Tameside & Glossop Primary Care Trust

Be Healthy Outcome Theme Group Meeting

25th November 2008

Present:

Pat McKelvey, Head of Children’s Strategy and Partnerships, PCT, Chair
Tracy Wood, Area Coordinator, TMBC
Julie Scrymgeour, Services Manager, CAMHS
Adrian Holt, Healthy School Scheme Coordinator, TMBC
Gideon Smith, Consultant in Public Health, PCT
Shelagh Walton, Advisory Teacher, Drug Education, Tameside Healthy Schools
Lilian Pons, Water Adventure Centre, VCS rep.
Debbie Bishop, Service Unit Manager, Health, Neighbourhood and Community Services
Mathew Benham, Team Leader, Branching Out
Bev Connolly, Service Unit Manager, Children with Disabilities

1. Welcome & Introductions

Pat welcomed everyone and introductions were made around the table.

2. Apologies

Alan Bailey, Deputy Head of School Improvement, TMBC
Albert Massarano, Consultant Paediatrician, Foundation Trust
Judith Grigg, Associate Director, PCT
Stephen McLaughlin, Children’s Services Manager, Foundation Trust
Anne Okwei, Children’s Centres, TMBC
Rafik Iddin, Service Unit Manager, Children’s Social Care

3. Minutes of the last Meeting

The minutes of the meeting held on 16 September 2008 were agreed as a true and correct record.

Matters Arising

Training Coaches – In the absence of feedback being available by Anne Okwei, Bev Connolly was asked about opportunities for young people with a disability to undertake a qualification to become training coaches but wasn’t able to provide an informed answer. To take forward to future meeting.

Water, sanitation and health – Tracy reported that TMBC Estates had sent out a questionnaire around building stock and Tracy had been given the opportunity to add some questions about toilets. There was limited space on the questionnaire and the questions asked were “did school council bring up issues around toilets” and “are they of an acceptable standard”. The survey closes on the 19th December so Tracy should be able to feedback in the new year.

Chemical and physical hazards – Received poisoning admissions data from A&E– by age and admissions code. On agenda later. Comparable data not available through PCT.

A&E attendances – In hand. Established small group working with people in the Borough looking at how we encourage people to make the best use of facilities available taking into account the future closure of Booth Hall.

Youth On Line – Local survey were under way at 18 high schools and some special schools, and to date no problems had been experienced (fastest completed in 10 minutes, slowest 25 minutes).

TellUs 3 – Local results of National survey

The question of what happens with the data collected arose and the group was informed that it gets presented at various levels/partnerships.

Action: Put on agenda for next meeting.

Strategic Alcohol Group – Tracy reported that she had spoken to Shonagh Camacho Duran and Sheila Piazza. The YP Anti Social Behavioural Group will monitor the C&YP section of the action plan.

Action: Tracy to present quarterly reports to this group.

Debbie said she worked with a smaller group, doing some work around A&E and intoxication. Julie said they had carried out an exercise of writing to the parents of every child presented at A&E with alcohol issues offering referral to Branching Out, not one referral resulted, in fact they received some complaints from parents.

Information of all attendances at A&E are sent to school nurses and we need to look at what we can do to support them. “Care pathway” developed for children and young people.

Action: Pat to look at how the School Health service deals with the data.

One of the Health Outcomes from World Class Commissioning was looking at alcohol/ substance misuse.

Debbie said they were developing a number of social marketing campaigns the first being for 11-13 year olds “don’t bottle it” and a follow up campaign around for example “revolving door at A&E”.

It was reported that Rihanna Begum a new alcohol worker (working with Shonagh and Sabrina) would be commencing in January.

Action: Geraldine to contact Jane Forrest for next draft of substance misuse needs assessment for circulation to the group.

4. Confirmation of Judgements from previous meeting

Covered in (3) above.

5. Review of A&E Data

Tracy circulated a spreadsheet breakdown of children admitted following an A&E attendance.

The data covered all of the ICD 10 codes between T36 to T65 relevant to poisonings of children and young people under 18 years of age. Tracy said looking at the spread there was a message that needed to go out to parents with regard to poisons. Pat said she had a vision of a rolling programme of health prevention (smoke free households etc) and this could be incorporated. The number of poisonings coded T51 as the result of alcohol only totalled 14 in 5 years. This figure was low compared to the data Debbie Bishop had received

Action: Tracy to look at ICD Codes with Debbie.

6. Be Healthy Theme Group Governance Arrangements

Pat reported that the future role of the Theme Groups was being discussed. She is keen for the Be Healthy Group to evolve into a more strategic group, with an overview of all key health groups. These groups would be asked to report on their workplans and outcomes on a regular basis.

National Indicator Sets were discussed and Debbie said the number of indicators were not unmanageable and it should be possible for these to be cascaded to the strategy groups for coordinated action plans.

A piece of work around mapping the National Indicator Sets to specific groups needs to be carried out, as this needs updating (carried out by Policy Unit within C&YP Partnership).

Action: Look at in more detail at next meeting.

7. Theme for the Meeting: 1.2 Healthy lifestyles are promoted for children and young people

7.1 Report Card – Food and Nutrition
Tracy reported a card produced by Sheila Simon looking at NI55 and NI56 rates of obesity and what dieticians were doing to reduce year on year figures. On target at 9.6% for reception and at 18.9% over target for year 6.

Matthew asked about prevention (eg. targeting parents of children more likely to get pregnant), was there anything in place with regards to obesity, looking at concrete ways to change behaviour.

Action: Take to Obesity Strategy group.

Judgement: Heartening but need information on outcomes/feedback/evaluation.

7.2 Report Card – National Healthy School Status
Adrian presented this report card saying they were looking at finding a way in which schools could contribute and build into the Ofsted consultation document.

Adrian went on to discuss the Ofsted consultation document which is about schools ability to contribute to wellbeing. He proposed three measures:

1. Indicators
2. Perceptions of pupils and parents (how we gather information)
3. Local Area well being using indicator sets (outlined on p12 of the consultation document – attached)

Ideally measures should be ones that schools are directly empowered to influence.

Action: All the group to email Ofsted questionnaire to Adrian to collate. Put on January agenda.

Judgement: Very heartened, looking at how we can build on and support. Again in future group would like details of health / feedback/evaluations.

7.3 Report Card – Childcare Providers
Tracy said this was a conglomeration of information from a number of sources looking at how (day-care) staff can influence what young children eat and drink.

Ofsted inspectors had looked at and the judgement “Helping Children to be Healthy” was made based on observation, reporting and evidence under a number of criteria.

A discussion ensued around the many “Cook and Eat’ courses and ‘Come and Cook’ sessions and it was felt evidence around outcome was required, had any feedback been received from attendees (positive effect on lifestyle). The need for a better document was discussed - Tracy to get find out whether evaluation and impact measures of the courses undertaken are collected.

Judgement: Heartening. Group would like information on outcomes/feedback/evaluations

8. CYPP Performance Monitoring – Be Healthy Section

Going to Partnership.

Exceptions reports would be prepared for all red and amber and the relevant people had been asked to send a report to Tom Coffey.

9. Any Other Business

None.

10. Date of Next Meeting

The date of the next meeting was agreed as 13th January 2009 in the Boardroom, New Century House.