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(Public Pack)Agenda Document for Health and Community Committee

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(Public Pack)Agenda Document for Health and Community Committee Meeting Pack Derry City and Strabane District Council Dear Member of Health and Community Committee You are hereby summoned to attend the Monthly Meeting of the Health and Community Committee to be held in the Guildhall, Derry, on Thursday 9 July 2020 at 4.00 pm. Yours faithfully John Kelpie Chief Executive AGENDA 1 Notice and Summons of Meeting 2 Member Attendance and Apologies 3 Statement for Remote Meetings 4 Declarations of Members' Interests Open for Decision 5 Deputation: WHSCT - Children's Mental Health and Emotional Wellbeing (Ms Deirdre Mahon, Director of Women and Children's Services; Mr Kevin Duffy, Assistant Director of Community and Public Health) (Pages 1 - 10) 6 Chairperson's Business 7 Matters Arising from the Open Minutes of the Health and Community Committee held on Thursday 11 June 2020 (Pages 11 - 44) 8 Advice Services Tribunals/Appeals Programme (Pages 45 - 46) 9 Department of Justice Adult Restorative Justice Strategy Draft Response to Consultation (Pages 47 - 86) 10 Local Air Quality Management (LAQM) - Offer of Grant from the Department of Agriculture, Environment and Rural Affairs (DAERA) (Pages 87 - 92) 11 Update on Affordable Warmth Scheme for 2020-21 (Pages 93 - 100) 12 Coronavirus Business Restrictions Regulations - Memorandum of Understanding with PSNI regarding Enforcement Responsibilities and Reporting Arrangements (Pages 101 - 152) Open for Information 13 Keeping Well at Home Booklet (Pages 153 - 182) 14 Activities being undertaken by Dog Control to address Dog Fouling within Derry City and Strabane District Council (Pages 183 - 212) 15 Correspondence (Pages 213 - 246) Confidential for Decision 16 Matters Arising from the Confidential Minutes of the Health and Community Committee held on Thursday 11 June 2020 (Pages 247 - 252) 17 Grant Aid Programmes - Covid-19 (Pages 253 - 280) 18 Clady Pitch Lease Extension (Pages 281 - 282) 19 Upgrade of Melvin Arena Update (Pages 283 - 284) 20 Funding for Community Crisis Intervention Service (CCIS) (Pages 285 - 294) 21 The Remobilisation of Leisure, Sport and Community Facilities (Pages 295 - 304) 3 July 2020 DCSDC Health and Community Meeting Page 1 Western Health & Social Care Trust Presentation – CAMHS Agenda Item 5 9th July 2020 Kevin Duffy Page 2 Assistant Director Community & Public Health Staffing/Services • Structure Page 3 • Service Delivery • Challenges: - Recruitment/Retention - Skill Mix/Specialist Services CAMHS referral information for 2019/2020 Referrals 2019/2020 Referrals Received Accepted Page 4 TIER 3 1686 1252 TIER 2 287 278 Key Index EDS 55 46 ED – Eating Disorder DAMHS 42 40 PMH – Primary Mental Health D&A – Drugs and Alcohol ADHD 235 233 MHP – Mental Health Practitioner CRISIS 324 258 Crisis – Crisis Team Worker FSP – Family Support Worker TOTALS 2629 2107 Referrals Received - 2019 v 2020 300 251 253 250 238 200 151 150 100 57 63 50 0 March April May Page 5 2019 2020 Referrals Accepted - 2019 v 2020 250 232 223 213 200 150 117 100 56 50 37 0 March April May 2019 2020 Covid-19 • Impact on Service Page 6 • Decline in routine referral rate • Factors associated with reduced demand • Evidence indicating increase in need and future demand of services Reset/Rebuilding Services • Covid-19 Safe Environment – Protecting staff and service users Page 7 • Listening to staff and service users - building on our experience • All emergency, urgent and priority cases seen face to face • All active cases reviewed remotely • New ways of working – Virtual Clinics - Flexible working hours Future Direction • Maximising opportunities for multi-agency and cross sector working Page 8 - Emotional Well-Being Teams in School [EWTS] • Prevalence Study of Children’s Mental Health - Inform decision making - Service Planning/development - Funding Allocation • Improve the Care Pathway for Acute Care integrated with Key Services such as Emergency Departments Page 9 • Strengthen our response for children and young people based on a SPOE [Single Point of Entry] that supports early and timely intervention that is not predicated on a diagnosis Thank You. Page 10 Any Questions Agenda Item 7 Derry City and Strabane District Council Open Minutes of the Meeting of Health and Community Committee of Derry City and Strabane District Council held Remotely on Thursday 11 June 2020 at 4.00pm. _______________________ Present: - Alderman McKane (Chair); Aldermen Devenney and Warke; Councillors R Barr, Duffy, Edwards, Farrell, Ferguson, Harkin, Logue McHugh, Mooney and Reilly. Non-members of Committee:- Aldermen Kerrigan and McClintock; Councillors J Boyle, Carr, Donnelly, Durkan, Kelly, McCann and McCloskey. In Attendance: - Director of Health and Community (Mrs K McFarland), Head of Community Development and Leisure (Mr B O‟Hagan), Head of Health and Community Wellbeing (Mr S Donaghy), PCSP Manager (Mr D Harrigan) PA to Health and Community Director (Mrs L Shields) and Committee Services Assistant (Mrs T Johnstone). ______________________________ HC81/20 Notice and Summons for Meeting The Director of Health and Community read the Notice and Summons for the Meeting. HC82/20 Members Attendance and Apologies The Director of Health and Community recorded Members attendance. Apologies were received from Councillor Burke. HC83/20 Statement for Remote Meetings The Chair read the statement for remote meetings HC84/20 Declarations of Members‟ Interests Alderman Devenney and Councillor Harkin declared a non-pecuniary interest in the following agenda item: No. 8: Advice Services 2020/21 – Extension of Funding to 31 March 2021. Page 11 Councillor McHugh declared a non-pecuniary interest in the following agenda item: No. 7 Matters Arising from the Open Minutes of the Heath and Community Committee held on Thursday 12 March 2020 Playing Pitches and Ancillary Services Needs in Rural Strabane (HC63/20). Councillor Reilly declared a non-pecuniary interest in the following agenda item: No.4 Deputation by Dr Bob Brown, WHSCT and Mr Dermot Parsons RQIA re: Care Homes in Northern Ireland. Open for Decision HC85/20 Deputation – to receive Dr Bob Brown, Executive Director of Nursing/Director of Primary Care and Older People‟s Services WHSCT and Mr Dermot Parsons, Interim Chief Executive, RQIA re: Care Homes in Northern Ireland. The Chair welcomed the representatives from the Western Health and Social Care Trust (WHSCT) and Regulation and Quality Improvement Authority (RQIA) to the meeting and invited them to make their presentations. Dr Brown proceeded to give a presentation to Members and highlighted the following: Care Homes – Covid-19 • Prevention and Management of Covid-19 in Care Homes – Weekly Progress Monitoring Template • Trust Care Homes Surge Monitoring – progress return to HSCB on Surge Plan Actions • Trust Position • Trust Care Home Support Team • Trust Daily Risk Review of Care Homes – Care Home Reporting Template • Daily Care Home Dashboard Summary / RQIA App • Maintaining Care Homes Green Status Prevention and Management of Covid-19 in Care Homes – Weekly Progress Monitoring Template Page 12 • Overarching Aim - To deliver a comprehensive HSC response to support the prevention and management of Covid-19 in the Care Home sector • Prevention – reduce the number of outbreaks and number of residents infected in each outbreak • Mitigation - Provide robust integrated Medical, Nursing, AHP and • Social Care response commensurate with resident health care needs including acute clinical management of Covid-19 in residents • Resilience (service continuity) - Support, work in partnership with and strengthen Care Homes to ensure person centred care continues to be delivered to all residents irrespective of Covid-19 status. Care Homes Surge Monitoring • Weekly monitoring progress report to the Health and Social Care Board • Latest return submitted on 10 June 2020 • Overall Trust status - Amber • largely a result of the measure ‘Number of residents/staff with symptoms or confirmed Covid-19’. Overall Position: • higher number of Green homes (from 47 last week to 53 this week); • lower number of Amber homes (16 to 13); • lower number of Red Homes (2 to 1) and a higher ‘Incomplete / no return’ (4 to 7). • The definition of this data within the RQIA App has been clarified and supports reporting against this measure. • Western Trust matrix for RAG Rating includes additional measures – Safeguarding, Incidents reported (Datix) & Failure to Comply Notices. • Use a system of 3 factors being Amber = overall Amber or 2 Red – overall Red. • The regional criteria guiding overall RAG rating is based on any of the measures for a home being rated Amber or Red. Planning “assumptions” undertaken in the March modelling work • There would be a significant number of outbreaks of Covid-19 across Care Homes with a worst case scenario of up to 90% or over 430 home being affected; • Care Home residents are more at risk because of individual vulnerabilities, shared living space and frequent close contact with staff. Page 13 Other Planning Assumptions – March 2020 • Mortality rate for Covid-19 in Care Homes will be significant and higher than in the general population • Increased level of clinical acuity among multiple affected residents in individual homes and across the system • Large scale staff absences. Trust Position - 9th June 2020 Current Number of Outbreaks per Trust • Belfast 18 • Northern 19 • South Eastern 15 • Southern 14 • Western 10 Care Home Support Team Proactively supporting each Nursing and Residential Care Home to manage residents through the Covid-19 Pandemic. Includes: • co-ordinating PPE • advising
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