Stockton-on-Tees Borough Council

Big plans, bright future

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

Monday, 5th June, 2017
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

Martin Gray (Chairman), Cllr Mrs Ann McCoy, Emma Champley (SBC), Jo Heaney (CCG)
Michael Henderson (SBC), Nicola Childs (CCG)
In Attendance:
Cllr Laurianne Povey
Apologies for absence:
Sarah Bowman-Abouna, Ciaron Irvine, Kate Birkenhead
Item Description Decision
RESOLVED that the update and discussion be noted and actioned as appropriate.
RESOLVED that the update and discussion be noted and actioned where appropriate.
RESOLVED that the update be noted.
RESOLVED that the Terms of Reference and Rules of procedure be amended based on the Group's comments.
RESOLVED that the Forward Plan be amended as discussed.


There were no declarations of interest.
Members received a verbal update relating to SEND:

- the SEND Joint Commissioning Group had looked at the Commissioning elements of the code of practice, to consider what the 'must dos' were, from a joint commissioning perspective. These had been used as a basis for the development of a Joint Commissioning Strategy. The draft Strategy had also drawn on outcomes from consultation sessions that had taken place around priorities and need, plus any priorities that had been identified during work on the emerging needs assessment. More work and consultation would need to take place with a variety of groups, including parents and carers. A final draft could be presented to this group's September meeting.

Following discussion it was highlighted that the initial commissioning priorities for SEND were:

- OT
- Speech and language therapy
- Children's equipment
- Personal budgets.

Jo Heaney would provide Emma Champley with a paper, providing the rationale for children's equipment being a priority.

Guidance identified 15 areas that needed to be considered, as priorities, and these would feature in the Strategy, with a plan for how they would be dealt with going forward.

It was explained that all joint commissioning needed to be based on a co-production process.

Each priority would include a narrative on 'what we would do' and 'what success would look like'. There would be a detailed action plan alongside the high level Strategy. The action plan would form the work programme for the SEND Joint Commissioning Group.

Timescales needed to be considered in terms of the Strategy's route through the Council and CCG structures, before being submitted to the Health and Wellbeing Board. Emma Champley and Jo Heaney would liaise on this.

There would be governance sections in the strategy from Council and CCG perspective.
Members received a verbal report relating to CAMHS.

It was noted that as this was a joint programme, with the CCG and Hartlepool there had been meetings about Future in Mind. It was noted that the funding amount was known but there was still some issues around existing commitments to resolve.

It had been agreed that there was a need to recheck the assessment tool to see where progress had been made and where focus was needed.

It had been proposed that five key areas would be identified, to work on as a collective. Working Groups would be set up under each key area but this was still to be finalised.

It had also been agreed to refresh the needs assessment, taking on board any consultation that had taken place.

It was not clear whether the matters agreed, at the joint meeting, had been taken forward and this would need to be looked at.

There was a discussion around the need to be focused on what services and approaches fell within the current and potential future contracts for CAMHS. Currently TEWV provided a tier 3 and specialist tier 2 service. What issues were CAMHS and what should be dealt with by other services. CAMHS should signpost individuals, not appropriate to its service, to more suitable services, if available.

It was important that relevant workforces understood when young people should be referred to CAMHS and had the skills to deal with certain issues themselves, or signpost to other services, where needed.

There was planned work in Darlington, around mapping the CAMHS pathway and there may be some learning from this that could be reported to this group. The work could include identifying which issues were CAMHS and which were not
Members received a verbal update relating to VEMT CSE and a potential Teeswide approach.

Work had been undertaken to look at whether there could be a Teeswide Commissioning Framework for some of the work associated with VEMT CSE.

- efforts were being made to take a consistent approach to a needs assessment across the Tees.

- it was explained that there was a genuine desire amongst authorities to develop something Teeswide, particularly with regard to Sexual Exploitation of Children. Stockton's current contract with Barnardo's was likely to be extended to March 2018 but it was unclear whether anything would be in place at a Tees level by this date. This would need to be addressed and it was noted that the Police were leading this project.

- 'Missing from home' work would be undertaken in-house.
Members received a potential revised Terms of Reference (ToR) and Rules of Procedure (RoP) for the Group.

A number of comments were made:

- In the ToR, Principles of Working section, para two, 'Opportunities to integrate services within legal frameworks', perhaps needed to be expanded slightly.

- the group should satisfy itself that, in terms of any reviews or proposed changes to service that it considered, the needs and views of children and young people had been sought and considered. It was suggested that the group needed to clarify this in its ToRs.

It was proposed that, in order to help with monitoring the Group's progress, it should produce a Annual Report to assist in providing assurance to itself and the Health and Wellbeing Board.

It was suggested that, when the Group considered its work programme, each year, the ToR should also be reviewed, at that time.
Members noted the Forward Plan and it was agreed that:

Therapeutic Support would slip to September
Headline priorities from the SEND Joint Commissioning Strategy would be presented to the July meeting and a final draft to the September meeting.
Health Initiatives Bids to be reported to the September meeting.

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