Hounslow Council


Agenda and minutes

Venue: Committee Rooms 1 & 2, Civic Centre, Lampton Road, Hounslow. View directions

Contact: Kay Duffy on 020 8583 2067 or at: Email: kay.duffy@hounslow.gov.uk 

Items
No. Item

33.

Welcome and Introductions

Minutes:

The Chair welcomed all present and invited a round of introductions.

 

Apologies had been received on behalf Alan Adams, Elizabeth Bruce (deputised at this meeting by Vijay Rai), Det. Ch. Supt. Carl Bussey, Bally Janagal, Peter Matthew, Jo Murfitt and Frank Sims. 

 

Apologies for lateness were received on behalf of Councillor Bruce and Mary Harpley who were in a meeting together and arrived during the discussions on the PNA, Agenda Item 3.

 

Childhood Sexual Exploitation position statement:

The Chair asked members to accept the late submission for discussion of the position statement on childhood sexual exploitation, which he proposed should then be a standing item on the agenda for future meetings.  Members noted their unanimous support for the Chair’s proposal.

34.

Minutes of the meeting held on 19 November 2014 and Matters Arising pdf icon PDF 110 KB

Minutes:

The minutes of the meeting held on 19 November 2014 were agreed and signed by the Chair as a correct record.

35.

Draft Pharmaceutical Needs Assessment presentation - Laura Maclehose (LBH) and Anjna Sharma (Soar Beyond) pdf icon PDF 152 KB

Additional documents:

Minutes:

See report from the Director of Public Health, together with the presentation slides discussed at the meeting and included on the electronic agenda thereafter for reference, Agenda Item 3.

 

Laura Maclehose, Public Health Consultant, and Anjna Sharma, Soar Beyond, provided members with an update on the current draft of the Pharmaceutical Needs Assessment (PNA).   It was noted that no gaps had been identified in the borough’s current pharmaceutical provision for the coming three year term.

 

When asked whether data had been collected on the availability of home delivery services by pharmacies in the borough, Ms Sharma confirmed that this information was contained within the appendices of the draft document.  Although home delivery was not currently a compulsory service, Ms Sharma suggested that the area could be explored if it were identified as a need during the consultation.  Nicola Burbidge drew on her own experience as a local GP, stating that most pharmacies offered a delivery service that was valued by patients.  She added that, as the people who relied on a prescriptions delivery service were often housebound, the need could remain unidentified, as these same individuals might not be aware of or able to take part in the PNA consultation.  Nicola submitted a completed survey identifying the issue during the meeting.

 

Councillor Bruce and Mary Harpley joined the meeting at this point.

 

It was confirmed that Hounslow’s pharmacies were split roughly in line with the London average of 37% of pharmacies owned independently and 62% owned by “multiples”.  As no gaps had been identified around the borough’s borders, it could be assumed that the residents in those areas were adequately provided for by pharmacies on both sides of the borough boundary.  There was no indication that there was a correlation between the reduction in prescriptions issued and the number of pharmacies in the borough. 

 

Ms Sharma acknowledged that, although there had been an opportunity to include data on workforce development and training, the March 2015 submission deadline had been a deciding factor in prioritising what data to include in the completed assessment. 

 

It was the responsibility of each health and wellbeing board to ensure that the needs assessment data was regularly refreshed.  There was an expectation that, where significant changes were identified before the end of the three year term, the document should be rewritten.  Equally, where no changes were identified, the document would remain unchanged until the next review.  Laura Maclehose confirmed that the PNA Steering Group would look at the issue of maintenance at its next meeting and report back to this Board with the results. 

 

Resolved:

1.    That the Board noted the draft of the Hounslow Pharmaceutical Needs Assessment (PNA) 2015, together with the key findings within the document. 

2.    That the Board noted the PNA consultation period, which started in December 2014 and was scheduled to close on February 10th 2015.

3.    That the Steering Group would discuss the maintenance of the document at its next meeting and report back to a future meeting of  ...  view the full minutes text for item 35.

36.

Next Steps for the Health and Wellbeing Board - Imran Choudhury (LBH) pdf icon PDF 81 KB

Minutes:

See report from the Director of Public Health, Agenda Item 4.

 

Imran Choudhury, Director of Public Heath and Hounslow Council, introduced the submitted report and invited questions.  Members in attendance noted their support for the three proposed topics and agreed that these could be reviewed in a year’s time.  More detailed information was requested on the frequency and organisation of the suggested workshops. 

 

Resolved:

That the Board agreed to the adoption of key partnership themes, which would promote partnership working between members of the Board and allow individual member organisations to collaborate and contribute to the wider health and wellbeing agenda.

37.

Carers Update - Martin Waddington (LBH) pdf icon PDF 129 KB

The attached presentation slides include speaker’s notes for clarification,                               including case studies for each of the photographs displayed in slides 8-12. 

 

To view the speaker’s notes, click on the speech bubble where it is located on the top left of the relevant slide.

Additional documents:

Minutes:

See report from the Director of Public Health, together with the presentation slides discussed at the meeting and included on the electronic agenda thereafter for reference, Agenda Item 5.

 

Martin Waddington, Assistant Director Joint Commissioning, led members through his presentation and highlighted the case study of “Derek” for discussion. Derek” was described as having advanced dementia and needing 24-hour care.  He was cared for by his wife who was also elderly.  They had fallen into arrears on their rent and “Derek” often missed GP appointments.   The situation was extremely stressful for his wife who was at crisis point.  Mr Waddington explained that, if the caring role were to break down and “Derek” entered nursing care, the cost of his placement would be £799 per week or almost £42,000 per year, excluding additional costs. 

 

Members suggested the following when asked what could be done for the couple: 

·         Check to ensure the couple were receiving the appropriate level of benefits;

·         Check whether the couple had been given advice on their financial situation and how they could deal with it;

·         Check the level of care in place and what could be made available to the couple to support Derek’s condition;

·         It was suggested that carer’s respite could be offered to the couple in their own home, which was thought to be less confusing for a dementia sufferer and benefitted their carer by allowing them to get a good night’s sleep;

·         Ensure the family were made aware of the range of support available to them.  It was anticipated that the family’s GP would know that they required additional care and could put them in touch with a care navigator who could refer them to Age UK and other agencies;

·         Ann Bond declared an interest in the item, on grounds that Integrated Neurological Services was contracted to deliver the care navigation service in Hounslow.  She expressed the opinion that Hounslow was currently ‘getting it right’ and confirmed that new staff to the borough received some mandatory training, which was later followed up with refresher training;

·         It was noted that, of the 20,000 plus carers in the borough, only 700 had formally registered as carers.  It was suggested that a mechanism was required to register those who currently did not consider themselves as carers in order to ensure they were receiving the necessary support;

·         Data sharing was raised as an important factor;

·         Every contact with carers had to count;

·         The use of assistive technology was suggested, such as devices that alerted carers to the fact that an individual might be attempting to leave the property;

·         It was suggested that Derek’s wife should have a mobile phone so that she received the reminders for his medical appointments and could make sure that these were attended.

 

Mr Waddington asked the Board for their support in taking this presentation to GP practices in the borough to highlight what they could do and to support the training on carers for all frontline staff.  He suggested that a short-term initiative  ...  view the full minutes text for item 37.

38.

Primary Care Co-Commission - Verbal update by Sue Jeffers/ Nicola Burbidge (CCG)

Minutes:

Nicola Burbidge, Chair of the Hounslow Clinical Commissioning Group (HCCG), provided a verbal update on possible options around primary care co-commissioning. 

 

The Board was reminded that NHS England currently held responsibility for commissioning specialist primary care.  CCGs currently had no commissioning arrangement with GPs and were prevented from doing so because of the obvious conflicts of interest that would result from GP led CCGs engaging in contracts for local GPs.  Currently NHS England employed around 30 staff to deal with all of London’s 1,000 plus GP practices, which resulted in very light touch primary care commissioning. 

 

The three available options were:

·         To leave the current system unchanged,

·         To share the commissioning between CCGs and NHS England,

·         To devolve primary care commissioning to CCGs, including budgetary control.

 

Hounslow CCG had submitted an expression of interest to NHS England and had entered into initial talks on the matter.  The Board heard that no progress would be made without a vote by local GPs.  When asked what was happening across the country, Nicola reported that, according to a report in the Health Journal, the country appeared to be split three ways across all three options. 

39.

Any Other Business pdf icon PDF 117 KB

09.02.15 – The position statement on Childhood Sexual Exploitation, discussed at the meeting, is attached for reference.

Minutes:

Child Sexual Exploitation – Position Statement:

 

See position statement from the Hounslow Local Safeguarding Board, included with the electronic agenda for reference following the meeting, Agenda Item 7.

 

Donald McPhail, Chair of the Hounslow Local Safeguarding Children Board, drew members’ attention to the tabled document.  He provided assurances that Hounslow had been working for some time in an open and transparent way on the matter and had a strategy in place, which had been approved by the Metropolitan Police and was currently under review. 

 

Mr McPhail confirmed that the safeguarding lead for Hounslow would be the chair of the Missing and Vulnerable Sub-Committee and provided assurances to the Board that the 79 point action plan included a mixture of minor actions and some that were more involved. 

 

Referring to Operation Makesafe Mr McPhail indicated that it was recognised that there was a wealth of key information in the community that would help the police in identifying behaviours, which could indicate child sexual exploitation.  Officers were meeting with hoteliers and taxi firm owners and looking to ‘piggy back’ existing information routes to ensure the message was communicated widely.  The task was to continue to liaise with the police and recognise that information one might have could be used as intelligence to help the police.

 

Mary Harpley informed the Board that a special edition of the Hounslow Matters magazine would be sent to every household in the borough in the coming months.  In recognition of the fact that people might not always report to the police, there was a focus on the professional communities to ensure that they were ready to deal with what was hoped would be an increased level of reporting and requests for referrals. 

 

Mary Harpley added that she and Alan Adams had attended a recent GLA (Greater London Authority) summit on the topic.  As Council employers it was important to look not only at in-house staff but also those employed within contracted services, such as the sexual health service.   It was acknowledged that more detailed work would have to be undertaken to ensure that each service was equipped to respond appropriately when an individual turned to them for help and advice.

 

It was acknowledged that a lot of support would be required to prepare both for the co-ordinated local response to the MPS Operation Makesafe event on March 18th and for the follow up period subsequent to that.

 

Councillor Mann left the meeting at this point.

 

Ann Bond suggested using the links with the Hounslow Community Network, drawing attention to the fact that several grants were awarded for building local communities - work that could effectively be dovetailed into this initiative. 

 

When asked for more detail on the areas for development identified from the peer review, Mr McPhail indicated that some areas related to the need to sustain the current activity and some related to the direction of travel moving forward.  He stated that the inclusion of child sexual exploitation on this Board’s agenda would mean that  ...  view the full minutes text for item 39.

40.

Date of next meeting - Tuesday 31 March 2015

Minutes:

The date of the forthcoming meeting was noted.