Issue - meetings

Purpose of the report:  Performance Management/Policy Development

The purpose of this report is to update the Health and Wellbeing Board on progress against the outcomes under the ‘improving children’s health and wellbeing’ priority within the Joint Health and Wellbeing Strategy. An update is provided to the Board every six months with the last in September 2017.

Declarations of interest:

None

Witnesses:

Rose Durban, Interim Director for Children, Schools and Families

Garath Symonds, Strategic Director for Commissioning and Prevention

Diane McCormack, Director of Commissioning, Guildford and Waverley CCG

Key points raised during the discussion:

1. The Interim Strategic Director for children updated the Board on the progress against the outcomes under the ‘improving children’s health and wellbeing’ priority within the Joint Health and Wellbeing Strategy and outlined particular concerns with CAMHS.

2. It was noted that although there were ongoing challenges with CAMHS, the commissioners and providers were working together to solve these.

3. There was a discussion around the performance issues in CAMHS and officers assured a problem solving approach would be undertaken as well as an independent commission review of the contract to determine a sustainable solution long term.

4. It was reported that a Health Summit would be taking place in the week commencing 9 April 2018 to address and discuss current issues and the Board agreed it would be useful for officers to provide a report on this at its meeting in May.

5. Member expressed disappointment with the CAMHS contract and the Board agreed it would be useful to write a letter to the Commissioners to express their views.

6. It was clarified to the Board that the Community Health Contract follow up report would be provided in the annual report.

Actions/ further information to be provided:

The Board to receive an update report in relation to the Health Summit at its meeting in May 2018.

For a letter to be written to the Commissioners in relation to the CAMHS contract expressing the Boards views.

RESOLVED:

The Board noted and approved the following recommendations;

1)    Note areas where progress has been made against the 'improving children's health and wellbeing' priority, specifically in relation to DfE recognition of the substantial progress in SEND services to date.

2)    Note areas where progress has been more limited or where we are yet to see the impact of work for children, such as childhood immunisation rates, tier 3 perinatal mental health services and breastfeeding at 6-8 weeks.

3)    Note areas where better data and analysis has highlighted more stubborn challenges, specifically in relation to initial and review health assessments for looked after children and waiting times for paediatric and therapy services for vulnerable children, where we will need to develop a different approach to improve timely access to these services for children.

4)    Note the significant concerns in relation to demand and clinical risk within the jointly commissioned child and adolescent mental health service (CAMHS) and the proposed next steps.

5)    Receive a further update in relation to progress to clinical risk within the CAMHS service at the next board meeting.

6)    Receive a further update for the 'improving children's health and wellbeing' priority against the new set of outcomes, in six months' time.

Purpose of the report:  Performance Management/Policy Development

The purpose of this report is to update the Health and Wellbeing Board on progress against the outcomes under the ‘improving children’s health and wellbeing’ priority within the Joint Health and Wellbeing Strategy. An update is provided to the Board every six months with the last in September 2017.