Stockton-on-Tees Borough Council

Big plans, bright future

Children and Young People's Partnership Minutes

Date:
Wednesday, 21st February, 2018
Time:
1.30 pm
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),

Sarah Bowman Abouna, Julia Armstrong, Emma Champley, Chris Davis, Alastair Simpson, Diane McConnell, Karen Grundy, Janet Mackie
Officers:
Michael Henderson, Gemma Mann, Rob White, Ruby Poppleton, James O'Donnell, Mel Douglas
Apologies for absence:
Bev Bearne, Priti Butler, Rhonna Bollands, Cllr Ann McCoy, Mark Flannery, Simon White, Steve Rose, Sue Harris, Jane Barker, Jo Heaney, Amanda Taylor
Item Description Decision
Public
CHP
33/17
DECLARATIONS OF INTEREST
 
CHP
34/17
MINUTES OF THE MEETING HELD ON 21 FEBRUARY 2018
 
CHP
35/17
FUTURE IN MIND - SCHOOL PILOT
RESOLVED that the presentation and discussion be noted.
CHP
36/17
JSNA TOPICS - CSE, SMOKING
RESOLVED that:

1. the discussion be noted/actioned, as appropriate.

2, the templates for Child Sexual Exploitation and Smoking be approved and uploaded to the live web site.
CHP
37/17
APPROACHES TO RISK AND RESILIENCE WORK
RESOLVED that:

1. the report and discussion be noted.

2. clarification be sought on the rationale behind the task and finish group, referred to in the report, operating separately to existing FiM arrangements.

3. subject to clarification of 2, above,, the task and finish group be established to undertake the work detailed in the report.
CHP
38/17
REDUCING UNDER 18 CONCEPTION
RESOLVED that:

1. the next steps, detailed in the report, be approved.

2.the discussion be noted actioned as detailed.

CHP
39/17
FORWARD PLAN
 
1.30pm/3.30pm

Preamble

ItemPreamble
CHP
33/17
There were no declarations of interest.
CHP
34/17
The minutes of the Partnership held on 17 January 2018 were confirmed as a correct record.
CHP
35/17
Members received a presentation that:

- provided an update on the 'Future in Mind' School Pilot, undertaken with secondary schools.

- shared key findings and recommendations for
Council, school and NHS
commissioners.

Partners recognised the ongoing issues relating to emotional health and wellbeing in children and young people. Schools in the Borough reported increasing levels on anxiety, low mood and depression, as well as more complex mental health issues.

The Partnership noted that the model for the school pilot was based on;

- a whole school adoption of a resilience approach

- trained staff to deliver focused interventions

- an expert 'school champion', with enhanced training, on specific conditions.

The Partnership was provided with details of training that had been delivered within the pilot schools. Details of costs associated with early interventions, versus in-patient care, was also provided.

Finally, the Partnership was informed of some of the outcomes, findings and recommendations coming from the pilot. A full evaluation report would be available soon.

Discussion:

- the school survey that first revealed the full extent of issues around anxiety was being repeated and results would be closely analysed and compared with the previous survey.

- changes to curriculum and examinations were likely to increase levels of pressure, but the resilience interventions may help with how pupils managed any associated anxiety.

- the pilot had helped staff consider their own emotional health and wellbeing and they were more sensitive to how their interactions with pupils could impact on resilience.

- more detail of the breadth of the whole school approach would be provided in the evaluation report.

- it was important that any learning from the pilot was joined up with the Council's 0 - 19 provision.

- schools in the pilot had reported reductions in referrals to CAMHS. More robust monitoring of this was needed but partners recognized the potential savings that could be made and a potential case for a shift in resources.

- the community element of the pilot was particularly welcomed by partners.

- transition from primary to secondary was seen as a critical period in terms of strengthening resilience.

- the pilot had left a wealth of counselling information, and resources, with the schools involved.
CHP
36/17
Members received completed templates and presentations relating to the following JSNA topics:

CSE
Smoking

Members were reminded that this was an opportunity to provide feedback and agree the priorities identified. In addition, partners needed to support what was being suggested and should consider how they could do this individually and/or collectively.

The topic templates were live documents and could be amended at any point, if necessary.

CSE discussion:

- it was noted that Strategic VEMT had agreed that commissioning would be based on the JSNA and a strategy and action plan was being developed at a Tees level.

- there was a discussion around capturing the voice of the child in health settings and difficulties in this regard.

- the topic lead recognized the value of going through the JSNA process, particularly in terms of strategic commissioning.

Smoking - discussion

- members recognised the issues associated with smoking in pregnancy and the catastrophic effects it often has on babies. It was suggested that some data be gathered based on the age profile of women who smoked during pregnancy. It was requested that any data collected by the Trust, around smoking during pregnancy, be shared with the Council's public health service.

- it was pointed out that uptake of smoking by young people was relatively low and reducing.

- partners who came into contact with families were asked to highlight and push the 'smoke free home' agenda and other key messages.

- noted that the Council recommended that people vaped, rather than smoked tobacco, as vaping was significantly safer.

The Partnership, again, highlighted the importance of linking topics and issues together.
CHP
37/17
The Partnership considered an overview report of the evidence base for approaches to risk and resilience work. The report also provided an understanding of current preventative work, undertaken within the borough, and proposed a future direction for the development of risk and resilience work, within the context of the new Children and Young People Plan and the Joint Health and Wellbeing Strategy.

It was proposed that, to assist with the development of a strategic approach a multi agency task and finish group be established. The group would undertake a mapping of current local provision of resilience based approaches across ages and stages of development and a rapid review of the evidence.

Discussion:

- It was suggested that many problems associated with children's resilience came from problematic parenting. The primary school representative offered officers the opportunity to look at work in her school and learning could be used by the task and finish group.

- in terms of the work of the task and finish group, it was accepted that head teachers were likely to be well placed to contribute to the review of the existing resilience provision.

- it was important that work with parents took place to support them to develop resilience in their children.

- the approach would involve universal interventions and specific targeted work, with certain families, would be necessary.

- there were concerns, from a number of members, that the planned universal work may not have the impact envisaged, and a greater emphasis on targeting vulnerable families may be more effective.

- it was queried if this work should sit within the Future in Mind workstream. It was explained that links would be made between the task and finish group and FiM, however, further understanding of the rationale behind having separate work streams would be helpful.
CHP
38/17
Consideration was given to a report that provided an update on national and local data for under 18 conceptions; an overview of the current evidence base for preventing teenage pregnancy and proposed the development of a whole system, multi agency approach to the prevention of under 18 conception across Stockton on Tees.

A draft project plan was provided, which outlined objectives, actions and key partners.

Discussion:

- it was suggested that data indicated that those young women, who were likely to conceive, under the age 18, were also the young women most likely to smoke, drink and exhibit other risk taking behaviors. It was submitted that the proposed work should be part of targeted work to address multiple risk taking behaviors.

- it was pointed out that a solely targeted approach was likely to miss a large proportion of young women who would go on to conceive under the age of 18. However, the proposals included targeting of individuals/families where other risk factors were present and a holistic approach to all those risk factors would be taken. This reflected the overall approach to risk and resilience discussed in the previous item.

- it was explained that schools would be very interested in work in this area and, in particular, could assist in identifying pupils where targeted work would be beneficial (in terms of multiple issues, not just under 18 conception).

The Partnership noted that, work would be undertaken with particular schools, to understand some of the multiple issues presenting and it was agreed that public health (James O'Donnell) would lead on this. This would provide valuable local data and identify gaps.
CHP
39/17
Members considered the Forward Plan and agreed a number of amendments.

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