Council and councillors

Apologies were received from Cllr Gary Conde, Dr Hilary Fox, Dr Janet Underwood, Ms Roz Lindridge, Mr Simon Mutsaars, Mr Carl Smith and Mr Tim Sacks. Kate Holt was in attendance for Dr Underwood and Jamie Barret was in attendance for Mr Sacks.

To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 4 December 2018 (previously circulated).

The minutes of the meeting of the Rutland Health and Wellbeing Board held on 4 December 2018 were confirmed as a correct record and signed by the Chairman.

In accordance with the Regulations, Members are invited to declare any personal or prejudicial interests they may have and the nature of those interests in respect of items on this Agenda and/or indicate if Section 106 of the Local Government Finance Act 1992 applies to them.

No declarations of interest were received.

To receive any petitions, deputations and questions received from Members of the Public in accordance with the provisions of Procedure Rule 93.

The total time allowed for this item shall be 30 minutes. Petitions, declarations and questions shall be dealt with in the order in which they are received.  Questions may also be submitted at short notice by giving a written copy to the Committee Administrator 15 minutes before the start of the meeting.

The total time allowed for questions at short notice is 15 minutes out of the total time of 30 minutes. Any petitions, deputations and questions that have been submitted with prior formal notice will take precedence over questions submitted at short notice. Any questions that are not considered within the time limit shall receive a written response after the meeting and be the subject of a report to the next meeting.

No petitions, deputations or questions were received.

To receive Report No.41/2019 from Elaine Egan-Morris, CAMHS Comissioner and Future in Minds Transformation Lead and Chris West, Director of Nursing and Quality, NHS Leicester City CCG.

Elaine Egan-Morriss, CAMHS Commissioner and Future In Minds Transformation Lead and Chris West, Director of Nursing and Quality, NHS Leicester City CCG introduced the report, the purpose of which was to detail the progress of the Future In Mind Transformation Programme against the local transformation plan and achieving the vision of “improving access for children and young people (C&YP) to gain the right care to meet their needs”.

During discussion the following points were noted:

·         A provider network had been put in place to encourage all services to work together to remove barriers so that children were able to access the right care.

·         Across the Leicester, Leicestershire and Rutland (LLR) area, local events had been held in order to engage with residents.

·         The Early Intervention Service was receiving almost double the number of referrals that it was originally commissioned to receive. GPs had been encouraged to refer directly into the service because children were getting stuck in the CAMHS system and this was reflected in the increase shown in October to December of table 2 of the report.

·         The 10 year plan set out that services should be available from 0-25years in future.

·         There were seasonal variations to the amount of registrations for the online counselling service. Exam season was probably the reason for the surge shown in Quarter 1 of table 3 of the report.

·         The Resilience in Schools team would be encouraging more schools to sign up to the programme.

·         Members queried whether schools from the Rutland Learning Alliance and Peterborough Diocese Education trusts had not signed up to Resilience in Schools because they had their own programmes in place.

·         There was a shift in culture towards children’s emotional wellbeing which meant services that helped with emotional resilience were being more widely promoted. It was hoped that the new Triage and Navigation service, when operational, would refer to the most appropriate service and lessen referrals to CAMHS.

·         Relate had been contracted to offer intervention and counselling services and sessions were being held in Rutland.

·         Resilient Rutland services would be available to all children who attended a Rutland school regardless of where they lived whereas referrals to LLR C&YP services would only be for those children registered with a Rutland GP.

·         There was an outcomes dashboard which showed that less children were attending A&E and referrals to CAMHS had been reduced by 30-50%.

·         All of the services did routine outcome measures; children were asked a series of questions when they entered the service and again at the end of the treatment. These questionnaires were then compared and evaluated and data from these would be available by the end of March.

·         Feedback from parents on the early intervention and crisis at home services had been very positive.

·         Healthwatch Rutland would be setting up Young Healthwatch which would enable them to do some evaluation of the services offered to children and young people.

·         Board members felt that, as a parent, it was confusing to know where  ...  view the full minutes text for item 658.

To receive a presentation from Miles Williamson-Noble, Chairman, Rutland First.

A presentation on the Resilient Rutland project (appended to the minutes) was received from Miles Williamson-Noble, Chairman of Rutland First, the Community Interest Company leading the project.

During discussion the following points were made:

·         The Resilient Rutland work would lie somewhere between that of the pastoral care team and that of the professional services.

·         The Resilient Rutland project officially started on 29 January 2019 and would finish after three years.

·         It was important that young people drove the project and each of the secondary schools in Rutland had been asked to nominate a representative for the youth forum that had been set up. This forum would try and link in with the work of Young Healthwatch.

·         The Anna Freud charity had been contracted by Resilient Rutland to evaluate the prevalence of mental health issues in Rutland Schools. This baseline would then enable Resilient Rutland to show the achievements and improvements achieved over the three year time period.

·         The Academic Resilience Approach would involve creating an individual plan for each of the Rutland secondary schools. This approach would be similar to the Route to Resilience programme run by Future in Minds for primary schools.

·         The wellbeing practitioners, which would take up about a third of the funding,  would provide direct in-school support and would support and boost the work of existing pastoral care teams.

·         The Resilient Rutland team did not have the right experience to supervise the wellbeing practitioners and so were in talks with CAMHS and Relate about providing them with professional supervision.

·         Resilient Rutland were hoping that by showing that early intervention produced savings, future funding would be available once the project had finished.

·         Although the team was aware of the beneficial links between physical and mental health and other activities such as art and drama, there was no specific funding in the programme for this. Practitioners would be able to flag up what was already available and direct young people to those activities rather than providing anything new.

·         There was money in the Better Care Fund to take the Rutland Information Service (RIS) to a higher, improved level. The Strategic Director for People wanted to find a way of agreeing this as the one central place that directed residents to services, both children’s and adult’s, in order to avoid adding any more complication or confusion to the process. Mr Williamson-Noble agreed to liaise with Sandra Taylor, the Health and Social Care Integration Manager responsible for RIS on this issue.

·         The Leicestershire Partnership Trust (LPT) had a comprehensive directory of available services but it was aimed more at professionals rather than the average person on the street. LPT were looking to develop a more accessible directory for all the services available across the geographical area that they served.

·         The Strategic Director for People welcomed projects that built capacity into the system but was wary of how it would be managed as a partnership in light of future funding predictions. The exit strategy needed to be carefully considered so that  ...  view the full minutes text for item 659.

To receive Report No.42/2019 from the Mental Health Task and Finish Group.

Report No.42/2019 which presented the findings of the RCC Scrutiny Panels’ Mental Health Task and Finish Group, was presented to the Board by Councillor Gale Waller.

During discussion the following points were noted:

·         A number of concerns were identified by the Group which all could be summarised as ‘resource’; this affected the school nursing service, CAMHS service and school funding.

·         The following additional recommendations arose from discussion at the Adults and Health Scrutiny Panel meeting on 7 February and would be included in the report when it was sent to Cabinet in April. These were:

-       Recommendation 9

That the Panel request that the Portfolio Holder for Health and officers of RCC do all in their power to encourage the CCGs to fund CAMHS to a level which would enable CAMHS to meet unmet need and to report back to the Adults and Health Scrutiny panel in the autumn of 2019 on the actions they have taken. 

-       Recommendation 10

That the Adults and Health Scrutiny Panel writes to the CCG requesting that they report back to the Committee with their justification for the existing level of funding for CAMHS and their future funding intentions.

·         Chris West, Director of Nursing and Quality, confirmed that she had received the letter from the Panel and would be attending the next Adults and Health Scrutiny Panel meeting on 21 March to present a report on CAMHS funding.

·         The Health and Wellbeing Board could assist RCC officers in the co-ordination of a Rutland response to the recommendations which would be fed back through the Adults and Health Scrutiny Panel.

·         Previously there had not been much interest in the Train the Trainer scheme for mental health first aiders but this may have now changed. Schools would be invited to bid in to the Healthy Grants Scheme for a pot of monies to support this. The Community Wellbeing Service would be able to provide the details of this grant.

AGREED:

1.    The Board NOTED the work of the Mental Health Task and Finish Group and their recommendations as outlined in the report.

To receive any items of urgent business which have been previously notified to the person presiding.

No urgent business had been received.

To be confirmed.

To be confirmed.