Hounslow Council


Agenda and draft minutes

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

Contact: Ian Duke, telephone: 020 8583 2540 or e-mail:  ian.duke@hounslow.gov.uk. 

Items
No. Item

85.

Welcome & Introductions

Minutes:

Cllr Bath welcomed Members and officers to the meeting.

 

86.

Apologies for Absence, declarations of Interest and other Communication

Minutes:

Apologies were received from Councillor Barwood and Tim Spilsbury

Councillor Kaur and Dr Nevil Cheesman also sent their apologies.

87.

Minutes of the meeting of 14 March 2017 pdf icon PDF 183 KB

Minutes:

The minutes of the meeting of the 14 March 2017 were agreed as an accurate record.

 

88.

Matters Arising

Minutes:

Sue Jeffers had provided a written update on the future of the Greenbrook practices and this had been circulated to members of the panel

Action: JSNA Dementia factsheet to be shared.

Action:The panel would like to draw upon the findings of the Social Isolation report and build into the work programme for the upcoming municipal year, identify key officers and joint commissioning opportunities.

Action:Cllrs Bath, Collins, Green, and Malhotra volunteered to oversee further work on GP Access until the work programme is developed for the new municipal year.

 

89.

Mental Health and Dementia pdf icon PDF 180 KB

The panel will receive two presentations (not attached) from Martin Reynolds (Head of Mental Health) and John Morgan (Head of Prevention & Care Management) respectively, accompanied by commissioners and providers. This will provide an update on changes post restructure of mental health services, set out current provision and direction of travel.

Additional documents:

Minutes:

The Chair reminded the Panel at its work planning session in July 2016, the Panel agreed to dedicate a meeting to considering social isolation, mental health and dementia. A request was made for an update on:

·         Changes post restructure of mental health services; and 

·         Setting out current provision and direction of travel for both mental health and dementia services. 

Cllr Bath welcomed John Morgan and Martin Reynolds to the meeting and invited them to deliver their presentation. The following summary of key points emerged from the presentation and discussion that followed:

·         Mental health and dementia service is for adults of working age with a functional mental illness (schizophrenia, depression, bipolar)

·         The service had been co-located and integrated with the West London Mental Health Trust (WLMHT). Changes to the service came about due to the lack of value for money and it has been a Council managed service since January 2016

·         Mental Health Service has two parts:

·         Wellbeing, Recovery & Placements (WRAP) Team

o   14 staff including manager, two deputies and three Approved Mental Health Professionals

o   Focus on safeguarding, personalisation and work with longer term service users but encompassing hospital discharge, placement finding, placement reviews, and forensic social work

·         Support, Wellbeing & Prevention (SWAP) Team

o   16 staff including manager and two deputies

o   Works in community / development linking individuals with social networks & primary care with a focus on safeguarding, prevention and building community resilience.

·         The SWAP team represents a change of emphasis seeking to work in a more preventative, community based way. It is working with Hounslow Wellbeing network and Hestia, adopting a tried and tested model verified by Dr Martin Webber from University of York.

·         The aim is to create a hub and in the longer-term satellite hubs where people with mental health issues can seek advice and support and in doing so reduce social isolation and prevent people needing more expensive packages of care. The Community Hubs operate a drop-in service for all residents. The number of persons using the service is being monitored to ensure quality of service

Action: The panel highlighted it was important to monitor and measure success of the pilot, and requested that this be brought back at a suitable date

·         Within the main Adult Social Care Team is the Cognitive Impairment and Dementia Service (CIDS), a team of experienced and specially trained health professionals based in West London Mental Health Service who help people living with a diagnosis of dementia or who are worried they may have dementia.

·         CIDS work with five locality teams of Social Workers and social work assistants aligned to the five GP clusters in  Hounslow and each is linked with CIDS focused on residents who are older and frail, those with multiple long term conditions, sensory impairment and for people with dementias from all age groups.

·         Their primary focus of the team is diagnosis and treatment in order to keep the patients in their homes. Subsequent support is dispensed by the GP and/or social worker, however the CIDS  ...  view the full minutes text for item 89.

90.

Social Isolation pdf icon PDF 185 KB

As part of the Joint Strategic Needs Assessment (JSNA) a report was commissioned on loneliness and social isolation in Hounslow, one of five deep dive areas designed to help shape future commissioning intentions. The report produced is attached, along with a presentation. This is the first airing of the report at a formal committee. In attendance will be Laurence Gibson, the borough lead on the JSNA, and the report authors Kate Jopling and Hardeep Aiden.

 

Additional documents:

Minutes:

The Chair welcomed Laurence Gibson and Kate Jopling (independent consultant). The Panel heard that as a part of the scoping for the JSNA a report was commissioned to investigate loneliness and social isolation to apply a framework for further investigation. The report examined the following:

·         Risk factors for loneliness and the profile of LB Hounslow

·         Provision for people at risk of, or experiencing loneliness and social isolation

·         Assessing provision against the Promising Approaches framework

·         Evidence for impact of current provision

·         Gaps and recommendations for action

In the presentation and discussion that followed the key points emerging were:

·         Loneliness and isolation are related but distinct concepts. Isolation is objective (though definitions vary), loneliness is subjective. Around 10% of older people are often or always lonely but likely to be more than3,000 chronically lonely older adults in Hounslow.

·         Weak social connection is a similar risk factor for early mortality as smoking 15 cigarettes a day. Loneliness directly impacts health with links to depression, stroke, dementia etc. Loneliness makes people less likely to pursue healthy behaviours such as Physical activity

·         Breakdown of ethnicity and loneliness reveals Chinese, Pakistani and Bangladeshi older persons (65+) have higher propensity compared to the white majority. While Indian subgroup mirror the white majority population group

·         LB Hounslow ranks 72 (from 236, where 1 is worst) Local Authorities across the UK and scores worse against national indicators of social connections. Only 22% of Hounslow carers had as much contact as they would like compared 40% in England. Just 35% of those using care stated they had as much contact as they would like compared to 44% in England.

·         There is good reason to believe current approaches are not effectively reaching and meeting the needs of lonely people, although this is not systematically measured, which is a key gap. We also don’t know who is using existing services, what impact these services are having and whether current provision meets people’s needs

·         LB Hounslow has a range of provision and manyof the features of an effective response to loneliness, but lacks of an overarching strategy for tackling loneliness meaning there is no sense of how components fit together. There is also no clear pathway through which a lonely individual should be guide,

·         LIFE has strong potential but would require a stronger focus on identifying and targeting support to lonely people. Hounslow also has some promising pilots which could make a significant contribution in the future, but this will take some time to prove.

·         The loss of funding to Age UK’s friending service is a key risk. Befriending is shown to be an effective way of tackling isolation. In Hounslow there are 300+ on the waiting list, so there is a need but without financial support it is unlikely this need will be met, and current support may be lost over time.

·         If Hounslow is to tackle social isolation and loneliness there are two parts. The first are ‘gateway’ services. Community transport is a key concern as this can be  ...  view the full minutes text for item 90.

91.

GP Access - verbal update

Following feedback from the previous meeting, the result of profiling of those driving avoidable A&E usage from the three target areas will be provided.

Minutes:

Ian Duke reminded the Panel of the discussions that had previously taken place on the panel’s desire to see research on GP access and its relationship with public service usage in light of the NW London Sustainability and Transformation Plan (STP). The Panel saw some initial profiling on Avoidable A&E usage that was not yet complete and therefore not ready to be published. The Panel confirmed its desire to continue with this work into the next municipal year and agreed that once profiling was complete then the work would move to a Task & Finish Group stance.



92.

Annual Report pdf icon PDF 304 KB

Minutes:

The Panel agreed to the content of report.

 

93.

Any other matters that the Chair considers urgent

Minutes:

The next meeting will involve looking at the work programme for the upcoming municipal year.

 

94.

Date of Next Meeting - Wednesday, 5 July 2017

Minutes:

The next meeting is scheduled for 5 July 2017.