10am-12pm on 8 th September 2015 Minutes Present: Alyson Scott York Mind (Chair) Mary Hodgson Castlegate John Brown Healthwatch York Siân Balsom Healthwatch York Helen Mayor York Carers Centre Cat Adlam Cruse Bereavement Care Julie Kay York Housing Association Sally Stacey York Women s Counselling Helen Cudjoe Richmond Fellowship Tina Warne Richmond Fellowship Tracey Walker Community Links Erin Richardson Community Links June Tranmer The Healing Clinic Christine Summers The Healing Clinic Lynne James Mainstay Debbie Barres Mainstay Dani Wardman Survive Heather Simpson Leeds & York Partnership NHS Foundation Trust Kim Bevan The Retreat Rachel Barber Work Focused Solutions Catherine Hartley OCAY Heather Bell OCAY Christina Wade York Community Stress Management Peter Hart YACRO Cllr Carol Runciman City of York Council Nigel Ayre York Mind Jeremy Jones Arc light Gill Milner Cloverleaf Advocacy Service Bob Hodgson Braintune Melanie McQueen York CVS Vanessa Langford Magnetic Arts Laura Davis York CVS (Minutes) Guests: Kevin McAleese City of York Safeguarding Adults Board 1
Ruth Hill Sam Alexander Apologies: Lesley McNulty Catherine Surtees Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) Your Consortium IDAS York CVS/CYC 1. Welcome, introductions, apologies Introductions were made and people welcomed to the meeting. 2. Minutes of meeting held on 7 th July 2015 and matters arising The minutes were agreed as correct. On the issue of representatives for the Provider Alliance Board, Mel explained that they were currently seeking representatives and can update further at the next meeting. 3. Mental Health tender update Ruth Hill TEWV and Sam Alexander Your Consortium Ruth talked through presentation slides about TEWV s principles and plans and Sam spoke about Your Consortium s role. The following points were raised: There is a need to change the terminology used for the Alliance Board, as there is already a Provider Alliance Board in York led by the Clinical Commissioning Group (CCG) working on a different piece of work. What are integrated community teams? They are mental health professionals working with local authority and social work staff, with the patient at the centre of the process. Pocklington is part of the York CCG area and is covered within this through a sub-contracting arrangement with the Humber. Who would be able to lead on a Big Lottery bid which has to cover the whole Local Economic Partnership (LEP) area? Your Consortium has expressed an interest in submitting a bid for this. The criteria for these bids will be made clear in the tenders when they are launched at the end of the month, as to whether York and Selby can also bid into Leeds LEP area. 2
How will interested partners be pulled together around specific projects? TEWV will work closely with Your Consortium to manage partnership arrangements. As there has been a mention of completing a mapping exercise, this will need to take account of work that is already happening in the area such as the online Mental Health directory, Healthwatch s Mental Health Guide. TEWV require feedback about services, gaps, emerging concerns, what works well and what isn t working as well. If patients are going to be brought back from outside of the area, where will they be placed? There is still work to be done on the information sources about this area of work and then it will involve working across sectors. Work is being completed towards making plans regarding a new hospital in York. TEWV have psychiatric intensive care facilities at Middlesbrough and Darlington. Work needs to be completed on understanding the capacity within these facilities and the threshold levels in York. Both Ruth and Sam s contact details are provided below and Forum members were encouraged to make contact either by email directly or through the Forum meetings, which Your Consortium offered to attend regularly. Ruth.hill6@nhs.net 07920581337 Salexander@yourconsortium.org.uk 01423795300 4. Adult Safeguarding Annual Report 2014/15 Kevin McAleese Kevin explained: his role is as an independent chair, the board has statutory status and is obliged to produce an annual report the organisations represented on the board include local authority, police, voluntary sector, various health care providers and health care commissioners. The following points were noted: 3
The approach now being taken is about Making Safeguarding Personal (MSP) where the individual is consulted at the start of any process. Alert and referral figures show an increase in alerts from 2012 but the proportion of these alerts as referrals remains similar overtime. The figures demonstrate that those who are older, with a disability, learning disability and mental health illnesses are over-represented in the referrals. A key area of concern is the growing numbers of older people who no longer qualify for the council s services, and have to purchase care for themselves which can lead to them being more vulnerable to abuse. The rise in alerts may be as a result of the increase in media and publicity around abuse which may have raised awareness. The following points were discussed: The Adults Safeguarding Board minutes are published on their website. Older people are often the largest and easiest group to report on, within that group are other groups of people who can be vulnerable to abuse such homeless, how can this be measured? In addition to the alerts data, each organisation has its own data which they contribute. The Police and social services work together in supporting vulnerable people. It is possible there is significant under reporting for certain groups. There needs to be the message sent out that safeguarding should not be ignored. Within the VCS, potential safeguarding issues are dealt with regularly and judgements have to be made about reporting. The Council s Safeguarding Team are there to provide advice and support to frontline organisations to assist in preventing situations becoming an alert. Staff levels within the Safeguarding Team have remained the same since 2009 and are unlikely to be increased. There are concerns that there are inequalities in the training for the workforce involved in safeguarding. There needs to be quality assurance processes in place for training which takes place resulting from Train the Trainer courses. Charges are now being made for organisations not attending their places on free safeguarding courses. Kevin mentioned the Joint Protocol for Adults at Risk who are missing or absent from care, which has recently been agreed with 4
North Yorkshire Police and North Yorkshire Safeguarding Board. It will be circulated with the minutes. From December all local authority safeguarding protocols will be the same. There were no further safeguarding issues to raise. Kevin was thanked for his input. 5. Issues to raise at the Mental Health and Learning Disabilities Partnership Board meeting This item was not discussed. 6. Health and Wellbeing Strategy discussion This item was not discussed. 7. Provision of early intervention services for people with mental ill health Alyson explained that at previous meetings of the steering group for this project they had looked at which areas to focus on. Organisations had been asked to put in expressions of interest of which 21 were received. There has also been a consultant employed to develop a business plan. No information has been provided to the council as it is considered commercially sensitive and it is not yet known what the council s commissioning arrangements will be. Although it is expected that they are likely to be an open tender process. Cllr Runciman explained that the new director of adult social care would shortly be in post and it was unlikely that things would move forward before this. ACTION: Cllr Runciman to contact the relevant staff at the council to discuss further and respond to Alyson Scott. It was explained that no decisions had been made about the expressions of interest. It was noted that as some of the steering group members had also submitted expressions of interest, they would be dealt with by Peter Hart, Catherine Surtees and the consultant as they did not have a commercial interest in the project. 5
It was explained that organisations working specifically in ward areas could contact their ward councillors to find out about ringfenced funding for early intervention adult social care work. It was agreed that the work completed to date has been helpful in establishing and improving consortium/partnership working within the city. ACTION: Alyson to circulate the new version of the five strands, removing any sensitive costings information. Thanks were recorded to all those organisations who have worked on this project to date. 8. Safeguarding This was covered earlier in the agenda. 9. Information exchange Cat confirmed that all the funding had now been secured for the online mental health directory website and it is currently being built. It is due to be launched in October. Feedback on the initial design can be made to Cat. 10. Any other business There was none. 11. Dates of future meetings: 10-12pm at Priory Street Centre 15 Priory Street, York YO1 6ET Tuesday 3rd November 6