Stockton-on-Tees Borough Council

Big plans, bright future

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

Date:
Tuesday, 6th December, 2016
Time:
10.00 a.m.
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:
Martin Gray, Cllr Mrs Ann McCoy, Emma Champley, Alastair Simpson, Diane McConnell, Shaun McLurg, Jo Heaney
Officers:
Michael Henderson, Jane Harvey (SBC)
Apologies for absence:
Sarah Bowman - Abouna,
Item Description Decision
Public
CHW
31/16
APPOINTMENT OF CHAIR FOR THE MEETING
RESOLVED that Martin Gray Chair the meeting.
CHW
32/16
DECLARATIONS OF INTEREST
 
CHW
33/16
MINUTES OF THE MEETING HELD ON 2 NOVEMBER 2016
 
CHW
34/16
SEND (JOINT COMMISSIONING OF THERAPY)
RESOLVED that:

1. the proposals for remodelling SEND provision be noted.

2. the information about the provision of hydrotherapy pools, hydrotherapy, speech and language therapy, physiotherapy and occupational therapy be noted.

3. the information provided be further considered by the SEND Development Group with options brought back to a future meeting of this group.

4. the statutory requirement for a joint commissioning approach for children and young people with SEND be noted.
CHW
35/16
DOMESTIC ABUSE PERPETRATOR PROGRAMME - PERFORMANCE
RESOLVED that the report and discussion be noted.
CHW
36/16
SPECIAL SCHOOL NURSING
RESOLVED that:

1. the update be noted.

2. further discussion take place outside the meeting about the benefits of a further approach to schools being made explaining the importance of engagement.
CHW
37/16
OPCC DOMESTIC ABUSE PROJECT
RESOLVED that the presentation, summary and discussion be noted/actioned as appropriate.
CHW
38/16
FORWARD PLAN
RESOLVED that the Forward Plan be noted.
10am/12 noon

Preamble

ItemPreamble
CHW
32/16
There were no declarations of interest.
CHW
33/16
The minutes of the meeting held on 2 November 2016 be approved.

It was agreed that the Commissioning group wanted to have a clear picture of where commissioning overlaps might be between all commissioners. This would help identify commissioning opportunities and gaps.
CHW
34/16
Member received a report relating to the joint commissioning of therapy provision for children and young people with special educational needs and/or disabilities (SEND).

Members were reminded that the Council was reviewing the offer of SEND provision in Stockton and the Group was provided with details of principles that any future model might be based on.

In order to progress joint commissioning and take into account the on-going work on SEND provision, a piece of work had been undertaken to understand the current position of:

• Provision of hydrotherapy pools and hydrotherapy linked to Stockton-on-Tees' additionally resourced provisions in mainstream schools for physical and medical needs.

•The commissioning of speech and language therapy, physiotherapy and occupational therapy by schools and by the Local Authority.

Members were provided with detailed information coming from the piece of work including joint commissioning considerations.

Discussion included:

- the hydrotherapy pools were expensive resources and were significantly underused.

- schools were commissioning speech and language therapy outside of the commissioned service. It was agreed that there may be opportunities, through joint commissioning (potentially including schools), to reduce duplication, ensure earlier interventions, create more capacity throughout the borough and provide quicker access to a more consistent service. Use of personal budget may also be an option in this area.

- It was noted that the CCG commissioned speech and language therapy across children and adults but there were moves to disaggregate this and it was anticipated that activity for children would be reported separately in the new contract. It was suggested that the activity relating to children could be reported to a future meeting of the Commissioning Group.

- It was noted that some schools were already training TAs to provide certain speech and language therapies. It was considered that this type of approach was positive and would have a wider benefit to the general school population.

- Early identification of speech and language needs had been highlighted in a number of SEND inspection letters as good practice.

It was agreed that there were many opportunities to take a different approach to service provision in these areas and this would need to be considered further by the SEND Development Group, before coming back to this group with options.


CHW
35/16
Members received a report that provided an overview of the performance of the Domestic Abuse Perpetrator Programme.

Key parts of the report were:

- if an individual was willing to engage then evidence demonstrated positive outcomes.

- the process of review and preparation of this report had highlighted a potential gap of support for those perpetrators who wouldn't engage, or then disengaged from the service.

- additional work around the pre-commencement phase could be considered before referring to the perpetrator programme or for those who wouldn't engage.

- it was important to consider what other forms of intervention could be commissioned in the future to provide support for perpetrators and families living with Domestic Abuse.

- a multi-agency approach was an important element for the reduction of domestic abuse incidents.

Members noted that the overall contract was just under 342,000 pa with around 55,000 pa spent on the perpetrator programme. This equated to approximately 1,500 per completed programme (44 per week for the 34 week programme ). Those perpetrators who did not engage or dropped out were not included in these figures.

Discussion included:

- engagement with the programme was in line with what could be seen nationally.

- discussions were on-going at the Steering Group about what could be done collectively to respond to perpetrators.

- the programme was just one potential solution and there were other initiatives that may be helpful.

- refuge and outreach took the biggest proportion of the contract - probably about two-thirds.

- the perpetrator programme may naturally engage with those most amenable to change. We needed to look at engaging with those more difficult to change and who presented the highest risk.

- work was being undertaken to pull together what perpetrator programmes were available (Becky Rogerson)

- the Police were working with probation to try and take on a cohort of perpetrators within IOM.
CHW
36/16
This report is presented to update the Group on the progress made in relation to special school nursing consultation.

Members were reminded that there had been problems engaging with schools in Stockton and it was noted that feedback from schools had to be completed in December and, following this, the next steps would be:

• Amend Specification to reflect the consultation and develop a document outlining the proposed changes and model to be shared with schools for comment by close of play on the 20th January 2017.

• Consult with Public Health on the proposed changes and review potential impacts for school nursing service.

• Commence negotiations with the trust on revised specification, this would have to begin at the same time as schools were reviewing the proposals due to the timescales around contract negotiations and contract sign off.

There was concern that schools were not engaging with the consultation process because they were happy with the provision they had and believed it would remain the same. However, this was not the case and provision would change. It was suggested that this message needed to be clarified with schools. Jane Harvey would discuss this with Diane McConnell.
CHW
37/16
Members were provided with a presentation relating to a Transformational funding bid around Domestic Abuse.

It was explained that there were 4 main elements to the bid ;

- Effective working within the criminal justice system

- Safeguarding with schools (Operation Encompass plus)

- partnership work with civil and family courts

- multi agency support and offender management.


Further detailed information about each element was provided and discussion could be summarised as follows:

- it was agreed that work in the safeguarding and schools element would require close liaison with the Council's Education and Public Health Services. The Lead Officer identified for this element would link with appropriate Council Officers.

- 900k had been allocated for this financial year. Cleveland would receive 90K. The bid was for 5 million over the next 2 years.

- the project lead had been appointed and would need to link with relevant partners.

- the bid represented a massive opportunity but would need significant co ordination.
CHW
38/16
Members considered its draft Forward Plan.

Sexual Health Procurement to come to the February meeting.

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