Venue: Council Chamber, Runcorn Town Hall. View directions
Contact: Lynn Derbyshire on 0151 511 7975 or e-mail lynn.derbyshire@halton.gov.uk
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Minutes Minutes: The Minutes of the meeting held on 9 September 2014 having been printed and circulated were signed as a correct record. |
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Public Question Time PDF 27 KB Minutes: The Board was advised that no public questions had been received. |
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Health and Wellbeing Minutes PDF 15 KB Additional documents:
Minutes: The Minutes of the Health and Wellbeing Board of its meeting held on 9 July 2014 and 17 September 2014 were submitted to the Board for consideration. The Board noted that some of the reports that fell within the remit of the Health PPB, and were therefore subject to scrutiny, had not been considered by the Board prior to them being considered by the Health and Wellbeing Board. The Board agreed requested that such reports in the future be presented to the Health PPB for consideration prior to the Health and Wellbeing Board. |
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Presentation: Improving Access to Psychological Therapies (IAPT) PDF 24 KB Additional documents: Minutes: The Board considered a report of
the Strategic Director, Communities which highlighted
that 5BP had recently been awarded the
contract to provide the Improving Access to Psychological Therapies (IAPT)
service which went live on 1 August 2014.
It was reported that 5BP were the principal provider but were also
working in partnership with Self Help Services (SHS) to deliver the service. The Board was advised
that IAPT was the Department of Health’s (DoH) mandated
model for providing talking therapies for anxiety and depression in primary
care. The main principles of the service
were:- · Improving access; · Improving quality; and · Demonstrating effectiveness. The Board was further advised that the IAPT model stated that provision
should be the least intrusive intervention first i.e. start with brief therapy,
if this was not successful, offer more intensive therapy. The three steps are as follows:- ·
Step
1 - GP interventions; ·
Step
2 (provided by the IAPT service) - Guided self help,
between 6 and 8 half hour sessions with lots of things to read and do between
sessions; and ·
Step
3 (provided by the IAPT service) - “Traditional” therapies, between 12 and 20
hour long sessions and Cognitive Behaviour Therapy (CBT). It was reported that referrals for the service came in
writing from GPs. Clients were written
to and asked to call the service for an appointment and were usually assessed
within a week and placed on an appropriate waiting list.
It was reported that 45
days was the average time on the waiting list and work was taking place to
reduce this to 28 days. It was also
reported that 45% of people recovered after receiving therapy. Evening appointments were also popular and
consideration was being given to offering the service on Saturdays. The following comments arose from the presentation:- ·
It
was noted that therapies ranged from three weeks to 20/25 weeks; · It was noted that there were ... view the full minutes text for item 29. |
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Adult Social Care Mental Health Services PDF 40 KB Minutes: The Board considered a report of
the Strategic Director, Communities, which gave Members an update and sought
their views on the potential developments within the Council’s social care provision for
adult mental health services. The Board was advised that there were
currently two services provided by Halton Borough Council for residents with
complex mental health needs: the mental health social work service, based at
the Brooker Unit in Runcorn, and the Mental Health
Outreach Team, based in the Mental Health Resource Centre in Vine Street,
Widnes. The Board was advised that the model of service delivery described in the report had
been in place for many years, and had achieved positive outcomes for many
people. However there had been a number of changes, both in terms of national
policy and local service delivery, which have meant that the ways in which the
services were delivered needed to be reconsidered. The changes included:-
The Board was further advised that within the social work service, the
recent development of the Acute Care Pathway within the 5Boroughs had meant
that the 5Boroughs now focused its work only on the people with the most
complex needs and levels of risk. As a result of this, the social work
caseloads had fallen, although other work, such as Mental Health Act
assessments, had increased considerably, in line with national patterns. It was reported that there was now some capacity within the team to
develop a small service which works more directly with people who are known
only to primary care services and who had not been referred to specialist
hospital mental health services. One of the social workers already undertakes
some of this work, working with people who are referred by a range of agencies
who might be at risk without support, and a proposal was to be prepared to
extend this service, using existing resources. In addition, it was reported
that this approach would build on some ongoing work within the Mental Health
Outreach Team, and which would be the subject of a more detailed report to the
Board. Furthermore, it was reported that there had been some effective work by partner agencies ... view the full minutes text for item 30. |
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Additional documents: Minutes: The Board considered a report of
the Strategic Director, Communities, which gave Members an update regarding the
safeguarding work being undertaken across the Borough. The Board was advised of the following areas:- ·
The Care Act 2014 had been heralded as ‘an historic
piece of legislation that would make a difference to some of the most
vulnerable people in society for many years to come’. The Act aimed to put adult safeguarding on a
statutory footing. The Board noted the
main areas of safeguarding adults responsibilities contained within the Act and
an action plan had been
developed to ensure that Halton was compliant which HSAB would monitor
progress; ·
Safeguarding Adults Board were
required to produce an annual report, which summarised all of the key
achievements and priorities which they had been working towards over the
previous year. In Halton this as an
activity that had been undertaken annually and the Annual Report 2012/2013 had
been published. The Board noted the four
key priorities which the Annual Report had focussed on; ·
An updated Inter-Agency Policy, Procedure and Good
Practice Guidance had been produced by the Integrated Adults Safeguarding Unit,
in conjunction with members of Halton Safeguarding Adults Board. The document provided all agencies involved
with safeguarding in Halton, with a practical and informative policy, which
would ensure that procedures between statutory agencies were consistent across
the whole of Halton; ·
The Safe in Town project and Halton Speak Out had been awarded almost £5k
from the Cheshire Police and Crime Commissioner, which was subsequently match
funded by the Halton Clinical Commissioning Group earlier in the year. This funding was agreed on the principle that
the types of beneficiaries and premises signed up to the scheme would widen; and · The Board noted that the Annual Report set out in Appendix 1 to the report described how organisations and individuals across all sectors were working together to safeguard vulnerable people. The following comments arose from the discussion:- · the Board noted the new offence for providers of supplying false or misleading information regarding information that they were legally obliged to provide. However, it was noted that this situation had not been an issue in Halton;
· the importance of unannounced visits to care homes and at key times was noted. Clarity was also sought on the latest time that a visit would be undertaken. In response, It was reported that visits were undertaken outside of normal working hours and if an alert had been raised it would depend on the type of alert i.e. if it was in relation to night staff, a late night or early morning visit would take place; · it was reported that there had been an increase in the number of alerts raised by care staff which highlighted that training and awareness raising was proving to be successful; · it was noted that individuals could report their concerns anonymously; · it was noted that Halton were taking part in a making safe project which would gather information of the service users experience of the ... view the full minutes text for item 31. |
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Public Health Annual Report 2013-14 PDF 30 KB Additional documents: Minutes: The
Board considered a report of the Director of Public Health which provided Members with information on the 2013-14
Public Health Annual Report ‘Drinking Less and Living Longer’.
The draft Annual report was attached as Appendix 1 to the report. The Board was
advised that this year’s Public Health Annual Report focussed on the topic of
alcohol-related harm and set out how work was taking place in partnership to
reduce alcohol harm for individuals, families and communities. It was reported
that alcohol-related harm affected all age groups within Halton. The report was
therefore written from a life-course perspective and set out key actions that
would be taken for each group. A
communities chapter was also included which covered issues that affected people
of all ages e.g. crime and community safety, alcohol availability and price. The Board was further advised that reducing alcohol-related harm was chosen as a
topic as it demonstrated the importance of working in partnership and what
could be achieved when organisations worked together across organisational
boundaries. It was also timely as the public health team were currently working
in partnership to develop a local alcohol harm reduction strategy. In addition
Halton was also one of only twenty areas in the country to be awarded the
status of being a Local Alcohol Action Area. It was reported that Chapters included in the report were as follows:- ·
Starting
well: Promoting an alcohol free pregnancy and protecting Halton babies and
toddlers from alcohol-related harm; ·
Growing
well: Reducing underage drinking in Halton; ·
Living
well: Promoting safe and sensible drinking among adults; ·
Aging
well: Promoting safe and sensible drinking among older people; and ·
Keeping
our local communities safe from alcohol-related harm. Each chapter outlined the current levels of alcohol-related harm,
described current local activity to reduce alcohol-related harm, outlined gaps
in current activities and made recommendations for future actions. The following comments arose from the discussion:- ·
The
Board congratulated the Director of Public Health on the excellent report; ·
In respect
of alcohol spectrum disorders, it was suggested that real life stories from
young people who had suffered as a result from drinking alcohol during pregnancy
would help to raise awareness of the consequences of alcohol abuse; ·
Clarity
was sought on the progress on establishing an alcohol free bar in Halton. In response, it was reported that a new
organisation Umbrella were undertaking work on local café’s opening later and information
had been requested from the organisation with a view to establish if they could
become alcohol free bars; ·
The significant
cost in respect of alcohol admissions as a result of alcohol abuse in Halton
was noted; and ·
The
Board noted the significant number of older people abusing alcohol and
recognised the challenges that it presented. RESOLVED: That (1)
the
report and comments raised be noted; and (2)
the
recommendations of PHAR be supported. |