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 opened the meeting and welcomed introductions from all present.


Hannah Miller, Chair of Hounslow’s Local Safeguarding Adults Board, and Lesley Watts, Chief Executive of Chelsea and Westminster Hospital NHS Foundation Trust, were welcomed as new members of the Board.  Simon Barton, Associate Medical Director for Integrated Care at Chelsea and Westminster Hospital NHS Foundation Trust was also present.


Apologies were received from Alan Adams, Anu Bilon (deputised by Jas Lall), Ann Bond (deputised by Carol Hopkins), Councillor Tom Bruce, Nicola Burbidge, Greg Ashman (deputised by Ben Moore), Raj Kohli, Peter Matthew, Jo Murfitt, Thomas Neumark, Roger Shortt, Steve Shrubb (deputised by Sarah Rushton) and Frank Sims.



Priority Theme: Dementia presentation (Barbara Benedick) pdf icon PDF 34 KB

Additional documents:


See the report from the Director of Commissioning, together with the slide presentation (attached with the electronic agenda pack for reference), Agenda Item 2.

Martin Waddington, Director of Commissioning, reminded the Board that Dementia was one of the Board’s three priority areas.  Dr Nevil Cheesman (Clinical Director of West London Mental Health Trust) and Dr Kultar Garcha (GP Lead for Dementia) took members through the slide presentation.

Mrs Barbara Benedek (Chair of Patients & Carers Reference Group) provided members with an insight into her life as a carer to her husband, Mick, who had been diagnosed with dementia 7 years ago.  She described some of the  difficulties carers had finding appropriate activities for their loved ones, handing household finances and securing power of attorney where necessary post diagnosis.  Barbara also highlighted carers’ concerns in dealing with and getting the most out of social services and obtaining clear information on the availability and costs of support, both for the carer and the individual they were caring for.

Mrs Benedek suggest that, after completing a carers’ assessment, she had received much more help support at home and now had a paid assistant.  Trying to co-ordinate all the medical needs of an individual with dementia was often very difficult for carers to fathom so more support was necessary. 


In response to questions the following points were raised:

·       It was noted that Barbara was very articulate but that there was concern about the welfare of those carers who may not be as confident at seeking out help.  It was noted that West London Mental Health Trust (WLMHT) provided carers’ support, which served a good purpose.  The Community Partnership also provided services and carers did receive excellent help from social services. Integrated Neurological Services was also signposted as having advisors who could provide assistance with issues.  However, it was suggested that these advisors could benefit greatly from additional training, particularly on learning disabilities.

·       Dr Garcha shared concerns raised about getting help for those less able to seek it out for themselves.  He indicated that work was being done to investigate whether a carers’ agency could be used for those who did not have carers, and whether the network could be made a ‘one-stop’ service.

·       Barbara explained that Care and Repair had visited her home and had advised her on all she needed.  What had impressed Barbara most was that the Care and Repair representative had made the visit count by asking appropriate questions and making sure Barbara was well informed.  She asked that this message be fed back to all agencies on the importance of well trained and knowledgeable staff. 

·       When asked by Lesley Watts what the role of the link worker, Dr Cheesman indicated that the role was primarily to support families caring for a loved one but that part of the role would also be to link primary and secondary care services.

·       Martin Waddington stated that, however much clinical leads provided services, they couldn’t answer all questions – drawing attention to the fact that  ...  view the full minutes text for item 12.


CAMHS Transformation - Future in Mind (Susie O'Neill) pdf icon PDF 61 KB

Additional documents:


See report from the Assistant Director Joint Commissioning and the Senior Joint Commissioning Manager, together with the presentation slides from the meeting attached with the electronic agenda pack for reference, Agenda Item 3.


Ms Susie O’Neill, Joint Commissioning Manager, took members through the presentation slides.  In response to questions Ms O’Neill confirmed that colleagues were working with schools in Chiswick on the issue of self-harm and that it was hoped to roll out best practice across the borough.  When asked about the anticipated outcomes for the funding, Ms O’Neill acknowledged that there were only a matter of months before the spend deadline for the 2015/16 resource.  From April 2016 onwards the focus would be on front line staff and investment would be on those services that had a positive impact on families.


Ms O’Neill confirmed that the investment in neurological services included autism, although she pointed out that the challenge was the increasing demand for access and the priority was to increase capacity for early diagnosis.  The Chair thanked Ms O’Neill for her presentation and expressed the Board’s unanimous support for the plan. 



·       The Board noted the Transformation Plan being developed for North West London, which outlined how the local health economy would develop mental health services for children and young people over the next five years.

·       The Board noted that, once the plan was assured, additional funding would be released to Hounslow CCG and implementation of the plan would be managed by the Hounslow CAMHS Partnership Group.


CCG Business Plan 2016-17 (Sue Jeffers) pdf icon PDF 58 KB

Additional documents:


Sue Jeffers, Managing Director of the Hounslow CCG, presented the Hounslow CCG’s Business Plan 2016-17, which she confirmed had been produced in lieu of a commissioning intentions document but which followed on from the 2015-16 priorities and objectives. The plan was divided into 4 areas and all programmes across each of the CCGs was divided into these categories: Personalised, Localised, Integrated and Specialised. 


Ms Jeffers took members through the submitted document and provided clarification as to why Hounslow was described as ‘Centralised’ and the NW London area as ‘Specialised’ (see pages 4 and 5 of the submitted plan).  The category was based on where a patient went for specialist care and it was clear that patients in Hounslow accessed this care in a central location (West Middlesex University Hospital), whereas patients within the NW London area did not access specialist care in one central location.


Whilst Ms Jeffers acknowledged that the plan did not make it clear that it had been produced jointly with the Local Authority, she gave the Board assurances that this had been the case and pointed to the CCG prospectus included a leaflet about how to get involved in shaping services, which would be signposted as coming from both organisations.  She confirmed that the establishment of the Joint Commissioning Team meant that projects held within Martin Waddington’s team for example were provided by both organisations. 


In response to a question on how residents would understand the plan, when those working in the sector struggled to understand the structure, Ms Jeffers suggested that the structure of an organisation was perhaps less relevant to the majority of residents than the assurance that they would receive a common standard of care and that their GP and clinician would have access to the same medical records to support them in providing a high standard of care.


Ms Jeffers acknowledged the suggestion that the successes of QUIPP should be celebrated and used to raise the profile of those services in the community.  However, she pointed to the history of underinvestment in mental health and primary and community care and suggested that, whilst the organisation was in the fortunate position of being able to invest in services, which had resulted in improvements, it was clear that post 2016-17 the organisation would be under financial constraints and needed to focus on the investment required to bring those services up to parity.


When asked about the reference within the document to the number of religions and languages spoken in the borough, Ms Jeffers referred to the service review carried out in recent months by HealthWatch.  She acknowledged that an information plan was required to meet the communications and information needs of a rapidly changing demography.  This would inform both the JSNA and the Health and Wellbeing Strategy on how to best meet the needs of new communities moving in to the borough. Ms Jeffers suggested that an equality impact assessment should be carried out on all projects to assess whether there were population  ...  view the full minutes text for item 14.


Better Care Fund Update (Martin Waddington) pdf icon PDF 32 KB

Additional documents:


See presentation slides from the meeting included with the electronic agenda pack for reference, Agenda Item 5.


In response to a question seeking clarification on where the locality teams would be based, Sue Jeffers confirmed that the five teams would be based in buildings (health centres, GP surgeries, etc.) within each of the localities. At the beginning of September Hounslow and Richmond Community Healthcare (HRCH) had migrated onto SystmOne clinical computer system.  It was planned that the Local Authority and health professionals would also access a common system at some point in the future.  In the interim the patient’s NHS number was used as a common denominator to identify the fact that professionals were working on the same case.


Martin Waddington confirmed that hospital based social work teams had increased in numbers and now worked as part of a multi-disciplinary team.  When asked whether assurances could be provided that Better Care Fund (BCF) targets were on track with what the fund was trying to achieve, Martin acknowledged that it was still too early to tell but indicated that some projects, which pre-dated the BCF were delivering.  He informed the Board that Hounslow was achieving its goal of reducing the number of people dying in nursing/ residential homes.  However, it was not achieving the goal of reducing the number of people receiving domiciliary care.  The Board heard that more detailed information had been sought to explain the reasons why non-elective admissions to hospital were not reducing. 


Childhood Sexual Exploitation (Donald McPhail) pdf icon PDF 56 KB


See submitted report from the Independent Chair of the Local Strategic Children’s Board, Agenda Item 6.



Members noted the submitted report.


Minutes of the meeting held on 30 July 2015 and Matters Arising pdf icon PDF 70 KB


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


Any Other Business


The Chair asked Hannah and Lesley to give the Board a quick overview of their new roles. 


Hannah thanked all she had met so far for the welcome she had received.  She drew attention to the long agendas for the adult safeguarding meetings and indicated that she was looking to hold more events, in tandem with the children’s safeguarding membership and religious representatives and community groups.


Lesley echoed Hannah’s comments about the welcome she had received.  She noted that both hospitals (WMUH and ChelWest) were incredibly friendly organisations.  ChelWest could learn from West MIdd, which had a very loyal staff base.  One of the reasons for her attendance at this meeting was to ensure the importance of West Midd both in terms of the local population and this Board.  The management was committed to the hospital and the local population.


Lesley’s colleague, also present at the meeting, thanked the Board for involving the organisation in this meeting, which he said was not something all HHWBs did.  In response to a question on the apparent disappearance of the West Middlesex University Hospital website from the web, meaning that those searching for West Middlesex University Hospital were brought to the Chelsea Westminster Foundation Trust website, Lesley offered her apologies and assured the Board that she would take their concerns back to the organisation. 


Date of next meeting - Thursday 26th November 2015


The date of the forthcoming meeting was noted.