Minutes:
The Strategic Lead for Looked After Children addressed Members notifying them the report set out the actions taken by Children’s Social Care and Health colleagues to address the timeliness of Initial Health Assessments for Children who are Looked After.
She continued by explaining when a child or young person came into care, they would have an Initial Health Assessment (IHA). This was a statutory health assessment; the assessment is to be completed within 28 days of coming into care. A paediatrician or an appropriately trained medical practitioner completes the assessment.
It was further explained the
Initial Health Assessment identified existing health problems and
deficits in previous healthcare and provides a baseline for
managing the child’s future health needs. The Strategic Lead
for Looked After Children highlighted point 3.12 of the report and
stated in April 2019 only 25% if IHAs were completed on time, but
this had increased to 71% in December 2019, and increased again to
81.5% in January 2020. She stated that although there were still
some difficulties, processes were now in place and regular meetings
were being held between the social care team and healthcare
colleagues.
The Chair stated that as there were challenges within the
healthcare sector, she would raise it as an issue at the next
Health and Wellbeing Overview and Scrutiny Committee. She asked why
a child was only assessed once a year, once they reached the age of
five. The Strategic Lead for Looked After Children replied that the IHA set a benchmark
for the child’s health, but that if additional health needs
were identified then additional sessions with a paediatrician would
be arranged. She added that if a child was seen yearly it would
ensure that no illnesses or problems developed, but a foster carer
could take the child to the GP or A&E if problems arose in
between IHA visits.
Councillor Liddiard asked who conducted the IHA, as GP’s were
often fully booked, which it would make it difficult to schedule
IHAs. The Strategic Lead for Looked After Children replied that the IHA was conducted by
an approved paediatrician, but there were currently issues
regarding a deficit in healthcare, which were outlined at 2.1 of
the report. The Chair of the Foster Carer’s Association added
that only two or three paediatricians were approved to carry out
IHAs, which meant it was difficult to schedule appointments as they
were often very busy. She stated that she had often had
difficulties scheduling IHA appointments, as the doctor could only
offer one or two slots, some of which were during school time. The
Corporate Director of Children’s Services thanked the Foster
Carer’s Association for the input, as it highlighted issues
that may have otherwise not been addressed. She stated that she had
invited health colleagues to the meeting, but they had been unable
to attend as Thurrock commissioned NELFT to provide community
paediatricians for IHAs. She felt that a child should not be taken
out of school for an IHA, particularly as many children in care
already had poorer attendance when compared to children not in
care. She stated that although the IHA service had improved, there
was still work to do and issues that needed to be resolved.
Councillor Akinbohun asked if the service was under pressure due to
the number of Unaccompanied Asylum Seekers, and the Strategic Lead
for Looked After Children replied that
although the number of Unaccompanied Asylum Seekers had increased
in the last quarter, they had not put the service under pressure.
She stated that the system had been under pressure recently due to
an increase in the number of referrals and large sibling groups
being identified throughout February. The Head Teacher for Virtual
School added that there was only a 10 day timeframe in place for
Education Plans, which meant that the education system for Looked
After Children was also under pressure,
due to the large number of referrals. Councillor Akinbohun stated
that she felt worried that the service would not be of good quality
if new Unaccompanied Asylum Seekers arrived within Thurrock. The
Strategic Lead for Looked After Children
replied that the system pressure did non predominantly come from
Unaccomapnied Asylum Seekers, but came
from the lack of capacity within the system.
The Chair asked if an update report on IHAs could come before the next Corporate Parenting Committee.
RESOLVED:
Supporting documents: