Stockton-on-Tees Borough Council

Big plans, bright future

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

Monday, 11th July, 2016
1.30 p.m.
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

Peter Kelly(Chairman), Cllr Mrs Ann McCoy, Martin Gray, Diane McConnell, Shaun McLurg, Ciaron Irvine, Jane Harvey, Jenny Cowell, Emma Champley, Gemma Mann, Jane Smith
In Attendance:
Jenna McDonald (Democratic Services)
Item Description Decision
There were no declarations of interest.
RESOLVED that the minutes be approved.

1. the information about the local area SEND inspection and the implications for all agencies be noted.

2. the high profile of joint commissioning in the inspection be noted and the recommendation for joint commissioning be taken forward.

3. joint commissioning should be progressed in the three suggested areas; Speech and Language Therapy, Occupational Therapy and The Autism Spectrum Disorder Pathway.

4. the importance of keeping the JSNA, in respect of children and young people with SEND, up to date, be noted..

1. the Group support the future commissioning options presented, with projects to be managed through the Youth Direction Service.

2. A Way Out Non Recurrent Funding end in September 2016, with the implementation of a funding exit plan to be implemented from July 2016.

3. Substance Misuse Service Specification to be extended to include the provision of support for vulnerable sex workers.
RESOLVED that the group noted and approved the update of the planned review described in the paper.
RESOLVED that information be noted.
RESOLVED that the Forward Plan be noted.


Consideration was given to the minutes of the meeting held on 10 May 2016.
The Group was provided with a report on the Local Area Special Educational Needs and Disability Inspection.

It was noted that in May 2016, the Government introduced the inspection of local areas effectiveness in identifying and meeting the needs of children and young people who had SEND which covered education, health and social care.

The Group noted that the purpose of the inspection was to evaluate how effectively the local area met its responsibilities for children and young people with SEND, not just the Local Authority.

The inspection focussed primarily on how well the local area fulfilled its responsibilities towards children and young people with SEND from 0-25 years.

It was noted that the inspection would focus on the following three questions:

- How effectively did the local area identify children and young people who had special educational needs and/or disabilities?

- How effectively did the local area assess and meet the needs of children and young people who had special educational needs or disabilities?

- How effectively did the local area improve outcomes for children and young people who had special educational needs and disabilities?

It was highlighted that inspections which started in May 2016, would take place at any point during normal school term time. A notice period of 5 days would be given ahead of an inspection which would last 5 days.

Inspections would be carried out by three inspectors which included; one HMI, one OFSTED and one CQC. The Local Authority would be asked to nominate a representative who would act on behalf of all local agencies through the inspection and until the publication of the inspection report.

It was noted that all local areas would be inspected at least once during a five year period however, if evidence suggested concerns about a local area, the inspection may have been earlier.

Inspectors would assess the quality and impact of joint commissioning arrangements between partners, including through the local strategic needs assessment and well being strategy.

It was highlighted that the current lack of joint commissioning for children and young people with SEND in the local area was likely to be an area of weakness should an inspection take place. It was recommended that joint commissioning should be progressed with some urgency.

Members raised the following points/questions:

- It was asked who the Local Authority's nominated officer would be. It was confirmed that the nominated officer was the Assistant Director of Schools & SEN.

- The Cabinet Member for Children and Young People asked whether lead Members would be involved in the inspection process. In response, it was noted that conversations would take place between Inspectors and Members. Discussions had taken place around how Members would be briefed and the possibility of seminars/briefing papers for Members.

- It was suggested that recommendation two of the report be amended to - The Children and Young People's Joint Commissioning Group note the high profile of joint commissioning in the inspection and take forward the recommendation of joint commissioning.

- With regard to JSNA, it was highlighted that it was important to ensure that JSNA information was up to date.

- It was asked whether the Local Authority was required to collect any other data which it did not currently collect. It was noted that work was on-going focusing on data collection.

The Group received a report which outlined the outcomes from scoping and mapping work that had taken place around the outcome of Public Health non-recurrent funding for supporting street based sex workers and the mapping of Child Sexual Exploitation (CSE) provision across the Borough.

It was noted that from 2011/12 until 2014/15, A Way Out had received 40,000 non recurrent funding per year from previous PCT monies to add capacity to the services Women's Engagement and Recovery Programme.

During April - September 2015, scoping work was carried out to understand;

- The population of survival sex workers across the borough

- Who was at risk of becoming involved in sex work and if there were any common high risk factors for those young people who become involved in CSE.

- What needs were being met that would be impacted by a reduction in funding.

The Group noted that part of the scoping work was carried forward into 2016 due to on going work that was taking place around the outcomes from the scrutiny review into CSE and the development of the CSE JSNA.

Members were informed that a commissioning options paper was submitted to the Adult Health and Wellbeing Commissioning Group in February 2016. The report identified proposed steps to determine future recurrent funding and priorities which can be summarised as follows:

- A Public Health led review of the A Way Out Service outcomes achieved from no-recurrent funding.

- A Public Health led scoping exercise to identify the potential for enhancement of service provision to high need chaotic street based sex workers via the substance misuse contract.

- A CESC led scoping exercise to take place using the outcomes of the recent CSE JSNA to review CSE needs in relation to services that were currently available.
The Group were presented with a report which provided a project update regarding the review of the Domestic Violence and Abuse Service and provided a summary of the steps taken to consult with the stakeholders.

The current contract which was provided by Harbour Support Services commenced on 1st April 2014 and was in place until 31st March 2017 with an option to extend for 12 months.

It was noted that the annual value of the contract was 341,976 and the service was funded jointly by departments within the Local Authority which included Community Safety, Adults and Health, Children's Services and by the Thirteen Housing Group.

The aims and objectives of the service were highlighted as follows:

- To provide a service which was proactive in engaging adults and young people who were experiencing domestic violence and abuse or perpetrating domestic violence and abuse.

- To ensure that support was optimised so that the service users were receiving the range of interventions that would give them the best chance of improved safety and/or behaviour change.

Members heard that the review would take place between April 2016 - August 2016 and would cover the first two years of the contract period.

It was noted that the review process identified the need to determine a broader service user journey record demonstrating how the commissioned provider fitted into the wider community offer. It was explained that in order to achieve the aim, the review process included thorough service mapping. Initial information gathered from the mapping events highlighted a number of points of interest. including:

- The need for greater awareness around types of domestic abuse and the range of support available from services.

- A lack of experience around disclosure of abuse particularly financial abuse and dealing with cases of Female Genital Mutilation, Honour Based Violence and Forced Marriage.

- Disclosure would be more likely where frontline staff were able to build a consistent relationship with a client.

- The range of support that was provided particularly within universal and primary prevention.

- Barriers and challenges were raised in relation to sharing information between agencies and lack of awareness amongst young people of controlling behaviours.
Members were presented with a report on the Health Related Behaviour Survey.

It was noted that the survey was developed by the Schools Health Education Unit and was designed for young people of primary and secondary school age.

Data arising from the survey could be used to inform planning decisions as well as being used in the classroom as the stimulus for discussion with young people.

It was explained that staff in schools were responsible for the classes selected for inclusion in the survey.
Consideration was given to the Forward Plan.

Members agreed that the Domestic Abuse Review be scheduled to the meeting on 5 October 2016.

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