Hounslow Council


Agenda and minutes

Venue: Committee Room 3, Civic Centre, Lampton Road, Hounslow. View directions

Contact: Taru Jaroszynski - 020 8583 2540 or email:  taru.jaroszynski@hounslow.gov.uk  Email: joti.patel@hounslow.gov.uk

Items
No. Item

1.

Welcome & Introductions

Minutes:

The Chair welcomed members of the Scrutiny Panel to the meeting as well as the following guests:

 

·         Cllr Tom Bruce, Cabinet Member

·         Martin Waddington, Director - Joint Commissioning, CAS - Joint Commissioning

·         Susie O’Neil, Senior Joint Commissioning Manager – Children & Young People

·         Mary Clegg, Managing Director at NHS Hounslow CCG

 

2.

Apologies for absence, declarations of interest or any other communications from Members

Minutes:

Apologies received from Cllr John Chatt, Robert Was and Cllr Paul Lynch.

Cllr Bath made a declaration of interest as she has a child who uses CAMH Services

 

3.

Minutes of the meeting held on 23 February 2017 pdf icon PDF 195 KB

Minutes:

The minutes were agreed.

 

4.

Matters Arising

Minutes:

Taru Jaroszynski gave an overview of the responses to the action items from the 23 February 2017 meeting. A table summarising the responses to the Action Items were tabled and discussed. This is available on request.

Cllr Bruce informed the Panel that he had written to the Secretary of State regarding the School Funding formula, however, should the Secretary of State change after the election, Cllr Bruce will send another letter reiterating the Council’s position.

 

5.

CAMHS Transformation pdf icon PDF 398 KB

Additional documents:

Minutes:

The chair introduced the item and noted in the final meeting of last year, which was subsequently cancelled, the Panel intended to review the provision of Child and Adolescent Mental Health Services (CAMHS) in Hounslow. Instead the Panel Chair and Vice-chair, Cllrs Green and Mitchell undertook an in-depth interview with the senior joint commissioning manager for CAMHS.

During this discussion, Cllrs Green and Mitchell adapted the Centre for Public Scrutiny’s recommendations for scrutinising young people’s mental health services to assess how services in Hounslow were being funded and implemented particularly for young people with eating disorders, while also establishing how service provision in Hounslow compared to other London boroughs. Through their questioning it was identified that despite the receipt of funding from Central Government as part of the Future in Mind initiative overall funding levels for CAMHS remains a concern with waiting times for access to services still too long. After sharing the findings of their discussion with the Panel, Members noted the importance of continuing to review the performance and standard of CAMHS services in the borough.

The Chair invited Martin Waddington (MW) and Susie O’Neil (SO) to present to the Panel.

MW introduced CAMHS and noted that it is broad service and invited the Panel to raise questions. SO went through the presentation (attached to minutes) and answered questions from the Panel.

Cllr Carey asked about the tier system and SO noted it is based on about level of need.

Cllr Sharma asked about what happens if someone is borderline.SO noted that people can step down and up the tier system. SO went on to state the strengths and weaknesses of the service and stated that there is up to 15 months waiting time for some Tier 4 services and 9-12 months for Tier 2 services

Cllr Carey asked about how this might be reduce. He also noted that a lot can change during the time between referral and assessment.SO replied that there is screening are done based on urgency and autism assessments are not seen as extremely  urgent. She also noted that the demand is large and there is a lack of capacity in the system. Significant funding is needed.

Cllr Bath stated that 15 months is unacceptable for an autism assessment and noted that the needs might escalate. SO agreed that the waiting times are too long but noted without significant increase in staffing and funding there was little that could be done. SO noted that the Future in Mind strategy acknowledged that there was not enough early intervention, demand is increasing and there is a need to increase capacity.

Cllr Bath asked about benchmarking against other Boroughs.SO replied that Hounslow is not unique. Waiting times are similar to other boroughs but they are especially worrying for autism. Generally waiting times for CAMHS is 18 weeks. This is achieved in 85% of cases (as of March 2017).

Cllr Carey enquired as to whether if it is only funding required to fix these issues. SO noted that  ...  view the full minutes text for item 5.

6.

Review of 2016/17 Work Programme pdf icon PDF 276 KB

Minutes:

The Chair noted that this report is a summary of the work of the panel to date. Taru Jaroszynski summarised the report and asked for comment.

Cllr Bruce noted that he has drafted a report to Ofsted in light of the findings from the Scrutiny Panel.

Cllr Collins thanks Cllr Bruce for taking this forward and suggested that the future Scrutiny Committee monitors action on the physical activity report.

ACTION: It was agreed that Cabinet response to the Physical Activity Report will be circulated

Cllr Collins also suggested that the new committee reconsider the SEND offer to primary and secondary schools, and consider the pressure placed on the offer due to budget cuts.

Cllr Mitchell suggested also continuing to monitor CAMHS waiting times. Cllr Bath concurred and suggested benchmarking against other boroughs.

Cllr Atterton suggested considering the parenting strategy.

Cllr Bath suggested some work on signposting and advice as well as picking up on the autism issues raised in this meeting

Tofunmi Omisore suggested further consideration and awareness raising on CAMHS services in schools and developing a better understanding of the self-help options. She noted the stigma around mental health services

Catriona described some work on sex and health education at Gumley Girls using peer mentoring.

Cllr Bruce noted the good practice but cautioned that there is a lot school can do but they can’t deal with everything, budgets are limited and there are high levels of expectations.

Cllr Bruce also provided and update that LBH had received funding from National Government for a SEN school. A press release shall be issued

Cllr Bruce suggested that in light of a likely Ofsted inspection of children services, Scrutiny may look at Ofsted Readiness before the Autumn Term

Recommendation: The report was noted

 

7.

Urgent Business

Any business which the Chair agrees to accept on grounds of urgency.

Minutes:

Cllr Green proposed changing the time of meeting next year to 6pm. This will be taken up by the next Committee.

On behalf of the members, Cllr Green thanked the Chair for her work.

The Chair formally thanked the members and Cllr Bruce for their support this year.