Stockton-on-Tees Borough Council

Big plans, bright future

Children and Young People's Partnership Minutes

Date:
Wednesday, 18th May, 2016
Time:
1.30 pm
Place:
Jim Cooke Conference Suite, Stockton Central Libraray, Stockton on Tees, TS18 1TU
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Jane Humphreys (Chairman),

Peter Kelly, Bev Bearne, Jane Smith, Priti Butler, Emma Champley, Liz Boynton, Chris Davis, Martin Gray, Cllr Ann McCoy, Janet Mackie, Natasha Judge, Maryssa O'Connor, Hazel Ducker, Gemma Clifford, Lindsey Robertson, Jo Heaney
Officers:
Michael Henderson
In Attendance:
John Barnard
Apologies for absence:
Hazel Ducker, Gemma Clifford, Sue Harris, Christine Smith
Item Description Decision
Public
CHP
12/16
DECLARATIONS OF INTEREST
 
CHP
13/16
MINUTES OF THE MEETING HELD ON 20 APRIL 2016
 
CHP
14/16
MINUTES OF THE ADULTS HEALTH AND WELLBEING PARTNERSHIP HELD ON 5 APRIL 2016
 
CHP
15/16
MINUTES OF CHILDREN AND YOUNG PEOPLE'S JOINT COMMISSIONING GROUP - 12 APRIL 2016
 
CHP
16/16
THE CHILDREN'S HUB - PRESENTATION
RESOLVED that the presentation and discussion be noted/ actioned where appropriate.
CHP
17/16
NTHFT CQC INSPECTION OUTCOMES - CHILDREN
RESOLVED that the presentation be noted and the Partnership receive and update on progress relating to Looked After Children Services provided by the Trust.
CHP
18/16
HWB PEER CHALLENGE FEEDBACK
RESOLVED that the report be noted.
CHP
19/16
SELF HARM - CLINICAL AUDIT
RESOLVED that:

1. the presentation and discussion be noted and actioned where appropriate.

2. that further analysis be undertaken by CAMHS and a further report be presented to a future meeting of the Partnership
CHP
20/16
ACTION TRACKER
RESOLVED that the Action Tracker be noted and partners make a concerted effort to update any longstanding actions.
CHP
21/16
FORWARD PLAN
RESOLVED that the Forward Plan be amended as detailed.
1.30/3.40

Preamble

ItemPreamble
CHP
12/16
Councillor Ann McCoy declared a personal non prejudicial interest in the Self Harm - Clinical Audit item as she was a member of TEWV's Council of Governors.
CHP
13/16
The minutes of the meeting held on 20 April 2016 were agreed as a correct record.
CHP
14/16
The minutes were noted.
CHP
15/16
The minutes were noted.
CHP
16/16
Members received a presentation relating to the recent establishment of The Children's Hub - Hartlepool and Stockton on Tees.

It was explained that the Hub had been developed based on findings from Serious Case Reviews, inspections and research. It was considered that agencies needed to improve information sharing and the way they worked together to share risk assessments and make decisions to improve children's lives.

It was noted that the Hub was being hosted by Hartlepool Borough Council on behalf of the partner agencies and would be going live 1st June 2016. All new enquiries relating to Children's Social Care would be considered by the Children's Hub. A shared threshold document, called 'Providing the right support to meet a child's needs in Hartlepool and Stockton on Tees', had been developed, as part of the project, and this would be used to consider the most appropriate outcome for all new enquiries received into the Children's Hub.

Members were provided with and talked through the windscreen model which provided a visual representation of the support provided to meet children's and families' needs.

Members received details of which agencies would be co located at the Hub:

- Stockton BC and Hartlepool BC
- Cleveland Police
- North Tees and Hartlepool NHS Foundation Trust
- Tees Esk and Wear Valleys NHS Trust.
- Harbour - Domestic Abuse Commissioned Services.

There would also be virtual links with:

- Thirteen Group - Social Landlord
- National Probation Service
- Community Rehabilitation Company
- Adult Mental Health

Members noted some of the main benefits of the multi agency hub approach with the co-location of those agencies. In particular reference was made to benefits in terms of organising protection strategy meetings in a timely manner, with all necessary key partners being on hand.

Video conferencing facilities would be available in Stirling House to allow staff to be involved in meetings, at the hub, without the need to spend time travelling.

The Partnership was provided with details of the pathway and handover points following any contacts/ referrals.

Success Factors for the Hub would be:

- Effective pathways and proportionate responses for children and their families.

- Timely decision making and less delay associated with information gathering.

- Reduction in the number of re-referrals.

- Increase in the number of children identified within households affected by domestic abuse, receiving appropriate support.

- Increase in the number of children supported through an Early Help Assessment.

- Increased police engagement in strategy meetings.

- Services judged to be ‘GOOD' through external scrutiny.

The Partnership considered and discussed the presentation at length. The discussion included:

- Partners were very supportive of the initiative and indicated that it would be important to assess the outcomes of children, referred to other agencies, to satisfy us that the correct referral had been made and they had been helped.

- it was anticipated that, over time, each agency would become familiar with the range of services that were available. Also hub partners would feedback to their agencies about any inappropriate referrals.

- Early Help Assessments were designed for areas of concern where a multi agency response was needed. However, for issues at a single agency level people should think about an assessment because there may be other issue going on that they were not aware of.

- the staffing structure at the Hub had been considered in detail and a guiding principle had been to ensure that the Hub was not under resourced. It had been considered better to be over resourced and pare back, if needed. The staffing structure also offered a broader range of service than First Contact had.

- it was noted that the education designated officer post was not permanently funded. This would need to be considered further at a later date.

- the availability of conferencing facilities at Stirling House needed to be communicated to other agencies.

- a communication would be circulated about the Hub. The number for the Hub would be a Hartlepool number but certain Stockton numbers would divert to the Hub automatically for a time.

- There was a Management Board structure surrounding the Hub, including an operational group and both these would continue. There was a performance framework and there would be reports to the Management Board and updates to other bodies e.g. Cabinet etc. Ultimately there was a need to make sure the right referrals were being made and the right decisions taken, things were only being done once and the whole process was quicker and more efficient.

- Middlesbrough and Redcar and Cleveland were considering developing to the South and the threshold document had been agreed across the Tees, which would be helpful to agencies.
CHP
17/16
Members received a presentation that provided an overview of the outcomes of a CQC Inspection of North Tees and Hartlepool NHS Foundation Trust, held in July 2015 with specific focus on the Children and Young People Services provided by the Trust.

It was explained that the Services had been assessed across 5 domains. Are services:

safe - good
effective - requires improvement
caring - good
responsive - good
leadership - good

The services for Children and Young People and Families received an overall rating of good.

The Partnership was provided with details of what the inspectors had considered to be good practice and areas for improvement. The Partnership noted what had been /was on-going to improve any areas highlighted.

Members noted that there was a lot of work on-going around improving Looked After Children Services and it was agreed that the Partnership be provided with an update on action plans and progress in this area, to a future meeting.
CHP
18/16
Members received a report relating to a Health and Wellbeing Peer Challenge, undertaken in January 2016.

The Partnership was provided with details of the outcomes of the challenge including 6 recommendations.

It was noted that the Health and Wellbeing Board had agreed to hold a series of development days to develop an action plan relating to the recommendations.
CHP
19/16
Members received a presentation relating to Self Harm in Children and Young People.

The Partnership received information relating to the issue, including:

- data from a 3 centre study
- causative/influencing factors
- methods of self harm
- local CAMHS data

Partners noted that data indicated that:

- Teesside had higher rates of self harm than average.
- Stockton had higher rates than other Tees Valley authorities
- in Stockton there had been a 93% increase in presentations in a 6 year period, however, the accuracy of the data in 2010 was not certain.
- Stockton had high re-attendance rates within 1 year
- 15 - 18 year old biggest group but are younger children starting to come through

Issues discussed included:

- Capturing data for young people was very difficult

- It was suggested that there was a genuine lack of understanding by the Children and Young People (CYP) who self harmed in terms of the the consequences of the physical long term damage that could occur e.g. - paracetamol, which was the number one drug of choice.

- For an 8 month period July 16 to February 2016 there had been 104 Stockton CYP presenting at hospital for self harm. 83 cases of these had not previously been seen in the Crisis Team. 51 had been seen in CAMHS but 32 had not previously been known to CAMHS. There was concern around how those children known to CAMHS had ended in a crisis situation.

- CAMHS was analysing what work it had undertaken for children who had been known to its service, but had self harmed.

- There was no established pattern in terms of the time of the week and time of day but this could be skewed given when presentations to hospital was reported.

- It was queried if self harm incidents correlated with school holidays. It was explained that the process of collating the information for the presentation had raised a number of issues which would be looked at further, including this.

- Members considered school hotspots and it was noted that CAMHS would collate further information on this, using postcodes.Members were reminded that a previous report, to the Partnership, on self harm, had revealed a strong correlation with deprivation. This report included lots of data evidence and should be taken into account in any further analysis of self harm.


- issues of consent to share information was again discussed by the Partnership and it was noted that a discussion could be had with each family to secure this.

- there was discussion about Future in Mind. Listening to young people's voice was a key part of this. It was recognised that schools had the biggest target audience but schools were a little hesitant at talking about self harm with large groups as there was a fear this may make things worse.
CHP
20/16
Action Tracker 14 - 19 July meeting
Update around Answer Alex to future meeting.
CHP
21/16
Sexual Health Service to come along and explain the new model.

Baby Clear, weigh babies and UNICEF Breastfeeding Audit to be rescheduled to September's meeting.

Operation Encompass to be part of the Performance Report.

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