Agenda and minutes

The Mayor, took the Chair and welcomed all present and led introductions.

The following apologies were given;

·        Dr Martin Jones

·        Julia Ross

·        Justine Rawlings

·        Cllr Anna Keen

·        Steve Davies

·        Justine Mansfield

·        Alison Comley

Subs

·        Richard Lyle on behalf of CCG partners

To note any declarations of interest from the Councillors.  They are asked to indicate the relevant agenda item, the nature of the interest and in particular whether it is a disclosable pecuniary interest.

Any declarations of interest made at the meeting which is not on the register of interests should be notified to the Monitoring Officer for inclusion.

None

Up to 30 minutes is allowed for this item.

Any member of the public or Councillor may participate in Public Forum.  The detailed arrangements for so doing are set out in the Public Information Sheet at the back of this agenda.  Public Forum items should be emailed to democratic.services@bristol.gov.uk and please note that the following deadlines will apply in relation to this meeting:-

Questions - Written questions must be received 3 clear working days prior to the meeting.  For this meeting, this means that your question(s) must be received in this office at the latest by 5 pm on Thursday 7^th December 2017.

Petitions and Statements - Petitions and statements must be received on the working day prior to the meeting.  For this meeting this means that your submission must be received in this office at the latest by 12.00 noon on Tuesday 12^th December 2017.

None

To agree the minutes of the previous meeting as a correct record.

The Board were asked to agree the minutes of the previous meeting. 

That subject to the noting of the following the minutes of the 25^th October 2017 was confirmed as a correct record.

The following were noted:

a.     John Readman requested that the Board’s Resolution should be noted as ‘Approved’ or ‘Endorsed’ in place of noted.  Asking that this be applied to agenda items 7 & 8.

b.     Elaine Flint referenced her comments during the discussion at the 25^th October 2017 meeting about the 16^th August minutes, when the BNSSG Operational plan was an agenda item.   She had sought, and the Board agreed that the HWB Board should have sight of the Board membership for the BNSSG CCG Board.   The projected time for this to happen was March 2018.

Anne James, Head of Service, Permanency and Specialist Services, presented the Corporate Parenting Strategy 2018.

The HWB were asked

• to endorse the Corporate Parenting Strategy
• to lead on Priority 7, to improve health and well-being by providing high quality services and information to children, young people and carers.

The following was highlighted:

• It had been 2 years since the launch of the Strategy in 2015; it was time to review; consider what worked well; to note the remaining challenges.
• There had been changes in legislation and national policy, notably the Children and Social Work Act 2017 that imposes further duties to support those leaving care to the age 25.
• Young people through the Children in Care Council and Care Leavers United group were consulted to ascertain their views and priorities.
• City Partners participated in the consultation process.  During the process they were requested to reaffirm their commitment to the strategy.
• Priority 7 of the strategy is supported with 4 Actions:
  • Action 1: We will improve the timeliness of health assessments and ensure that health care action plans are shared with carers, children and young people and other professionals involved in their care as appropriate.
  • Action 2: We will pilot the use of personal budgets to support emotional and mental health
  • Action 3: We will implement the recommendations of the CQC thematic review 2017 into children and young people’s mental health.
  • Action 4: Review the quality of health passports with care leavers and implement their recommendations for improvement.

The following was noted from the discussion that arose:

1. Cllr Craig requested sight of the more detailed plan of action that enabled the Strategy.  AJ confirmed that this could be provided.  That there was a strategic delivery group, that was multi-agency based, supporting the delivery of the strategy.  That would test and provide concrete evidence to demonstrate achievements and challenges.
2. Cllr Holland supported keeping the Strategy at Board level to ensure the principles of the Strategy was everyone’s business.  It was proposed that the HWB review progress quarterly to enable it to take responsibility for the outcomes.(Action AJ)
3. A discussion on how those outcomes would be measured followed and it was proposed that Statistics would be shared with the HWB on the priorities. (Action AJ)
4. Richard Lyle (CCG) shared that partners were mapping ways to share best practice and resources around Children’s services.
5. Vicki Morris supported the strategy commenting on the challenge to improve the education outcome for care leavers and the importance of their retention in the education system as opposed to exclusion.
6. Mayor Rees, endorsed the good practice of engaging with City partners, including the business sector, to fulfil the priority outcomes.  The challenge was to negotiate, in such away, with the business sector to draw out their requirements but to build in their commitment to fulfilling the cities strategy priorities.
7. Discussion extended to identifying the need to share the strategy citywide to capitalise on the voluntary sector and good will of those wanting to contribute.  Ensuring wide spread media communication  ...  view the full minutes text for item 112.

Rebecca Cross, Strategic Commissioning Manager, presented the briefing document on the outcome of  the CQC Thematic Review of children and young people’s mental health services and recently published DOH/DOE Green Paper ‘Transforming Children and Young People’s Mental Health Provision’.

The following was highlighted from the report:

·        Bristol had been chosen as one of the ten authorities to participate in the thematic review because of its existing joint working arrangements across partner agencies.

·        The consultation on the green paper will take place over a 13 week period closing at noon on Friday 2^nd March 2018.

·        The government proposes to commit the sum of £310 million in new funding to support mental health in young people.

·        That this work had been led by Bristol’s Local Transformation Priorities and it involved identifying early signs of poor mental health and promote early intervention.  Examples of strategies adopted; having leads in schools; engaged health professionals across Bristol to support the model.

The following was noted from the discussion that followed:

a.      The Mayor thanked the team on behalf of the board for the work done on this and in respect of the CQC thematic review.  In addition the efforts made to support engagement and joined up working across all partners.

b.      The summary in the briefing document indicated that services were described as fragmented, the Board sought assurances and actions to overcome this assessment.  It was explained that all opportunities would be taken to engage partners to signpost them to services and at the same time balance the flow of information to avoid information overload.

·        Thrive programme had been launched successfully

·        There would be links to Education Conferences and School forums

·        Targeted communication via GP bulletins and other media platforms

c.      John Readman, Strategic Director: People, confirmed that Adult Care would be submitting a separate response to the Green Paper.

d.      An explanation was sought on the reference made in the report to the 60% success rate of CAMHS and what were the identifiable traits of the unsuccessful 40%.  There were no clear statistics on those likely to make up the 40% as CAMHS was not a solution that suited all service users.

e.      Richard Lyle advised that work was underway to consider ways to impact this area through innovation.  All were reminded that change arose from local innovation that escalate upwards and in turn drives national change.  The aspiration was to widen the pool of resource by seeking out new opportunities.  That work continues nationally to identify what mental health strategies were effective.  

Resolved: In this instance the Board was asked to Note the briefing paper

1.      Note the early feedback on the CQC Thematic Review

2.      Note DOH/DOE Transforming Children and Young People’s Mental Health Provision: a Green Paper

3.      That Adult Social Care would provide a response to the Green Paper