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

1.

Welcome and Introductions

Minutes:

The Chair welcomed everyone to the meeting and invited a round of introductions.

 

Apologies were recorded for Councillor Amritpal Mann, Nicola Burbidge, Greg Ashman, Hannah Miller, T/Ch. Supt. Raj Kohli, Lesley Watts, Peter Matthew, Inderpal Mudhar, Stephen Otter, Patricia Wright, Roger Shortt, Dr Mobin Salahuddin, Jo Ohlson, Carolyn Regan (deputised at this meeting by Sarah Rushton), Councillor Tom Bruce and Alan Adams (deputised by Martin Waddington at this meeting).

 

The Chair thanked Donald McPhail on behalf of the Board for his work on the Local Safeguarding Children Board over the past 6 years and wished him a very happy retirement.

 

The Chair then thanked Ann Bond who was leaving Integrated Neurological Services to work at Dorset CCG and wished her every success in her new role.

2.

Minutes of the meeting held on 7 March 2016 and Matters Arising pdf icon PDF 144 KB

Minutes:

The minutes were signed as a correct record by the Chair, subject to the following amendment:

 

Present:

Richard Eason had deputised for Ann Bond who had submitted apologies.  Kevin Sarwar-Polley had also been in attendance as deputy at the meeting.

There were no matters arising.

3.

Sustainability and Transformation Plans - Sue Jeffers (CCG)/ Alan Adams (LBH) pdf icon PDF 193 KB

Report added 7 September 2016 with permission of the Chair.

Additional documents:

Minutes:

See submitted joint submission of the report and slides from Hounslow CCG and Hounslow Council, Agenda Item 3.

 

Sue Jeffers, Managing Director Hounslow Clinical Commissioning Group, led members through the submitted slides and provided the following comments in response to questions:

·       Consideration had been given by each of the organisations across the region to the impact of the EU Referendum result when reviewing financial resources. 

·       Acknowledging that spiritual wellbeing (e.g.: avoiding social isolation) was not specifically touched on in the submitted iteration.  However, further refinements were being made to the plan being prepared for completion on 21st October.  This was taken seriously in care planning to ensure the needs of individuals were addressed. 

·       On the impact for Hounslow and timeline, considering some of the plans were to deliver within the current financial year (some concern as to whether this would be possible).  It was noted that the plan was not starting from scratch but building on what had already been achieved and how the current services met the needs of users and how any identified gaps could be closed.

·       Involvement of the voluntary sector was welcomed on the plans due for submission in October.

·       There was concern that the move to ‘reduce variation’ would mean reducing everything to the lowest common denominator.  Sue confirmed that the variation referred to the aim to standardise the different pathways nationally so that clinicians ensured the guidance they followed was appropriate.

·       Concerns were raised that, as a result individuals with learning difficulties currently receiving both an annual health check and a screening check would lose the additional screening.  Sue provided assurances that the Transforming Care for People with Learning Difficulties Plan for the NWL area was designed to ensure consistency across the eight boroughs. It was noted that a work-stream was in place to consider what should be included in the generic NHS health check.

·       Concerns were raised that Hounslow would lose funding as part of the proposals to increase support for those boroughs currently not performing to the same level.  When asked whether there were safeguards built into the plan, Sue agreed to report members’ concerns back to colleagues dealing with the financial provisions in the plan.

·       It was noted that the proposals represented a real culture change for the NHS, turning the focus away from acute care to prevention and the wider determinants of health.

·        It was acknowledged that carers would be involved in the planning for the proposals.  A request was made to ensure sufficient support was put in place for carers. 

·       Mary Harpley noted that much work had been progressed since the submitted version had been completed.  Later versions would highlight more clearly the joint responsibility of the NHS and the Local Authority for the proposals.  Regular discussions were being held for both the leaders and chief executives across all eight boroughs. 

·       The plan would be brought before the Overview and Scrutiny Committee on Monday. 

·       The Board supported listing the proposals as a standing item on the Board’s meeting  ...  view the full minutes text for item 3.

4.

Joint Strategic Needs Assessment - Imran Choudhuary pdf icon PDF 485 KB

Report added 7 September 2016 with permission of the Chair.

Minutes:

See report from the Director of Public Health, Agenda Item 4.

 

Imran Choudhury, Director of Public Health, introduced the report and confirmed that a steering group was being established that would report back to this Board and the Sustainability Transformation Plan sub-group.  The expectation was that the JSNA would be completed by January 2017 and signed off by this Board in March 2017.

 

In response to questions Imran noted the need to manage the scope of the JSNA.  It was acknowledged that capacity was not available to update the published information for each area with the assessment.  The proposal was to include links to other bodies such as Public Health England.  There was the option to build in a reflective element and feedback to the publication. 

 

The Chair provided assurances that, as Richard Eason was now a member of the Board representing the voluntary sector, he should be party to all stages of the planning process on matters discussed by the Board on behalf of the voluntary sector and its residents and clients.

 

Resolved:

·       The Board reviewed and approved plans for the design and delivery of the 2016/17 Joint Strategic Needs Assessment (JSNA).

·       The Board approved the establishment of a ‘Hounslow JSNA Steering Group’ (with associated sub ‘Task and Finish Working Groups’) which would report to the Hounslow Health and Wellbeing Board.

·       The Board approved the delegation of the work on the Hounslow Joint Strategic Needs Assessment (JSNA) to the ‘Hounslow JSNA Steering Group’.

5.

Health and Wellbeing Action Plans - Laura Maclehose pdf icon PDF 564 KB

Minutes:

See submitted report from the Director of Public Health, Agenda Item 5.

 

Laura Maclehose, Consultant in Public Health, introduced the submitted report and detailed the 9 priorities laid out in the Action Plans and responded to members’ questions as follows:

·       It was acknowledged that the submitted plans did not encompass all the work areas undertaken by the Public Health team.  In response to Barbara Benedick’s question on activities for older people to help reduce social isolation, the Chair asked that a response was sent outside this meeting signposting those services.

·       Sue asked for clarification on a rolling annual progress report on the three key priority areas.  Laura provided assurances that work was progressing on areas identified as not performing as expected in order to meet targets. 

·       The Board supported taking a short (single page) executive summary could be brought to the Board as a progress update on those key priority areas and whether targets were being met.

·       Imran suggested that a closer working relationship with NHSE should be fostered and achieved, whilst he acknowledged the capacity issues for the organisation across the eight boroughs currently. 

 

Resolved:

The Health and Wellbeing Board noted and approved the new Hounslow Joint Health and Wellbeing Strategy 2013-2017 Action Plan for the Year April 2016-March 2017.

 

Martin Waddington left the meeting at this point.

6.

Child Sexual Exploitation Update - Donald McPhail pdf icon PDF 353 KB

Report added 7 September 2016 with permission of the Chair.

Minutes:

See report submitted by the Independent Chair of the Local Safeguarding Children Board, Agenda Item 6.

 

Donald McPhail, Independent Chair of the Local Safeguarding Children Board, drew members’ attention to the submitted report, which had been drafted in preparation for the postponed July Board meeting. 

 

Donald informed members that the only significant amendment to the information in the report was that the current MASE had now fallen from 18 to 15.  Currently responsibility for the MASE cohort stopped when the individual reached their 18th birthday.  Donald was proud of the fact that support plans had been developed for each of the individuals within the MASE cohort and that CSE was no longer a bolt on to other processes but an integral part of the support provided, which represented a great achievement.  Work was being done to look at ensuring the transition to adult support services secured to ensure individuals continued to receive the necessary support. 

 

Work was progressing to ensure that there was comprehensive coverage across the borough for CSE champions. 

 

Sue Jeffers confirmed that the CCG governing body received a regular report on looked after children to ensure that they received their annual health checks.

 

The Board heard that 7 individuals within the MASE cohort had some form of learning difficulties identified that affected them in some form.  The NSPCC was looking at sourcing education materials to help those more vulnerable young people. 

 

It was confirmed that the LSCB membership included voluntary sector representation and work was being done to broaden the engagement and education of young people, including the use of social media.

7.

Any Other Business

Minutes:

There was no urgent business raised.

8.

Information provided by the London Fire Brigade - Health Equipment and Associated Fire Risk pdf icon PDF 75 KB

Additional documents:

Minutes:

The information contained within the agenda pack was noted.

9.

Date of next meeting - Tuesday, 8 November 2016 from 6.30pm

Minutes:

The date of the forthcoming meeting was noted as having been changed from October to November 8th.