Councillors and committees
Agenda and minutes
You can view the individual reports for this meeting by selecting the headings from the numbered list of items at the bottom of this page. Alternatively you can view the entire agenda by selecting 'Agenda Reports Pack' below.Watch key Council meetings here
Venue: Guildhall, Kingston Upon Thames
Contact: Marian Morrison, Democratic Services Officer Tel: 0208 547 4623/email; email@example.com
A 30 minute question and answer session at the start of the meeting –advance notice of questions is encouraged.
There were no questions.
Declarations of Interest
Members of the Board are invited to declare any disclosable pecuniary interests and any other non-pecuniary interests (personal interests) relevant to items on this agenda
There were no declarations of interest.
Apologies for Absence and Attendance of Substitute Members
Apologies were received from Dr Naz Jivani, Dr Pete Smith, Councillor Rowena Bass, Tonia Michaelides, Siobhan Clarke, Jane Wilson, Iona Lidington and Dr Anthony Hughes.
Dr Andrew Cross attended on behalf of Iona Lidington and Julia Travers on behalf of Tonia Michaelides.
Ashley Whittaker attended the meeting for the SEND items.
The meeting was chaired by Councillor Liz Green, Co-Chair.
To confirm the minutes of the meeting held on 15 November 2018
RESOLVED that: The minutes of the meeting held on 15 November 2018 were confirmed as a correct record and signed by the Co-Chair, Councillor Liz Green.
To note the updates and work programme
The Partners’ Update included contributions from Public Health, Kingston Clinical Commissioning Group, Kingston Hospital NHS Foundation Trust, Healthwatch Kingston and Kingston Voluntary Action.
· Health & Care Plan – Public Health is leading on the development of the “Live Well” section of the plan and contributing to the “Start Well” and “Age Well” sections which are led by different teams. The plan will be shared at the end of March with system leaders to review and will ultimately combined with Richmond’s to form the overall plan for the Kingston and Richmond Local Transformation Board.
· Community Resilience Event held on 2 March in the South of the Borough to inform local residents how they can respond as a community to adverse events. Partner agencies include the Environmental Agency, Fire & Ambulance Services, Police, RBK emergency planning and Connected Kingston.
· Mental Health: Funded Time to Change Hub – Kingston has received funding for the development of the hub, co-ordinated by Healthwatch Kingston. The purpose is to address stigma.
· Connected Kingston Launch on 14 March. This is a system-wide social prescribing model for Kingston.
· Controlling Migration Fund – funding has been received in 2017 (£338K) and 2018 (£164K) for a number of projects for vulnerable refugees and migrants including advocacy, healthy eating, English classes and employment.
· Vulnerable Persons Resettlement Scheme – 37 individuals have been resettled so far.
Kingston Clinical Commissioning Group:
· Moving forward together – CCGs in south west London merger discussions on what functions can be undertaken across SWL whilst maintaining local Borough level accountability and service delivery
· CCG Time to change pledge focussed on the workplace was made by Sarah Blow on 26 February
· CCG improvement and assessment framework ratings – cancer and maternity have been rated as outstanding, dementia and mental health as good and learning disabilities and diabetes as requiring improvement.
· Cancer outcomes: annual assessment outcome for CCG commissioned cancer services at Kingston Hospital, Royal Marsden and St George’s Healthcare have all received ratings indicating services are of very high standard.
· Macmillan GP for Kingston and Richmond has been appointed who is a GP trainer with an interest in cancer, education and dermatological disorders and will support GPs in timely diagnosis and appropriate referral and communications with hospital teams
· Public Sector equality duties annual report – the report builds on the progress made last year and includes narrative on workforce data. Details of work planned for 2019 were given.
· Commitment to improving end of life care – GP practices are beginning to display a “daffodil mark” signifying commitment to 8 quality improvement standards related to improving end of life care.
· Connecting your Care is joining up GP and hospital records for four acute hospitals in SWL. Patients may opt out if they wish.
· Finance update – the CCG expects to meet all financial targets as at Month 10, including the planned surplus of £1.06M, and also to meet the Mental Health Investment Standard by increasing mental health by 3.5% in 2018/10.
Kingston Hospital NHS Foundation Trust:
· Quality and performance ... view the full minutes text for item 44.
The Local Health and Care Plan - Verbal Update
Julia Travers, Director of Commissioning, Kingston CCG will give a verbal update on progress
Julia Travers, Director of Commissioning gave a verbal update on progress with the Local Health and Care Plan (LHCP). The plan has been developed over the last year. It is a joint system on priorities and actions to meet the health and care needs and to deliver health and wellbeing for people in Kingston. It draws on existing plans including the Joint Strategic Needs Assessment (JHSNA), local insights, and what works well. The LHCP is shaped around the life course – Start well, Live well and Age well. It covers a range of areas including resilience, obesity, long term conditions, mental health, special educational needs and disability, older people’s independence, loneliness and end of life care.
An action planning workshop was held one month ago and this was well attended by representative so both the statutory and voluntary sectors. The discussion document which has emerged from this will be considered by the Kingston Leadership group which includes Ian Thomas. The document will then go for further engagement from 15 April using existing forums and discussions will form part of the Health and Wellbeing Workshop on 6 June.
Julia Travers thanked all those who have contributed to sections of document and in participation at events.
RESOLVED that: the update is noted.
Voting – unanimously in favour
To endorse the SEND Transformation Plan as a working plan for publication on the Local Offer and Council Websites
The report provided a detailed brief to the Board on the SEND Transformation Plan (attached at Annex 1) and recommended that the plan is endorsed as a working plan for publication on the Local Offer and Council websites early in the new financial year. Its main purpose is to ensure that Kingston’s spending is brought into balance with the Dedicated Schools Grant (DSG) and is sustainable in future years and to improve the quality of education for children and young people with SEND in Kingston.
The Equality Assessment was set out at Annex 2.
The changes made to the RBK SEND Transformation Plan since the November 2018 draft were detailed at Annex 3. The differences include changes to the financial position (i.e. forecast versus actual) and changes to the wider contents of the plan to reflect the findings of the consultation process.
The Health and Wellbeing Board agreed at its last meeting on 22 November that it would oversee the governance arrangements of the SEND Transformation Plan to secure full engagement from partner organisations such as the CCG, health providers and voluntary sector organisations in order to promote constructive debate, scrutiny and challenge. It was also agreed that the Board is well placed to strategically oversee the delivery of the plan as it is the forum where leaders from the local health and care system work together to improve the health and wellbeing of the local population, including children and young people with disabilities.
Since the Board’s meeting on 15 November 2018, the Children’s and Adults’ Care and Education Committee (CACE) agreed on 22 November that a consultation on the draft Plan be undertaken and the results would inform the Council’s budget decision-making process for 2019/20. The consultation results were considered by CACE on 7 February 2019 where the draft Plan was approved in principle prior to final approval at Budget Council on 26 February.
The report described the consultation methodology and explained that the full consultation findings were published as part of the agenda for the CACE meeting on 7 February. Key response headlines included:
· Support for children with SEND is a statutory duty and must be funded and the Council should lobby central Government for adequate funding and resources found from elsewhere in the Council’s budget/assets
· Additional local provision must be high quality
· Early intervention must be adequately resourced and not replace statutory support
· Annual reviews of Education, Health and Care Plans (EHCPs) must be need-focussed and not target-driven to reduce provision
· EHCP coordinators and SEN caseworkers need training to complete documentation to a high standard and support parents through the process
· AfC and RBK need to regain the trust and confidence of some parents and children with SEND
· Children and young people want teachers and professionals to be honest, supportive and work together
· Children and young people want their individual needs and learning styles to be understood and responded to
· Young people want support for post 16 work experience and to prepare for adulthood.
Responses to these ... view the full minutes text for item 46.
To update the Board on progress with the Written Statement of Action
In September 2018 the Office for Standards in Education (Ofsted) and the Care Quality Commission (CQC) undertook a joint inspection of the local area of Kingston upon Thames to judge the effectiveness of the area in implementing the disability and special educational needs reforms as set out in the Children and Families Act 2014. As a result of the significant areas of weakness which were identified in the local area’s practice it was necessary for a Written Statement of Action to be drawn up jointly by the local authority and the area CCG.
A report on the SEND Inspection was considered by the Health and Wellbeing Board at the last meeting on 15 November 2018 the Board requested a further report be brought to the next meeting on the Sign Off Statement of the Written Statement of Action (WSoA). The WSoA was submitted to Ofsted and the Care Quality Commission (CQC) in February 2019 following discussions at the Children's and Adults Care and Education Committee on 7 February 2019. The WSoA (Annex 1 to the report) explained how the local area will tackle the following areas:
· The overall poor quality and monitoring of Education and Health Care (EHC) Plans, including contributions from health professionals
· The timeliness of leaders ensuring that the annual review process and any subsequent amendments to EHC plans are consistently made in line with the SEN code of practice
· The strategic leadership and monitoring of the CCG’s work in implementing the 2014 reforms
· To ensure that there is a productive and positive relationship between parents and parent representatives, including a parent carer forum.
Ofsted and the CQC wrote to the Director of Children’s Services and the Managing Director of the CCG on 6 March 2019 confirming that “the statement of action is deemed to be fit for purpose in setting out how the local area will tackle the significant areas of weakness identified in the published report letter”.
The Director of Children’s Services stated that progress against the WSoA is subject to monitoring by NHSE and DfE every three months and Ofsted will revisit the area in 18 months’ time or earlier. It is important that good progress is made as limited progress could require formal intervention.
The Director of Children’s Services briefly
outlined progress so far:
Voting: unanimously in favour.
To consider a proposal to strengthen the Board representation of Children’s Services
Pauline Maddison requested that the proposal to strengthen the representation on the Health and Wellbeing Board for Children’s Services is taken forward in principle and the representative would be identified in the near future.
A vote of thanks was proposed for
Siobhan Clarke’s valuable contribution to the work of the
1. Council is requested to approve the change in representation of Your Healthcare to Ed Montgomery, with Grant Henderson continuing as alternate; and
2. An additional representative for Children’s Services would be advised in the near future and proposals will be submitted to Council as soon as possible.
Voting – unanimously in favour
Urgent Items Authorised by the Chair
There were no urgent items.