Stockton-on-Tees Borough Council

Big plans, bright future

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

Date:
Wednesday, 30th October, 2013
Time:
10.00am
Place:
Conference Room 2, Municipal Buildings, Stockton on Tees
 
Please note: all Minutes are subject to approval at the next Meeting

Attendance Details

Present:
Sarah Bowman, Kate Birkenhead (sub for Hilary Hall), Emma Champley, Shaun McLurg, Emma Thomas, Dr Paul Williams and Simon Willson
Officers:
Nigel Hart (LD).
In Attendance:
Jane Harvey, Glennis Charlton (item 7).
Apologies for absence:
Peter Kelly, Ann McCoy, Lynda Brown, Gordon Lang and Hilary Hall.
Item Description Decision
Public
CHW
44/13
APPOINTMENT OF CHAIRMAN
RESOLVED that in the absence of the Chairman, Sarah Bowman be appointed Chairman of the Group for this meeting only.
CHW
45/13
DECLARATIONS OF INTEREST
 
CHW
46/13
MINUTES
 
CHW
47/13
EARLY HELP STRATEGY
RESOLVED that:-

1. the comments/amendments regarding the Implementation Plan be noted and be incorporated by each lead.

2. the Implementation Plan be further considered by all partners to ensure that all relevant contributions were reflected in the document.

3. the deadline for completion of further amendments be noted.
CHW
48/13
NEW OFSTED FRAMEWORK
RESOLVED that:-

1. the content of Ofsted's new inspection framework be noted.

2. quarterly reports regarding work being undertaken to ensure the Council meets the requirements for an inspection, be reported to this Group on a quarterly basis.

3. the role of the Local Safeguarding Childrens Board in assisting children and young people who were at risk of harm but who had not yet reached the ‘significant harm' threshold, be highlighted within the draft Early Help Strategy.
CHW
49/13
NON RECURRENT FUNDING
RESOLVED that:-

1. the report be noted and the non-recurrent monies be used to develop the Early Years ‘Fairer Start' project.

2. a report based on the Project Group's recommendations regards where these monies should be allocated, be submitted to a future meeting of this Group.
CHW
50/13
CHILDREN'S CENTRES AND HEALTH
RESOLVED that:-

1. the report be noted.

2. the links to relevant data be noted and be shared between health and local authority colleagues, including through the Early Help Strategy implementation.

3. a report on the future deployment and specific location of the new FNP posts be submitted to this Group prior to commencement of employment.
CHW
51/13
CHILDREN AND YOUNG PEOPLE'S DENTAL HEALTH
RESOLVED that consideration of the report be deferred to the next available meeting.
CHW
52/13
TAMHS UPDATE
RESOLVED that consideration of the report contents be deferred to the next available meeting as part of an updated report.
CHW
53/13
FORWARD PLAN
RESOLVED that the plan be amended.
CHW
54/13
EXCLUSION OF PUBLIC
RESOLVED that the press and public be excluded from the meeting for the following item of business on the grounds that it involved the likely disclosure of exempt information as defined in Paragraph 3 of Part 1 of Schedule 12A of the Local
Confidential
CHW
55/13
SCHOOL NURSING
RESOLVED that consideration of the report contents be deferred to the next available meeting as part of an updated report.
CHW
56/13
COMMISSIONING INTENTIONS
  • Exempt Document
RESOLVED that further reports on Commissioning Intentions be brought to the Group in December/January and prior to this, all partners consider and contribute their own commissioning intentions to facilitate discussions on strategic alignment and joint commissioning as appropriate.
CHW
57/13
TAHMS
  • Exempt Appendix
 
10am/12.10pm

Preamble

ItemPreamble
CHW
45/13
There were no declarations of interest.
CHW
46/13
The draft minutes of the meeting held on 25th September 2013 were confirmed as a correct record and were signed by the Chairman.
CHW
47/13
Consideration was given to an updated working draft of the Early Help Strategy, following comments from the Local Safeguarding Children's Board and additions made to the implementation plan.

It was noted that all partner organisations sitting on the group required further input to these milestones and timescales and it was suggested that each lead officer consider each in more depth and return updated information within two weeks. Though one organisation may be named as the lead on a key action, a suite of actions is likely to sit behind each key action with delivery required by all partner organisations sitting on the group.
Initial comments/amendments to the implementation plan were noted as follows:-

-Strategic Priority 1- amend success criteria to reflect need for appropriate performance framework, including qualitative measures with a greater emphasis on outcome focus to provide a picture of Early Years Health and producing recommendations to support this ;

-refine wording to ensure actions allow the necessary sharing of data amongst all partners and practitioners;

-Strategic Priority 4- success criteria be amended to become less process focussed, and be more related to priorities, and compliance amongst partner agencies, rather than just awareness and understanding. Specific additional indicators be added to reflect this, including fact that 100% of referrals have evidence of CAF activity;

-an additional milestone be added to actions regarding reporting protocol to capture positive outcomes of CAF activity;
-targets to be developed by CAF Board regarding number of children to be subject to CAF;

-Strategic Priority 5- success criteria be amended to reflect greater awareness amongst both partners and users of the available early help services;

-Additional information sharing protocols be added to action no. 1 to strengthen practitioner sharing of information;

-Strategic Priority 6-further input required by all partners to ensure all actions/tasks are reflected;

-success criteria be reworded to include reference to target to ensure less children are coming onto social care, and/or requiring other high cost interventions, and endorsement by Ofsted of Early Help Strategy;

-All- Lead ‘officer' term be deleted to reflect the fact that a range of partners sitting on the group will jointly and sometimes separately take the lead on specific priorities, with ultimate responsibility for them being vested with this Commissioning Group;
CHW
48/13
Members were presented with Ofsteds new inspection framework for the new ‘single inspection' of services for children in need of help and protection, children looked after and care leavers.

New inspections would commence from November 2013, would be unannounced and would be based on Ofsted's assessment of risk. The framework included an Annex detailing the requirements of the local authority for an inspection, and work was underway completing our ‘state of readiness' to meet these requirements with quarterly updates, including the contribution of partners, to be provided to this group in future. The role of the Local Safeguarding Childrens Board was noted with regard to those children and young people at risk of harm but who had not yet reached the ‘significant harm' threshold, but who needed a preventative service to help reduce the likelihood of that risk of harm escalating . It was suggested that this role/responsibility be highlighted within the draft Early Help Strategy.

CHW
49/13
The Group was advised of the decision of the Health & Wellbeing Board to allocate 500,000 of non-recurrent funds available within the Public Health Grant, to be split 50/50 and targeted at the following areas:-

-Early Years intervention;
-Ill health prevention relating to adults.

Each of the Board's Commissioning Groups were invited to determine the specific details of how each allocation was to be committed, and the Adults Health and Wellbeing Commissioning Group had indicated support for the funds to be targeted towards smoking cessation.

This Group noted the existence of data that suggested priority should be given towards Early Years in particular in respect of speech and language, nutrition and cognitive development, based on the previous (unsuccessful) Big Lottery Fund bid. Public Health, CESC, the CCG and Catalyst have examined potential areas within the Borough upon which to focus such work. Indications were that this work should focus on Stockton Town Centre as 3.5% of children within the ward were currently ‘looked after', and the work should consist of a package of interventions both during pregnancy and early years and should be linked closely to the Family Nursing Partnership model and based on voluntary and community sector support. The group supported the suggestion that the non-recurrent monies should be spent on developing this work - known as ‘A Fairer Start'.

It was noted that the CCG had deferred a decision on whether it could provide additional non recurrent funding until after the implications of seasonal winter pressures were known. Catalyst are providing support in the form of staff time to develop the project,

A project group had been established to consider priorities for how and where this funding should be spent, and their findings would be reported to a future meeting of this Group.

CHW
50/13
Consideration was given to an overview of the ways in which Health services and Children's Centres worked together in Stockton on Tees and supported areas of development. This followed new statutory guidance issued by the Department of Education which stated that local authorities should work together with relevant partners to deliver integrated early childhood services and should consider how they could use their network of children's centres to greatest effect through various links to midwifery, GP's and health visitors.

Work was ongoing between local authority and health colleagues to enhance the collection of appropriate data. In particular, further work was required to improve the sharing of health data such as obesity, healthy weights, mothers stopping smoking in pregnancy, immunisation, rate of emergency admissions caused by unintentional and deliberate injury, and speech and language sessions. It was noted that Public Health England had recently produced new local health profile software which may include useful data specific to children's services. Links to other software such as 123 Magic would also be shared by health with local authority colleagues.

It was noted that funds had been approved to provide additional Family Nurse Partnership posts in North and South Tees, which were due to be in post by February 2014. It was suggested that this Commissioning Group have opportunity before then to recommend where exactly these new posts should be deployed.
CHW
53/13
Members were provided with a copy of the current Forward Plan.

It was agreed that those items deferred from consideration today would slip to a later meeting, and that an update on the proposed use of non-recurrent funding be reported to the next meeting.

Updates on how this Group can support the new Ofsted inspection framework be reported quarterly.
CHW
56/13
The Group was provided with an initial outline of the Public Health Department's Commissioning intentions for 2013/14 relating to contract arrangements held with the Council for the following services for both adults and children:-

-Smoking Cessation
-Weight Management and Obesity
-Adult Early Intervention
-Children & Young People's Early Intervention
-Sexual Health
-Mental Health
-Drugs
-Alcohol


CHW
57/13
See minute above relating to this issue

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