Hounslow Council

Agenda and minutes

Venue: Council Chamber, 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 and invited a round of introductions. 


Apologies had been submitted on behalf of Alan Adams, Anu Bilon, Councillor Tom Bruce, Nicola Burbidge, Imran Choudhury, Greg Ashman, Hannah Miller, Mary Harpley, Councillor Kamaljit Kaur, Raj Kohli, Councillor Amritpal Mann, Lesley Watts, Thomas Neumark, Misak Ohanian (deputised by Richard Eason), Roger Shortt and Steve Shrubb.  


Sarah Ruane, Head of Leisure and Preventative Health (LBH), deputised for Imran Choudhury and presented Agenda Item 3: Annual Public Health Report. 


The Chair welcomed Patricia Wright, newly appointed Interim Chief Executive at Hounslow and Richmond Community Healthcare NHS Trust, accompanied by Dominic Conlin, Chelsea and Westminster NHS Foundation Trust.


Minutes of the meeting held on 5 October 2015 and Matters Arising pdf icon PDF 152 KB

Minutes circulated to members and published as a late supplement to the agenda.


The minutes of the meeting held on 5 October 2015 were agreed as a correct record and signed by the Chair.


Annual Public Health Report pdf icon PDF 51 KB

Additional documents:


See report from the Director of Public Health, Agenda Item 3.


Sarah Ruane, Head of Leisure and Preventative Health, introduced the submitted report, highlighting the benefits of physical activity and reiterating the priorities from the draft Leisure and Culture Strategy in relation to tackling inactivity and the importance of getting the right message out and ensuring that the borough’s physical assets were used to their full advantage.  


Ms Ruane drew attention to the success of CSPAN (Community Sports and Physical Activity Network) and the Council’s aspiration to build on this success over the coming five year period.  She touched on the “Everybody active, everyday” framework and what was being done in Hounslow and concluded by reminding members that workshops would be held with partners to increase the effectiveness of the programme.


The Chair opened floor to questions.  Concern was raised about the lack of reference in the report to being safe during darkness hours in winter.  Another question was raised in relation to how women from BME communities would be encouraged to take part in physical activity.  It was suggested that seasonal messages could be used that included safety tips, such as exercising in groups, and which encouraged residents to get out during daylight hours in winter with a focus on the health benefits of Vitamin D. 


Ms Ruane provided assurances that the borough promoted physical activity across a range of activities, making sure that indoor provision was available, and that venues were accessible using public transport as far as possible.  The Council was also keen to help community groups to take ownership by setting up and running activities in their area.


Suggestions were made on the use of multi lingual information to ensure the message reached as many groups as possible.  Sue Jeffers acknowledged the proposal that the new Gunnersbury Park Sports Hub could be used to expand the current rehabilitation provision, confirming that Feltham Leisure Centre was already used for COPD (chronic obstructive pulmonary disease).


Dominic Conlin supported the expansion of the Beat the Streets campaign, suggesting that the initiative could be extended to incorporate a facility that tracked participants’ progress and their involvement in sport more generally and which then extrapolated the perceived health benefits of the initiative.



The Board noted its unanimous support for the submitted document.


Childhood Sexual Exploitation pdf icon PDF 205 KB

Additional documents:


See report from the Independent Chair of the Hounslow Safeguarding Children Board, together with the presentation slides from the meeting (attached to the electronic agenda pack for reference), Agenda Item 4.


Donald McPhail began his presentation with the definition of child sexual exploitation (CSE) and stressing the seriousness of the issue.  He stated that the MASE panel worked to identify emerging themes to allow new approaches to be taken. 


Members noted the terms of reference for the CSE sub-committee and the achievements to date. Operation Makesafe was adopted as an ongoing approach in Hounslow and had already resulted in the disruption of a situation that could have led to the exploitation of a child.  Mr McPhail stated that the current MASE cohort had also attended the Chelsea’s Choice production and understood better the concerns for their safety.  The Board was asked to note that one of the reasons for the younger average age of the current cohort was the result of proactive interaction with young people about concerns they may have about their peers who may also be a risk of exploitation.


One of the identified areas for development was the aspiration to embed prevention activity as the norm.  Colleagues were also trying to identify the right approach to ensure primary school age children were also protected.


In response to questions the following points were made:

·       As there was no comparator for MASE, it was difficult to compare Hounslow’s MASE cohort with other boroughs;

·       One of the key messages from the Chelsea’s Choice production was to encourage young people to recognise behaviour in their peer groups;

·       It was acknowledged that looked after children were already a vulnerable cohort.   Briefing sessions were provided to professionals working in the field on how to communicate with children on the difficult subject of CSE.  The NSPCC had programmes available which targeted the different stages of involvement in CSE.  Mr McPhail had also met with the Independent Reviewing Officers and received assurances that all children who had been identified as being exposed to CSE had plans in place to help them;

·       It was confirmed that the Safeguarding Children Board’s training programme included an element dealing with the Prevent Strategy.  The Council’s Prevent Lead had also presented at a recent Children Safeguarding Board meeting;

·       The Chair of the Board confirmed that this issue had cross-party support from the Council.  He proposed that colleagues across the Council and within the health service were provided with the tools to help identify signs of exploitation so that young people were supported;

·       The Board noted that CSE Screening Tool helped to identify whether a particular child was displaying signs of being at risk of exposure to CSE;

·       The Board’s members were invited to consider whether there was anything more that they and their respective organisations could do to help achieve more;

·       It was suggested that a sustained and ongoing campaign to raise awareness of the issue was undertaken.


Dominic Conlin received assurances that teams at West Middlesex University Hospital were  ...  view the full minutes text for item 23.


Case for Change - Mental Health pdf icon PDF 394 KB

Additional documents:


See report from the Acting Deputy Director Mental Health Strategy and Transformation, North West London Collaboration of CCGs, Agenda Item 5.


Jane Wheeler, report author, and Martin Waddington, Director of Joint Commissioning, led members through the submitted report and asked the Board to endorse the London Mental Health and Wellbeing Strategy Case for Change. 


Ms Wheeler confirmed that NHS funding had been successfully secured for investment into children’s mental health services but that further feedback would have to be submitted to the NHS before that funding was released.


Drawing attention to the work stream on serious and long-term mental health needs, Ms Wheeler informed the Board of the collaboration with West London Mental Health Trust (WLMHT) colleagues to ensure the correct level of support across the spectrum of need.  The plan was to develop a Hounslow work plan that built into the North West London plan.  She briefly touched on the key implications and the proposal to improve the situation. 


In response to questions the following points were made:

·       It was noted that WLMHT provide most of the secondary services in Hounslow and that colleagues were looking at securing access to mental health services via GPs so that individuals could access their care closer to home.

·       It was considered vital that early intervention was in place so that mental health was not dealt with as a crisis.

·       Children’s mental health and the reduction of long waiting lists to access service was also highlighted as a priority area.

·       NHS England supported the plans and was keen to add allocated funds to a pooled resource. 

·       The Board acknowledged concerns held in relation to reports of individuals with mental health issues being held in police cells after arrest.  Members heard that there were a number of models where police could identify safe places for those with mental health issues.  Discussions had been held with the borough’s senior police colleagues and the Board supported efforts to have those individuals with mental health issues routed into treatment rather than custody.

·       Dominic Conlin drew attention to the overlap between physical health and mental health, providing the example of an individual arriving at A&E with chest pain, which could in fact be anxiety.  He reiterated the message from the Public Health Annual Report on the benefits of physical activity both in terms of physical and mental health and the importance of close partnership working for the benefit of all.

·       Sue Jeffers reminded the Board of the arrangement of the borough’s GP practices into five localities.  The intention was that those individuals with mental health issues would be cared for by their GP and primary healthcare nurse.  Primary Care Plus had been active in the borough for three years and only seven GP practices remained, which had not yet adopted this care model.  Brentford and Isleworth locality was acting as a wellbeing pilot and it was anticipated that this would be rolled out across the borough.  Work was also being done with the Local Strategic Partnership  ...  view the full minutes text for item 24.


Any Other Business


There was no other business to discuss.


Date of next meeting - Wednesday 3 February 2016


The Chair requested that the February meeting begin at the earlier time of 6pm, as it was his birthday that day.  Members agreed to the amendment.