Stockton-on-Tees Borough Council

Big plans, bright future

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

Date:
Wednesday, 4th January, 2017
Time:
10.00am
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:
Martin Gray (Chairman), Sarah Bowman Abouna, Emma Champley, Cllr Mrs Ann McCoy, Ciaron Irving, Diane McConnell
Officers:
Jane Harvey, Michael Henderson (SBC)
Item Description Decision
Public
CHW
39/16
DECLARATIONS OF INTEREST
 
CHW
40/16
MINUTES OF THE MEETING HELD ON 6 DECEMBER 2016
 
CHW
41/16
COMMISSIONING GROUP TOPICS
RESOLVED that the commissioning topics table be circulated to members, to be populated, and returned to Emma Champley by 23rd January for collation and submission to the Group's next meeting.
CHW
42/16
CYP MENTAL HEALTH OFFER STOCKTON ON TEES
RESOLVED that :

1. the update be noted.

2. the matter be considered at the Future in Mind Group and, following this, a full update be presented to the Group's March meeting.
CHW
43/16
LOOKED AFTER CHILDREN CAMHS
RESOLVED that:

1. a direct award contract be put in place for 12 months 1 April 2017 to 31 March 2018 with the current provider.

2. a specification be drawn up, taking account of recommendations within the service review, and be presented to the Group's March meeting.

3. further consideration of this service be considered at the Group's June or July meeting.
CHW
44/16
BRIDGEWAY
RESOLVED that

1. the report and discussion be noted.

2. the Bridgeway contract be allowed to end on 31st March 2017.

3. in the future, necessary referrals be made to CAMHS /LAC CAMHS.
CHW
45/16
BARNARDO'S CHILD EXPLOITATION SERVICE
RESOLVED that:

1. consideration be given to the development of more collaborative working across the Tees Valley authorities, for CSE, and possibly Missing from Home related service provision.

2. subject to further discussions with Barnardos and agreement being reached on longer term planning and the availability of funding, to continue both elements of the existing services through to 30 September 2017.
CHW
46/16
SEND UPDATE
RESOLVED that the update be noted.
CHW
47/16
FORWARD PLAN
RESOLVED that the Plan and discussion be noted.

Preamble

ItemPreamble
CHW
39/16
There were no declarations of interest.
CHW
40/16
The minutes of the meeting held on 6 December were approved as a correct record.

Members noted that with regard to the Special School Nursing item a meeting had been held with Bishopsgarth and a meeting was arranged with Ash Trees. The Group was reminded that a new service model needed to be in place following the Easter break.
CHW
41/16
Members considered a summary table that brought together Commissioning Intentions and identified overlaps, joint priorities etc. The table also attempted to identify which groups had strategic oversight of the identified commissioning topics. It was agreed that the table provided a good mechanism to identify future agenda items for the year. It was important that the Group considered, for each topic, what needed to be achieved, by when, and who in the group should lead.

It was suggested that the table be considered by members, outside the meeting, and attempts to populate it with outcomes/actions, dates and potential Leads take place. The Group would further consider the populated table at its next meeting.
CHW
42/16
The Group received a verbal update on the Children's Mental Health Offer in Stockton on Tees.

Reference was made to the mapping report around mental health services that had previously been considered by the Group.

The verbal update related to CAMHS and TAMHS actions/recommendations identified during the mapping exercise and explained what work had taken place and was planned.

It was noted that this matter would be taken through the Future in Mind Group and, following this, a written update report would be provided to this Group's March meeting.

It was noted that there needed to be a contact with the Police around future in Mind and this would be considered by the Police rep and advised to the Chair.

Members were provided with an update about the School's Mental Health Pilot and it was noted that 8 secondary schools had been identified and included special and independent schools. Training would be delivered to schools in due course.
CHW
43/16
Member considered a report that provided details of commissioning options for the Commissioned Looked After Children's Mental Health Service. It was explained that the current contract would cease on 31 March 2017. The contract aimed to give the Council's Looked After Children priority access to Mental Health services.

A full review of the service had been undertaken and members were provided with key findings and recommendations from this review.

Members were also provided with options for the service from 1 April 2017 onwards, these were:

- discontinuing the service
- continuing the service with the current provider
- tender out a new service model on the open market.

It was explained that continuation of the service, via a direct award contract to TEWV, for a 12 month period was recommended and procurement advice was that this would be acceptable based on the fact that continuity of service was a high priority and that longer term transitional planning was required.

There was a lengthy discussion and a number of points were raised, including:

- waiting times in CAMHS were currently at 3 weeks from referral to first appointment but it was not clear how this might be affected if LAC were in the CAMHS system too.

- It was suggested that most of the activity within the LAC contract should be picked up in CAMHS other than the priority access.

- some children accessing the service should be on different pathways e.g self harm. Children must be in the correct pathway, rather than being referred to a service that was not appropriate.

- any new contract must make sure the specification was clear about performance management and understanding who's accessing and why .

The Group agreed with the continuation of the service for 12months. Lynne Sparrey would draw up a specification that reflected the recommendations coming from the service review and this would be presented to the Group's March meeting

It was suggested that, at this point, the consultant activity would remain in the contract, as it was unclear what affect removing it would have on the service as a whole.

This new contract would need to considered by the Group in June or July.
CHW
44/16
Members considered a report that provided commissioning options relating to the Bridgeway Service. The service contract would expire on 31 March 2017.

It was explained that Bridgeway was a Theraputic service for children young people and families affected by sexual abuse.

A full review of the service had recently been undertaken and details of findings were provided.

From the review it was evident that TEWV CAMHS, through its Teeswide core service, should be able to offer support to children affected by this type of abuse, but due to a stated lack of experience in this type of work the CCG commissioned this additional activity directly from Barnardos through the system of Independent Funding Requests.

During discussions a number of points were raised, including:

- The Independent Funding Requests Panel was likely to only approve requests where there was a clinical need. Bridgeway provided a clinical therapeutic service.

- schools used Bridgeway and purchased directly. It would be useful to understand what schools were purchasing and why they took this route, rather than CAMHS.

- if the Council withdrew from the contract it was anticipated that Barnardos would continue to provide a Sexual Abuse Service going forward.

It was suggested that the service should cease when the current contract ended, and future referrals should go to CAMHS /LAC CAMHS with CAMHS triggering the Independent Funding Panel process when it considered it to be necessary. This would assist in providing a consistent pathway of care.
CHW
45/16
Members considered a report that provided commissioning options for the Barnardo's Sexual Exploitation Service, which was due to expire on 31 March 2017.

Members were provided with details of the current service delivery model, which included two elements:

- a Child Sexual Exploitation Service
- Missing from Home Return Interviews.

It was noted that both elements of this service were commissioned by other Tees Valley authorities. Should either elements of the service need to be procured externally again then opportunities could be taken to join up with the other Tees Valley local authorities to commission the service on a joint basis.
CHW
46/16
Members received a brief update on SEND and it was explained that, subsequent to discussions at this Group's last meeting, the SEND Development Group had met and considered the matters that had been referred to it. It had agreed to form a Commissioning Working Group, which would take matters forward. Members were informed of the membership of the working group and agreed that it may be helpful to identify someone from social care. This would be considered further, outside the meeting.
CHW
47/16
Members considered the Forward Plan

In terms of the Therapeutic Interventions item, it was agreed that a summary of requests, over the last year, be provided.

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