Stockton-on-Tees Borough Council

Big plans, bright future

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

Date:
Monday, 1st February, 2016
Time:
1.30pm
Place:
Conference Room 2, Municipal Buildings, Church Road, Stockton on Tees, TS18 1LD
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Peter Kelly(Chairman), Cllr Mrs Ann McCoy, Martin Gray, Diane McConnell, Shaun McLurg, Emma Champley
Officers:
Jenna McDonald (Democratic Services)
Apologies for absence:
Louise Okello
Item Description Decision
Public
CHW
21/15
DECLARATIONS OF INTEREST
 
CHW
22/15
MINUTES OF THE MEETING HELD ON 11 NOVEMBER 2015.
RESOLVED that the minutes be approved.
CHW
23/15
MINUTES OF CHILDREN AND YOUNG PEOPLE'S PARTNERSHIP - 18 NOVEMBER 2015
RESOLVED that the minutes be noted.
CHW
24/15
BREASTFEEDING UPDATE
RESOLVED that:

1. the information be noted and the two year pilot be approved.

2. breastfeeding updates be considered at the Stockton Youth Assembly meetings as appropriate.

3. six monthly reports be communicated to the Commissioning Group on the progress of volunteer roles within children's centres.
CHW
25/15
REVIEW OF EXISTING CONTRACTS FOR CHILDREN AND YOUNG PEOPLE'S MENTAL HEALTH SUPPORT SERVICES
RESOLVED that:

1. the joint service review with the CCG, which was on-going, be noted.

2. the temporary service contract extensions for the two commissioned services and associated budgetary implication pending the longer term strategic planning for Children and Young People's Mental Health Support Services, be approved.

3. The SLSCB be consulted on any proposed changes to the provision of services.
CHW
26/15
PROMOTING THE HEALTH AND WELLBEING OF LAC
RESOLVED that:

1. the work which was being undertaken between the Local Authority and the CCG be noted.

2. an agreement be put in place between the Local Authority and the CCG.

3. work be carried out on out of area placements.
CHW
27/15
FORWARD PLAN
RESOLVED that the work programme be noted.

Preamble

ItemPreamble
CHW
21/15
Councillor Ann McCoy declared a personal/ non prejudicial interest as she served on TEWV's Council of Governors.
CHW
22/15
Members gave consideration to the draft minutes of the meeting held on 11 November 2015.
CHW
23/15
Members gave consideration to the Minutes of the Children and Young Peoples Partnership meeting held on 18 November 2015.
CHW
24/15
The Commissioning Group received an update on Breastfeeding.

It was proposed that for a two year pilot period, the funding that was previously fed into the Breast Feeding Intervened Health Service would be fed into the Health Visitor Service to purchase two additional whole time equivalent nursery nurse/early years practitioner posts through existing Health Visiting Services. It was noted that the dedicated staff would offer universal and targeted early help work to help promote breastfeeding and healthy nutrition. The work would take place through 1:1 home visits and community based group settings.

It was noted that with regard to volunteers, the Group was pleased to understand that the bank of current breastfeeding peer supporters would be supported to continue their volunteer role, if desired, through the Children's Centre Volunteer network.

It was highlighted that breastfeeding performance was poor throughout the North East.

Discussions took place around the School Nursing Service, it was heard that it was intended that the model would be piloted for 2 years to coincide with the existing contract for 0-5 Healthy Child Programme services with review built in as part of standard contract monitoring. Work would take place in the future focusing on the commissioning of Children's Community Services 0-19 years.

There was a discussion on communicating the importance of breastfeeding and it was suggested that appropriate updates be provided to Stockton Youth Assembly.
CHW
25/15
The Commissioning Group received an update on the review of existing contracts for Children and Young People's Mental Health Support Services.

It was noted that the contract covered both the CAMHS LAC Service and the Bridgeway Service.

The Group heard that the Bridegway Service had been in place for a number of years and offered support to children who had experienced sexual abuse. A meeting with the CCG took place around the concern of the service not working with those with backgrounds of sexual abuse. The Group heard that the discussion revealed that CAMHS did not cover this service however the CAMHS Service Specification stated that a service should be provided to those children who had experienced sexual abuse. It was noted that a joint review of the service would take place.

It was proposed that an additional contract be implemented with Bridgeway in order to understand the pathway of children entering the service and also understanding what the service provided which was not currently provided by CAMHS.

It was highlighted that it was important to understand pathways and to monitor where children were being sign-posted to.

Members were keen to understand what stage the Commissioning Group would inform the Stockton Local Safeguarding Children Board (SLSCB) of any changes in provision of services. It was heard that the SLSCB would be consulted once the proposed changes were reported to the Group.

The Group noted that a report on Mental Health would be considered at the SLSCB meeting in March 2016.
CHW
26/15
The Group noted a report which outlined the guidance related to the need for the Local Authority and the CCG to have in place agreed mechanisms relating to funding issues.

It was highlighted that meeting the health needs of looked after children would involve partnership work across numerous agencies, and professions. The Guidance stated that a child or young person's position in the care system should not deny them of timely access to health services and should not absolve the NHS of any responsibility for securing this.

The Group heard that an agreement would be put in place between the Local Authority and the CCG, it was highlighted that should a disagreement occur regarding payment, NHS England would be the arbitrator.

It was noted that if a request for funding was made to the CCG, it was essential that the Local Authority could demonstrate a health need.
CHW
27/15
The Group considered the forward plan and requested that the following topics be scheduled:

April:
- Mental Health Mapping
- Domestic Abuse Service Review
- CSE Early Help Update
- CQC Ofsted Area Inspection briefing

Noted that the following topics be considered at a future meeting:

- Health and Wellbeing of Young Carers
- Operation Encompass
- Health Visiting
- Children's Centres update
- Autism Strategy

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