Agenda and draft minutes

Joint Children & Young People and Adult Social Care & Health Overview and Scrutiny Committee - Tuesday, 28th January, 2020 2.00 pm

Venue: Committee Room 2, Shire Hall. View directions

Contact: Paul Spencer - Senior Democratic Services Officer 

Media

Items
No. Item

1.

General

Additional documents:

1(1)

Appointment of Chair for the meeting

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Minutes:

It was agreed that Councillor Dahmash be appointed Chair for the meeting.

1(2)

Apologies

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Minutes:

Apologies had been received from County Councillors Margaret Bell, Peter Gilbert, Daniel Gissane, Colin Hayfield and Jeff Morgan (Portfolio Holders), Howard Roberts, Jerry Roodhouse, Dominic Skinner, Pam Williams, from Councillor Pam Redford (Warwick District Council) and John McRoberts (co-opted representative).

 

1(3)

Disclosures of Pecuniary and Non-Pecuniary Interests

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Minutes:

None.

1(4)

Minutes pdf icon PDF 234 KB

To confirm the minutes of the joint meeting held on 30 January 2019.

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Minutes:

The minutes of the Joint Overview and Scrutiny Committee meeting held on 30 January 2019 were agreed as a true record and signed by the Chair.

 

2.

Transition of the Children and Young People's Emotional Wellbeing and Mental Health Services pdf icon PDF 580 KB

This joint meeting will receive an update from the Coventry and Warwickshire Partnership Trust on the Children and Young People’s Emotional Well-being and Mental Health contract.

 

Additional documents:

Minutes:

An update was provided on Children and Young People’s Emotional Well-being and Mental Health by Louise Birta of WCC Strategic Commissioning and Chris Evans of Coventry and Warwickshire Partnership Trust (CWPT). This contract is delivered by CWPT in partnership with Coventry and Warwickshire Mind (CW Mind). The report and accompanying presentation focused on performance and outcomes, prevention and intervention, waiting times, service developments, challenges and achievements. Sections of the report focused on the following areas, with further tables and graphs to illustrate progress:

 

·         Prevention and Early Intervention

·         Waiting times

·         Autism Spectrum Disorder (ASD) waiting times

·         Support for children looked after

·         Service developments

o        Community offer

o        Digital offer

o        South Warwickshire trailblazer

·         Children in crisis

·         Challenges

·         Achievements

 

The presentation gave an overview of the service and drew out the key messages for each of the above areas.

 

Questions and comments were invited, with responses provided as indicated:

 

·         There had been a consultation process to seek improvements in the offer and pathway for vulnerable children. An outline was given of the review process over the last 12-18 months. This had assessed the services needed, improving the collaboration between agencies and to ensure the right staffing and model of service / support was put in place, tailored to each vulnerable person’s needs. 

·         Related questions concerned whether early intervention could reduce the number of young people who went into care, with reference made to out of county placements.

·         It was questioned how many children had not received the correct interventions and whether those children had been adversely affected as a result, in terms of their life chances.

·         A member asked how services could be improved if they were at full capacity.

·         Chris Evans responded to the above questions, referring to the need for a system response, whilst accepting CWPT’s role within that system. There was the potential for people to gain advice and support at an early stage, for example through the Dimensions Tool. Other aspects were the development of a crisis team, a home treatment service and the pilot trailblazer project in the south of Warwickshire. Early intervention to prevent harm was a key aspect of the RISE service.

·         Jed Francique emphasised the need to be mindful of what the RISE service could achieve and what it could not. There could be many contributors to why young people needed to go into care. RISE could respond to their emotional wellbeing needs. On capacity, he added context about the shortage in clinical staffing, which was projected to worsen. It was fundamental that the service worked with CW Mind and made use of digital solutions too. Becky Hale added that there was evidence that the interventions were beginning to reduce demand for tier 4 mental health hospital admissions for children with learning disabilities and/or autism. It was expected that the work of the crisis team and home treatment service would likewise have a positive impact.

·         There were long waiting times for some initial assessments and then a further 13 week wait for the  ...  view the full minutes text for item 2.

3.

Coventry and Warwickshire Maternity, Children and Young People Programme (MCYP)

The Joint Committee will receive a presentation from Anna Hargrave of South Warwickshire Clinical Commissioning Group.

Additional documents:

Minutes:

A presentation was provided by Anna Hargrave, representing all Warwickshire clinical commissioning groups on the Coventry and Warwickshire MCYP.

 

The presentation covered the following areas:

 

·         Introduce the programme and what we want to achieve;

·         Why the programme is important;

·         Local and national context;

·         The services being explored and ensuring they are fit for purpose;

·         Why we are focusing on maternity and child health first;

·         An outline of the engagement process;

·         The clinical led response.

 

Questions and comments were invited, with responses provided as indicated:

 

  • More information was sought about population growth and workforce challenges. Data should have been provided on waiting times, travel times and demand for services. There were no measurable targets within the documents and a framework was needed. It was asked if further detail could be supplied to members after the meeting. This data was gathered through sources like the joint strategic needs’ assessments. The outcomes framework was being developed and currently was at a draft stage. Determining the measures to be used and those which were important to the population were examples of the detail which would follow.
  • The local maternity system (LMS) was fully aware of demographic data of the population and was doing a lot of work, including on the better births programme. It had a raft of outcome-based plans and examples were provided. There was good CCG involvement in the 0-5 programme and specifically around maternity services. The LMS data could be brought to a future committee meeting.
  • The recruitment of enough qualified staff was raised. It would be helpful for the committee to receive periodic updates on how required staffing levels were being met. This information could be supplied via provider organisations. It was reiterated that this process was at an early stage, but a key aspect was developing a clinical model that would be attractive to staff.
  • Discussion took place about traumatic births and maternal deaths. Such cases were reviewed in detail, to provide learning and enable the review of processes, where appropriate. Other areas raised were the better births work, staff welfare aspects and staff training courses at maternity sites.
  • Clarification was sought that the aims of this work were to improve services, not to close maternity units, especially at the George Eliot Hospital. This programme would seek the best overall outcomes.

 

The Chair asked when a further update should be provided. It was suggested this should be in six-months’ time. This review would also need to be considered by the Joint Coventry and Warwickshire Health Overview and Scrutiny Committee as it progressed.

 

Resolved

 

That the presentation is noted.

4.

Any Urgent Items

At the discretion of the Chair, items may be raised which are considered urgent (please notify Democratic Services in advance of the meeting).

 

Additional documents:

Minutes:

None.

 

…………………………………..

Chair

 

The meeting closed at 4.15p.m.