Councillors and committees

Agenda and minutes

In light of recent events and following the latest Government advice on the Coronavirus, the Council has cancelled all its scheduled council and committee meetings until 11th May 2020. At present the law does not permit local authorities to hold 'virtual' Committee meetings but the Council is committed to maintaining full transparency in the decision making process during this period and an update on how its governance will work will be provided shortly.

The Council will keep its arrangements under continual review, having regard to guidance as it emerges.

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.

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Venue: Guildhall, High Street, Kingston upon Thames KT1 1EU

Contact: Martin Newton  Tel: 0208 547 6086/email;  martin.newton@kingston.gov.uk

Items
No. Item

27.

Co Chair's Introduction

Minutes:

The Co Chair welcomed all to the meeting and informed those present that, since the last meeting of the Board, there had been some formal changes to membership – Sanja Djeric-Kane had now been appointed as the representative of Kingston Voluntary Action in place of Patricia Turner; Dr Charlotte Harrison from SW London and St. George’s MHT replaced Dr Mark Potter; and from 1 March, Jessica Thom would join as the Achieving for Children representative. There was currently a vacancy for a CCG member following the retirement of a previous member, Dr Pete Smith, and Dr Annette Pautz – the appointed alternate CCG voting Board member – was attending the meeting in respect of that vacancy.  

 

28.

Questions

A period of no more than 30 minutes for questions on issues unrelated to items on the agenda (please refer to the ‘Welcome’ information pages).

Minutes:

There were no public questions or petitions submitted.

29.

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.

 

Minutes:

There were no declarations of interest.

30.

Apologies for Absence and Attendance of Substitute Members

Minutes:

Apologies for absence were received from the Joint Director of Children’s Services, Ian Dodds.

 

31.

Minutes

To confirm the minutes of the meeting held on 19 November 2019.

Minutes:

Resolved, that the minutes of the Health and Wellbeing Board meeting held on 19 November 2019 be confirmed and signed as correct.

32.

Oral update on CYP Emotional Wellbeing Programme

Portia Kumalo, SW London Health and Care Partnership, will provide the Board with an oral update on the Children and Young People’s Emotional Wellbeing Programme.

 

Minutes:

The Board received an oral presentation from Portia Kumalo, SW London Health and Care Partnership and Siobhan Lowe, Headteacher at Tolworth Girls’ School on the Children and Young People’s Emotional and Wellbeing Programme.

 

Members were informed that SW London had been the only area to submit a cross – borough bid in 2018/19 for support for an emotional and wellbeing programme and that this was viewed positively by NHS England and the Department of Education. The bid, for cluster groups in Merton, Sutton and Wandsworth, supported an additional 24,000 children and young people with an additional £1.8m investment.

 

In 2019/20 a further successful bid had been made for £4.3 million for a cluster of schools supporting an additional 56,000 children and young people. This bid focused on reducing inequalities in health in Croydon, Sutton, Merton, Kingston, Richmond and Wandsworth and a cross borough cluster for further education colleges across all 6 boroughs. Mental Health Support Teams for school clusters in the 2019/20 wave 1 and 2 bid were currently being mobilised.

 

The trailblazer cluster in Kingston focused on reducing:-

 

Cluster 1- inequalities in health associated with wealth and building emotional resilience; and

 

Cluster 2- inequalities in health for 16-18 year olds with a focus on transition.  This is a 6 borough collaboration of all the FE Colleges

 

A Whole School Approach was supporting children and young people, their parents and carers and teachers. Twelve schools were involved in the project.

 

A cluster action plan had enabled achievements for leadership and management; support for teachers; additional targeted support for primary and secondary children; support for parents; schools’ teaching and curriculum; collaboration and sharing best practice; cross-sector governance arrangements; and review and evaluation.

 

The presentation highlighted individual school achievements and it was noted that future aspirations were:-

 

      4 EWP’s working across the 12 schools

      Clinical lead to focus on work in the Primary school

      Lead to focus on needs in the Secondary school

      Increased awareness with some 8004 pupils/students and families involved in the project

      Greater resilience and less reliance (which is seen as a key aspect)

      Reduced number of referrals to CAMH’s

      Increased awareness and understanding

      Shared working practices across schools

      Communication

 

In reply to questions from the Board regarding the future and continuation of funding, Portia Kumola and Siobhan Lowe said that school staff were encouraged to be involved to be able to pass on the necessary skillset to enable continuation of the project. Tonia Michaelides confirmed that the project was seen as a pilot and that NHS England required good models. It was not anticipated that there was an unwillingness to fund the initiative.  

 

Discussion continued and Councillor White asked for a written report to be submitted to the Board in September 2020 when the scheme was 12 months old. Siobhan Lowe indicated that it should be possible at that stage to provide members with data on the established baseline; attendance, and performance and outcomes including details  ...  view the full minutes text for item 32.

Recorded Vote
TitleTypeRecorded Vote textResult
CYP Emotional Wellbeing Programme Resolution Carried
  • View Recorded Vote for this item
  • 33.

    Partners' Updates and Board Work Programme pdf icon PDF 201 KB

    To consider the partners’ updates report and the Board’s work programme.

    Minutes:

    The partners updated the Board on latest developments.

     

    The Board noted the partners’ budget updates with the continuing financial challenges faced, followed by the individual reports from Public Health; Adult Social Care; Achieving for Children; Kingston CCG; Kingston Hospital NHS Foundation Trust; Kingston Voluntary Action; and Healthwatch.

     

    Discussion commenced and members noted details of an update from Public Health England on guidance relating to the coronavirus. The Board were then informed of Kingston children’s services ‘outstanding’ grading from Ofsted (the highest available) following the inspection in October 2019. Members noted officer comments that this fine achievement paid particulartestament to the skill and commitment of the front line social care staff.

     

    On the question of funding and therapies, the Board were informed that discussions had taken place at the Schools’ Forum and were ongoing and Tonia Michaelides confirmed that the CCG were committed to supporting children’s therapies and work would continue with Achieving for Children to approach an achievable outcome. Skills shortages were noted in the therapies fields and the Co Chair, Councillor Green referred to her role as chair of the South London Partnership Skills Board, and membership of the Skills for Londoners’ Board and associated London Councils’ committee, and suggested that discussion take place with her outside of the meeting forum so that she could raise these concerns on skills shortages at appropriate forums.  

     

    During further discussions, Sanja Djeric-Kane asked about current contracts with the voluntary and community sector and the Co Chair, Councillor Green confirmed funding of current contracts are to be extended to March 2021 unless concern about a service had been raised and a review had been called. The Co Chair, Councillor Green asked that Sanja Djeric-Kane speak to her after the meeting if there were any specific concerns.   

     

    Resolved, That

     

    a)    the partners’ updates be noted; and

     

    b)    the work programme be approved, subject to the inclusion of a report back on the Children and Young People’s Emotional and Wellbeing Programme in September 2020, when the scheme is 12 months old, setting out further detailed assessment and data on outcomes of the programme (see item above).

     

    Voting:

     

    Unanimous

     

    Recorded Vote
    TitleTypeRecorded Vote textResult
    Partners' Updates and Board Work Programme Resolution Carried
  • View Recorded Vote for this item
  • 34.

    6 month update on progress against the Health and Care Plan pdf icon PDF 126 KB

    To consider progress made against the local Health and Care Plan 2019-2022 and comment on any areas for priority action to be reported at the next Board.

    Additional documents:

    Minutes:

    The Director of Public Health reported on progress against the Health and Care Plan 2019-2020 and the Board received a presentation.

     

    The Health and Care Plan 2019-2021 is a system-wide plan with multi agency partners having contributed to the development of the plan, and reporting on progress to deliver the action plan. The Board were being asked to review progress against the Plan and consider any areas for multi-agency priority action. Areas for priority action may be due to changes to demands on health and care or to gaps identified in responding to specific issues. The Health and Care Plan has 5 main priority areas; Start Well, Live Well, Age Well, Prevention and Carers. The progress during the last six months has mainly concentrated on the development, publishing and promotion of the Plan. Multi-agency implementation plans have been developed.

     

    After brief discussion it was

     

    Resolved, that

     

    a)    an update on the Health and Care Plan be submitted to the Board every 6 months for the life of the plan; and

     

    b)    areas for priority action within the Plan be reported at the next Board.

     

    Jane Wilson left the meeting during the consideration of this item (at 8.40pm)

     

    Voting:

     

    Unanimous

     

    Recorded Vote
    TitleTypeRecorded Vote textResult
    6 month update on progress against the Health and Care Plan Resolution Carried
  • View Recorded Vote for this item
  • 35.

    Review of Infant Mortality Rate in Kingston pdf icon PDF 224 KB

    To consider data relating to infant mortality in Kingston.

    Minutes:

    The Corporate Head, Healthy & Resilient Neighbourhoods reported on the review of the infant mortality rate (IMR) in Kingston. The Board also received a presentation on these statistics.

     

    Nationally, the infant mortality rate had been reducing since the 1980s, but since an all-time low in 2014 the rate had increased between 2014 and 2017. These changes are small and subject to random fluctuations. Data published by Public Health England in 2019 gave Kingston the highest rate of infant mortality in London, although the absolute number of deaths remains small. In this context there is a high risk that statistical variation can impact the IMR. Given the importance of the statistic, local data from the Child Death Overview Panel had been reviewed to corroborate the national pattern and assess potential underlying trends.

     

    Members noted that the high IMR is linked to two years where the number of infant deaths had been above average, in 2016 and 2017. All infant deaths were reviewed by the Child Death Overview Panel. 2016 had a relatively high number of infant deaths associated with prematurity, whilst 2017 had a relatively high number of postnatal deaths (deaths after 28 days and before 1 year). There was no obvious change in the proportion of deaths considered potentially preventable.

     

    During their consideration of this report, members were informed that the data was not conclusive of a trend of an increasing IMR in Kingston above what could be considered statistical variation on a background where an annual fall in IMR nationally was no longer being seen. No clear driver of any potential change was apparent within local CDOP data. Further data review including audit of clinical records was not recommended at this time, with continued close monitoring of the statistic the sensible precaution. Universal action to reduce infant deaths would continue. Eight deaths had been registered in Kingston 2018. As national data used a three year rolling average it was likely that the expected rate for 2016-18 (to be published in 2020) would remain relatively high.

     

    Resolved, that

     

    a)    The findings of the report be noted;

     

    b)    the infant mortality statistic should continue to be monitored by Kingston Public Health on an annual basis with further reports to the Board if considered appropriate; and

     

    c)    ongoing interventions to prevent child deaths would continue to be supported.

     

    Dr Phil Moore left the meeting during consideration of this item (at 9.02pm)

     

    Voting:

     

    Unanimous

     

    Recorded Vote
    TitleTypeRecorded Vote textResult
    Review of Infant Mortality Rate in Kingston Resolution Carried
  • View Recorded Vote for this item
  • 36.

    SEND Partnership Board draft minutes from November meeting pdf icon PDF 598 KB

    To receive the minutes of the SEND Partnership Board meeting held on 14 November 2019.

    Minutes:

    Members had before them the draft minutes of the November 2019 meeting of the SEND Partnership Board.

     

    Resolved, that the minutes be received as information.

     

    Voting:

     

    Unanimous

    Recorded Vote
    TitleTypeRecorded Vote textResult
    SEND Partnership Board draft minutes from November meeting Resolution Carried
  • View Recorded Vote for this item
  • 37.

    Progress on the SEND Transformation Plan pdf icon PDF 91 KB

    To consider an update and provide feedback on the SEND Transformation Plan.

    Additional documents:

    Minutes:

    The Joint Director of Children’s Services reported to the Board on SEND Transformation Plan progress.

     

    Members noted that the Board had endorsed the SEND Transformation Plan as a working plan in March 2019 and that since then progress had been mixed, with some areas performing strongly and others not yet realising the intended benefits.

     

    Areas of strength included establishment of a generally well attended Partnership Board; establishment of an active Parent Consortium (PC) in lieu of an official Parent Carer Forum (PCF) for Kingston, with 8 members of the PC having formed a steering group to establish the PCF, with a launch planned for Q1 2020; 97% of all Kingston Education Health and Care Plans (EHCPs) issued since April had been within the 20 week statutory period, compared to the England average of 60.1% (most recent data); quality assurance work regarding the EHCP process was now undertaken in a systematic fashion and included obtaining feedback from parents and carers;  appointment of a Designated Clinical Officer by the CCG, working in an integrated way with education and care colleagues; and expansion of specialist education places within Kingston at specialist resource provisions (SRPs) in mainstream schools and at special schools had been significant and would continue.

     

    Areas not yet realising the intended benefits included an increased proportion of children and young people waiting for their first speech and language; the proportion of cases seen within the 8 weeks target for CAMHS (Tier 2) / Emotional Health Services; an increase in total EHCPs at 30 December 2019; and Dedicated Schools Grant (DSG) expenditure continued to significantly exceed the grant allocation, with overspend for financial year 2019/20 alone forecast to be £6.2m, taking the cumulative deficit to £20.7m. Without significant changes to the local system of providing education for children and young people with special educational needs and disabilities (SEND), the accumulated overspend was forecast to be £40m by the end of financial year 2022/3. It was noted that the government is discussing with relevant bodies such as CIPFA the issue around accounting in relation to the financial situation.

     

    During discussion and questions, the Board noted that the SEND Transformation Plan is a working plan and requires significant updating to reflect developments since March 2019. Because discussions with the Department for Education regarding Kingston’s Dedicated Schools Grant Deficit Recovery Plan were ongoing, and because other financial variables were also currently unknown, all of which would impact the next iteration of the Plan, the update would occur in Q2 2020.

     

    Members were also informed that there are approximately 3,800 children and young people with special educational needs and disability (SEND) aged 0 to 25 living in, or going to school in Kingston; 1,312 children and young people living in Kingston have an Education, Health and Care Plan (EHCP). Using the latest national data, 2.9% of Kingston’s 0-18 population have an EHCP, compared to a London and England average of 2.8%. The total number of Kingston EHCPs had increased by 21.2% over the past two years  ...  view the full minutes text for item 37.

    Recorded Vote
    TitleTypeRecorded Vote textResult
    Progress on the SEND Transformation Plan Resolution Carried
  • View Recorded Vote for this item
  • 38.

    Pharmaceutical Needs Assessment pdf icon PDF 422 KB

    To consider requirements for completion of the Pharmaceutical Needs Assessment 2021.

    Minutes:

    Members had before them the report of the Director of Public Health on the Pharmaceutical Needs Assessment.

     

    During discussion, the Board were informed that the preparation of a Pharmaceutical Needs Assessment (PNA) is a statutory duty of Health and Wellbeing Boards, with Kingston’s due to be completed by March 2021. The Assessment is a document used at national, regional and local level to help plan pharmaceutical and related services. The Board were requested to approve the establishment of a Steering Group to complete the Assessment, with funding requested from Public Health and Kingston CCG to provide some external expertise for particular sections of the Assessment.

     

    Resolved, that

     

    a)    approval be given to the establishment of a Kingston Pharmaceutical Needs Assessment 2021 Steering Group to complete the Assessment on behalf of the Board;

     

    b)    appropriate staff attend and give input into the Steering Group as required;

     

    c)    the Board’s member organisations provide information as required to enable the completion of the Assessment;

     

    d)    the cost of external expertise to support the completion of the Assessment be provided (50% each) by Kingston Public Health and the Kingston CCG (with the remainder of expertise being provided by ‘in-kind’ Steering Group Member teams/organisations as outlined in (b) above); and

     

    e)    further updates on progress be provided to the Board by the Steering Group as appropriate.

     

    Voting:

     

    Unanimous

     

    Recorded Vote
    TitleTypeRecorded Vote textResult
    Pharmaceutical Needs Assessment Resolution Carried
  • View Recorded Vote for this item
  • 39.

    Urgent Items Authorised by the Chair

    Minutes:

    There were no urgent items.

    40.

    Exclusion of the Press and Public

    The following resolution is included as a standard item which will only be relevant if any exempt matter is to be considered at the meeting for which the Committee wish to resolve to exclude the press and public:

     

    To exclude the public from the meeting under Section 100(A)(4) of the Local Government Act 1972 on the grounds that it is likely that exempt information, as defined in paragraph x of Part I of Schedule 12A to the Act, would be disclosed and the public interest in maintaining the exemption outweighs the public interest in disclosing the information.

     

    Minutes:

    There was no requirement for the exclusion of press and public.