Agenda item

(To receive a report from Sally Savage, Chief Commissioning Officer – Children's, which provides the Committee with an update on the progress made by the Council to deliver 0 – 19 health services to children and young people following the decision made by the Executive in November 2016 to insource these services)

Consideration was given to a report from Sally Savage, Chief Commissioning Officer – Children's, which provided the Committee with an update on the progress made by the Council to deliver the 0 – 19 health services to children and young people.  It was noted that a decision had been made by the Executive in November 2016 to insource the 0 - 19 health services.  Details of the new model of Children's 0 – 19 Services in Lincolnshire was detailed at Appendix A for the Committee to consider.

The reported highlighted that the 0 - 19 health services had successfully transferred into the Council.  It was highlighted further that additional services to support the overall model had been commissioned and were now in place.  Work had also started on identifying the future model of working by staff in the localities.  The Committee noted that regular communication with partners was taking place; and that positive feedback had been received.  Moving forward the focus was now on improving performance in relation to the key elements of the service and that future transformation to ensure that the full benefits of integration were achieved. 

The Committee was also advised that from 1 October 2017, the Lincolnshire Integrated Sexual Health Service provided by Lincolnshire Community Health Services NHS Trust was now delivering a young person's sexual health service throughout the county for teenagers from age 13 to 19.  Full details of the service were shown on pages 123/124 of the report presented.  Reference was also made to the launch of the new Healthy Minds Lincolnshire Service to support the emotional wellbeing needs of children and young people in Lincolnshire, this service had also commenced on 1 October 2017.  The Committee noted that a new online Emotional Wellbeing/Behaviour Pathway had been developed to support public and professionals to access or refer to the most appropriate services more easily.

It was reported that the transition of services had occurred with minimum disruption; however, they were two issues that were currently ongoing these were IT; and property issues.

A discussion ensued, from which the following issued were raised:-

·         Impact of the Integrated Sexual Health Services – The Committee was advised that the service had only been running for two months; but that extra resources had been allocated to enable more work to be undertaken with young people; this included speaking to young people in schools.  A suggestion was made for some of the engagement sessions with young people to be held outside of a school environment;

·         Interaction with young people – The Committee was advised that officers were looking into ways of interacting more with young people i.e. on-line portal; and web based application; and Apps;

·         Concern was expressed as to whether the IT provision would be in place for the workforce to be able to operate efficiently.  Officers advised that it was hopeful that the IT would be in place by 1 April 2018.  It was highlighted that interim arrangements were in place, officers were receiving support from health colleagues;

·         The poor uptake of Children's Immunisations in the Lincolnshire East CCG area.  Officers clarified that immunisations were commissioned by NHS England and administered by GPs.  0-19 staff would be encouraging the uptake of immunisation across the county, when visiting or speaking to young people and families.  It was highlighted that additional visits were not funded; and

·         Healthy Minds – One member enquired whether the service had commenced.  Officers advised the Committee that a training programme was being rolled out to schools.  It was highlighted there had been numerous requests during the first two months of the service.

RESOLVED

1.    That the progress made on insourcing the 0 - 19 health services to the Council be noted.

2.    That the approach to delivering 0 - 19 health services as part of an integrated locality based offer to children and families be endorsed.

3.    That the comments raised by the Committee in relation to IT provision; and that health visitors should continue encouraging the uptake of immunisations be noted.