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

27.

Welcome and Introductions

Minutes:

Councillor Ed Mayne, Vice-Chair of the Board, took the chair for this meeting in Councillor Curran’s absence.  He welcomed all to the meeting and invited a round of introductions.

 

Apologies were received from Alan Adams, Elizabeth Bruce, Councillor Tom Bruce, Nicola Burbidge, Greg Ashman, Hannah Miller, T/Ch. Supt. Raj Kohli, Peter Matthew, Donald McPhail, Joanne Murfitt, Thomas Neumark and Misak Ohanian, Ann Bond and Jaswant Lall.

 

28.

Minutes of the meeting held on 26 November 2015 and Matters Arising pdf icon PDF 67 KB

Minutes:

The minutes of the previous meeting were agreed and signed by the Chair as a correct record.  There were no matters arising.

29.

Helping residents access lifestyle support - Dilo Lalande (CCG), Chris Norfield and Clare McKenzie (LBH) pdf icon PDF 803 KB

Presentation slides for this item are attached with the electronic agenda pack for reference. 

Minutes:

See presentation slides presented at the meeting and included with the electronic agenda pack for reference.  Members acknowledged the introduction of the national “One You” national wellbeing campaign, due to be launched across the borough on 1 April 2016.

 

Dr Garcha, in attendance for Nicola Burbidge, joined the meeting at this point.

 

In discussion the following points were raised:

·       It was important to first look at existing support networks when commissioning the LIFE independent living support. 

·       Concerns were raised that people would be encouraged to use gyms, which were very expensive.  Imran Choudhury acknowledged that some people had been paying less for some activities under the old fee structure and confirmed that those schemes had now been phased out with the introduction of a standard fees structure for all leisure centres across the borough. He indicated, however, that further work was planned with the Council’s contractors (Fusion and Carillion) to enable more direct engagement with older people, carers, people with disabilities, etc.  The Council’s fees and charges would be the subject of an Overview and Scrutiny review and, should members of that committee decide to convene a meeting on the matter, residents would be invited to attend.

·       The campaign would also promote local opportunities for people to get active, using local voluntary sector groups and signposting to available community activities across the Borough’s green spaces.

·       An event was planned for April on how people find out about activities, to help improve the service provision and the way those services were communicated to residents.  The One You information kiosks would provide information for residents and include a self-help Health and Social Care directory for local people and families.  The Patient/ Public Engagement Committee would ensure information provided via the kiosks was updated on a monthly basis.  It was also noted that the Council’s website would be updated more regularly. 

·       To target non-English speakers, the website homepage would be translated into the borough’s identified community languages.  A mapping exercise of those currently using services was being carried out with KPIs in place to measure access to services moving forward.   Hounslow and Richmond Community Healthcare was the lead service provider and had a mixed staff body who could engage with a diverse range of communities.  It was noted that using the webpages for those who were able to self-motivate freed up resources to engage more proactively with the harder to reach groups.

·       This was acknowledged as a step change improvement in the borough’s wellbeing offer, providing a more joined up, accessible offer under a cohesive brand and positive message.

30.

Health and Wellbeing Dashboard - Jo Sage (LBH) pdf icon PDF 66 KB

04.03.16 – Dashboard circulated to members and attached here for reference.

Additional documents:

Minutes:

The Board acknowledged the 6monthly dashboard and noted that the NHSE plan would be presented to the next scheduled meeting of the Hounslow Health and Wellbeing Board.

 

HWI 9.6 and HWI 9.7:

Richard Eason sought clarification on the HWI 9.6 and 9.7 indicators relating to young people’s mental health referrals, suggesting that the target referral time of 18 weeks represented a very long time in a young person’s schooling and education.  He acknowledged that this was a national target but suggested that this was not good enough for Hounslow’s young people. 

Roger Shortt was concerned about the validity of the green RAG rating for the CAHMS delivery, as he had been made aware anecdotally of increasing numbers of young people with mental illness.  He sought clarity on the reported figures and stated that physical evidence was required to support the claim that the target had been 100% met.  He also questioned whether “100% to be seen within 18 week excluding neurodevelopmental services” meant the first consultation had been held within 18 weeks or simply that a referral for a consultation had been made within that time.  

 

Sarah Rushton acknowledged that only an element of the service was reported within the dashboard, reflecting the Tier 3 waiting times.  She indicated that a report could be taken to the Board with more detail on the Tier 2 and Neurodisability services.  Additional funding had been provided by the Hounslow Clinical Commissioning Group (CCG) and an improvement plan was in place but was taking time to deliver.  Lesley Watts commented that Tier 4 services commissioned by NHSE was also an area where referral times were not short enough.  She drew attention to difficulties placing the sickest children and suggested it would be helpful to include that data in any report to the Board.  Sarah Rushton drew attention to the fact that the indicators related to relatively small numbers of children.  She acknowledged that there had been occasions where children had to be admitted to adult Tier 4 beds whilst waiting for a children’s placement.  This was a Londonwide issue and colleagues were working together with specialist commissioners to address the challenges. 

 

Jo Sage thanked the Board for their comments, which would be reported back to Martin Waddington and the Joint Commissioning team.  Work could be done with WLMHT colleagues to produce a more detailed report for the Board.  She noted that all targets were due to be reviewed. 

 

HWI 7.6 “Fewer older people in care homes”

Richard Eason noted that this indicator had been RAG rated red, but pointed to the relatively small margin between the 280 target and the latest count of 315.  Jo Sage acknowledged that it would take very little movement in the figures to record a green rating for this target, suggesting this was achievable by year end.  Councillor Kaur commented that the challenge was finding appropriate placements for individuals.  The plan was to monitor and support older people to remain in their own homes for as long as  ...  view the full minutes text for item 30.

31.

Learning Disability Transforming Care Plan - Kirsty Owen (NHS) pdf icon PDF 276 KB

Additional documents:

Minutes:

See report from the Project Manager, Mental Health, Strategy & Transformation, Northwest London Collaboration of Clinical Commissioning Groups, Agenda Item 5.

 

The Board noted the presentation from Kirsty Owen, Project Manager, Mental Health, Strategy & Transformation, NWL Collaboration of CCGs.

 

Resolved:

·       The Board endorsed the first draft North West London Transforming Care Partnership plan noting that further updates would be made to address the areas of underdevelopment;

·       The Board delegated authority to the relevant committee to approve the final local and NWL Transforming Care Partnership plan in order for this to be submitted to NHS England on 11th April 2016.

·       The Board acknowledged that it would review at a future meeting and that the NWL plan would be implemented from April 2016.

32.

Childhood Sexual Exploitation - Donald McPhail pdf icon PDF 201 KB

Minutes:

See report from the Independent Chair of the Hounslow Safeguarding Children Board, Agenda Item 6. 

 

The Board acknowledged the update provided by Mr Donald McPhail.

33.

Health and Wellbeing Forward Plan - Imran Choudhury pdf icon PDF 138 KB

Minutes:

See report from the Director of Public Health, Agenda Item 7.

 

The Board acknowledged the submitted work plan.

34.

Any Other Business pdf icon PDF 153 KB

Briefing: Childhood Obesity Task Force

Minutes:

See report from the Director of Public Health, submitted with the permission of the Chair on grounds that the item pertained to a time-limited initiative, Agenda Item 8.

 

The Board noted the establishment of a new time-limited, cross-sector ‘Hounslow Childhood Obesity Task Force’ which would meet quarterly and report into the Board.

35.

Date of next meeting - Wednesday, 6 July 2016 from 6.30pm

Minutes:

The Board noted the details of the next scheduled meeting.