0-10 Scog (Children S Partnership)

0-10 SCoG (Children’s Partnership)

MINUTES

Date: / 21October2009
Venue: / Plas Pentwyn, Coedpoeth / Time: / 1.30 pm
NAME / ORGANISATION / Attend/
Apols / NAME / ORGANISATION / Attend/
Apols
Q1 / Q2 / Q3 / Q4 / Q1 / Q2 / Q3 / Q4
Cilla Robinson / (CP Chair) BCU Health Board / A / √ / Louise Hulme / WCBC PSD / √ / √
Lyn Millen / WCBC P and I / A
Angela Roberts / BCU Health Board / A / √ / Margaret Southall / WCBC HoS: Family Support / √
Carol Gardner / Third Sector: Dynamic / √ / √ / Mike Barclay / WCBC Play Development / √ / √
Caroline Selby / Third Sector: EYF / √ / √ / Nia Lloyd (for Laura Williams) / AVOW/Cymorth CYP Devel Officer / √ / √
Colin Powell / Third Sector: GVICC / Nick Williams (Dep: John Davies) / WCBC Primary Team / √ / √
Primary
Head teacher / Primary School TBC / Pat Kearsley / Third Sector: CPEYF / √ / √
Helen Edwards / WCBC P and I / A / Phyllis Matthews / WCBC WFIS / √ / √
Hilary Harriman / WCBC EY Lead Officer / √ / A / Ray Wells / Governors’Wales / A / A
Cllr. James Kelly / WCBC CYP Scrutiny Co-Chair / A / Sharn Jones / BCU Health Board
Jan Jones / HoS: PSD and CYFWP Co-ord / √ / A / Sue Aston / BCU Health Board / √ / √
John Davies / WCBC CO: Learning and Achievement / A / A / Tricia Hughes / Third Sector: Homestart / √ / √
John Gallanders / (11-25Chair) AVOW / A / Yvonne Harding / BCU Health Board
Lauren Pilling / WCBC PSD / √ / √ / Louise Woodfine / Wrexham NPHS / A
Marie Lebacq / WCBC CO: Safeguarding and Support / A / A / Clare Field / WCBC: Prevention and Inclusion / A / A
Cllr. Arfon Jones / WCBC Lead Member CYP / A / A
Guests/Representatives
Karen McFarlane / Children in Wales / Diane Hodson / Paediatric Liaison Nurse
Sam Turner / Research Assistant : SwanseaUniversity

Distribution: 0-10 SCoG; Chair of CYPFWP Board

Agenda/Points covered: / Responsible person:
12. Welcome, apologies and minutes

CR welcomed members and introduced guests- Karen McFarlane (Children in Wales), Sam Turner (SwanseaUniversity) and Diane Hodson (Paediatric Liaison Nurse).
Minutes:Minutesof July 7thwere confirmed as a correct record of the meeting.

Matters arising:

Page 2, Item 12.1 - Child Safety Scheme - SA updated the group on the actions of RR. A diary sized leaflet has been produced for Health Visitors listing the benefits that people are entitled to in order to access the Child Safety Scheme.
SA raised the issue of the safety gate fitters (Child Safety Scheme equipment) not having CRB checks. SA was concerned that health visitors are therefore currently signposting, often vulnerable, parents to a scheme that parents will think is safe, but which the external fittersdo not have CRB checks. The safeguarding issue of this was raised and MS agreed to discuss the issue further with Francine Salem and Marie LeBacq and to also inform Sue Robins who deals with CRB checks. MS will inform SA of the outcome of the discussions.
SA to discuss the issue with Michelle Denwood to consider whether Health Visitors should stop referring to the Child Safety Scheme until CRB checks are in place.

LH raised the issue of home safety in the Accommodation Task and Finish Group. LH was advised to contact Rhys Horan to discuss further.
Page 3, Item 12.2 – What works in Wrexham? – LP reported that GB from Families Learning is keen to include home safety in the menu of options. LP to meet GB to discuss further and report back to the 0-10 SCoG in January.
Page 4, Item 12.4 – Agreement of headline indicators/performance measures – Dr Sen (Consultant in A&E) was unable to attend this meeting of the 0-10 SCoG.

/ MS
SA
LH/LP
LP
13. 0-10 SCoG special interest/scrutiny: Unintentional injuries in 0-4s
13.1 Presentation from the Second Injury Prevention Conference

PK and CS circulated the notes from the conference on September 24th and 25th2009 and the following key points were highlighted:

The essential requirements for effective injury prevention: Children in less affluent areas are at a greater risk of sustaining injuries. 5 essential requirements for reducing accidents include: education, empowerment, enforcement, engineering and engagement.
The potential for elimination of domestic fire deaths and injuries: Sprinkler systems are proven to be effective in domestic properties and are relatively cheap to fit in new homes. KMc to email links on domestic fire death and sprinkler systems to LP to circulate.
Home safety:SwanseaUniversity have developed a database to identify vulnerable groups who can be targeted for Fire and Rescue Home Safety Checks. There are a high number of thermal injuries in areas of deprivation and a study into thermostatic mixing valves (TMVs) found that they are a cost effective intervention as part of a new build or refurbishment.
Improving early relationships: Parenting newsletters focusing on each stage of development from birth have been produced. They can be purchased for a one off payment of £1000 to cover copyright and enable the reproduction of the newsletters. 0-10 SCoG members were keen to look at the newsletter more closely and agreed for a small working group to be set up to look atactions.
ACTION: Small working group to convene to look at actions to reduce unintentional injuries and feed back to the 0-10 SCoG.
All presentations from the conference can be downloaded from the Children in Wales website. / KMc
LP
13.2 Approaches to action planning from other authorities
Progress P-MAP and identify actions and lead organisations

KMc raised the benefits of a smaller working group being formed to agree the key actions for the action plan. This group would include representation from the following agencies: childcare providers, education, health, housing, welfare rights, social housing, trading standards, school nurses, play, flying start/sure start, family centres, fire and rescue, community safety, environmental health, NPHS.
KMc explained that she is working with 12 out of the 22 local authorities in Wales on home safety. No local authority has yet to produce a final action plan, yet early indications show that local authorities are heading in the same direction in terms of their local approach to improving home safety.
The aims and purpose of the 0-10 SCoG special interest task were discussed, with the group considering the financial and social costs of accidents in 0-4s, as well as the human and emotional costs.
KMc discussed the task as written in the CYPP and the benefits of rewording the task to be more focused and including fatalities, serious injuries and disabilities. KMc proposed a re-word of the task:To reduce fatalities, serious injuries and disabilities in the 0-4s in the home.
The group discussed how the original CYPP task was taken from the HSCWB Strategy and any changes would need to be raised at the CYPFWPB.

ACTION: LP to discuss with JHJ the issue of re-wording the CYPP task

KMc informed the group that actions are only effective if they are based on at least 2-3 of the following :

Engineering
Education
Enforcement
Engagement
Empowerment

Education must be integral to all activities planned in order to be effective, as simply handing out leaflets or providing safety equipment to parents will not be effective unless combined with information on correct usage.
Empowerment is an important element and KMc advised involving the community in the small working group that should be set up to look at actions. LP will liaise with JS re. linking in with Communities First.
The importance of involving the Gypsy and Traveller community in the action planning group was also raised. LP to liaise with SB.
KMc discussed the importance of the group linking in with the Fire Service and advised that an action should be to support the Fire Service in the promotion of free home safety fire checks.
To aid the development of the action plan KMc will email a good practice guide to LP, which lists the evidence based activities. One of the activities discussed was the use of puppets to change behaviour. This intervention is aimed at young children and focuses on different elements of home safety, such as poisonings and is aimed at children aged 2 years and above. Educating professionals, parents and children could include childcare settings, clinics, parenting groups, Flying Start settings, family centres etc.

The importance of combining home safety schemes with education on correct usage was raised, yet KMc reported that no one single home safety scheme has been proven to be most effective.
The group discussed whether the Wrexham Child Safety Scheme gate fitters accompany the installation with education on correct usage, such as when to remove the gate at different stages of development.
The group discussed the need to find out more about the Wrexham Child Safety Scheme, in terms of timescales from referral to installation, processes and personnel involved in installation, the equipment provided and whether it is accompanied with education.
There is also a need for families to receive follow up visits to check that they are using the equipment correctly and to provide safety advice at different stages of child development. This issue will be discussed in more detail by a small working group.
The difficulties involved in measuring the effectiveness of interventions were raised. KMc advised of the dangers of solely using statistics to measure progress and impact, due to external factors possibly skewing results, i.e. new housing developments. As 60% of accidents in the home are due to behaviour, actions should focus on changing behaviour and progress measured using qualitative data.
KMc advised the group to baseactions on national trends, as Wales follows the UK trends and the UK follow the European trends.
The top UIs in Wales, UK and Europe include the following:

Falls - from a window, up/down stairs, from a high chair and baby bouncer;
Poisoning - medication and household items;
Burns and scalds - hand contact (short term disabling), hot drinks, bath water and chip pans, with baby walkers being the main causes of falls, burns and scalding.
DH reported that the Wrexham statistics on the causes of UIs in the 0-4s echo the main causes of accidents as listed in hierarchical order above.
KMc explained that she had read our draft P-MAP and would email LP with her comments to help to refine the actions based on evidence based interventions. We will focus on what we are currently doing and what we can do more effectively.
KMc offered to attend the first meeting of a small working group and to lead a workshop based on agreeing the main actions to focus on.
KMc informed the group that the Results Based Accountability (RBA) approach will help the 0-10 SCoG with the actions on changing behaviour and discussed the RBA courses that will be held by the Partnership Support Unit. CR asked LP to circulate information re. the RBA courses to the 0-10 SCoG.

/ LP
LP
LP
KMc
LP
Working group
KMc
KMc
LP
13.3Using data to support injury prevention

Samantha Turner gave a Power Point presentation on using data to support injury prevention. The following key points were highlighted:

The current All Wales Injury Surveillance System (AWISS) is funded by WAG to collect information on all injured people attending A&E departments across Wales to support research and injury prevention. AWISS has not previously covered all of Wales – just 4 hospitals;
A&E data collected in AWISS include: age, sex, diagnostic type (injury diagnosis), anatomical area (region of the body), patient group (cause of injury), incident type (location of injury);
The Emergency Department Data Set (EDDS) will be compulsory for all major hospitals from April 1st2009, including Wrexham Maelor;
EDDS has new injury orientated data fields which will standardise the format of A&E data collectionacross ALL major hospitals and will improve local level analyses, as well as national estimates of injury;
AWISS data can be linked to other health and environmental data sets to provide a bigger picture of the types of people injured in Wales. We can link injuries to deprivation, due to the data allowing us to link an individual to the immediate environment surrounding the home;
A patient journey analysis can also be produced which tracks a journey over time, such as A&E attendances, hospital admissions, outpatient attendances, GP correspondence, contact points with professionals and lifeline pendants installed.
ACTION: LP to circulate the PowerPoint presentation to 0-10 SCoG
Available data from Health (DH)

DH led the group through the data and highlighted that the Wrexham data follows national trends in terms of the main causes of unintentional injuries. DH explained that health visitors follow up A&E attendances and are therefore able to find out about the causes of injuries. DH to email the data to LP to circulate to the group.

Agreement of headline indicators/measures

Group discussed the draft headline indicators and measures in the P-MAP and agreed for a small working group to meet to look at the actions and measures in early January. KMc agreed to attend and lead the group to discussing and agreeing actions and indicators that are meaningful and collectable.

/ LP
DH
Working group
14. Standing Items
14.1Childcare Sufficiency Assessment

SE explained that the draft Childcare Sufficiency Assessment (CSA) Action Plan had been completed in consultation with childcare providers and was taken to the EYDCP in October 2009.
The childcare provider group that took part in devising and consulting on the CSA action plan will now be formalised into a CSA Task and Finish group. The group will meet quarterly to monitor the actions within the action plan and ensure that it meets all recommendations highlighted in the Wrexham CSA 2008 and the WAG review.
Progress updates will be reported to the 0-10 SCoG by SE/PM/LP.

/ SE/PM/LP
15. Other Items Tabled
15.1Play Strategy

MB gave a presentation on the Play Strategy which has been endorsed. The following key points were highlighted:

Play is essential for children’s holistic development and society should seek every opportunity to support it and create an environment that fosters it;
Play is a child’s right;
The aim of the Play Strategy is “to increase the number of children and young people having regular access to a wide range of play opportunities within their own community”.

The Play Strategy and presentation will be put on the 0-10 SCoG website.

/ LP
16. Report(s) Required / Tabled for Next Meeting

JHJ to update partners on Cymorth in theJanuary meeting as it was deferred Oct 09
Report from unintentional injuries working group
Childcare Sufficiency Assessment – update (standing item)

/ JHJ
LP
SE/PM/LP
17. AOB

Nothing raised.

Date and time of next meeting(s):
NEXT FULL 0-10/11-25 MEETING: Wednesday January27th2010
TIMES: / 10:00 - 12:00 pm / 11-25 SCoG (YPP):
12.15 – 13.15 pm / Working Lunch and Joint Business Meeting
13:30 - 15:30 pm / 0-10 SCoG (CP)
VENUE: / Erlas / Committee Room 3
Please note: Attendance at 0-10/11-25 meetings is important if we are to make progress on CYPP Key Tasks and ensure that all relevant agencies contribute to this. If you cannot attend a meeting you must send a fully-briefed nominated deputy to represent your organisation. Failure to attend meetings will, in future, be followed up. Continued failure to attend will lead to a management discussion to establish if the right person has been identified by the organisation. Obviously, it is expected that apologies will be given well in advance, not least so that precious funds are not wasted on food which is not needed.
The joint business meeting will start promptly at 12.15; please try to be on time and note that there is an expectation that 11-25 members will stay for this part of the meeting and that 0-10 members will arrive in time for this part of the meeting.