Notes from the Autism MK Partnership Board 18th April 2016 at Milton Keynes Council Bronte Suite Room, Civic Offices People who were there: Ann Spencer, DEA MK Job Centre Plus Bernard Atkins, Autism Trainer Caroline Keen, Youth Advice and Guidance, MKC Carolyn Pierson, Healthwatch Milton Keynes Dominic Goodsell, Director, The Practice MK Dr Andy Evans, Parent Florinda Talbot, Registered Manager, Rhodsac Care Home Gerhard Fritz, Clinical Psychologist Helen Dean, MD, Care Services MK (CIC) Jane Lynds, Board Chair & Disability Consultant Janet Dawe, Parent / MH Service user, Healthwatch & Mental Health involvement Jerry Aldons, Manager, Walnuts Care John Head, Parent Carer John Frank, Registered Manager, Care Support MK Kevin Mangan, CDW, POhWER Laura Marley, Inclusion Manager, MK Snap Lisa Galloway, Operations Director, Precious Homes Lisa Munro, Specialist Teacher Manager, MKC Liz Cypher, Head of Care Services MK (CIC), MKC Michaela Gallimore, Talkback Nicky Brunt, Registered Manger, Autism Care UK Nigel Brown, Talkback Nina Soloff, Speech & Language Therapist, CNWL MK Nir Leuchter, Autism Trainer Norman Cummings, MKC Youth Worker, ASPECTS Trust Pete Njoroge, Registered Manager, ABI Homes Robin Goold, Joint Commissioner, Milton Keynes Council Victoria Sharp, Service Manager, Mind BLMK Linda Riddy, Business Support Assistant (notetaker) People who could not attend: Amanda Boursaki, Senior Manager, Speech & Language Therapy Anne Matthews, Care Support Worker, Carers MK Anthony Tull, Autism Trainer Macintyre Byrony Parsler, Service User Carol Head, Parent Autism Partnership Board April 2016 Page 1 of 7 www.milton-keynes.gov.uk/social-care-and-health/adult-social-care/autism Facebook: Autism MK Twitter: @AutismMK Carol Moughton, Network & Engagement Manager, MKCIL Caroline Snelman, Admin PA, Care Support MK Charlie Swan, Carer, Careforum Chris Ford, Autism Social Worker, Milton Keynes Council Irena? Judy Eismore, Camphill Julie Lack, Speech & Language Therapy Assistant, Slated Row School Karoline Constance Dahl, Service User Lee Taylor, Equality Worker, Milton Keynes Council Nikki Parsler, Parent & MK Private Landlords Association Nomsa Tshabalala, Deputy Service Manager, Milton Park Home Rebecca Parsler, Carer Richard James, Community Support Worker, Milton Keynes Council Sara Tunnifcliffe, Assistant Head teacher, Walnuts School Simon Rice, Autism Trainer, Talent Unlimited MK Tom Harris, Volunteer POhWER Tracey Bayley, PACA NAS MK Branch Action 1. Introductions Jane Lynds welcomed participants. Introductions were made with an explanation of how the meeting will work. 2. Update by Robin Goold, Commissioner Robin Goold provided an update on the work reviewing the Autism Strategy Implementation Plan. Robin wants to streamline this and bring back to the board for agreement on the boards priorities. The review process needs to look at what has been achieved and what work still needs to be done. Jane Lynds offered to share the RAG rating report in the meeting which details the tasks, (18 pages long). Robin emphasised there is a priority to focus on the major items first, but what was clear from this work was that there had been some achievements and progress had been made but there were still major tasks that needed implementing. Jane spoke about the RAG rating in the strategy implementation plan and explained the importance of ensuring all the processes are logged. Jane talked though the main headings on the RAG report, including the key areas such as pathways, training, and diagnostic service. Robin reported that he had attended a workshop held at the CCG that involved lots of people who work with children and young people, some of whom have autism, with behavioural needs. There were people there from Health, Education and Social Care. Robin shared the following information:Funding for Diagnosis Service wasn’t agreed through the Better Care Fund (BCF), but the BCF did recognise the need to provide a service with funding from elsewhere. The service is now a top priority of the commissioning Autism Partnership Board April 2016 Page 2 of 7 www.milton-keynes.gov.uk/social-care-and-health/adult-social-care/autism Facebook: Autism MK Twitter: @AutismMK Action intentions for the Mental Health and Learning Disability Programme Board at the Clinical Commissioning Group (CCG) which is good news. Robin also reported that conversations are taking place as to how we can offer the service in Milton Keynes for people 16 and over. Letters have gone from Gerhard Fritz to those on the waiting list informing them of the current situation. Robin is looking at the use of Individual Funding Requests (IFR) to fund diagnosis in the interim. Robin noted however that this would not be a solution, and would dilute the resource for building clinical knowledge of autism in Milton Keynes. Robin reported that Trevor Thompson is currently reviewing the resource in his teams to see how we can meet peoples social care needs and address the waiting list under social care. This includes young people in transition with autism as a priority group. Funding for autism trainers, will continue for this year. The APB will need to rewrite the strategy soon. Robin spoke about the new Transformation Care Partnership between Milton Keynes, Bedfordshire and Luton Councils and CCG’s (4 local authorities and 3 CCG’s). This is focussed on supporting people with Autism and mental health conditions to be supported better in the community and not hospitals. This work includes Children and Adults. Robin reported that a plan had to be produced for NHS England. The aim is to pull in the high level expertise from other areas. The work had meant the identification of gaps and plans to address these. This had been a big piece of work in a very short space of time, although Robin had discussed with members of the board there had not been time to fully consult. Jane mentioned it is worth noting for the minutes that we have made progress with the training. Robin was asked questions by the group on: Janet Day asked - looking to the wider area, do you think this will address the ‘out of area’ problems for people with Mental Health conditions, including children? Robin replied that he wondered if NHS England had chosen Learning Disability and Autism, because they are relatively small groups of people who attract a lot of funding, to start these pieces of work. NHSE have talked about devolving specialist commissioning and there has been press coverage of these issues. There is a feeling that this project is being used to Autism Partnership Board April 2016 Page 3 of 7 www.milton-keynes.gov.uk/social-care-and-health/adult-social-care/autism Facebook: Autism MK Twitter: @AutismMK Action test the ability of local areas to manage these types of needs and develop infrastructure locally. Robin stressed though this was a personal opinion and not NHSE policy. Norman Cummings informed the board that a group has been established called ASPECTS Trust, a group that has moved from local authority to a stand-alone charity. Aspects is running transitions groups and activities. 11-19 year olds groups are well established. Looking to develop for 25-30 year olds. Robin said if he has any further information he could communicate it through the APB mailing list, that would be welcomed. RG thanked him for the update. 3. Group Discussions Jane introduced the group discussions and asked attendees to form 3 groups to discuss: NHS MK report (circulated with agenda) – who should receive this APB report? Suggestions on future APB meetings, subjects, speakers Each group was asked to document their thoughts and questions. Feedback Jane reintroduced the group discussion topic. First Group - Bernard Atkins and Nigel Brown’s feedback included:– Sharing the NHS MK report with the following organisations but a good starting point would be to share with all service providers. Joined up working is what is needed. MKUHFT CEO (hospital MK) Social Care (MKC) representatives CCG COO and Board members Head of CAMHS Councillors Police and Probation representation Minister for Health All local GPs/Practice Managers Suggestions as to who we could invite to future APB meetings/workshops i.e. subjects, speakers: Councillors (i.e. N. Long, I. Stewart, M. Lancaster) Invite an autism lead from another hospital Parent / Carers - success stories Criminal Justice System representative People who can share best practice e.g Bedford Autism Partnership Board April 2016 Page 4 of 7 www.milton-keynes.gov.uk/social-care-and-health/adult-social-care/autism Facebook: Autism MK Twitter: @AutismMK Action Second Group – Jane Lynds feedback included:Sharing the NHS MK report – As well as suggesting some of the above ideas the following was also recommended: ASTI Mind BLMK Head of SEN Special Needs school, e.g. Redway, Walnut Tree Parent / Carer groups via Facebook Cabinet member Head of People Hospital MK MK College / Moulton College Saxon Clinic / Private clinics Walk in Centre at hospital Senator III MEPs Autism Trainers could hand out information during training sessions Suggestions on future, subjects, speakers and what needs to be considered for APB. To look at the NICE guidelines (does this fit in with our service) Transitions GPs – Sharing good practice NAS accreditation Q&A session with MPs Employers who support employees with a diagnosis (The Open University) Job centre and getting people with disabilities into work Find an example of where it is working elsewhere Education – what is available? Community learning MK MK Chamber of Commerce – Employment / training / businesses – to link in with their forums CEO of MK Local Authority – Q&A session Police – what are they doing and how can we support as a board. Third Group – Gerhard Fritz feedback included:As well as suggesting some of the above ideas the following was also recommended: Who does the APB board need to report into? How do we take jobs and tasks onto the next stage? Feedback mechanism Strategy of the APB linked to Outcomes Agenda setting by the APB (specific) Governance arrangements (unclear for MK) Third sector involvement (voluntary and charity organisations) Carers assessments (speak to Carers MK) A standardised APB circulation group is required, and to include Healthwatch. The key is how does the APB communicate and how does the Autism Partnership Board April 2016 Page 5 of 7 www.milton-keynes.gov.uk/social-care-and-health/adult-social-care/autism Facebook: Autism MK Twitter: @AutismMK Action board take on a voice of it’s own, and not to rely on an individual i.e. Robin. Robin said it was important that the APB is it’s own entity and needs to acts as such. Follow up is very important and encouraging feedback from the individual or organisation is paramount. Drawing feedback and including it as an agenda item would be a good idea. Other suggestions “send local offers” reach out to motivated parents and carers – code of practice – cascade info and reports Individuals could write a letter to the Minister for Health It was strongly felt by some members of the board that the hospital should ensure that their staff have live autism awareness training which should include the use of a trainer/s on the autistic spectrum. Who is Bedfordshire CCG Autism Lead? RG New Adult Carers Training Update Ann Matthews not in attendance today, is taking retirement from Carers MK. Robin agreed to speak to Carers MK about training. RG 4. 4a 4b Talent Unlimited MK Autism Progress Ongoing - members are attending meetings, (crowd funding didn’t work), Jane encouraged the group to look up the search address ‘talent unlimited MK autism’ on MK YouTube. 4c Trainers Update Continuation of money given to Equality Works to facilitate the Autism Trainers. No further updates 5. Minutes and Matters Arising The minutes were agreed as an accurate record of the meeting. RG agreed to e-mail Dr. Julian Bradley (CCG Board) for a copy of the boards NHS MK document. RG “Experts by Experience” – funding is continued for Equality Works to facilitate this project. 6. Any Other Business Links with other boards Autism Partnership Board April 2016 Page 6 of 7 www.milton-keynes.gov.uk/social-care-and-health/adult-social-care/autism Facebook: Autism MK Twitter: @AutismMK Action Carers assessments Robin has been working with a Core group of The LD Partnership Board and RG the board will start running again soon. Robin wants to complete mapping about how we can spread information from the boards, there is likely to be a lot of crossover. Carers Assessments– There were two issues here. One is Carers MK small pilot, the other is what part of the system is responsible for assisting carers needs. Have we got website that will help delivery of information i.e. autism on facebook page etc.? Brand, marketing, could we find the resource? and where? Directory update - Karen - purchased from autism beds. Janet Day - MH Partnership Board happy to communicate. Janet Day - Mix update – website to be up and running soon. If someone IT literate could assist it would be welcomed. Healthwatch website reaches out to Healthwatch members. Healthwatch has spoken to the hospital and Diane Gordon has given a response. Jane asked if the APB agenda could go onto the Healthwatch website? CP will ask. 7. Date of next meeting Agreed to meet on 11th July at Civic Chambers 8. Closing Comments by Jane Lynds Autism Partnership Board April 2016 Page 7 of 7 www.milton-keynes.gov.uk/social-care-and-health/adult-social-care/autism Facebook: Autism MK CP Twitter: @AutismMK
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