Stockton-on-Tees Borough Council

Big plans, bright future

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

Date:
Wednesday, 5th October, 2016
Time:
10.00 a.m.
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:
Emma Champley (Chairman), Cllr Mrs Ann McCoy, Martin Gray, Jane Harvey (Sub for Diane McConnell), Shaun McLurg, Alaistair Simpson
Officers:
Michael Henderson, Jane Smith, Jenny Cowell
Apologies for absence:
Sarah Bowman Abouna, Louise Okello, Diane McConnell
Item Description Decision
Public
CHW
18/16
DECLARATIONS OF INTEREST
 
CHW
19/16
MINUTES OF THE MEETING HELD ON 11 JULY 2016
 
CHW
20/16
YOUNG PEOPLE'S SUBSTANCE MISUSE
RESOLVED that the report and discussion be noted and actioned as appropriate.
CHW
21/16
0 - 19 HEALTHY CHILD PROGRAMME SERVICES
RESOLVED that

1. the report and discussion be noted and actioned as appropriate.

2. the meeting of the Group , scheduled for 2nd November 2016 be used to consider potential areas of Joint Commissioning.

3. a representative from the Police and Crime Commissioner's office be asked to provide details of its Commissioning intentions and send a representative to the meeting.

CHW
22/16
STOCKTON DOMESTIC VIOLENCE AND ABUSE SUPPORT SERVICES REVIEW 2016
RESOLVED that

1. the report be noted

2. the current Domestic Violence and Abuse Service be extended by 12 months.
the wider recommendations, coming from the service review, be forwarded to the Domestic Abuse Steering Group for consideration.

3. performance indicators and work undertaken around the perpetrator programme be provided to a future meeting of the Group.

4. the situation relating to the Domestic Abuse worker at North Tees and Hartlepool NHS Trust be noted.
CHW
23/16
BREASTFEEDING SUPPORT
RESOLVED that the update be noted.
CHW
24/16
SPECIAL SCHOOL NURSING
RESOLVED that

1. the report and discussion be noted and actioned as appropriate.

2. a further report be presented to the December meeting of this group.
CHW
25/16
CAMHS
RESOLVED that and update as described above be presented to the January meeting of the Children and Young People's Partnership
CHW
26/16
FORWARD PLAN
RESOLVED that the Forward Plan be noted.
10am/12noon

Preamble

ItemPreamble
CHW
18/16
There were no declarations of interest.
CHW
19/16
The minutes of the meeting held on 11 July 2016 were confirmed as a correct record.

Members noted that a SEND area inspection was on-going in Hartlepool and some learning would be provided to partners post inspection. It was agreed that SEND would be a standing item on the Group's agenda.

Members also received an update on the Health Related Behaviour Questionnaire and outcomes had been reported to the Safeguarding Forum and, it was explained that, a training programme was being developed for schools and other educational settings.

CHW
20/16
Members considered a report that outlined service developments following a service review of Tier 3 Young People's Substance Misuse Services in December - January 2016.

Members were asked to highlight any queries and there was a specific discussion relating to the SAFE project, based in A and E at North Tees Hospital. Discussion on this could be summarised as follows

- there was concern that the engagement of young people was low - 481 attendances with only 4 active engagements.

- there was duplication, as Health Visitors and the school Nurses Service also received A and E notifications.

- there was a three weeks delay in attempting to engage, from attendance to initial contact.

- a proportion of the attendances may be picked up by the Crisis Team.

- a discussion with the Trust relating to services based in A and E would be useful, outside this meeting.

- the report should be presented to the Stockton Youth Assembly seeking its views.
CHW
21/16
Members considered a report that provided an overview of the planning arrangements for the forthcoming procurement of 0 -19 Public Health Healthy Child Programme (HCP) Services. The report provided background to the programme, described planned programme activity and provided a timeline to ensure a service was in place for April 2018.

Members discussion of the report could be summarised as follows:

- Members were informed that this would not be a large scale public consultation, but the consultation plan ensured that vulnerable groups, including SEND, would be consulted.

- it was suggested that there be a discussion with the Police and Crime Commissioner in terms of links with operation encompass and prevention/early intervention work.

- the market engagement work would provide an opportunity for providers to make links and synergies and consider collaborative bids. There was an open mind about the structure of any future service.


During discussion on this item Members agreed that its meeting in November would be used to share Commissioning Intentions for 2017/18 and look at joint commissioning opportunities. It was agreed that the Police and Crime Commissioner's Office be invited to attend the meeting. Members agreed to come to the meeting prepared for the discussion.
CHW
22/16
Consideration was given to a paper that provided the group with an overview of the findings of a review of the Domestic Violence and Abuse Service, which was commissioned by the Council. Members were asked to consider the recommendations coming from the review and take a view on whether to extend the domestic abuse service, with the existing provider, contract for a 12 month period for 17/18.

Members discussion of the paper could be summarised as follows:-

- the contract should be extended by 12 months.

- there was discussion around the perpetrator programme and the number of individuals who completed the programme was queried.

- there was no evidence that shorter programmes provided good outcomes. Those attending short term programmes still needed longer term engagement.

- victims at high risk of harm went into the MARAC system.

- people needed to acknowledge their behaviour for programmes to be successful and this took time as behaviour was often culturally entrenched.

- all partners had a role in getting people to engage with the perpetrator programmes.

- the Domestic Abuse Steering Group would be looking at the wider recommendations coming from the DA review and would be considering innovative work in this area.

- it was suggested that the DA contract should encourage the provider to try and understand the reasons for the attrition rate for perpetrator programmes.

- it was agreed that the Group would receive details of performance indicators in the current contract and look at what the provider does around engagement, preventing attrition etc.

- members agreed that reduction of repeat perpetrators and victims was very important and agencies , together with the DA Services provider needed to investigate and try new approaches.

- the Group was provided with an update relating to a Domestic Abuse worker who had been based at North Tees Hospital. Funding for the post was no longer in place and, following receipt of correspondence, it was apparent that the circumstances around the withdrawal of funding had not been properly understood by all partners. It was explained that the post had been joint funded by this Council and Hartlepool Borough Council. The post had been put in place on a short term basis to review processes regarding Domestic Abuse identification and intervention and provide training and education to hospital staff. In December 2015 Hartlepool had indicated that it would be withdrawing funding. Stockton took up the full funding of the post until the end of September 2016 but this had not continued after that date. A post Exit planning discussions with the Trust and CCG had been held.
CHW
23/16
Members received an update on the commissioning arrangements for breastfeeding and progress to implement a revised model which embedded this support within the 0 - 5 Healthy Child Programme.
CHW
24/16
Members received a report that informed them of the work which had been carried out in relation to special school nursing provision within Stockton-On-Tees.

Discussion could be summarised as follows:

- there had been a delay in the consultation process with schools. It was important that the correct people were contacted at schools and discussion around this would be held outside the meeting. Schools must be encouraged to engage as much as possible.

- the future model of service would be informed by children , young people and families after the consultation with the schools had been completed.

- after April 2017 the service would be different and there may be a gap when compared with what was currently provided. This gap would need to be identified by the CCG to inform on-going dialogue around this between the relevant commissioners.

- a further report would be presented to the Group in December. It was agreed that the work would be completed by this time to enable contractual changes to be put in place.
CHW
25/16
Members received an update relating to CAMHS/TAMHS

Members noted that Alliance had a very clear view of its offer. CAMHS were working on a operating procedure to standardise its approach. It was agreed that a report providing an update on progress with regards to the recommendations/actions resulting from the mapping of the Children & Young Peoples Mental Health Offer in Stockton on Tees should be presented to the January meeting of the Children and Young People's Partnership.
CHW
26/16
Members noted the Forward Plan. Additional items identified were

- November - Commissioning Intentions

- December - Special School Nursing

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