Agenda and minutes

There were no declarations of interest.

The minutes of the meeting held on 6^th January, 2016 were signed as a true record. There were no matters arising.

Joint Briefing Note

Members of the Education and Children’s Services Scrutiny Board (2) have been invited to the meeting for the consideration of this item along with the following representatives:

Jacqueline Barnes, Coventry and Rugby Clinical Commissioning Group (CCG)

Alan Butler, Coventry City Council, Coventry and Rugby CCG

Dr Alex Cooper-Bastien, Coventry and Warwickshire Partnership Trust

Jed Francique, Coventry and Warwickshire Partnership Trust

Matthew Gilkes, Coventry and Rugby CCG

Gail Quinton, Executive Director of People

Justine Richards, Coventry and Warwickshire Partnership Trust

Mandy Whateley, Coventry and Warwickshire Partnership Trust

Councillor Ruane, Cabinet Member for Children and Young People and Councillors Kershaw and Thomas, Cabinet Member and Deputy Cabinet Member for Education have also been invited to attend.

The Scrutiny Board considered a joint briefing note which provided a comprehensive update on the Child and Adolescent Mental Health Services (CAMHS) provision in Coventry and informed of the Transforming Children and Adolescents Mental Health and Emotional Well-being Transformation Plan 2015-2020, a copy of which was set out at an appendix to the note. Members of the Education and Children’s Services Scrutiny Board (2) attended the meeting for the consideration of this item along with Councillor Ruane, Cabinet Member for Children and Young People and Councillor Kershaw, Cabinet Member for Education. Jacqueline Barnes and Matthew Gilkes, Coventry and Rugby Clinical Commissioning Group (CCG), Dr Alex Cooper-Bastien, Jed Francique, and Justine Richards, Coventry and Warwickshire Partnership Trust (CWPT) also attended for the consideration of this item.

The briefing note set out the CAMHS service commissioned in Coventry which was in line with a nationally adopted tiered model, including the costs per annum, as follows:

·  The Primary Mental Health Service (tier 1) delivered by CWPT, Mind and Relate providing practical support to professionals including teachers and social workers to assist in the early identification of mental health and well-being needs through training, consultation and guidance.

·  The Reach Service (tier 2) provided by Mind and Relate to work directly with children and young people with mild to moderate mental health and emotional well-being needs, to increase resilience.

·  The Journeys Service for Looked After Children (LAC) (tier 2) provided by Mind to support vulnerable young people who are looked after or adopted aged 0-18 and their carers, with mild to moderate mental helath and emotional well-being needs.

·  The Specialist CAMHS Service (tier 3) delivered by CWPT providing therapeutic support to children and young people with moderate to severe mental health and emotional well-being needs.

The Board were informed of the key challenges and risks facing the mental health system which had been recognised nationally. Locally, Commissioners and CWPT identified a range of key challenges and risks facing the Specialist CAMHS system which included:

·  A 20% year on year increase in specialist CAMHS referrals, leading to an increase in referral to assessment and follow up appointment waiting times

·  Increase in self-harm presentations at accident and emergency wards

·  Increase in demand for Autistic Spectrum Disorder (ASD) assessments.

Reference was made to the detailed peer review of the service by The West Midlands Quality Review Service in July 2014. The good practice and achievements were detailed along with the following areas identified as at risk or requiring improvement:

·  Crisis Response – unclear pathways and timescales for the specialist CAHMS service were deemed too long

·  Triage Criteria and Process – unclear criteria and process for referral to other services and recording of information and data required improvement

·  Looked After Children – it was not clear that pathways to specialist CAHMS were functioning effectively for LAC

·  Intensive Home Support – no intensive home support was commissioned.

The briefing note informed of the £587,000 invested by Coventry and  ...  view the full minutes text for item 53.

Briefing note of the Executive Director of People

The Board considered a briefing note and received a presentation detailing the progress so far on developing Coventry’s new Health and Well-being Strategy, with particular emphasis on the emerging themes and priorities. A copy of the ‘Joint Health and Well-being Strategy for Coventry 2012 Review’ report was set out at an appendix to the briefing note.

The briefing note highlighted that national guidance recommended that the refresh of the Joint Strategic Needs Assessment (JSNA) should be a process that ran alongside and was linked to the development of the Health and Well-being Strategy. The JSNA process had been co-ordinated through a multi-agency steering group and a wide range of data and information resources had been reviewed to identify the key health and social care issues affecting Coventry residents. Reference was made to the Stakeholder Call for Evidence undertaken between August and September, 2015.

The Board were informed that a prioritisation matrix which had been used to prioritise a number of suggested topics under the following themes: mental health and well-being; long-term conditions; physical wellbeing; infectious diseases; resilience of health and social care system; children and young people; economy and health; and housing and health. These areas were subsequently shared with the Health and Well-being Board along with the Marmot Group and the Health and Social Care Transformation Group. The Health and Well-being Board then held two Workshops in January on the following priorities:

·  Health and social care integration – the development of an accountable care system which will improve resilience and enable a focus on prevention as well as treatment

·  People affected by multiple/complex needs, specifically mental health, domestic/ sexual violence and substance misuse

·  Marmot agenda.

These priorities would be considered by the Health and Well-being Board at their meeting on 8^th February prior to the Health and Well-being strategy being signed off by this Board at their meeting on 11^th April, 2016.

The presentation provided feedback on the discussions which led to the determination of the three key priority areas and detailed the findings from the Workshops. The key barriers to better well-being for Coventry residents were also highlighted.

Members discussed several issues arising from the presentation which included the successful partnership working of the Health and Well-being Board; and how feedback was obtained from Coventry residents to allow for their input into the strategy including engagement with service users.

RESOLVED that the progress made to date on the development of the Health and Well-being Strategy and the JSNA process supporting this be noted.          

Outstanding issues have been picked up in the Work Programme

The Scrutiny Board noted that all outstanding issues had been included in the Board’s Work Programme for 2015-16, Minute 56 below refers.

Report of the Scrutiny Co-ordinator

The Scrutiny Board noted their Work Programme for the current year.

Any other items of public business which the Chair decides to take as matters of urgency because of the special circumstances involved

There were no additional items of business.