would allow families to access support, care and guidance at an earlier stage to avoid the need of requiring specialist services.

Discussion:

- the Police representative welcomed the approach described e.g. tackling causes rather than symptoms, integrated work , one team one door, one trusted worker etc. He indicated that he would be keen to have further discussions to see how the Police could fit into this.

- The service would establish a vulnerable parents' pathway which would, amongst other things, potentially be positive from a safeguarding perspective. Reference was made to an initiative in Newcastle regarding repeat removals which may become regional.

- members were encouraged to raise any ideas that could be embedded in the 0 -19 service

- engagement with young people and understanding how they wanted services to be delivered was a priority e.g. virtual drop ins

- Engagement with CAMHS would be important and links through the multi-agency screening process.
CHP
6/18
Members received presentations on completed JSNA templates, relating to:

Sexual Health
Employment
Diabetes

Each topic identified a number of strategic priorities. Members were reminded that the JSNA was a very high level strategic document.

Members discussed the templates and presentations on each topics. It was noted that linkages between topics would need to be made so that commissioning decisions were not made in isolation and the move towards prevention continued.
CHP
7/18
The Group noted the Forward Plan.

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