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Health & Wellbeing Board Ealing Borough Council Democratic Services Officer: Town Hall Laurie Lyle New Broadway Direct Line: 020 8825 7380 London Fax: 020 8825 6909 W5 2BY Email: [email protected] HEALTH & WELLBEING BOARD Venue:The Liz Cantell Room, Town Hall, New Broadway, Ealing, W5 2BY Date: Wednesday, 13 July 2016 at 18:00 MEMBERSHIP COUNCILLORS: Julian Bell (Chair), Jasbir Anand, Joy Morrissey, Binda Rai and Hitesh Tailor. CLINICAL COMMISSIONING GROUP: Dr Mohini Parmar (Vice-Chair), Dr Raj Chandok, Clare Parker and Tessa Sandall. LAY MEMBERS: John McNeill (Healthwatch) and Andy Roper (ECN). SERVICE DIRECTORS: Dr. Jackie Chin (Public Health), and Judith Finlay (Executive Director Children & Adults’ LBE). HEALTH PROVIDERS (Non-voting): Tracey Batten (imperial College Trust), Sid Datta (GP Federation), Dame Jaqueline Doherty NWL Hospitals trust), Sarah Rushton (West London Mental Health Trust) and David Searle (Hillingdon Hospital Trust). Page 1 of 284 AGENDA Open to Public and Press 1 Apologies for Absence 2 Urgent Matters 3 Matters to be Considered in Private 4 Declarations of Interest 5 Minutes of the Meeting Held on Wednesday 25th May 2016 5 - HWBB Minutes (25.05.16) 5 - 12 6 'Brighter Futures' 6 - Brighter Futures 13 - 36 7 Children and Young People's Joint Strategic Needs Assessment (CYP JSNA) 7 - CYP - JSNA 37 - 118 8 SEN and Disability - Ealing's Inclusion Strategy for Children and Young People Aged 0-25 8 - SEND Strategy report 119 - 198 9 Integrated Care Update 9 - Integrated Care Update 199 - 262 Page 2 of 284 10 Transforming Care Partnerships 10 - Transforming Care Partnerships 263 - 272 11 Brent and Ealing CGC: Community Transformation Programme 11 - Brent & Ealing CCG Transformation 273 - 280 12 Health & Wellbeing Board: Forward Plan 12 - HWBB - Forward Plan 2016-2017 281 - 284 13 Standing Item: Feedback on Specific Issues - Verbal Item 14 Date of Next Meeting The next meeting will be held on Wednesday 7th September. Paul Najsarek, Chief Executive, 5th July 2016 Page 3 of 284 Page 4 of 284 Health and Wellbeing Board – Minutes – 25th May, 2016. AGENDA ITEM : 5 HEALTH AND WELLBEING BOARD MEETING Wednesday, 25th May, 2016 MINUTES PRESENT: MEMBERS (COUNCILLORS - Voting): Councillor Julian Bell (Chair and Leader of the Council, LBE) Councillor Jasbir Anand (Cabinet Portfolio holder – ‘Housing’) Councillor Hitesh Tailor (Cabinet Portfolio holder – ‘Health and Adult Services’) Councillor Joy Morrissey (Opposition Spokesperson) LAY MEMBERS (Voting): Judith Finlay (Executive Director, Children’s & Adults Services, LBE) John McNeill (Healthwatch, Ealing) Dr Jackie Chin (Director, Ealing Public Health) Mohini Parmar (Chair, Ealing CCG and Vice Chair of the HWBB) Tessa Sandall (Ealing CCG) Dr R. Chandok (Vice-Chair, Ealing CCG) LAY MEMBERS (Non- voting): Simon Crawford (LNWHT) Sarah Rushton (West London Mental Health Trust, WLMHT) ALSO IN ATTENDANCE: Mark Wiltshire (Head of Regulatory Services and Safer Communities) Nazia Idries (Public Health Programme Manager, LBE) Vijay Tailor (Ealing CCG) Laurie Lyle (Committee Administrator, Democratic Services, LBE) Paula Portas (Committee Clerk, Democratic Services, LBE) 1. Apologies for Absence (Agenda Item 1): Apologies for absence were received from: Councillor Binda Rai (Cabinet Portfolio holder – ‘Children and Young People’) and Tracey Batten (Imperial College Healthcare Trust). 2. Urgent Matters (Agenda Item 2): There were none. Page 5 of 284 Page 1 of 7 Health and Wellbeing Board – Minutes – 25th May, 2016. 3. Matters to be Considered in Private (Agenda Item 3) There were none. 4. Declarations of Interest (Agenda Item 4) There were none. 5. Minutes (17.11.15) (Agenda Item 5) Resolved: That the minutes of the previous meeting of the ‘Health and Wellbeing Board,’ which took place on Tuesday 15th March 2016 be agreed as a true and correct record, subject to the following amendment: Page 1: That Sarah Rushton be recorded in the minutes, as having being present at the last meeting. 6 Integrated Care Update (Agenda Item 6) The Board gave consideration to a report by Frances Horne, Head of Integration Ealing CCG, which provided Members with an update on the progress made regarding the integration of health and social care in Ealing. The report also detailed the Ealing ‘Better Care Fund 2016/17 Plan’ that was submitted to NHS England on the 3rd of May 2016, and which provides information concerning the ‘Better Care Fund (BCF),’ which is a programme that encourages collaboration and joint management between NHS Clinical Commissioning Groups and local authorities in England such as Ealing, in order to provide fully integrated health and social care for vulnerable local residents. Tessa Sandall, Acting Manager Director Ealing CCG, attended the meeting presented the report to the Board. She said that she was pleased to report that there had been a significant increase in funds for the programme. She added that the Joint Management of the Fund in Ealing will be strengthening its governance arrangements and that for 2016/17 the Plan includes further significant measures to buttress the integrated planning and delivery of Mental Health, Dementia, Learning Disabilities and Community Equipment Services. She said that the Ealing CCG and the London Borough of Ealing (LBE) are also taking actions to mitigate risks. The Chair thanked Tessa Sandall for presenting the report, and invited Members to comment and/or ask questions. Page 6 of 284 Page 2 of 7 Health and Wellbeing Board – Minutes – 25th May, 2016. Mohini Parmar said that she welcomed the report and stressed that she thought it was a very positive development that current systems have been improved, and the joint management of health and social care in the borough has been achieved with little or no further costs involved. Board Members raised concerns at what they felt could be possible duplications of efforts by different bodies, and the need to ensure efficient coordination. Members also felt that the previous high level of fragmentation had been the point of departure in the delivery of health and social care services in the borough, and that a process of change towards better coordination had already been initiated. Members expressed their confidence in the process of work alignment between Ealing CCG and LBE. Councillor Joy Morrissey said that she felt it was important that benchmarking best practice takes place across London, in order to be able to compare and contrast the pace of integration of health and social care services in Ealing with that of other London boroughs. The Chair thanked the hard work of all involved in preparing and delivering the BCF 2016/17 Plan. He noted the Ealing BCF Plan illustrates the joint work already carried out by LBE and Ealing CCG’s and its expansion into wider areas. Resolved: That the Board note the BCF 2016/17 Plan, recently submitted to ‘NHS England’ on 3rd of May 2016. 7 Ealing CCG Operating Plan -2016/17 (Agenda Item 7) The Board considered a report by Tessa Sandall, Acting Manager Director CCG, which informed the Board of the Ealing’s CCG 2016/17 Operating Plan and proposing trajectories for key outcome measures. This plan was submitted to NHS England on 18th April 2016. Tessa Sandall presented the report and referred Members to table 2.2.2 (pg. 3) which she said contains the targets that Ealing CCG is committed to delivering in addition to the targets mandated by NHS Constitutional measures. She also referred Members to page 4 of the report which provided details of the Ealing CCG’s submission to the annual Quality Premium Scheme, which comprises 3 local health indicators and target achievements in relation to them that, which, if met, will bring extra funds to the Ealing CCG. She said that the local indicators in the report are in alignment with areas of the BCF, and work which is already being committed to. The Chair thanked Tessa Sandall for her presentation and invited Members to comment and/or ask questions. Page 7 of 284 Page 3 of 7 Health and Wellbeing Board – Minutes – 25th May, 2016. In response to a point raised by Councillor Hitesh Tailor concerning what he considered to be the over complexity of the report, Tessa Sandall gave an undertaking to revise the report to make it more user friendly, and then recirculate the report to all Members of the Board. In response to a question from the Chair, Mohini Parmar noted there was no link between additional targets specified in the CCG operating plan 2016/17 and payments, but that the issue would be followed up. Councillor Joy Morrissey raised the issue of patients being moved from one hospital to another and asked about the rationale for that practice. In the discussion that followed it was made clear that there were only clinical reasons for transferring patients from one hospital to another in the same Trust, and that all transfers concerning patients are motivated by the fact that different hospitals have different units providing specialised services. John McNeill, ‘Healthwatch,’ said that he felt that the CCG’s commissioning intentions as laid out in the report paid insufficient attention to issues regarding mental health and their impact on young people. In the discussion that followed, it was noted that Ealing CCG and the Council were doing a substantial amount of work on mental health services, and that this work was having a positive effect in the borough. Resolved: That the Board note the report on the Ealing CCG Operating Plan 2016/17. 8 Regulating the Private Rented Sector (Agenda Item 8) The Board gave consideration to a report by Susan Parsonage, Director of Safer Communities and Housing LBE, which provided the Board with information concerning options for regulating the borough’s private rented sector. Mark Wiltshire, ‘Head of Regulatory Services and Safer Communities LBE,’ attended the meeting and presented the report to Members. He advised Members of the consultation process that had recently took place with a number of stakeholders and said that he was keen to hear recommendations and any suggestions from the Board on their proposals for property licensing before a report being presented to the Council.
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