Agenda and minutes

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No. Item


Apologies for absence and clarification of alternate members

Notice of items to be raised under this heading must be given in writing to the Head of Executive and Member Services or his representative before the meeting in accordance with Standing Order 64.


Apologies for absence were received from Councillors Colwill and Shahzad and from appointed observer Jean Roberts.


Declarations of interests

Members are invited to declare at this stage of the meeting, the nature and existence of any relevant disclosable pecuniary or personal interests in the items on this agenda and to specify the item(s) to which they relate.


Councillor Sheth declared a personal interest as Lead Governor of the Central and North West London NHS Trust.


Deputations (if any)

To hear any deputations received from members of the public in accordance with Standing Order 67.


There were no deputations received.



Minutes of the previous meeting pdf icon PDF 117 KB

To approve the minutes of the previous meeting held on 18 March 2019 as a correct record.





that the minutes of the previous meeting held on 18 March 2019 be approved as an accurate record of the meeting.


Matters arising (if any)


There were no matters arising.



Update on Transforming Care Programme: Learning Disabilities pdf icon PDF 235 KB

This report provides the background to why the Transforming Care programme was developed and an update on Brent’s progress against national and regional requirements and/or priorities, and confirms the priorities for this year agreed at the Health and Wellbeing Board in January 2019.

Additional documents:


Councillor Farah (Lead Member Adult Social Care) introduced the report and advised that Helen Woodland (Operational Director Social Care) and Helen Duncan-Turnbull (Head of Service, Complex Care) were present to help address members’ queries. Helen Duncan-Turnbull highlighted that the report updated the committee on the progress achieved with respect to the delivery of the transforming care plan (TCP). It was explained that the TCP aimed to reduce inpatient admissions for people with learning disabilities, ensuring that there was sufficient support available in community settings, with the ultimate aim of improving quality of care and quality of life. The report outlined Brent’s progress against the national and regional requirements and set out the priorities for the current year as agreed at the Brent Health and Wellbeing Board in January 2019.


To achieve the national TCP, Brent had four work streams in place: Market Development; Reduction in the number of NHSE and CCG in-patients; Integration of the Health and Social Care Learning Disability teams; and, Transitions.  Drawing the committee’s attention to the progress made against the key milestones for each of these priorities, Helen Duncan-Turnbull advised that all of these had been met and were being monitored both by the North West London Steering Group and at a local level. Furthermore, Brent had exceeded the milestone relating to accommodation for people with Learning Disabilities due to the council’s New Accommodation for Independent Living (NAIL) project. A key area of challenge related to the support for those individuals with complex needs. Brent currently had ten people in specialist commissioned beds and currently, forensic support was lacking across North West London, with particular concern for outlying boroughs such as Brent. A further area of challenge was the potential financial pressures relating to individuals with complex needs who had been in-patients for less than five years. The NHSE provided funding for those who had been in-patients for five years or more to support discharge plans and community provision; however, seven of the ten individuals were not eligible for such funding, representing a financial pressure for the CCG or local authority going forward.


In concluding her introduction, Helen Duncan-Turnbull highlighted next steps and priorities for the coming year, which included the establishment of an Autism Board and the further development of specialist accommodation via the NAIL project, with a particular focus on the complex support needs of the ten individuals previously referred to. It was noted that the 0-25 Disabilities Team and the Integrated Health and Social Care Team had now been established. With regard to the later work would focus on improving the cohesion of the team, with a service review due later in the year to monitor progress.


Duncan Ambrose (Assistant Director, Brent CCG) outlined the practical monitoring arrangements supporting the work of the TCP. The committee was advised that a weekly monitoring call was held to discuss each in-patient with Learning Disabilities and consideration given to how their discharge could be accelerated. A risk register was maintained for those at risk of becoming  ...  view the full minutes text for item 6.


Community and Wellbeing Scrutiny Committee Work Plan 2018 - 2019 Update pdf icon PDF 113 KB

The report updates Members on the Committee’s Work Programme for 2018/19 and captures scrutiny activity which has taken place outside of its formal meetings.


RESOLVED that the contents of the Update on the Committee’s Work Programme 2017-18 report, be noted.



Any other urgent business

Notice of items to be raised under this heading must be given in writing to the Head of Executive and Member Services or his representative before the meeting in accordance with Standing Order 60.