Issue - meetings

The following were reported:-

(1)    Attendance at a meeting of specialist commissioners by Councillor Dalton.

(2)   NHS England’s Commissioning intentions had  been received and would be circulated.

(3)   Rotherham was 1 of 6 areas in the country that had successfully secured funding from the local area CCG and the Police and Crime Commissioner for a pilot initiative for mental health patients in custody.  There would be mental health practitioners working alongside the Police and Council employees to identify those with possible mental health issues.  An update would be submitted in due course.

(4)   “Ramp up the Red” – a national Heart Town initiative – would run though the month of February.

-          Minutes of the Obesity Strategy Group held on 23^rd October, 2013 (Pages )

-          Winter Pressures Grant (Pages )

-          Yorkshire and the Humber Clinical Senate (Pages )

(a)    Obesity Strategy Group

The minutes of the above Strategy Group, held on 23^rd October, 2013, were noted.

(b)    Winter Pressures Grant

Correspondence had been received from Sir David Nicholson, Chief Executive, NHS England, with regard to additional Winter Pressures monies that was being made available to the NHS to support effective delivery of Winter Plans.  The Rotherham CCG would be receiving £1,228M.

The additional resources should be used to secure resilient delivery of the services to patients through the winter and would involve:-

-          Schemes to minimise A&E attendance and hospital admissions

-          Improvements to system flow through 7 day working across hospital, community, primary and social care with innovative solutions to tackle delayed discharges

-          Specific plans to support high risk groups

It was noted that the Urgent Care Board had met that morning and considered bids submitted by the Local Authority, RFT and the Ambulance Service.  All bids had been successful and funding secured.

(c)    Yorkshire and the Humber Clinical Senate

An update was provided on the development of the above Senate.  In accordance with the national guidance, it would need to provide a broad, strategic view on the totality of healthcare with Yorkshire and the Humber, bringing together experts to understand the impact of any 1 single initiative, or group of initiatives, upon the wider geographical area.  The aim was for it to be a well-respected organisation whose judgements were trusted by commissioners who would call upon the Senate on issues ranging from quality standards and inconsistencies, the development of care pathways or reconfiguration proposals.

The Yorkshire and the Humber was following the national proposed structure of a Senate Council and a Senate Assembly; the Council being a core multi-disciplinary group to oversee Senate business, receive objective data/information and co-ordinate the formation of advice and the Assembly being a diverse multi-professional forum providing perspectives, ideas and expert opinions encompassing the birth to death spectrum and providing a source of experts for the Senate Council to draw upon.

Interviews for the Senate Chair had been held on 10^th December, 2013 with the successful appointment being announced shortly.

A nursing representative and a clinical commissioner from within South Yorkshire and Bassetlaw was being sought and would be encouraged to apply for a position on the Senate Council.

It was felt that consideration should be given to a South Yorkshire-wide Health and Wellbeing Board meeting be held in 2014 once the Senate was established.

(d)    Award

The Chair reported that Rotherham had been listed for an award by a national organisation. 

(e)    111 Centre

The Chair reported that he was to visit to the 111 Centre the following day.

The Chairman reported receipt of the following correspondence:-

“Think Pharmacy” – following on from the 2 successful events held in September, information packs were available.

Derbyshire Advocacy Service had submitted a funding application to the Big Lottery Fund.

Shaping our Lives – a partnership with Disability Rights UK and Change which included a brief guide to commissioning user-led services.  It was agreed that the letter be forwarded to the Health and Wellbeing Steering Group for consideration.

(a)    Rotherham Foundation Trust

Dr. Trisha Bain reported that an Interim Chief Executive (Louise Barnett) had been recruited and would be taking up the appointment on 18^th November, 2013.  A Deputy Chief Executive had also been recruited.

(b)    British Heart Foundation

Councillor Wyatt reported receipt of a letter from Simon Gillespie, Chief Executive, British Heart Foundation, offering support towards Rotherham’s application for the Local Government Chronicle Award in the category of Public-Public Partnerships, for the strong partnership Rotherham had created for the Heart Town.

Resolved:-  That a copy of the letter be circulated to all members of the Board.

The Health and Wellbeing Board discussed the following issues:-

(1) Rotherham Borough Council Cabinet Member responsibilities – Councillor Wyatt referred to recent changes to the Council’s Cabinet Member responsibilities, which would be in place temporarily; as a consequence, Councillor John Doyle would act as Chair of the Health and Wellbeing Board during that period of time.

(2) Making Every Contact Count : Applying the Prevention and Lifestyle Behaviour Change Competence Framework – a workshop is taking place at the Town Hall, Rotherham on Monday 16th September, 2013, with contributions from Leeds City Council and from the North Derbyshire Community Council (a report about this workshop will be submitted to the next meeting of the Health and Wellbeing Board).

(3) The first meeting of the South Yorkshire Joint Health and Wellbeing Board will take place on Thursday, 19th September 2013 at the Council’s Riverside House building.

(4) ‘Think Pharmacy’ – this event will take place on Thursday 26th September 2013, at the New York football stadium, Main Street, Rotherham.

(5) The Regional Parliamentary Health and Well Being event – this event will take place on Friday, 25th October at the NHS Rotherham building, Oak House, Moorhead Way, Bramley.

(6) Self-Assessment of the Health and Wellbeing Board – the self-assessment is a part of the work plan for the Health and Wellbeing Board; all Members are encouraged to complete and return the evaluation document. A report containing an evaluation of the self-assessment will be submitted to a future meeting of the Health and Wellbeing Board.

(7) NHS Sustainable Development Unit – assessment of environmental performance – the document would be issued to Members of the Health and Wellbeing Board so that they may submit the appropriate returns giving evidence of their organisations’ environmental performance. It was noted that the Borough Council has submitted its Environment and Climate Change Strategy document, as part of this assessment process.

The Chairman referred to the challenge event taking place today at the Home Office about mental health issues.

Delivery of Winterbourne View Concordat and Review Commitments (pages 14-16)

Environment and Climate Change Strategy/Sustainability Appraisal (pages 17-40)

Stroke Association

Midwifery Council

Translation Services

(a)   Delivery of Winterbourne View Concordat and Review Commitments

Shona McFarlane, Director of Health and Wellbeing, reported that immediately after Winterbourne, a Joint Improvement Programme had been put into place.  The Joint Disabilities Learning Service had responded to the questions around the number of customers it had in hospitals and other secure settings.  A Winterbourne View Concordat stocktake was now in place, which required local services to complete a detailed self-assessment.  It was also known that there would be an annual report, format unknown at the present time, which would cover other elements of the Concordat action plan.  The stocktake was due to be completed by 5^th July.

Presently, Rotherham was aware of 5 residents, 1 placed in a hospital setting funded through Continuing Health Care on a temporary basis and the remaining four were funded through special commissioning in a hospital setting. The latter 4 were settled in their current placement as it was appropriate to their needs.  All annual reviews had been undertaken; families and advocates having been fully involved.

A report would be submitted to the Board in due course.

(b)    Stroke Association

The Chairman reported receipt of correspondence from the Stroke Association which highlighted the effects of strokes on survivors and the issues they faced.  Strokes were the biggest cause of long term disabilities for adults in the United Kingdom.  The Association was asking that the needs of stroke survivors be considered when the Joint Strategic Needs Assessment was reviewed and strategies developed,.

Resolved:-  (1)  That the above be fed into the Joint Strategic Needs Assessment Team.

(c)     Midwifery Council

The Chairman reported receipt of correspondence from the Midwifery Council on the future of the Maternity Liaison Committee.  A meeting had been set up to discuss further.

(d)    Translation Services

The issue of costs and sustainability of translation services had been raised at a recent meeting with the Local Medical Committee.  It was an important issue not only in Primary Care but also all services accessed by citizens. 

A discussion had taken place at a meeting of the Chief Executives with partner agencies asked to ascertain if there could be a co-ordinated approach with a pooling of resources.  It was felt that it should go further than just a translation service, but provide/signposting citizens to where they could learn/enhance their English skills.

It was pointed out that the translation service was not only for verbal language skills but also sign language.

Resolved:-  (2) That the Rotherham Partnership consider this issue further including NHS England in any discussions.

Disabled Children’s Charter

Conference – Teenage Pregnancy

(1)    Disabled Children’s Charter

A request had been received from The Children’s Trust Tadworth that the Board sign the Disabled Children’s Charter.

Claire Pyper, Interim Director, Safeguarding Children and Families, reported that the Authority already had a Charter for Disabled Children which had been agreed with the Parents and Carers Forum. 

The Disabled Children’s Charter was being developed nationally for Health and Wellbeing Boards to ensure that they had integrated services for disabled children within their Priorities.  It recognised the additional support that parents and carers of disabled children/young people needed together with the universal services they were entitled to as well and the link into transitional services into Adult Services.  It stressed the importance of good governance but also placed real emphasis on making sure Boards focussed on the Charter and within the Joint Strategic Needs Assessment so there was an awareness of the needs in the area.

It was proposed that work would take place on ensuring that Rotherham’s current Charter linked with the national Charter.

It was noted that the Charter had not been considered by the Children, Young People and Families Partnership as yet.

Resolved:-  (a)  That the Disabled Children’s Charter be submitted to the next meeting of the Children, Young People and Families Partnership.

(b) That, subject to the agreement of the Children, Young People and Families Partnership, the Board be minded to sign the Disabled Children’s Charter.

(2)    Teenage Pregnancy Conference

Board members were provided with a report on the above conference attended by Councillor Dalton.

The report was also to be forwarded to the Health and Improving Lives Select Commissions for information.

LGA Conference – Teenage Pregnancy

London – 23^rd April, 2013

Local Government Association Conference – Teenage Pregnancy

London – 23^rd April, 2013

Resolved:-  That the conference be referred to the Health Select Commission for attendance.

The Chairman and Dr. Tooth had recently met with representatives from South Yorkshire’s branch of the Department for Work and Pensions.  A briefing note would be prepared for the Governance Board.

Health and Wellbeing Board Work Plan (pages 1-5)

Health and Wellbeing Strategy Workstream Update (pages 6-9)

Better Health for Women: A Summary Guide January, 2013 (page 10)

Rotherham Carers’ Charter (pages 11-25)

Conferences:-

 -     2nd Annual Health and Transport Conference: Remaining Healthy Through Sustainable Travel - Transport Planning Society - 10th April, 2013

-         Health and Wellbeing Conference – 17^th April, 2013

(1)          Health and Wellbeing Board Work Plan

The Board noted the updated Work Plan illustrating the cycle of reporting up to October, 2013 when an evaluation would then take place.

(2)          Health and Wellbeing Strategy Workstream Update

The Board noted a report setting out the progress on each of the workstreams.  It was felt that future progress reports would benefit from inclusion of figures so the Board would be able to see what change had been achieved.

(3)          Better Health for Women:  A Summary Guide

The Board noted the above briefing which should be fed into the Joint Strategic Needs Assessment.

(4)          Rotherham Carers’ Charter

The Board noted the above which had been considered by the CCG and adopted by the Council.

It was reported that a multi-agency Steering Group had been established, meeting regularly, to progress the accompanying action plan and achieve the plan’s objectives.

Discussion ensued on the forthcoming Bedroom Tax and the view that it ought to be included as it would affect carers and foster carers, cross referenced with the work taking place on Welfare Reform.

Resolved:-  (a)  That Bedroom Tax be included in the Joint Action Plan for Carers cross referenced with the work taking place on Welfare Reform.

(b)  That the annual review of the Carers Plan be submitted to the Board. 

(5)          Conferences

The following conferences were noted:-

2^nd Annual Health and Transport Conference:  Remaining Healthy Through Sustainable Travel – Transport Planning Society – 10^th April, 2013

Rotherham Health and Wellbeing Conference – 17^th April, 2013

Health and Social Care Policy Forum and Q&A with Andy Burnham MP, Shadow Secretary for Health – Goole College – 7^th March, 2013