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 

No. Item


Welcome and Introductions


The Chair welcomed everyone to the meeting.


Apologies had been received from Councillor Tom Bruce, Nicola Burbidge, Det Ch Insp Carl Bussey, Dame Jacqueline Docherty (deputised at this meeting by Paul Shenton), Councillor Sachin Gupta, Peter Matthew, Misak Ohanian and Roger Shortt.


Minutes of the meeting held on 4 February 2015 and Matters Arising pdf icon PDF 80 KB


The minutes of the meeting held on 4 February 2015 were agreed and signed by the Chair as a correct record, with the following amendments:


Item 36– Next Steps for the Health and Wellbeing Board.  First line of paragraph 2 should read Imran Choudhury, Director of Public Health (not Heath).


Item 37 – Carers Update.  Page 3, 6th bullet point :  Integrated Neurological Services was contracted to deliver the care service, not the care navigation service,


Item 38 – Heading should read “Primary Care Co-Commissioning”.


Matters Arising:

Item 38 – Primary Care Co-Commissioning.  The Board were advised that the CCG Council of Members had voted on the options and had agreed to share the commissioning between CCGs and NHS England (2nd option).



Implementation of the Care Act pdf icon PDF 198 KB

Additional documents:


See the Report from Councillor Lily Bath, together with the presentation slides discussed at the meeting and included on the electronic agenda thereafter for reference (Agenda item 3). 

A presentation was made by Phil Howell and Katrina Bell, deputising for Chris Pierre and Phung Mun-Thong.  Phil Howell led the Board through the slide presentation and reminded them that the Care Act would come into force on 1 April 2015.  The Care Act would be implemented in two phases: social care reforms on 1 April 2015 and financial reforms and appeals system on 1 April 2016.  It was noted that specific plans had been put in place in respect of Feltham Young Offenders Institution (FYOI), with Service Level Agreements.

There were new care standards and ratings for hospitals and care homes to be monitored by the Care Quality Commission (CQC).  A new Chief Inspector of Hospitals would work alongside the Chief Inspector for Social Care.

Hounslow would manage the changes required by the Care Act through a number of workstreams.  In March 2015, Cabinet had agreed a suite of policies and practice guidance.  The Board were informed that the main source of information and advice to residents was the CarePlace website, which had been available previously, but was now more detailed.  It would develop to enable more self-service interaction, and its appearance would change to look more like an integrated website with Hounslow Council.

From April 2016, self funders would be able to see the cap on their care costs.

The Board noted that a budget of £2.6m had been approved for 2015/16.

The Chair thanked Phil Howell for his informative presentation, and invited questions from the floor.

Elizabeth Bruce noted that CarePlace was geared up for access via the internet.  She asked what provision would be made for residents without this access.  Phil Howell confirmed that Social Care teams could print copies of relevant information and send these to residents.  CarePlace champions could also assist with providing material in other formats.

Sue Jeffers (CCG Clinical Board) confirmed that CCG welcomed the work undertaken by the Council in preparation of the implementation of the Care Act, and looked forward to working with them.  She reminded the Board that GPs had a rolling programme in place for care planning for residents and their families.  She highlighted the need for a connection between the assessments and care plans of GPs and Councils.

Sue Jeffers was also concerned that neither the Council nor CCG had given accreditation to CarePlace or the organisations whose details were given there.  There was a sense of expectation from residents and service users that they would be accredited.  Phil Howell advised that this formed part of the governance, and was included within the workstreams set up by the Council

to manage the implementation of the Care Act.  Providers of services on CarePlace had a responsibility to keep their information up to date.

Charanjit Ajitsingh asked if the New Burdens Grant was ringfenced, and was advised by Phil Howell that  ...  view the full minutes text for item 43.


Section 75 Agreement pdf icon PDF 68 KB

Additional documents:


Ian Robinson (Better Care Fund lead) advised the Board that it was a requirement under the Care Act that a Section 75 Agreement was in place between the Council and the CCG.  The Agreement had been signed on 31 March 2015 – the first such agreement signed by the Council.


The Council would be the host of the pooled budget, and would ensure that there were comprehensive monthly reports on expenditure.  A Joint Commissioning Board had been set up, as well as a new Better Care Fund Executive.  Alan Adams and Sue Jeffers would co-chair the Board. 


Under the terms of the Section 75 Agreement, the £1.6m approved budget would be ringfenced, and audited.  It was agreed that a quarterly report would be made to the Hounslow Health and Wellbeing Board on the impact that the services had made to acute admissions, residential care and domiciliary care.


Ian Robinson was asked how and when payments would be brought into the Section 75 Agreement, especially in respect of mental health provision.  It was hoped that there would not be a stand-off between the Council and the CCG.  Ian Robinson explained that the time frame to have processes in place was the end of May 2015.  There was a large amount of housekeeping to carry out in the meantime, including contract management and acute equipment issues, as well as how the parties work together.  Sue Jeffers informed the Board that a Project Manager was in place to set up the processes and pathways for assessment.


CharanjitAjitsingh asked about risk assessment.  Ian Robinson explained that £2.8m of the Better Care Fund budget had been set aside, and could only be used if all – or a large proportion – of performance targets were met.  The Council had created a £2.8m Pool of Funding to match and reduce the risk.



Resolved that:

The Board noted the proposal between the Council and Hounslow CCG (Clinical Commissioning Group) to enter into a Section 75 Agreement for the purposes of managing a pooled budget for the Better Care Fund.  Ian Robinson confirmed that the Agreement had been signed on 31 March 2015.


The Board agreed that they would receive a quarterly report on the impact the services had made on acute hospital admissions, residential care and domiciliary care.


The Chair noted that this would be Ian Robinson’s last meeting, and thanked him for his hard work.  There was a round of applause.


Verbal update on Healthcare Commission pdf icon PDF 74 KB

Additional documents:


See the Report at Agenda Item 5.


In the absence of Ian Duke, Councillor Curran gave the update.  He informed the Board that he and Councillor Lily Bath had attended the hearing at the Civic Centre on Saturday 28 March 2015 and had given evidence.  Councillor Curran had made the point that his evidence did not reflect on the excellent service at the West Middlesex University Hospital or other healthcare facilities.  He reminded the Board that there would be a further hearing in Brent, and that this fact finding commission would publish its report after the General Election. 


Charanjit Ajitsingh referred to the Report at Agenda item 5 – Stage 2: A call for evidence (last paragraph), and asked how much the consultants would cost.  Councillor Curran advised that there were gaps in the evidence presented that needed to be filled.  Each of the four relevant Boroughs had put £25K into a pooled fund; all costs would be taken from this pool.


Pharmaceutical Needs Assessment pdf icon PDF 135 KB


See Report at Agenda item 6.

ImranChoudhury gave a brief update:  the Pharmaceutical Needs Assessment (PNA) had been brought to the previous two Board meetings.  He reminded the Board that this was a living document which looked at the number of pharmacies available for residents across the Borough.  The Board were advised that there was a statutory duty to publish details every three years, to inform judgement on future pharmacy applications in the Borough.


ImranChoudhury reported that the PNA had been signed off following a 60 day consultation period.



·        The Board noted that the 2015 Pharmaceutical Needs Assessment (PNA) must be ‘maintained’ in the three year period until the next PNA is required.

·        The Board approved the outsourcing of the ‘maintenance’ of the PNA to an expert pharmaceutical consultancy group, through and monitored by London Borough of Hounslow (LBH) Public Health, on behalf of the Hounslow HWB.

·        The Board noted that LBH Public Health would provide funding for the ‘maintenance’ of the PNA through the Ring Fenced Public Health Grant.


Childhood Sexual Exploitation pdf icon PDF 41 KB


The Board noted the submitted report (at Item 7 on the Agenda).  Donald McPhail  advised that the report was self evident, and hoped that it had proved useful to the Board.  Data in the report had been drawn from national, London and Hounslow sources, as well as from the Metropolitan Police.  Donald McPhail reported that vital information included in the data was drawn from key workers, and did not rely on computer statistics.  The Hounslow Safeguarding Children Board maintained a spreadsheet of open cases, with detailed information which could be interrogated as required.  Donald McPhail noted that not all information details were held: there were some gaps in the ethnic heritage of perpetrators.  However, staff were endeavouring to fully populate the spreadsheet through local coordination; this was achievable, due to the small number of cases.


Donald McPhail was asked whether similar information was collated for Senior, and other groups’, Care reviews, which were equally important.  He reminded the Board that this item was specifically concerned with children.  Operation Makesafe had been launched across London on 18 March 2015 and in Hounslow on 23 March 2015 to raise awareness amongst local businesses.  Donald McPhail advised that the Hounslow launch had been disappointing, with very few businesses attending.  However, the Police intended to take the information out to businesses; the Safeguarding Children Board would also seek to develop other approaches. 


Joanne Murfitt informed the Board that NHS England had published a review of guidelines for safe haven policies on the flow of information.  It was hoped that this would help in planning services for the future.  Donald McPhail confirmed that he was aware of this review, but that it was outside the context of sexual exploitation.


Charanjit Ajitsingh thanked Donald McPhail for his helpful paper.  She was concerned about the issue of female genital mutilation (FGM), which could affect a significant part of the community, and asked whether this had been considered.  Donald McPhail advised that this was a separate entity, covered by the Community Safety Partnership.  He had chaired three workshops recently to clarify concerns on this, but noted that guidance on FGM was not compatible between Health and Education: clarity needed to be reached.  He recognised the problem, informing the Board that 55 women had needed corrective surgery resulting from FGM in the previous year.


Elizabeth Bruce asked whether the Safeguarding Children Board made provision for those adults with learning disabilities which meant that they had the intellect of children.  Donald McPhail advised that the Children Safeguarding Board catered for those under 18, with the Adult Safeguarding Board looking after those aged 18 plus.  There was a statutory obligation in place from 1 April 2015 under the Care Act.


Councillor Lily Bath felt that Area Forums had an important part to play in this matter, and asked whether reports from the Police would be given at Area Forum meetings.  She noted that there had already been questions raised at Heston and Cranford Area Forum.  The Chair suggested that Members should  ...  view the full minutes text for item 47.


Any Other Business


The Chair provided updates on the changes to staff holders for organisations represented on the Board.  He hoped that information could be shared in advance, as a matter of courtesy, with the Board when issues such as the merger of West Middlesex University Hospital with Chelsea and Westminster Hospital were imminent.  He confirmed that he would discuss this with the new Chair of the Hospital.


Date of next meeting - Thursday 30 July 2015 from 6.30pm


The Board noted the date of the next meeting.