Venue: LB 31-32 - Loxley House, Station Street, Nottingham, NG2 3NG. View directions
Contact: Kate Morris Kate Email: Morris2@nottinghamcity.gov.uk
Stephen McLaren (Becky Cameron substituting as the Voluntary Sector Representative)
Declarations of Interests
Although there were no declarations of interest made at the time this item was considered, during the Board’s discussion of agenda item 8, Partner Update :Further Education (minute 43), Councillor Sam Webster declared an interest insofar as he is a member of the Nottingham College Board. This did not preclude him from speaking on the item.
To confirm the minutes of the meeting held on 13 December 2018
The minutes of the meeting held on 13 December 2017 were confirmed as a true record and signed by the Chair.
Relationships and Sex Education (RSE) Day - 28 June 2018
Verbal Update from Catharine Kirk, SRE Consultant
Catherine Kirk, RSE Consultant, informed the Board that the first Relationships and Sex Education Day will be held on 23 June 2018 to celebrate current activity and help spread awareness and responsibility beyond educational organisations.
The day will focus on positive relationships and sexual health and will include a widely promoted social media message. Activity will include talks to children and promoting existing material, including the NSPCC underwear rule webpage (which offers activity packs for parents and teachers) as well as involving LGT organisations, and raising awareness of access to available resources and how organisations can be vigilant.
Promotional ideas from partner organisations would be welcomed along with any promotional help, including at events, as stand-alone activities, and helping promote awareness. For further information, to contribute ideas or to be involved, please contact email@example.com.
70% of City schools have signed the RSE Charter in preparation for new legislation coming into place in 2019, although it is anticipated that in Nottingham City the legislative requirements will be met during the autumn of 2018. Nottingham City is already very active in promoting healthy relationships and sex education and is nationally recognised for good practice.
Members of the Board welcomed the quality of existing RSE work within the City as very positive and congratulated Catherine Kirk on achieving a 70% commitment to RSE Charter by City schools.
RESOLVED to note the presentation and thank Catherine Kirk for her attendance.
Report of the Director of Public Health and the Director of Children’s Integrated Services.
Helene Denness, Consultant in Public Health, presented the report which updates the Board for the third year on the ‘Future in Mind’ programme. Lucy Peel, Programme Lead, Children and Young People’s Mental Health and Wellbeing (Nottinghamshire and Nottingham City), and
Aileen Wilson, Head of Early Help Services (NCC), delivered a presentation to accompany the report.
The profile of this topic has been significantly raised recently and received a lot of political attention which has resulted additional measures including ensuring that children and young people have access to mental health support services within four weeks of applying to Children and Adolescent Mental Health Services (CAHMS).
Current activity relies on statistics from a 2004 survey of children and young people’s emotional health and well-being, the survey has recently been repeated and the findings will be released later this year. It is anticipated that the numbers of young people acknowledging issues has increased year on year.
Health care providers are sensitive to the increasing need and are working in partnership on the Future in Mind local transformation plan, which is in its third year and has resulted in:
o the purpose built facility ‘Hopewood’ on Mansfield Road which will include new inpatient and outpatient facilities for Child and Adolescent Mental Health Services (CAMHS);
o the MH:2K project which aims for 30 local young people to be trained to deliver engagement events for young people across the City and County (more than 700 young people have been engaged so far) to gauge what support young people want and need. A showcase event will be held at 10 May 2018 and all members of the Board will be invited to attend;
o establishment of a targeted CAMHS Service User Group;
o Early intervention work including:
· whole-school approaches to wellbeing;
· Universal services CAMHS practitioner role;
· ‘Time4me’, self-harm clinics in schools, and ‘Amazing Me’;
· ‘New Forest Parenting Programme’;
o Targeted CAMHS including:
· a new Syrian Refugee Practitioner post;
· support for the ‘Trans4Me Group’;
· focus on better supporting universal services and reducing waiting times for interventions;
o Specialist CAMHS including:
· an expanded Crisis Resolution and Home Treatment Team;
· further focus on CYP Eating Disorder Service;
· focus on improving waiting times for assessment and treatment.
Nottingham City is considered as performing ahead of many other cities and has mental health workers and counsellors already established in many schools with other work under development. Added to which, the current average waiting time to access CAMHS in Nottingham is 2.86 weeks (ranked third in the country), whilst the next shortest waiting time the country is 5.3 weeks.
However there are challenges and whilst there is additional financial support from central government to assist in addressing mental health issues, services are not able to meet the requirements of young people at an early stage and staff retention remains a concern.
Key priorities of the Future in Mind programme are set out within the report but summarised as follows:
o complete sign-up to the Emotional Health and Wellbeing Charter for City schools;
Report of the Director of Public Health
Helene Denness, Consultant in Public Health, and David Johns, Speciality Registrar in Public Health, presented the revised report which was electronically circulated as a supplement to the agenda, and delivered a presentation which focuses on the work undertaken to address the following:
o proportion of women smoking in pregnancy;
o number of babies that die in the first year of life;
o percentage of children aged 5 years with tooth decay;
o proportion of year 6 children who are obese.
The report contains detailed information and statistics in each of these areas, which were summarised as follows:
Smokers at the time of delivery.
(i) It is estimated that 17.6% of women in Nottingham are smoking at the time of delivery, this is against the national average of 10.7%. However, due to the overall lack of detailed information, it can’t easily be established how many women were smoking at the beginning of their pregnancy and had stopped during pregnancy;
(ii) smoking during pregnancy is the most important modifiable cause of stillbirth;
(iii) since funding has been withdrawn for the New Leaf stop-smoking service, other approaches and ways of working need to be considered;
(iv) as between 30 and 40% of pregnant women do not engage with smoking cessation services, on site specialist maternity stop smoking support, may have a greater influence;
(v) ‘love your bump’ a social media campaign may also influence women’s decision to stop smoking.
The number of babies who die in their first year.
(vi) With an infant mortality number of 5.9 deaths per thousand live births, Nottingham has a higher infant mortality rate that the English average which is 3.9 deaths per 1000 live births, with little indication of a decrease. It is noted that stillborn deaths are not included in the statistics;
(vii) a healthy pregnancy is important including mothers refraining from smoking or drinking alcohol, and fully engaging with the midwife at the early stages of pregnancy to ensure that any early signs for concern are recognised and can be appropriately dealt with;
(viii) further work needs to be undertaken with regard to safer sleeping of infants to prevent avoidable deaths.
(ix) Good oral health is important for the broader health and well-being of children and young people as poor oral health negatively impacts on the ability to sleep, eat, speak, play and socialise with other children. There is currently no new data on the number of children with missing or decayed teeth since the last update to the Board, but it is recognised that deprivation has a noticeable impact on oral health;
(x) current and future work to address oral health issues will be challenging, particularly as funds are not available to continue existing preventative work. A new approach will require working with partners including health visitors promoting oral health.
(xi) During the 2016/17 academic year, 26% of reception aged children were considered obese or overweight and 39.7% of year six children were considered obese or overweight. As illustrated by ... view the full minutes text for item 42.
Partner Update: Further Education
Presentation by Zoe Butler, Further Education Representative
Although not required to do so, during the Board’s consideration of this item Councillor Sam Webster declared an interest, the details of which are recorded in minute 38, ‘Declarations of Interests’.
Zoe Butler, Further Education Representative and Director of Customer Experience at Nottingham College, delivered a partner update presentation to the Board.
The following points were highlighted and responses given to questions from the Board:
(i) as of 8 June 2017, Central College Nottingham and New College Nottingham merged and became Nottingham College;
(ii) it is an employment led College offering a range of technical and vocational qualifications;
(iii) the College engages with employers and is responding to the need for wider skills of employability including teamwork, self-motivation and independence, which employers had previously identified as lacking in some qualified students;
(iv) student standards in English, maths and IT are being raised, which can be a challenge in just a 9 month course period when students have struggled in these areas throughout school;
(v) a fully rounded approach is taken to teaching young people with the aim for them to be healthy, happy and employable citizens. This will be achieved with a specific focus from the ‘wellbeing Hub’ which will provide a single point of contact (developed by the Students Union) from the 2018/19 academic year, and will provide additional support from qualified staff including:
o Personal Success Coaches;
o Learner Achievement Coaches;
o Behavioural Management specialists;
o Learning Support specialists and Learning Support Assistants.
Where previously enrichment may have been sport focused, a broader, student-led approach will be taken towards well-being. Where issues cannot be supported or addressed by Wellbeing Hub staff, students may be referred to other specialist agencies;
(vi) initially the merger of colleges resulted in a total of 12 campus. Following an estates review, as of July 2018, work will start on building a City Hub which, on completion in September 2020, will facilitate learning for approximately 40,000 full and part time students as young people and adults;
(vii) with the establishment of the City Hub campus, it is proposed that campuses at Beeston, Clarendon and Maid Marion Way will be sold to help finance the new build, whilst other sites will be refurbished or upgraded;
(viii) Nottingham College provides a valuable opportunity for consultations and also health education and promotion (messages from partners to benefit the health and well-being of young people and beyond), particularly as the College is training students in health and social care and students will be able to take health promotion messages forward within their careers;
(ix) the College aims to be wholly inclusive and intends to encourage students with learning disabilities to access facilities and courses the main college;
(x) the student voice is important and as there are still some decisions to be made on the fixtures and fittings of the new City Hub building, there is an opportunity for students to have input. This will also extend to the food offer in the building and physical activity opportunities. ... view the full minutes text for item 43.
Presentation from Shelley Nicholls, Strategic Lead for Youth Offending.
Shelley Nicholls, Strategic Lead for Youth Offending, delivered a presentation to accompany the Youth Justice Plan 2017-20.
The following points were highlighted and questions responded to:
(a) the Youth Offending Team (YOT) is a statutory partnership comprising the Local Authority, Nottinghamshire Police, National Probation Service and Health and recently achieved an assessment by Her Majesty’s Inspectorate of Probation of ‘a high performing YOT’;
(b) each child is considered as a whole and by a range of statutory and voluntary partners with the aim to reduce offending at a young age;
(c) the victims of crimes remain at the heart of the YOT’s activity;
(d) funding for the partnership has reduced significantly during the past few years from £2,529,499 in 2014/15 to £1,903,903 for 2017/18. The funding available for 2018/19 is yet to be confirmed;
(e) whilst the numbers of first time entrants to the system and occasions where custody is required are significantly higher than the national average, the percentage of re-offending is below the national average;
(f) the Key Priorities of the YOT include:
(i) Early Intervention – to prevent criminal behaviour with diversionary work and where appropriate, dealing with criminal activity in a way that doesn’t criminalise young people, allowing them the opportunity to change direction;
(ii) Knife Crime – a six tiered partnership approach is taken including ‘citizenship work’ in schools;
(iii) Serious and Organised Crime – there has been a rise in the use and exploitation of young people for criminal activity;
(iv) Education, Training and Employment –there is a direct link to exclusion from school and offending, and also Special Educational Needs and Disability (SEND)
RESOLVED to note the Youth Justice Plan 2017-20 and record the thanks of the Board to Shelley Nicholls for her presentation.
Helene Denness, Consultant in Public Health, and Janine Walker, Head of Inclusion and Disability, delivered a presentation to accompany the comprehensive report.
The following points were highlighted and responses given to Board Members’ questions:
(a) 26 March -2 April is Autism Awareness Week so on 29 March a drop-in session for more information on becoming Autism Champions will be held at Loxley House;
(b) it is estimated that 1 in every 100 people has autism although the spectrum is broad and many will not be diagnosed;
(c) 40% of Special Educational Needs and Disability (SEND) young people in school with an Education, Health and Care Plan (EHCP) are autistic but it is recognised that those with less obvious, lower level needs are often harder to identify;
(d) the Autism Act 2009 requires Councils in England to have an Autism Strategy for adults but as separate plans for adults and children will result in duplications, Nottingham City Council is proposing to create an all-age strategy which will also meet the requirements of the SEND agenda;
(e) the National Autism Society estimates that of the working population, only 16% of people with autism are in work. With a better understanding of the needs of autistic people, including adjustments such as working hours and building layout, this figure can be increased;
(f) a range of training sessions provided by the Autism Education Trust have been facilitated by Nottingham City Council with places available to partner organisations. This training has been well attended and has received positive feedback so further courses are available;
(g) a refresh of Nottingham’s Autism Strategy ‘One Size Fits One: Ensuring People With Autism Live Fulfilling and Rewarding Lives’ is being undertaken by the Autism Strategy Group and monitored by the Health and Wellbeing Board. The all-age approach will encompass priorities for children, young people, adults, families, parents and carers;
(h) it is anticipated that the draft strategy will be completed by Summer 2018 and then be available for consultation, but as a Health Needs Assessment Plan is to run alongside the consultation, it is possible that there may be a short delay;
(i) employees may not have a diagnosis but raising employer (and employee) awareness of autism can help with understanding ways of working which will be supportive;
(j) members of the Board should be assured that the focus on children and young people with autism will not be lost within an all-age Strategy;
(k) multi-agency support of the strategy is vital as is ensuring that schools can meet the needs of young people, including support with speech and listening skills.
(1) to note the contents of this report and support the development of an all-age autism strategy for Nottingham;
(2) to continue to prioritise autism awareness training for colleagues;
(3) for Board partners to identify Autism Champions within their organisations.
Board Membership Update
Verbal update from Emily Humphreys, Support assistant Children and Adults Directorate.
Emily Humphreys, Support Assistant to Children and Adults Directorate, informed the Board that the following representatives have joined the Board membership:
Sarah Fielding – Joint CEO of Nottingham Schools Trust and the Virtual School
Andrea Baxter – Detective Chief Inspector of Nottinghamshire Police, (who is replacing Superintendent Ted Antill as the Police Children’s Partnership Board representative as of 1 April 2018).
The Board welcomed the new members and thanked Superintendent Ted Antill for his contribution whilst a member of the Board.
Board to note upcoming items
RESOLVED to note the Forward Plan and include a future agenda item on Childhood Obesity.