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 opened the meeting and welcomed all in attendance. 


Apologies were received on behalf of Councillor Tom Bruce, Nicola Burbidge (deputised by Dr Paul Shenton), Det. Ch. Supt. Carl Bussey, Greg Ashman, Mary Harpley, Sue Jeffers, Councillor Amritpal Mann, Peter Matthew, Councillor Ed Mayne, Donald McPhail, Jo Murfitt, Thomas Neumark, Roger Shortt, Steve Shrubb (deputised by Sarah Rushton) and Jacqueline Totterdell.


Minutes of the meeting held on 31 March 2015 and Matters Arising pdf icon PDF 89 KB


The minutes of the meeting were agreed as a correct record and signed by the Chair.


Performance on Substance Misuse - Public Health England pdf icon PDF 209 KB

Alison Keating (Head of Drugs and Alcohol, London) and Hannah Lindsell (Programme Manager for the area covering Hounslow) to provide a verbal update (with slides) to the Board.


See presentation slides submitted at the meeting and included with the electronic agenda pack for reference following the meeting, Agenda Item 3.


Alison Keating and Hannah Lindsell, Public Health England (PHE), provided an update to the Board on progress made since their last visit to the Board in March 2014.  It was acknowledged that the issues identified in 2014 were the result of a new system design coupled with changes in staffing.  Hounslow’s senior management team had set up an in-depth programme and made a number of changes including improvements to training and setting up the Substance Misuse Board.


Imran Choudhury noted his gratitude to Sigrid Blackman and Kylie Brennan at iHear.  He suggested that the successes showed how well commissioners and providers could work together and invited members to an open evening at iHear that was being organised for September.


Hannah Lindsell congratulated members on the levels of improvement to successful completions (Slide 6).  Hounslow had grown its treatment system and introduced a much stronger strategic governance model. It was recognised that one of the challenges to all treatment systems was the long-term treatment of opiate users with the view to moving these individuals to abstinence and recovery.  Alison Keating recommended that the borough considered more actively linking care plans for children’s services and social services.  She assured members that PHE would continue to work with the borough and drew attention to PHE’s social return on investment (SROI) tool, which would be launched towards the end of this year and would enable the borough to assess itself in relation to other services.  


The Chair drew attention to the issue of social housing tenants using their houses as drugs dens and their risk of eviction when caught.  He agreed that more cross cutting services were required to support victims of substance misuse, which would include child protection, housing services, etc.  He asked that Hounslow be considered for any PHE pilot projects, particularly focussing on collaborative ways of working in future.   Alison agreed that stable housing was identified as a key factor in supporting users towards recovery but was an area in which authorities across the UK achieved the least progress.


When asked about the improvement for alcohol abuse, Hannah confirmed that Hounslow’s recorded improvements were 15% above the national average.  Members acknowledged that a lot of work was being undertaken across the borough in collaboration with police, licensing and treatment services.  Trading standards colleagues were working with off licenses on a voluntary ban on sales of high strength alcohol.  More funding was being targeted at hospital services, although it was acknowledged that more accurate data from A&E services about the use would be helpful to delivering better treatments. 


Responding to a question on the number of individuals over and above the 75 people currently in treatment who could potentially be receiving support, Imran acknowledged that alcohol abuse was an increasing issue amongst all socio-economic groups.  The borough was working with pharmacies to promote awareness of the issue, including the  ...  view the full minutes text for item 3.


Chelsea and Westminster Foundation Trust pdf icon PDF 58 KB

Invited presenters include Nick Gash (Chairman at West Middlesex University Hospital), Dominic Conlin (Director of Strategy at Chelsea & Westminster Hospital), Rob Hodgkiss (Director of Operations at West Middlesex University Hospital) and Jane Lewis (Head of Corporate Affairs at West Middlesex University Hospital).

Additional documents:


See submitted report, Agenda Item 4.


Nick Gash, Rob Hodgkiss and Dominic Conlin spoke to the Board in relation to the forthcoming integration of West Middlesex University Hospital NHS Trust and Chelsea and Westminster NHS Foundation Trust.  


The Board heard a short presentation on the rationale behind the merger and the decision to enter into a transaction with Chelsea and Westminster.  Colleagues from both organisations were confident that everything would be in place by the target date of 1 September 2015.


Assurances were provided that patient services would continue to be provided to a high standard throughout and beyond the period of integration.  It was anticipated that Hounslow patients currently travelling to central London for their treatment could in future attend clinics at the West Middlesex site.  As the West Middlesex Hospital site offered more opportunity for development than the Chelsea and Westminster site, it was possible that more hospital services could in future move to the Isleworth site.


Whilst the stated intention was that the merger would not impact on the services provided to patients initially and that both sites would continue to provide core local services, Mr Conlin acknowledged that it was impossible to predict what changes may be necessary as a result of other factors in future, adding that any changes would require advance consultation and agreement.


Board members noted the proposal for a shuttle bus for staff and asked whether any consideration could be given to establishing transport links between the main hospital sites for patients and their carers, mindful of the fact that effectiveness of treatment was helped by ease of access. 


Dominic Conlin confirmed plans to maintain existing links with service providers including the existing contractual arrangements with the mental health trusts and Imperial College Healthcare NHS Trust.  He added that the NHS was moving from being competitive to becoming more collaborative and less insular in its working practices.  Speaking on behalf of the Hounslow CCG Dr Paul Shenton welcomed the proposals, which he said would provide Hounslow patients with more choice.  


The Board drew attention to the importance of engaging with patients and local communities on the proposals and establishing strong communication links. Nick Gash drew members’ attention to the fact that patients and community representatives were actively being recruited to become members of the Trust, which would provide them with more enhanced opportunities to consult on the development and improvement of services. 


Frank Sims sought assurances that Chelsea and Westminster would want to continue to build on the Out Of Hospital agenda and the partnership work between Hounslow and Richmond.  There was a general acknowledgement that both trusts were involved in a number of areas and that it was important that services continued to be provided at a high standard during what was hoped would be a seamless transition.


Assurances were sought that 3rd sector organisations would continue to have the opportunity to bid for and deliver services following the integration.  The point was made that 3rd sector organisations were  ...  view the full minutes text for item 4.


Performance Dashboard pdf icon PDF 69 KB

Additional documents:


See submitted report, Agenda Item 5.


Jo Sage, Head of Intelligence Hub at the Local Authority, introduced the submitted report and fielded members’ questions as follows:

·         Clarification was sought as to whether the correct target figures had been listed for dementia diagnosis.  The Chair asked officers to confirm whether the actual figure should read 69.68%, as stated at the meeting, or 66% as noted in the submitted document, and to report back to the Board.

·         The Chair asked officers to provide a more detailed update together with key performance indicators (KPIs) in relation to long-term conditions (Section 9 of the report) to the Board.

·         Clarification was sought in relation to the location and appropriateness of residential and nursing care home provision for young adults with complex learning disabilities, particularly in light of the Winterbourne View report.   Acknowledging that a number of individuals were currently placed out of borough in expensive accommodation, Martin drew attention to the need to assess each case on its own merits in order to ensure that individuals were being placed in the best possible provision for their needs, adding that work continued to ensure that suitable provision was increasingly available in borough. 

·         The Board sought a breakdown of the figure quoted for carers’ assessments to establish whether the figure of 946 included both new carer assessments and renewals for those already registered.  Whilst it was acknowledged that the performance dashboard was new, the Chair asked that it was refined based on the discussion at this meeting.

·         Taking into account the submission by West London Mental Health Trust (WLMHT) that 42% of all cigarettes purchased were smoked by those with mental health issues, the WLMHT asked that more work was done to engage with those vulnerable and hard to reach groups to help reduce the prevalence of smoking.

·         Imran Choudhury informed the Board that a lifestyle intervention programme would be coming online later this year to help reduce childhood obesity.


The Chair thanked officers for the submitted report and asked members to direct any further queries they may have on the report to Jo Sage or Martin Waddington direct.



·         The Board noted the new Hounslow Health and Wellbeing Strategy Dashboard report and provided feedback as recorded in the minute.


Active Living (HHWB Priority Theme) pdf icon PDF 32 KB

Additional documents:


See report submitted with the agenda, together with the presentation slides included with the electronic agenda pack for reference, Agenda Item 6.


Imran Choudhury provided a presentation on Active Living as one of the Board’s three priority themes.  When asked how the proposals within the presentation slides could be expanded to form a strategy document, Imran suggested that consultation could be carried out with the community, similar to that undertaken on the carer’s theme.  He added that the borough was in the process of commissioning a new lifestyle intervention service, which would provide advice and encourage people to manage their lifestyle. 


The Board supported the promotion of this agenda at all partnership meetings, including the borough’s local strategic partnership and asked that further consideration be given to how health centres and sports facilities could be made accessible to people of all abilities. 


There was a brief discussion on the possibility of using this as an opportunity to provide facilities such as a hydro-therapy pool with hoist facilities in Hounslow.  Currently the closest centre was in Teddington.  Suggesting that the provision of a facility within Hounslow would benefit a number of client groups, it was suggested that some of the borough’s larger private enterprises could be approached with a view to working collaboratively on the proposals



The Board noted the presentation and endorsed proposals to carry out further consultation with stakeholders and community groups resulting in an action plan.


Better Care Fund - Verbal Update


Martin Waddington, Assistant Director Joint Commissioning, provided the Board with an update on the fund and confirmed that NHS England had requested that boards now provided Secondary User Service (SUS) data, as opposed to Monthly Activity Return (MAR) data. 



·         The Board agreed that the Chair would sign off reports from the Assistant Director before these were submitted to NHS England.  

·         The Board also agreed to receive a further update on the Better Care Fund data to a future meeting.


Childhood Sexual Exploitation pdf icon PDF 38 KB


See submitted report, Agenda Item 8.


The Board noted the submitted report and sought clarification on the methodology used by the Children’s Services to place the borough’s looked after young people. Alan Adams assured members that the process of placing looked after children was rigourous and that every effort was made to place children in borough where appropriate and with foster carers as opposed to in residential placements.


It was acknowledged, however, that some young people presented with very complex needs and had to be treated accordingly.  Looked after children were by their very nature vulnerable and protecting them was a priority.


Any Other Business pdf icon PDF 137 KB

Forward Plan – Imran Choudhury


Imran Choudhry informed members that the Board’s terms of reference published within the Council’s Constitution document stated that meetings would be held in rotation at the Council, Sovereign Court and West Middlesex University Hospital.  The Chair suggested that the Board’s meeting venues should be a matter for further consideration. 


Date of next meeting - Tuesday 8 September 2015 from 6.30pm


The date of the next schedule meeting was noted. (Please note that following the meeting this date was postponed to Monday 5 October 2015 with the agreement of the Board).