Agenda and minutes

Venue: Council Chamber - Town Hall. View directions

Contact: Vicky Parish 01708 432433  Email: vicky.parish@Onesource.co.uk

Note: Joint Meeting with Health OSSC 

Items
No. Item

68.

ANNOUNCEMENTS

Details of the arrangements in case of fire or other events that might require the meeting room or building’s evacuation will be announced.

Minutes:

The chairman gave details of the action to be taken in case of fire or other event that may require an evacuation of the meeting room.

 

69.

APOLOGIES FOR ABSENCE AND ANNOUNCEMENT OF SUBSTITUTE MEMBERS

(if any) - receive.

 

Minutes:

Apologies were received from Councillor Joshua Chapman (+Councillor John Crowder as substitute), Philip Grundy; Margaret Cameron;; & Julie Lamb.

 

Apologies were also received from Ian Buckmaster (Healthwatch Havering). Bev Markham attended as a substitute.

 

70.

DISCLOSURE OF PECUNIARY INTERESTS

Members are invited to declare any interests in any of the items on the agenda at this point of the meeting. Members may still declare an interest in an item at any time prior to the consideration of the matter.

Minutes:

No disclosures of interest were received.

71.

SCRUTINY OF CHILDREN'S HEALTH SERVICES

The Committee will be joined by representatives of the following organisations to discuss the services they commission or provide in the area of children’s health:

 

1.       North East London NHS Foundation Trust (NELFT)

 

2.       Havering Clinical Commissioning Group (CCG)

 

3.       London Borough of Havering Public Health

 

 

Minutes:

A series of presentations were delivered by Jacqui Van Rossum & Pippa Ward from NELFT, Alan Steward from Havering CCG and Sue Milner, Interim Director of Public Health. These presentations all focussed on the impact to children’s health services of the work undertaken by the separate organisations. There was some slight overlap within these areas as partnership working meant that they were working together on some initiatives.

 

4.1- North East London NHS Foundation Trust (NELFT)

 

One of Jacqui Van Rossum’s functions was as facilities manager for NELFT. The Havering Children’s Development Centre for 0-5s was closed in 2011, and no service had directly replaced it. Using capital funding NELFT had purchased a site in London Road, Romford, and had in the last week opened the new Acorn Centre at this location. The centre offered services for 0 – 19’s, mainly with complex health needs.

 

The Health and Care plans had been revised, whereby children and families were involved in setting the plans. The plans included home, schools, and respite, not just the health care planning. The Health and Care plans were jointly developed and could be requested by any service working with the family. Any additional items that could not be provided through the organisations involved had to be jointly commissioned. This ensured that all aspects of the plan were covered.

 

The Health and Care plan process was in the process of being scrutinised by the Individuals OSSC. Once complete this would be brought back to this group.

 

High risk children with speech and language issues were being monitored, and support was being given from the schools, and from the Local Authority.

 

One hundred and twelve Looked After Children from Barking and Dagenham had been moved to Havering, adding extended pressure to the services for high risk and vulnerable children.

 

More children with even severe conditions such as muscular dystrophy were reaching adulthood and therefore were transferring from children’s to adults services.

 

Only one specialist school nurse was employed within Havering, so huge pressure was placed upon the individual concerned. More school nursing posts being available would reduce the pressure and provide a more balanced service.

 

Due to limited staff and what was considered best practice, therapists were heavily involved in teaching parents how to care for and give the therapeutic support to their child or children themselves rather than relying on a healthcare professional. .

 

Jacqui Van Rossum suggested that the limited number of health visitors was a possible cause for limiting the service’s growth.

 

All children on statements would be transferred over to the new ‘integrated’ system within the next two years. The present focus was on those children at transition points.

 

 

4.2 Havering Clinical Commissioning Group (CCG)

 

The CCG priorities were:

 

Urgent Care Pathways

30 – 40% of children brought into A&E were not medicated or treated in any way. They were only there for parental reassurance. As such, measures had been taken to reduce the number of parents using A&E as initial care, including marketing  ...  view the full minutes text for item 71.