Issue - meetings

A briefing document is provided. NHS colleagues will provide a presentation on the bladder service. This includes services for adults and the new children and young people bladder service. Members of the Children and Young People Overview and Scrutiny Committee have been invited to attend the meeting for this item.

Members of the Children and Young People (C&YP) Overview and Scrutiny Committee had been invited to attend the meeting for this item. A briefing document had been circulated with the document pack which informed on bowel and bladder services for children and young people in Warwickshire. This included context that 6.4% of C&YP were affected by continence problems. An outline of the guidance was provided, together with the transfer of commissioning responsibilities to Public Health and the challenges experienced. Historically, different continence services were provided in Coventry and Warwickshire. Feedback from Warwickshire parents and carers showed the impact of a lack of continence services.

The Coventry and Warwickshire Integrated Care Board (C&W ICB) had considered a business case from South Warwickshire Foundation Trust (SWFT). The briefing outlined the development of a new bladder and bowel service. The lead provider for the interim two-year service would be  Coventry and Warwickshire Partnership Trust (CWPT), working in partnership with SWFT, to deliver the following:

•        Fully scope the needs of the population for a tiered approach using existing capacity.

•        Consider opportunities for efficiency of working across the footprint.

•        Co-produce a new set of clinical pathways with the parent carer forums across each area of clinical need.

•        Define a set of outcome measures.

•        Review the services following the two-year period to identify and outline the ongoing business case to the ICB.

The briefing reported on the recruitment activity, development of clinical pathways, and the initial priority was for those with the highest clinical need. The new service would be rolled out from May. Details were provided of the interim support available, through school nursing, primary care, and charitable groups. Free on-line training would be available for service providers from April. There would be evaluation throughout this two-year pilot, before further decisions were made about the sustainability and future delivery of the service.

A presentation was provided by Jamie Soden of the C&W ICB, supported by Amanda Parsons and Lindsey Sandler of CWPT to highlight key aspects and respond to questions. The presentation covered:

•        Adult Service Structure

•        Access and Purpose

•        Context

•        Current Provision

•        The ‘Set up’ Phase

•        The Service

•        Next Steps

Questions and comments were invited with responses provided as indicated:

•        The Chair referred to timescales asking about support for children who were in mainstream rather than specialist schools. She asked about securing funding to ensure the continuation of services and to avoid gaps in service in the future.

•        Jamie Soden responded on the funding aspect, explaining how this pilot would look at scoping and then development progression and agreement of the business case.

•        Amanda Parsons confirmed the new service would be open to referrals from 1^st May including for children not in special schools. She outlined the preparatory work to build staff capacity with recruitment of specialist nurses. As capacity was built, services would be available for children who had received tier one interventions  ...  view the full minutes text for item 5