Stockton-on-Tees Borough Council

Big plans, bright future

Children and Young People's Health and Wellbeing Commissioning Group Minutes

Date:
Thursday, 27th June, 2013
Time:
2.00pm
Place:
Conference Room 2, Municipal Buildings, Church Road, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Peter Kelly (Chairman)

Sarah Bowman, Shaun McLurg, Lynda Brown , Cllr Ann McCoy , Dr Paul Williams, Simon Willson
Officers:
Laura Poppleton and Jane Harvey
In Attendance:
Dave Appleton
Item Description Decision
Public
CHW
1/13
DECLARATIONS OF INTEREST
There were no declarations of interest
CHW
2/13
DRAFT MINUTES OF THE MEETING OF THE CHILDREN AND YOUNG PEOPLE'S HEALTH AND WELLBEING GROUP HELD ON 29TH MAY 2013
 
CHW
3/13
EARLY HELP STRATEGY
RESOLVED that the draft strategy be noted and the action points identified be taken forward.
CHW
4/13
SPECIAL EDUCATIONAL NEEDS FORUM
RESOLVED that the report and comments be noted.
CHW
5/13
HEALTH NEEDS ASSESSMENT SCOPE - CHILDREN AND YOUNG PEOPLE'S MENTAL HEALTH AND WELLBEING
RESOLVED that the report and comments be noted and the actions highlighted taken forward.
CHW
6/13
SCHOOL NURSING - UPDATE
RESOLVED that the update and comments made be noted.
CHW
7/13
TAMHS - UPDATE
RESOLVED that the report and comments be noted.
CHW
8/13
FORWARD PLAN/WORK PROGRAMME
RESOLVED that the information be noted.
CHW
9/13
DATE AND TIME OF NEXT MEETING
 
2pm/4pm

Preamble

ItemPreamble
CHW
2/13
The draft minutes of the meeting held on 29 May 2013 were noted.

During discussion of these minutes the following matters were highlighted:-

• KA to meet PK and Louise Wallace to discuss commissioning across the Hartlepool and Stockton CCG area. Khalid Azam was no longer the point of contact. It was suggested to contact Joanne Dobson or Sue Prout to pick this up.

• PK to confirm attendance at future meetings from Audrey Pickstock and Hilary Hall re: NHS England Area Team representation on the group.

• Terms of Reference: draft ToRs were handed out for comment. Changes made included:
o Inclusion of Police under membership;
o Addition of Simon Willson as Head of Business Support and Improvement.
o It was agreed to add Jane Harvey as ‘in attendance' on minutes for meetings she attends for Lynda Brown rather than as a member of the group. PK to confirm this with Democratic Services.
• Early Interventions Fund / Pilot Sites: SB to take part in a teleconference next week and also attend a conference in London as part of this process. If successful the fund would provide 20 days of support to the LA. SB to update members at the CYPHWBCG meeting in June.
• Fulfilling Lives: A Better Start: the first wave of the bid was submitted on 7th June. PK, Jane Humphreys and Steve Rose (Catalyst) attended an interview with the Big Lottery Fund on 21st June which went well. If successful, the next stage would be for Steve Rose to be interviewed by telephone next week. The final decision was due in August. PK thanked those members that helped in preparing the bid and the interview process. PW commented that if the bid was not successful the group's first action should be to consider how to take this project forward.
CHW
3/13
Members were provided with a draft and the conclusion and recommendation were highlighted:

Conclusion
The challenge for Stockton-On-Tees is to ensure that, in addition to responding appropriately to national initiatives, it develops its own aspirations and agenda for early help services. Taking local control of how services are targeted will involve significant investment in improving the collection and use of local information on the unmet needs of children, young people and their families.
In the meantime there is an immediate need to address the issue of the unprecedented demand for statutory social care services. Given the need to target investment to in a way that alleviates this pressure and the timescales involved, a phased programme for the development for early help services is recommended:

Phase 1: Establish the mechanisms through which CYPHWG will oversee the development of early help services and support CAF.
Examine any synergies which may accrue between the operation of Family Support Team, Family Intervention Project and the Troubled Families Programme. Together with Children's Information Services, examine what contribution this might make to the First Response area.

Phase 2: Longer term commissioning of targeted early help services based on improved information on local needs. Better information is required on the numbers of children and young people who require targeted provision, their location and other demographic and service information which will assist the commissioning process.
Phase 3: Undertake a review of universal services
Recommendation
CYPHWG are asked to consider the next steps by agreeing the arrangements for completing the attached Improvement Planning Template. A Communication Plan is also required to ensure that a range of stakeholders are informed of the future plans for early help services.
The members discussed the strategy and the following points were of note:

• Need to develop the implementation and communications plans. PK recommended a draft version of the plans be submitted to the HWB in the short-term. Ofsted will also receive the implementation plan.

• It was suggested that the group agree the proposed recommendations as a first step. The group agreed with the direction and approach of the document and agreed further work was needed to clearly define the Strategy and action plan, based on the report. It was agreed SB, DA and SW will meet outside the meeting to progress this.

• It was queried whether there will be a review of resources to understand what will be available to deliver the strategy. PK suggested pulling off the financial data and budgets for the 7 services. PW commented it will also be useful to know if there is any room for manoeuvre in the budgets.
Universal Services: PK commented there are two services missing from the list on page 17 of the strategy: School Nursing and Health Visitors. SB and SW advised that the focus of the Strategy had been agreed as targeted services. Universal services will need to be considered as a next step, particularly through the future Early Intervention Strategy. However, the Early Help Strategy will recognise that universal services will need to be aware of Early Help services available and effective referral mechanisms and step-up / step-down processes will need to be in place. The Council will only be able to look at a proportion of universal services. AMc advised that political guidance will need to be sought around this. Members were presented with Terms of Reference for the Health and Wellbeing Board, which had been agreed by Council.
CHW
4/13
Members considered a report relating to Special Educational needs reform.
A more detailed paper wOULD be presented to SGMT on 9th July in terms of governance arrangements.

PK commented it was important that the LA and CCG have a joint understanding of this reform and that interpretation is the same. PW added that the CCG understands that they have statutory responsibility as a CCG on the development of EHC plans and personal budgets. PW has been informed that at present there is no action to be taken.

JH informed the members that there may be requests for attendance at workshops in the future around this.
CHW
5/13
The Group considered a report relating to the above.
The members discussed the report and the following comments were noted:

•AMc queried whether other localities would need to be involved as services are provided across wider areas than Stockton e.g. TEWV. SB confirmed other localities would be kept informed and would be involved through CCG and NECS input to the work.
• PK commented that within the strategy there were a number of sub-groups of children and young people i.e. BME , children in various stages of the CAF system, Domestic Abuse, eating disorders etc; think about the specific need of services;. PK queried whether we have a holistic approach for these children.
• Service data - PW commented it can be challenging to access detailed provider activity data due to difficulties in mental health service data categorisation / classification.
• AMc commented she is aware there may be information available via the PARIS system.
• SB queried the breadth of the HNA scope and whether 'wellbeing' should be covered. The group agreed it should. It was agreed SB will set up a task and finish group and PW will be the key clinical contact for the CCG; supported by Sue Prout and Emma Thomas from NECS.
CHW
6/13
The mapping exercise of current service provision begins next week for 3 weeks.

PK and SB attended SMT at NTHFT to discuss the mapping and consultation process, aiming to produce a revised service specification for the service from September 2014. NTHFT are working closely with Public Health to map current service provision.

JH queried whether there will be a wider consultation with partners regarding the shape of the service. PK confirmed this. JH referred to the SEN reform and asked that children with complex medical issues be considered during the consultation.

PK added that it will also need to be considered whether the academies will want to buy in school nursing services.
CHW
7/13
Members considered a report relating to the above.

From September to March, the service will be funded entirely by the Schools Forum, contract managed through the TaMHS Steering Group which LB is chairing. 70% of the schools have bought into the service already. Gemma Mann (Public Health) is working with the provider (Alliance Psychology Services) on refining their access criteria and a new set of performance indicators to support service delivery and contract management September-March.

AMc advised that this needs to be fed into the Early Help Strategy.

LB commented that there will be an update provided at the next Schools Forum meeting. PK requested a further update at the next meeting of this group.

CHW
8/13
There is no formal work plan for this group - PK and SB will work with Democratic Services to develop a forward plan using the HWB Strategy delivery plan as a starting point.

CHW
9/13
31st July 2013 - 10am to 12noon
Conference Room 2, Municipal Building

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