Agenda and minutes

Health and Wellbeing Overview and Scrutiny Committee
Thursday, 24th January, 2019 7.00 pm

Venue: Committee Room 1, Civic Offices, New Road, Grays, Essex, RM17 6SL. View directions

Contact: Jenny Shade, Senior Democratic Services Officer 

Items
No. Item

38.

Minutes pdf icon PDF 101 KB

To approve as a correct record the minutes of the Health and Wellbeing Overview and Scrutiny Committee meeting held on 8 November 2018.

 

To approve as a correct record the minutes of the Extraordinary Health and Wellbeing Overview and Scrutiny Committee meeting held on 5 December 2018.

Additional documents:

Minutes:

The Minutes of the Health and Wellbeing Overview and Scrutiny Committee held on the 8 November 2018 were approved as a correct record.

 

The Minutes of the Extraordinary Health and Wellbeing Overview and Scrutiny Committee held on the 5 December 2018 were approved as a correct record.

39.

Urgent Items

To receive additional items that the Chair is of the opinion should be considered as a matter of urgency, in accordance with Section 100B (4) (b) of the Local Government Act 1972.

Minutes:

No urgent items were raised.

40.

Declarations of Interests

Minutes:

No interests were declared.

41.

HealthWatch

Minutes:

No items were raised by HealthWatch.

42.

Verbal Update - SERICC

Minutes:

Councillor Holloway stated that Kim James from HealthWatch had helpfully and rightly brought to the committee’s attention the matter of grant funding for SERICC being stopped before an alternative provision had been put in place. Councillor Holloway had written to the Clinical Commissioning Group with the committee members concerns who in turn agreed to extend the funding to the 31 March 2019 whilst the pathway for sexual assault and abuse services could be developed through evidence base. Councillor Holloway stated that the Clinical Commissioning Group had been excellent in providing the information requested and discussing the plans going forward with the good intentions on getting the new pathway right. There was a considerable amount of work still to be done and a long way to go for those involved in developing the pathway to understand the needs of those who had experienced sexual violence and abuse and to understand the needs of their treatment and support. That both clinical and non-clinical options would need to be fully explored and developed so there was a true choice for both women and men that needed the support.

 

Councillor Holloway further added that due to the timing of the grant funding for SERICC an ambitious deadline had been set for the new pathway. That further evidence was still being collected through a Joint Strategic Needs Assessment and through discussions with service users which would not be completed by the proposed deadline. Therefore Councillor Holloway would write to the Clinical Commissioning Group to express her ongoing concerns and request that the evidence gathered should be considered properly and not rushed into by the 1 April 2019 deadline. So proposing that the existing system remain in place and resourced until all were assured the new system was fit for purpose.

 

Mark Tebbs confirmed the Clinical Commissioning Groups commitment for the outcome of the services to ensure the best practice was delivered.

 

Kim James stated that the concern was originally raised to ensure that an alternative provision would be in place before the grant money had stopped and thanked the Chair for her continued commitment.

 

The Chair requested that this item be added to the work programme for the 7 March 2019 committee.

43.

Briefing Note - Referral to the Secretary of State : Orsett Hospital pdf icon PDF 109 KB

Additional documents:

Minutes:

Roger Harris, Director of Adults, Housing and Health provided a brief update on the referral made to the Secretary of State on the closure of Orsett Hospital.

 

A draft letter had been sent to the Sustainability and Transformation Partnership and the Clinical Commissioning Group Joint Committee for comment to which a response had been received. A letter had been sent to the Secretary of State on the 8 January 2019 to which a letter had been received back requesting further information. A further letter had been sent back to the Secretary of State on the 18 January 2019 with this requested information.

 

Councillor Redsell stated that she hoped the process would not put the proposed four Integrated Medical Centres in jeopardy. Roger Harris reassured Members that planning of the Integrated Medical Centres was well advanced and would continue. Although there may be some delay as no formal agreements, tenders or planning permissions would be adhered to. Roger Harris stated at this time there was no precise timetable and that the Secretary of State may decide to look at the referrals made by Thurrock and Southend on Sea at the same time.

 

The Chair stated that all Members were in agreement that the Integrated Medical Centres should happen.

44.

Briefing Note - NHS Long Term Plan pdf icon PDF 109 KB

Additional documents:

Minutes:

Roger Harris, Director of Adults, Housing and Health, provided a brief update on the NHS Long Term Plan that had been published on the 7 January 2019 and referenced Members to the Executive Summary that had been published in the agenda.

 

Members agreed that a more detailed report be presented at the 7 March 2019 committee.

45.

Adult Mental Health Service Transformation pdf icon PDF 221 KB

Additional documents:

Minutes:

Ian Wake, Director of Public Health, presented the report that set out the work undertaken to date to address problems in the local mental health and care system in Thurrock. It also set out plans with NHS Thurrock Clinical Commissioning Group, NHS and third sector provider partners to transform mental health services moving forward. The report also highlighted the issue of suicide prevention and how best to integrate commissioning of services between the Council and NHS. Ian Wake stated that the report sought HOSC support for the new programme of transformation and for proposals to reform the section 75 agreement between the Council and EPUT.

 

At the request of the Chair, Ian Wake presented a comprehensive and detailed PowerPoint presentation to members that covered:

 

           Epidemiological Overview of Mental Health

           Projected number of older people in Thurrock with depression – up to 2030

           Stakeholders

           Key Themes

           How to address under-diagnosis

           How to get into the system

           Emergency Response Pathway

           New treatment offer for Common Mental Health Disorders

           New enhanced treatment model

           Integrated Commissioning

           Next steps

 

This presentation can be found on-line at the following link.

 

https://democracy.thurrock.gov.uk/documents/b16658/Mental%20Health%20Transformation%20HOSC%20Presentation%2024th-Jan-2019%2019.00%20Health%20and%20Wellbeing%20Overview%20a.pdf?T=9  

 

The Chair thanked Ian Wake for the very comprehensive presentation.

 

Councillor Redsell thanked Ian Wake for the presentation and stated that more should be done at an earlier age for those older children being diagnosed now with mental health issues.

 

Ian Wake stated there was no simple answer as there were multiple causes such as bullying at schools and plans were in place to address this. Councillor Redsell stated that bullying also needed to be addressed as this was a contributory factor with schools not picking this up early enough and schools would be expected to action this but in cases would not have sufficient time and resources to do this. Ian Wake continued by stating that excessive social media usage caused depression and anxiety in people. With neglect and sexual assault being key contributing factors for depression. That Mental Health school based teams were in schools addressing these issues and plans were in place to expand the mental health treatment provision.

 

The Council should encourage more physical activity. Ian Wake stated there was no simple answer to the physical activity question but there was a range of activities, sport provisions and infrastructures in place and this would be the opportunity to promote these.

 

Councillor Redsell continued to state that she did not know who the Local Area Coordinator was for her ward. Roger Harris agreed to organise an introductory meeting between Councillor Redsell and the Local Area Coordinator covering her ward.

 

Councillor Redsell questioned the 8628 residents being undiagnosed. Ian Wake stated these were primarily people who were unable to seek and ask for help. A high risk of depression was getting older and this may be stigma amongst elderly residents who may be too proud to ask for help. Councillor Redsell questioned whether the 8628 number was correct. Ian Wake stated that  ...  view the full minutes text for item 45.

46.

Work Programme pdf icon PDF 59 KB

Minutes:

The Chair asked Members if there were any items to be added or discussed for the work programme at the last committee for this municipal year.

 

Members agreed that the NHS Long Term Plan report be added to the 7 March 2019 committee.

 

Members agreed that the SERICC (Sexual Abuse Counselling report) be replaced with a report titled Sexual Violence, Treatment and Recovery Pathway to the 7 March 2019 committee.

 

Members agreed that the Mental Health Update Care Package should be added to the work programme for the 2019/20 municipal year.