{
  "status": "Proposals for discussion; not agreed council or NHS commitments",
  "clock": "Deadlines are elapsed days after a joint review starts, not statutory deadlines.",
  "actions": [
    {"id":"A01","priority":"Start now","issue":"Reliability of reported service gaps","action":"Reconcile all 17 service answers recorded as No against the original 2025 return, definitions, provision dates, contracts, eligibility and actual use. Ask the Commissioner to clarify 95 component rows versus the stated 96.","lead":"Council Director of Children's Services and corporate performance lead; Children's Commissioner data team","oversight":"Children and Young Futures portfolio; scrutiny","when":"Days 1–30","measure":"Published reconciliation: verified gap, reporting error, definition difference or unresolved for each row. Retain original and corrected versions.","evidence":"Dataset: 17 No answers score zero. Council describes educational psychology, youth clubs, young-carer support and a Children in Care Council; timing and definitions require verification.","source":"https://assets.childrenscommissioner.gov.uk/wpuploads/2026/10/The-Childhood-Lottery-full-dataset.xlsx | https://www.hounslow.gov.uk/schools-colleges | https://fsd.hounslow.gov.uk/synergyweb/family_service_directory/Youth_Clubs.aspx | https://www.hounslow.gov.uk/downloads/file/10616/looked-after-children-hounslow-pledge"},
    {"id":"A02","priority":"Start now","issue":"Where children face overlapping disadvantage","action":"Produce current 22-ward and LSOA aggregates for child poverty, bedroom overcrowding, children in temporary accommodation, housing hazards, age-specific service access and vaccination. Preserve separate indicator rankings and boundary years.","lead":"Council public-health intelligence and housing analysts; ICB analytics; CHIS provider","oversight":"Health and Wellbeing Board","when":"Days 1–45","measure":"Public table with numerator, denominator, period, boundary, suppression and missingness. No overall ward childhood rank until a justified method exists.","evidence":"Census housing is available for all 22 wards, but no residence-based ward vaccination data has been obtained.","source":"https://www.nomisweb.co.uk/datasets/c2021ts052 | https://www.nomisweb.co.uk/datasets/c2021ts044"},
    {"id":"A03","priority":"Start now","issue":"Vaccination records and later-dose completion","action":"Publish progress against the existing immunisation plan. Audit GP invitations, recalls, convenient appointments and CHIS record exchange. Reconcile moves, overseas records and unknown status before interpreting gaps.","lead":"NHS England London vaccination commissioner; GP vaccination leads; CHIS provider; NHS West and North London ICB","oversight":"Director of Public Health; Health and Wellbeing Board","when":"Days 1–30, then monthly","measure":"Overdue eligible children, successful contact, appointments offered, completed doses and unresolved records. Report GP-unregistered children separately.","evidence":"2025/26 MMR2 at five 71.8%; preschool booster 68.0%. These are recorded coverage measures, with London denominator and mobility limitations.","source":"https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-april-2025-to-march-2026 | https://www.england.nhs.uk/long-read/general-practice-vaccination-and-immunisation-services-standards-and-core-contractual-requirements-2/"},
    {"id":"A04","priority":"Pilot after record audit","issue":"Access barriers and reasons for missed vaccination","action":"Interview overdue families across housing types, preferred languages and backgrounds. Separate failed contact, booking, transport, interpreting, lost records, confidence and explicit refusal. Test supported catch-up sessions where verified need is greatest.","lead":"Public health; NHS commissioner and provider; health visitors; Family Hubs; community partners","oversight":"Health and Wellbeing Board","when":"Days 30–90","measure":"Additional completed doses, unresolved overdue children, completion after contact, cost per additional completion and differences between pilot and comparison areas.","evidence":"National evidence identifies multiple access and confidence barriers. Ward ethnicity or religion cannot establish an individual family's reasons.","source":"https://www.gov.uk/government/publications/national-immunisation-programme-health-equity-audit-2025/appendix-4-narrative-review-of-the-determinants-of-vaccination-uptake"},
    {"id":"A05","priority":"Start now","issue":"Overcrowding and poor rented-housing conditions","action":"Use current complaints, inspections and child-residence data to target hazards. Publish HMO inspections, hazards, repair deadlines and completion, repeat offenders and enforcement. Recode the register to current wards and confirm renewal status.","lead":"Council private-sector housing, environmental health and licensing; landlords and managing agents","oversight":"Regeneration and Economic Development portfolio; Housing portfolio","when":"Baseline by day 30; outcomes by day 90","measure":"Children's households with serious hazards resolved, median repair time, repeat hazards, suitable rehousing and inspections per eligible property.","evidence":"HMO register mixes old and current ward labels. Census overcrowding highest in Hounslow Central; converted/shared-house prevalence alone does not identify poor conditions.","source":"https://data.hounslow.gov.uk/@london-borough-of-hounslow/register-of-licensed-hmos | https://www.hounslow.gov.uk/strategies-plans-performance/housing-strategy-2025-2030/3"},
    {"id":"A06","priority":"Start now","issue":"Temporary accommodation and disrupted services","action":"Review accommodation suitability and length of stay for families with children. Pilot a documented health-and-school continuity check at placement or move, with lawful referral routes and named follow-up responsibility.","lead":"Council homelessness and housing teams; placing authorities; GP and health-visiting services; school admissions","oversight":"Housing portfolio; Health and Wellbeing Board","when":"Design by day 30; pilot by day 60","measure":"Children in temporary accommodation, moves, school and GP continuity, travel times, suitability failures and families in B&B beyond six weeks.","evidence":"Housing strategy already commits to prevention, accommodation suitability, data improvement and integration. Count Hounslow families placed elsewhere separately from families placed in Hounslow.","source":"https://www.hounslow.gov.uk/strategies-plans-performance/housing-strategy-2025-2030/3 | https://www.hounslow.gov.uk/strategies-plans-performance/housing-strategy-2025-2030/4"},
    {"id":"A07","priority":"Start now","issue":"Early development and missed reviews","action":"Check delivery of one-year and two-to-two-and-a-half-year reviews, completed assessments and follow-up. Use family hubs and early years settings to reach families missing contacts.","lead":"Council 0–19 Healthy Child Programme commissioner; health-visiting provider; early years services","oversight":"Public Health and Children and Young Futures portfolios","when":"Audit by day 30; recovery plan by day 60","measure":"Eligible reviews completed, waiting times, concerns identified and support actually started, by neighbourhood and mobility status.","evidence":"2024 SEND inspection identified insufficient developmental-review coverage; verify improvement since inspection.","source":"https://files.ofsted.gov.uk/v1/file/50264793"},
    {"id":"A08","priority":"Check current need","issue":"Dental access and child health","action":"Audit child dental access, referral completion and delays. Align supervised toothbrushing and access support with the highest-need early years settings where evidence supports it.","lead":"ICB dental commissioner and providers; council public health; early years settings","oversight":"Health and Wellbeing Board","when":"Current baseline by day 45; delivery review by day 90","measure":"Children seen, waiting time and treatment completion; distinguish dental attendance from disease prevalence.","evidence":"Reported dental attendance is a relative strength: 61.1% versus England 57%. It does not establish that clinical need is met; investigate current need before targeting extra resources.","source":"https://assets.childrenscommissioner.gov.uk/wpuploads/2026/10/The-Childhood-Lottery-full-dataset.xlsx"},
    {"id":"A09","priority":"Start now","issue":"SEND support and continuity","action":"Show delivery against the existing SEND improvement plan: neurodisability waits, learning-disability assessment pathway, current EHCPs, annual reviews, health provision for children educated outside school and transition support.","lead":"Council SEND leadership; NHS West and North London ICB; health providers; schools and colleges","oversight":"Children and Young Futures portfolio; SEND partnership","when":"Progress evidence by day 30; backlog milestones by day 60","measure":"Wait distribution, overdue reviews, amended plans issued, provision delivered and family-reported experience. Separate timely paperwork from actual support.","evidence":"Ofsted/CQC 2024 inspection found inconsistent experiences alongside strengths; council has a strategic improvement plan and a 2026 reform plan.","source":"https://files.ofsted.gov.uk/v1/file/50264793 | https://www.hounslow.gov.uk/send-local-offer-information-advice-support/send-transformation-programme/2"},
    {"id":"A10","priority":"Start now","issue":"Child-protection caseloads, transfer delays and domestic abuse","action":"Report action since the July 2025 focused visit on intake caseloads, transfer to safeguarding teams, handovers, reflective supervision and the impact of domestic-abuse interventions.","lead":"Council Director of Children's Services and safeguarding service managers; safeguarding partners","oversight":"Children and Young Futures portfolio; Children and Young People Scrutiny Panel","when":"Updated position by day 30; assurance review by day 90","measure":"Children awaiting transfer, time awaiting transfer, caseload distribution, completed handovers and audited reduction in risk.","evidence":"2025 Ofsted visit found effective early help, but high intake caseloads and transfer delays limited support for some children.","source":"https://files.ofsted.gov.uk/v1/file/50285469"},
    {"id":"A11","priority":"Verify gaps, then target","issue":"Youth provision, play and children's voice","action":"Reconcile reported absence of youth services against council-funded and voluntary provision. Map affordable sessions, opening hours, travel, accessibility and actual attendance. Give young people a visible role in choosing improvements.","lead":"Council youth services; voluntary providers; parks and transport teams; young people","oversight":"Children and Young Futures; Environment, Transport and Public Realm portfolios","when":"Audit by day 45; targeted offer by day 90","measure":"Sessions reachable and affordable, unique children reached, waiting lists, unmet demand and changes made following young people's input.","evidence":"Binary presence does not measure capacity or access. Current council directory and grants describe youth activities despite No-coded report answers.","source":"https://fsd.hounslow.gov.uk/synergyweb/family_service_directory/Youth_Clubs.aspx | https://www.hounslow.gov.uk/downloads/file/13098/thriving-communities-fund-revenue-25-26"},
    {"id":"A12","priority":"Joint structural action","issue":"Poverty, housing supply and environmental exposure","action":"Separate local service changes from funding, rents, affordable family housing, air quality and transport issues requiring London-wide or national decisions. Publish the specific investment request, responsible body and expected child outcome.","lead":"Council leader and housing/planning/public-health leads; GLA and TfL; relevant government departments; MPs for representation","oversight":"Cabinet and relevant external bodies","when":"Costed priorities by day 60","measure":"Funded homes and services, avoidable displacement, income support take-up, exposure reduction and progress against specific funding requests.","evidence":"The Commissioner states that childhood conditions include factors beyond a council's control. Demographic disadvantage is not evidence of individual service failure.","source":"https://www.childrenscommissioner.gov.uk/the-childhood-lottery/ | https://www.hounslow.gov.uk/strategies-plans-performance/housing-strategy-2025-2030/3"},
    {"id":"A13","priority":"Agree at outset","issue":"Public accountability for improvement","action":"Use one joint improvement table with a named delivery lead, political or NHS oversight, budget, dated baseline and outcome for every action. Report quarterly and ask scrutiny to examine unresolved gaps and corrected data.","lead":"Health and Wellbeing Board with council and NHS executives","oversight":"Cabinet; Children and Young People Scrutiny Panel; relevant housing scrutiny","when":"Baseline by day 30; first joint review by day 90","measure":"Outcome changes and inequality gaps, not only meetings, leaflets or sessions delivered. Publish limitations and explanations for missed milestones.","evidence":"Housing strategy already provides monthly delivery oversight, quarterly updates and annual reporting; build on existing governance.","source":"https://www.hounslow.gov.uk/strategies-plans-performance/housing-strategy-2025-2030/4 | https://www.hounslow.gov.uk/councillors-meetings-minutes/cabinet-portfolios"}
    ,{"id":"A14","priority":"Check current provision","issue":"Breakfast and wraparound access","action":"Verify current school breakfast and wraparound availability, affordability, opening hours and capacity against the summer 2024 school survey. Target verified unmet demand in higher-poverty neighbourhoods.","lead":"Council education and childcare teams; schools and trusts; providers","oversight":"Children and Young Futures portfolio","when":"Baseline by day 45; delivery plan by day 90","measure":"Schools offering accessible provision, children reached, waiting lists, fees and participation among low-income families.","evidence":"Report source: breakfast provision 80.9% versus England 94%; wraparound 51.5% versus 63%. Historical responding-school survey, not a verified current universal access measure.","source":"https://assets.childrenscommissioner.gov.uk/wpuploads/2026/10/The-Childhood-Lottery-full-dataset.xlsx"}
    ,{"id":"A15","priority":"Review individual suitability","issue":"Care placements and school stability","action":"Review out-of-borough placements and mid-year school moves for suitability, distance, the child's wishes, family contact and continuity. Identify preventable disruption without assuming every placement outside Hounslow is inappropriate.","lead":"Council corporate parenting and placement teams; Virtual School; partner providers","oversight":"Corporate Parenting Panel; Children and Young Futures portfolio","when":"Updated position by day 45; improvement milestones by day 90","measure":"Avoidable moves, placement and school continuity, travel, child-reported experience and sustained suitable placements.","evidence":"Report source: 65.4% of looked-after children placed outside borough versus England 49.2%; 10.3% mid-year school moves versus 8%. These measures alone do not establish placement quality.","source":"https://assets.childrenscommissioner.gov.uk/wpuploads/2026/10/The-Childhood-Lottery-full-dataset.xlsx"}
  ]
}