Hounslow Council


Agenda and draft minutes

Venue: Committee Room 1, Civic Centre, Lampton Road, Hounslow. View directions

Contact: Ian Duke, telephone: 020 8583 2191 or e-mail:  ian.duke@hounslow.gov.uk. 

Items
No. Item

54.

Welcome and Introductions

Minutes:

The Chair, Cllr Bath, opened the meeting and welcomed Members of the Scrutiny Panel and guest to the meeting.

55.

Apologies for Absence, declarations of Interest and other Communication

Minutes:

Apologies were received from Cllr Malhotra and Tim Spilsbury.

 

56.

Minutes of the meeting of 29 June 2016 pdf icon PDF 215 KB

Minutes:

Cllr Green pointed out that her name had been incorrectly spelt as Greene. With this amendment the minutes were agreed as an accurate record.

 

57.

Matters Arising and Actions log

Minutes:

All actions were recorded as completed or on the agenda.

 

It was requested that the email setting out availability of training, both in-house and from CfPS, be recirculated as some members did not seem to have received this.

 

58.

Sustainability and Transformation Plan pdf icon PDF 197 KB

Additional documents:

Minutes:

Sue Jeffers (Managing Director of Hounslow CCG) tabled a presentation and took the Scrutiny panel through its content. This provided background on the Sustainability & Transformation Plan (STP), gave an overview of the plan, its strategic drivers, priorities and delivery areas and the governance for taking the plan forward. The Panel were informed that the next iteration would be submitted to NHS England on 21 October.

 

Action Presentation to be published

 

Cllr Kaur (Lead Member for Adult Social Care & Health Services) and Dr Imran Choudhury (Director Public Health & Leisure) set out the Council’s position. The STP was absolutely in the right direction. It is the first time that the NHS has recognised prevention, but the detailed around how it was to be delivered was the next and most difficult part. The next iteration should feel more of a joint strategy following close working with local authorities. A key question is the pressure and costs this will place on Adult Social Care, and all eight boroughs covered by the STP were vigilant about this. However it was important that Councils were involved in helping to drive and shape the agenda,

 

The Panel then asked a wide range of questions. Key points emerging were:

 

  • The role of the Community & Voluntary Sector in developing and delivering the STP has been recognised as a gap. Discussions will take place to understand how best to address this.
  • The identified funding gap for adult social care across the eight boroughs would be £145m by the end of 2020/21.
  • Any monies generated through the Adult Social Care precept within the Council Tax would support existing services and not those emerging from the STP.
  • This plan is high level. It looks across the whole of North West London. The intention is to develop a Hounslow-level mobilisation plan to understand the impact on the borough and plan delivery. This is likely to be the most challenging aspect of the STP.
  • Hounslow is in a strong position because of the strength of existing joint working and pooled budgets to deliver integrated health and social care.
  • Implementation governance will be led by joint board that will oversee delivery of the STP. The Leader, Cllr Curran, will be a representative on that body. Underneath there will be implementation structures for each of the Delivery Areas. Dr Choudhury will be part of Delivery Area 1 for instance.
  • It has been agreed that a sub-group of the Hounslow Health & Wellbeing Board will become the local delivery group for the STP. Terms of reference are being developed.
  • The Council’s position has not yet been to Cabinet for agreement. The support as set out in the Appendices document is in principle. Once the STP is in its final form Cllr Kaur will take it to Cabinet.
  • The STP commits to no changes to Ealing or Hammersmith & Fulham A&E Services until Out of Hospital Services are in place
  • Core to the delivery of Out of Hospital services is the creation of Hubs across North West London. In  ...  view the full minutes text for item 58.

59.

Safeguarding Adults Board Annual Report pdf icon PDF 152 KB

Additional documents:

Minutes:

Hannah Miller (Chair of the Hounslow Safeguarding Adults Board) and Jo Carmody (Head of Adult Safeguarding & Quality Assurance) introduced the published report that provides a summary of activity for the period April 2015 to March 2016. Key activities include the revamp of the Safeguarding Strategy, strengthening of the Board infrastructure, and adoption of pan-London safeguarding procedures.

 

They reported that following the Care Act 2014 the business of the Safeguarding Adults Board (HSAB) has become extensive. The Board is required to produce an annual report and action plan. A programme of events have been arranged to raise awareness of safeguarding issues. The first, held in December 2015, was on trafficking and a second on safeguarding people with chaotic lives. Future events will cover domestic violence, PREVENT, modern slavery and culture based issues. Hannah Miller is now also Chair of the Children’s Safeguarding Board, which will help a number of agendas including Child Sexual Exploitation.

 

The main challenges were identified as follows:

 

  • HSAB is looking to improve its links with the Voluntary & Community Sector (VCSE), and is looking to recruit two representatives to the Board as well as undertaking training for the sector. Also considering lay members. It would be keen to see if there are any links with the work scrutiny has undertaken around the VCSE sector.
  • HSAB is also concerned about low referral predominantly rates from the non-white population in the borough. A communications group has been established to improve awareness, but there are big challenges to overcome suspicion of the statutory sector on such issues.
  • There have been difficulties in obtaining accurate data to support the work of HSAB but work was underway to address this.

 

In the discussion that followed the following point were made:

 

  • Local councillors might be able to both link with the VCSE sector and help linkages with some communities
  • Referral rates have improved by 100% over the past 5 years
  • If concerns are raised about the practice of employment or care agencies then they should use whistle blowing channels. Providers must be registered with the CQC and the Council undertakes checks, but these do not extend to self-funding clients.
  • All information received about providers is pooled to develop intelligence and look for patterns. Where there are gaps in knowledge about providers efforts are made to address these.

 

Resolved The report was noted.

 

The Chair thanked Hannah Miller and Jo Carmody for attending.

 

60.

JHOSC update pdf icon PDF 249 KB

Minutes:

Cllr Collins briefly updated the Committee that the JHOSC had been due to meet for a private briefing on the Implementation Business Case on 20 September but that this had been cancelled by NHS colleagues. A meeting to consider the STP was being arranged.

 

Resolved Cllr Mehrban to be the second JHOSC representative.

61.

Work Programme pdf icon PDF 99 KB

Minutes:

The next meeting will receive an update on the acquisition of West Middlesex University Hospital, and will receive an early interim report on GP Access.

 

Resolved The Task & Finish Groupwill consist of Cllrs Collins, Green & Mehrban, plus Cllr Chatt, and will link GP Access to the Out of Hospital agenda within the STP.

62.

Any other matters that the Chair considers urgent

Minutes:

Cllr Collins reported that he had been invited to a meeting looking at the issues of Hospital Transport and he would report back at the next meeting.

 

63.

Date of Next Meeting - 28 November 2016

Minutes:

Action Members requested that they receive outlook invitations for Panel meetings.