Hounslow Council


Agenda and draft 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

11.

Welcome and Introductions

Minutes:

Cllr Kamaljit Kaur advised that she would be in the Chair as Cllr Steve Curran was at another Council meeting. She welcomed attendees to the meeting.

12.

Minutes of the meeting held on 1 August 2017 and Matters Arising pdf icon PDF 224 KB

Minutes:

The minutes of the meeting held on 1 August 2017 were agreed to be an accurate record and signed.

 

Matters Arising: Item 6, Reducing Variation in Feltham:

Richard Eason asked if there had been any progress towards the establishment of a project group as a formal sub-group of the Hounslow Health and Wellbeing Board, as proposed. Imran Choudhury advised that he had not heard that such a group had been set up as yet.

13.

Safeguarding Boards' Annual Reports and Business Plans - Hannah Miller pdf icon PDF 177 KB

Additional documents:

Minutes:

Please see the report and appendices by Jo Carmody and Hannah Miller (agenda item 6, page 57). This item was moved up the agenda by the Chair at Ms Miller’s request.

 

Ms Miller presented the item and gave an overview of the report. An external audit which had taken place earlier in 2017 had described the service as good, an improvement over the previous three years. Seminars and workshops for staff had been well attended and there had been more engagement with the voluntary sector; a training event for people from the voluntary and community sectors had been highly successful. Input had been received from the Virtual College, which obtained licences for all agencies to access Virtual College training. Officers were publicising the improved performance data and Ms Miller advised that the Police Borough Commander had agreed to fund an additional business analyst to ensure that performance data was shared correctly. The service would be much better set up to target interventions in future.    

 

As Chair of the Children’s Safeguarding Board in addition, Ms Miller advised that she would ensure that the Think Family approach would be followed. Domestic violence, (DV), substance abuse and mental health issues (described as the ‘toxic trio’) would be examined and if, for example, parents had difficulties with one or more, the children would be looked at as well. The service was fully aware of the possibility that older children/teenagers could abuse vulnerable parents and social workers were attuned to all service users’ needs. The Community Safety Partnership played an important role in ensuring that services didn’t overlap, leading on DV cases as well as those pertaining to modern slavery issues, to which National Referral guidelines were applied, with clear reporting to both the Adults’ and Children’s Safeguarding Boards.

 

Elizabeth Bruce asked if complaints regarding care homes were broken down to reflect who was complaining about who. Ms Miller advised that they were; there was a particular need for sensitivity in many cases, for example with people with learning difficulties many complaints were about peer to peer behaviour. She urged caution about what matters triggered safeguarding, for example hate crimes committed against people with learning difficulties would not necessarily be recorded under safeguarding.

 

Charanjit Ajitsingh thanked Ms Miller for the report and asked what action was planned regarding the low percentage of referrals from members of the black and minority ethnic (BAME) communities. Ms Miller acknowledged that BAME referrals were under represented among adults, although the picture was more balanced with children. She advised that a sub-group had been set up to raise awareness about safeguarding adults, with a large-scale campaign. There were plans to attend mosques etc outside core office hours. Community groups often requested training at evenings and weekends and it was essential to find staff able to oblige. The message would be got out by engagement with the voluntary and community sectors. Ms Ajitsingh suggested that the Police Sergeant who had recently been appointed Faith Officer could bring safeguarding matters to the  ...  view the full minutes text for item 13.

14.

Children and Young People's Strategy - Susie O'Neill/ Paul Triantis, Joint Commissioning pdf icon PDF 806 KB

Minutes:

 Please see the report, (agenda item 3)

 

Martin Waddington presented the report.

 

Cllr Tom Bruce commended the report and advised that the current plan had been halted two years early to obtain the voice of young people, which had not been heard before.

 

Elizabeth Bruce asked how many children were educated out of borough due to lack of resources, adding that she was aware of a special educational needs (SEN) child who had to be taken out of borough for school because their profound disabilities could not be catered for. The number was unknown but Cllr Bruce advised that schools were expanding and the government had given the green light to build new SEN facilities. The Council wanted to keep children in borough as far as possible.

 

Richard Eason asked about equalities monitoring and said he felt that the disadvantaged and disengaged youngsters were unrepresented. He referred to young people’s call for more support and education around relationships and asked if cuts to youth services would have an impact on participation in the Youth Council in future.  He urged work to ensure that engagement was obtained and maintained. Cllr Bruce acknowledged that officer support to the Youth Council was to be halved.  The decision had not been taken lightly and as much assistance as possible had been retained; it was hoped to engage young people without the lost support. The Authority looked to schools to an extent for relationship help and education.  Mr Waddington stated that although the disadvantaged and disengaged were not specifically mentioned the strategy actually focussed on them. A great deal of the strategy revolved around engagement. Mr Eason felt there was a need to collect data on relevant protected characteristics.

 

Imran Choudhury congratulated the team on the strategy, which he described as very joined up. There was a need to discuss resourcing. Early intervention was key; 30% of children were found to be unprepared to start school and many became trapped by lack of progress. It was essential that all children were given hope for the future. Charanjit Ajitsingh asked what work was done regarding children before they started school, as she felt that although schools did a lot of good work it could be too late for many. Cllr Kaur acknowledged the issue and urged that it be examined fully at a later date. Sarah Rushton referred to disadvantaged children and said that disengaged 12/13 year olds didn’t get heard. She was concerned that they may find an identity in gangs.

 

Cllr Bruce stated that the report had been recommended by Cabinet and would be brought to the next Borough Council.

 

 

15.

Cranford Stronger Together and Future Borough Strategy - presentation by Ian Duke (LBH) pdf icon PDF 295 KB

Additional documents:

Minutes:

Please see the report by Ian Duke and accompanying slides (agenda item 4)

 

Mr Duke presented the report with slides. He advised that the report set out a vision for the borough in 2030 and the process had started in 2011. Although the Local Strategic Partnership wasn’t obligatory after 2013 it had been continued voluntarily. The focus was on resilience and it was noted that the annual ‘turnover’ of the borough’s residents was one in six. Considerable social support structures were in place but demand was increasing as resources fell, making planning for the future difficult but essential. Evidence was still being gathered and the findings were due to be presented in December 2017, with a strategy to be created the following spring.

 

In response to questions Mr Duke advised that the referral pathway had been used to identify people who perhaps relied on carers more than might be expected when looking at support networks. He acknowledged that there was a need to look at patient activation measures and relationships on a larger scale and stated that officers had built that into their approach. The project was a first attempt at improving resilience at individual and community level and focussed on Cranford as people tended not to identify with London boroughs as their community. Cllr Kamaljit Kaur agreed, adding that communities defined themselves in multiple ways, ethnicity and family as well as their area. The physical design of housing estates could be very isolating and Cllr Kaur was impressed by the way strategy combined both social and housing regeneration together. She expressed the hope that the model could be successfully expanded to cover many aspects of life borough wide. She asked how the strategy could be enabled however, given that scarce resources were forcing the Council to concentrate on core statutory requirements. Mr Duke advised that a conversation was taking place around the Social Impact Bond. Investors would put money into the strategy if they believed in it. The strategy was a preventative measure and could benefit in the areas of housing, employment, health etc so funding could be sought from multiple sources.

 

Mr Duke advised that equalities issues were very interesting in the context of the strategy, with strong ethnic connections on the estate and also the fact that men and women were shown to have very different social connections. Imran Choudhury stated that he had found many services were not accessed by a lot of people that were entitled to them. Charanjit Ajitsingh asked why educational opportunities were seen as poor, which was not her own experience. Mr Duke advised that he would find out.

16.

Progress on the Health and Wellbeing Strategy - presentation by Laurence Gibson (LBH) pdf icon PDF 1 MB

Minutes:

Please see slides (agenda item 5)

 

Laurence Gibson made the presentation and asked members if they felt the approach to be the right one.

 

Richard Eason questioned the choice given in slide 9, as to whether to pursue all three objectives (early years/lifestyle/falls) or just one. He advised that 12 areas had initially been examined and there were other significant objectives besides the three set out, and asked for costs to be looked into before any decision. Imran Choudhury advised that there was a lot to discuss and he wanted to pick priorities and avoid replicating plans. In his view, early years would supplement existing services. An app was available to enable linkage between maternity and children’s services by allowing contact to be maintained from birth to when a child was over 5. Lifestyle was also very important, for example it was known that men were less likely to go to their GP than women. There was a need for an open conversation about quality of care and prevention. As the borough’s largest employers Dr Choudhury believed the Council could do a lot to help. He asked if the Council had spoken to other large employers such as Heathrow, Sky and those along the Golden Mile as a lot could be achieved with minimal Council funding.

 

Martin Waddington advised that a lot of people in the borough suffered falls, which led to increased social care access and a loss of quality of life. He urged that falls be championed as a way of giving a lot of help to a lot of people. There were around 800 falls requiring intervention each year, most occurring within the person’s own home.

 

Dr Choudhury stated that members supported following all three paths but urged that a fixed strategy should not be agreed at that point as more work was needed. Cllr Kamaljit Kaur agreed, suggesting that the Council work with employers and others, such as schools and faith groups. Efforts should be made to ensure that work was linked, to avoid duplication of effort as occurred when ‘silo’ working.

 

Sarah Rushton asked if there was a Healthy Workplace Charter, similar to that used by LB Ealing. She urged engagement with major employers in the Borough. Cllr Kaur advised that governance should be addressed at the Board’s next meeting.

 

17.

Childhood Sexual Exploitation pdf icon PDF 385 KB

Minutes:

The Board noted the submitted report.

 

18.

Any Other Business

Minutes:

Mr John Cooper of the Hounslow Community Network asked the following question:

 

“Is the Hounslow Health & Wellbeing Board the organisation with the overarching responsibility for the overall efficiency of the parts of the Hounslow NHS (HCCG, HRCH), Mental Health Trust (perhaps), and the LB Hounslow Public Health function and their partners in respect of the health and social care of residents, particularly in relation to improved integration and communication, especially at the staff to staff and staff to patient levels?   If not, what (or who) is?

 

If so, how is this being achieved, and how well is its performance and resident feedback being monitored and publicised?”

 

Cllr Kamaljit Kaur advised that the question was too complex to be answered satisfactorily at the meeting and members would produce an answer at a later date.

 

Barbara Benedek expressed concern about the communication of information as she felt it was essential to make every contact count. She asked for current communication methods to be re-examined. Imran Choudhury advised that colleagues were currently working on that issue.

 

Elizabeth Bruce stated that she had always received an email advising that the Board’s latest agenda had been published and this had not happened since formal clerking was withdrawn. She asked for assurance that communications would be kept up.

 

Richard Eason took issue with the current plan regarding the Life Health Service, where funding for information and guidance including the case navigator service was to be brought in-house. He had a number of concerns on these plans, to be implemented in January 2018, which he felt had not been sufficiently responded to; he called for proper dialogue. Cllr Kaur advised that officers would produce a formal response in due time.  Martin Waddington advised that officers had met with people from the voluntary sector and discussed the proposals in depth. He and Alan Adams had also met with volunteer representatives the previous Friday to discuss the plans in detail. Another meeting was planned for the very near future and there were plans to speak to Hounslow Community Network as well. Cllr Kaur asked for a formal response to Mr Eason’s concerns.

 

 

 

19.

Date of next meeting is 31 January 2018