Hounslow Council

Agenda and minutes

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Contact: Email: mike.smith@hounslow.gov.uk 020 8583 2069 

No. Item


Minutes of the meeting of 7 December 2015 pdf icon PDF 81 KB


The minutes of the meeting held on 7 December 2015 were confirmed subject to noting that Emma Cartwright and Stephen Otter were present.


West London Mental Health reconfiguration - Sarah Rushton pdf icon PDF 176 KB

Additional documents:


See the report of the Chair of the Panel (Agenda Item 4)


Martin Waddington thanked Members for the opportunity to give more information about the improvements being made to local mental health services in relation to urgent access and treatment and also to planned care for people with a serious mental illness.


Chris Bench, Clinical Director, Planned and Primary Care, West London Mental Health NHS Trust gave a PowerPoint presentation which looked at the shifting settings of care. This was then followed by a PowerPoint presentation by Sarah Rushton, Executive Director for Local Services at the West London Mental Health Trust, which looked at access and urgent care. This was followed by questions and a discussion regarding the presentations which covered the following topics and issue areas.


The new hub would open in April but it would just be for adults at this stage. A different model was being worked up for children and adolescents. Resources would be available on a 24/7 basis. This was being funded from existing resources and additional funds provided by the CCG. There would be frontline telephone?based staff plus clinicians to undertake triage and call back as appropriate. There would be a mixture of qualified and unqualified staff working on the phone service but there would always be professionals on hand. The service would link into the 111 phone number. There would be less staff at night but a service would be still available. The intention was that community mental health services were available and appropriate to meet the demand. GP and community staff were effectively trained in understanding and responding to mental health needs.


Annabel Crow, the GP lead for Mental Health Services stated that this was a much better alternative than using accident and emergency services.


It was the wish of the Trust to redevelop Brentford Lodge as part of the Mental Health Service and a provisional allocation had been made in the Capital Programme for 2015/2016. This had been delayed because of other urgent demands on the Capital Programme and implementation in 16/17 would depend on the priorities for improving the Trust’s assets. It was noted that patient services had been moved from the building some time ago - although it had continued to be used for administrative services up until about 18 months ago. The dilemma was that there was a limited Capital Programme and priority had been given to improving other sub?standard accommodation occupied by patients.


It was stated that there was a one in five lifetime risk of developing some form of mental illness and one in a hundred people would have a severe mental health problem. The stigma surrounding mental illness was reducing and awareness was rising. Both of which did increase the demand for services. The first point of contact was usually a GP. Where an individual appeared to be in need of assistance but did not wish to approach the statutory services, it was often the case that the first point of contact might  ...  view the full minutes text for item 36.


Adult Safeguarding: annual report and business plan - Hannah Miller and Jo Carmody pdf icon PDF 125 KB


See report of the Chair of the Scrutiny Panel (Item 5)


Hannah Miller, the Independent Chair of the Safeguarding Adults Partnership Board, was welcomed to the meeting. She stated that she had taken up her role in August 2015. The Board would be on a statutory basis from 1 April 2016. There had been 500 safeguarding referrals in the 14/15 period. Referrals mainly concerned older people and people with a physical disability followed by those with a learning disability. The numbers were increasing. The main reasons for referral related to physical abuse and neglect. There was a lack of referrals from the black and ethnic minority community, particularly the Asian community, in proportion to their representation locally. This was something that she wanted to examine a lot more closely and to raise awareness regarding safeguarding in that community. She was not sure at this time what the reasons were for the lack of referrals but it may relate to cultural issues or a lack of understanding. Peoples’ homes were the main location of abuse. Financial abuse was becoming more common.


The Business Plan was being developed for the Board this year. Hannah Miller had recently chaired a challenge morning at a multi-agency professional development centre. Her role as the Chair was to challenge, negotiate and mediate and she was hoping that the Board would develop to cover other areas of safeguarding.


In response to a questions, she acknowledged that homelessness was potentially a safeguarding issue. She referred to the fact that there was less transparency regarding safeguarding issues in the private care sector and she was proposing to develop more regular monitoring in this area. The voice of the service users was being promoted through a new group. She made reference to Safeguarding Week. She was seeking improvement of liaison with the voluntary sector and representation of other bodies. She was developing links with the Children’s Board and Community Safety Partnership. Particularly in areas around modern slavery and human trafficking.


She would very much welcome comments and input from the Panel and gave her e-mail address which was hannah.miller@hounslow.gov.uk. The annual report had now been produced and there were hard copies at the meeting for Scrutiny Panel Members to take away with them. She acknowledged that social isolation was a big issue particularly among the elderly. Jo Carmody, Head of Safeguarding and Quality Assurance stated that reducing social isolation was a priority for the Public Health Team. Hannah Miller stated that there had in fact been a total of 772 referrals, 488 of which progressed to enquiry stage. There were 109 repeat referrals. The bulk of referrals were made through professional agencies. However, work was underway on a publicity campaign to encourage others to make referrals. In most cases the investigation was undertaken by the referring agency. There was a Quality Assurance Sub?Group working with agencies to examine the effectiveness of investigations and checking to see if feedback worked.


The Safeguarding Board was concerned with people over the  ...  view the full minutes text for item 37.


Healthwatch update


Stephen Otter reported that there were 2 areas of work currently being focused on by Health Watch which related to the Carers and Care Act Access and the Children and Adolescent Mental Health Service. He would give a detailed update at the next meeting and would circulate details of feedback so far. Councillor Mukesh Malhotra reported that he’d attended the Health Watch AGM and issues had been raised regarding Diabetes, TB and Mental Health Services. There had also been a number of concerns raised about appointment delays relating to the West Middlesex University Hospital and Chelsea and Westminster Hospital.


Steven Otter raised some concerns about the Council’s budget cuts related to promotional work on Diabetes and TB which would be picked up at tomorrow’s budget meeting.


It was noted that it was an acquisition rather than a merger of the West Middlesex and Chelsea and Westminster Hospitals. It was agreed that it would be helpful to have the Chelsea and Westminster Hospital Trust back for further discussion when the new arrangements were bedded in - possibly in April 2016. As part of that, a request was made to get an analysis of waiting times.


Councillor Mel Collins reported that he had attended the Pan London Joint Overview and Scrutiny Committee recently which had received a presentation from Dr Onga Sahota who had given his views on hospital closures, developing a pan London approach and information sharing.



Work Programme - Verbal Update - John Murphy


It was agreed to e-mail the Work Programme round to Members should they have any comments as there was not time at the meeting to consider this.