Agenda and draft minutes

Rutland Health and Wellbeing Board - Tuesday, 3rd March, 2020 2.00 pm

Venue: Council Chamber, Catmose, Oakham, Rutland, LE15 6HP

Contact: Joanna Morley  01572 758271

No. Item




Apologies were received from Frances Shattock, Mark Andrews and Councillor Sam Harvey. Hayley Jackson attended in place of Frances Shattock.




To confirm the record of the meeting of the Rutland Health and Wellbeing Board held on 14 January (previously circulated).


Dr. Fox requested that her job title be corrected to reflect her current position as Clinical Director for the Rutland Health Primary Care Network. Subject to this correction, the minutes of the meeting of the Rutland Health and Wellbeing Board held on 14 January 2020 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 had been received.



To receive a presentation from Lyn Harte and Morag Tyler from Resilient Rutland.


A copy of the Annual Review is attached.

Additional documents:


A presentation (appended to the minutes) was received from Morag Tyler and Lyn Harte of Resilient Rutland.


During discussion the following points were noted:


·         When Resilient Rutland first started out their bid was based on research at the time, however by the time the money finally came through the team wanted to take a different approach.

·         Fortunately, the new revised bid had just been approved. This bid had not been guaranteed as the new approach was significantly different to the original bid.

·         Resilient Rutland wanted children and young people to be leading the approach and telling the team what they needed.

·         Often the approach to mental health was negative and a response to situations that had arisen. In the new model the team had tried to promote a positive pro-active approach and were building in family resilience, as well as work within schools.

·         Originally the programme had been for three years but it was now for four years to give a better chance of embedding the change.

·         The team’s work fitted into the wider, bottom third of the pyramid of need which encompassed the majority of children and young people. Resilient Rutland was working closely with RCC and the CAMHS team to look at where the overlaps were and to make sure their work complimented existing practice.

·         A ‘getting help’ section was being added to the Resilient Rutland website and work was also ongoing with RCC to see how signposting to this within the Rutland Information Service could be developed.

·         The delay to implementing the project had enabled the Resilient Rutland team to forge better, more positive working relationships with partners.

·         Young peoples’ voice was at the heart of the project and work was ongoing with primary and secondary schools and the Rutland Youth Council to capture and understand their concerns. The team had also been invited to work with the Rutland Disabled Youth Forum.

·         Councillor Alan Walters was pleased that the project had been paused and had given the team time to liaise with and listen to partner organisations.

·         Resilient Rutland had been working with the school nursing service as school nurses had been integral to the setting up of the in-school counselling service.

·         Mel Thwaites, Associate Director of Children and Families, wanted the joint working that had begun to continue so that the limited resources available for mental health were used in the most effective way and that there was no doubling up of services or initiatives being confused because of mixed messages.

·         Morag Tyler from Resilient Rutland had sat on the Trailblazer bid board in order to share information on the work being done.

·         Although the money for the project was only for four years, Resilient Rutland were aiming to build in resilience by teaching and developing the young people, their parents and the schools, assets that they would have for life.

·         Resilient Rutland had been offered an opportunity to take part in the Head Start national programme. It was hoping to take from it the best  ...  view the full minutes text for item 5.



To receive a presentation from Elaine Egan Morriss, CAMHS Lead Commissioner and Children and Young People Whole System Transformation Lead.


A copy of the Highlight Report is attached.

Additional documents:


A presentation (appended to the minutes) was received from Janette Harrison, Designated Nurse, Children and Adult Safeguarding, LLR Safeguarding Team, and Elaine Egan-Morriss, CAMHS Lead Commissioner and Children and Young People Whole System Transformation Lead.


During discussion the following points were noted:


·         The provider network met monthly to discuss new initiatives, partnership working and ultimately what ‘good’ looked like in terms of mental health and wellbeing for children and wellbeing.

·         Access to services had been improved by having robust triage and navigation. LPT had made great progress in reducing assessment waits.

·         In Quarter 3 there were 522 new registrations across LLR for the Kooth online counselling service of which 47 were Rutland service users.

·         Since October 2019 no children waited more than a year to receive treatment and although this was still not good enough it was an improvement.

·         Work was underway to develop a new neurodevelopmental pathway which would be a system wide, extensive piece of work to encompass the number of different assessments children had to have.

·         A new long term plan to treat eating disorders was being developed which would look at additional resources so that support could be given over a longer period of time and also so that more preventative work could be done.

·         As part of a national pilot project CAMHS would be investigating how to improve the efficiency and effectiveness of the system by looking at the ways of working, the organisational culture and how staff planned, worked and delivered services. If better systems were in place it could mean more people being seen and a subsequent reduction in the waiting list.

·         From April, GPs and all stakeholders including those who self-referred would be able to refer directly to the triage and navigation service.

·         By September 2020 there would be mental health support teams in school to help with the early identification of need. 

·         CAMHS staff visited parent forums to take on board their views as they understood that there were some parents who were very anxious about their children having a mental health issue.

·         A crisis café operated for young people and their parents so that parents could get help taking the right approach to support their child.

·         Dr Fox queried how long the majority of children were waiting once they had been assessed and whether it was more towards the end of the ‘within a year’ limit. Nationally the target was 4 weeks but locally the service was a long way off from this. Elaine Egan-Morriss CAMHS Lead Commissioner and Children and Young People Whole System Transformation Lead, confirmed that she would supply the Committee with the specific Rutland data on waiting times.

·         Mental health support teams would be attached to the early intervention services so that the service could continue over the school holiday period and could work within the home to include parents.

·         Councillor Walters asked how soon children and young people were seen who presented at A&E with a mental health issue.

·         The target time to see  ...  view the full minutes text for item 6.



To receive Report No.53/2020 from Paul Hindson, Chief Executive of the Office of the Police and Crime Commissioner for Leicestershire.

Additional documents:


Report No.53/2020 was received from and introduced by Paul Hindson, Chief Executive of the Office of the Police and Crime Commissioner from Leicestershire. The purpose of the report was to provide the Board with an update on the establishment of a Violence Reduction Network (VRN) for Leicester, Leicestershire and Rutland and a new sub-regional Prevention Board.


During discussion the following points were noted:


·       The VRN ensured that prevention was the key rather than taking a crisis approach just looking at the crime once it was committed. 

·       The VRN was in its early stages so the money that it was accessing was at present only from one year funding streams. However the network was gradually being built up on the assumption that it would be for the long term.

·       Work was being done with schools and organisations such as Barnados but the network was keen to align work with other partners working in this field.

·       The work of the network was to address a number of harmful behaviours. If the model was appropriate for violence reduction then it might also be appropriate for drug and alcohol misuse.

·       It was recognised that many of the issues were related to health issues and not just the criminal world and therefore Mr Hindson felt that there was real benefit in bringing a report on the work that was being done to the Rutland Health and Wellbeing Board.

·       Similar work was going on in neighbouring counties.

·       There was not a great deal of locality based data but what there was did not identify Rutland as an area of violent crime.





To receive Report No.52/2020 from the Director for Public Health.

Additional documents:




Report No.52/2020 was received from Mike Sandys, Director of Public Health, the purpose of which was to update the Rutland Health and Wellbeing Board on the work underway to update and renew the Joint Health and Wellbeing Strategy.


During discussion the following points were noted:


·       The report was an update on progress since the workshop back in October and the first update in January.

·       Although priorities had been agreed, staffing levels had meant that there had not been an opportunity to complete the public engagement piece yet.

·       Members were encouraged to comment on the format and the content of the report so far and to email Mike Sandys or Sandra Taylor with their comments. This would be with a view to signing off the report at a later stage.

·       Mike Sandys, the Director for Public Health and Tim Sacks, Chief Operating Officer, ELR CCG would liaise so that any engagement events with the public dovetailed.

·       The Strategy would be running for the next five years so it needed to be fleshed out with more content such as obesity prevention services.

·       Exercise referral and physical activity almost needed a strategy of its own to cover all age groups and different conditions, with a much wider offer for multi-morbidity and prevention.

·       Dr Janet Underwood, Chair of Healthwatch Rutland felt that more emphasis should be placed on falls and falls prevention.

·       Although the Chairman, Councillor Walters reminded Members that the document needed to remain as an overarching strategy rather than an action plan, some Members felt that there needed to be a happy medium with milestones included so that the public could see what was going to be done in 3, 6 or 12 months’ time.




·       Karen Kibblewhite would notify Members of the extended timescale and the plans for public engagement.





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


Tim Sachs, Chief Operating Officer for East Leicestershire and Rutland Clinical Commissioning Group updated the Board on:


1.    the work being done to to identify the expectations of specific bodies, among which are the NHSE&I, the Ministry of Defence and the Armed Forces Covenant Organisation, regarding what is provided for the Armed Forces Community (serving personnel, reservists, dependants, displaced families, veterans, armed forces widows and widowers). 


During discussion the following points were noted.


·         The briefing note was to update Members before presenting a clearer and more comprehensive document at the next Health and Wellbeing Board meeting.


2.    Corona Virus Planning


During discussion the following points were noted:


·         There was continued work internally around Corona virus with health bodies across LLR meeting on a daily basis for the last four weeks to monitor the situation and plan for the worst case scenario.

·         Partner organisations were revisiting their continuity plans for if the situation got worse.

·         Board members were concerned that if GPs and front line staff had to go into isolation that there very quickly needed to be an escalation plan as the guidance in primary care was more about managing patients presenting with symptoms rather than if staff were absent.






To be confirmed.






The next meeting of the Rutland Health and Wellbeing Board would be confirmed after the Calendar of Meetings 2020-21 had been approved at Annual Council in May.