Issue - meetings

-     report attached

Kate Green, Policy Officer, presented Rotherham’s Better Care Fund plan for approval by the Board, prior to submission to NHS England by 14th February.  The documents to be submitted included:-

Planning Template Part 1 –

Planning Template Part 2

Appendix 1 - Summary of consultation

Appendix 2 - Rotherham Better Care fund Action Plan

Appendix 3 – Health and Wellbeing Strategy

Appendix 4 – Joint Strategic Needs Assessment

Appendix 5 – Overarching Information Sharing Protocol

Kate drew attention to the following:-

-          A huge amount of work had been put in by officers from all agencies

-          The work had been developed by a multi-agency officer group overseen by the Task Group which provided the strategic overview of the work

-          Negotiations had taken place by both the Local Authority and CCG in order to produce a plan and action plan that both partners were fully signed up and committed to

-          A range of consultation activity and engagement had taken place as well as collating information from previous consultation.  This had included:-

·           Commissioning of Healthwatch Rotherham to conduct consultation with the local community on the envisaged transformation of services.  The survey had been completed by 42 people between 31^st December, 2014 and 14^th January, 2014

·           12 Council Customer Inspectors were asked a series of questions focussed around the proposed vision including the 4 Health and Wellbeing priorities

·           Emails sent to 305 social care providers in Rotherham inviting them to take part in a survey

·           The results from the Health and Wellbeing Strategy consultation that took place between July-August, 2012 to help shape the priorities

·           Patient Participation Network

·           Mystery shopper volunteers looking at the prevision vision, priorities and seeking their advice on Health and Wellbeing activities

·           Discussions at the Adult Partnership Board

-          The findings from the consultation activity were used to develop a set of “I” statements , which demonstrate outcomes that local people want from integrated working:

·           I am in control of my care

·           I only have to tell my story once

·           I feel part of my community which helps me to stay healthy and independent

·           I am listened to and supported at an early stage to avoid a crisis

·           I am able to access information, advice and support early that helps me to make choices about my health and wellbeing

·           I feel safe and am able to live independently where I choose

-          The vision for the plan had been based on the local Health and Wellbeing Strategy, A lot of work had gone into developing the local strategy which was being used to influence the plans of a range of partner organisations.  The Better Care Fund, if used effectively, should contribute significantly to delivering against the Strategy’s outcomes:

·           Prevention and Early Intervention

·           Expectations and Aspirations

·           Dependence to Independence

·           Long term Conditions

-          The 12 schemes in the action plan (appendix 2) had been divided under the above 4 themes and the plan demonstrated which BCF outcome measures the schemes would help achieve

-          Much  ...  view the full minutes text for item 72

-        verbal update from the Task Group

Tom Cray, Strategic Director Neighbourhoods and Adult Services, gave the following powerpoint presentation;-

Task Group Terms of Reference

-          To work with members of the Health and Wellbeing Board to understand and interpret the requirements of the Better Care Fund

-          To develop a local jointly agreed vision for integration

-          To develop a plan to be signed off by the Health and Wellbeing Board and submitted to NHS England by 14^th February

-          To do any necessary further work to ensure the plan was adopted and being monitored by April, 2014

We Are Here:-

-          The Health and Wellbeing Board has developed good relationships across the new health and care landscape

-          Already agreed the joint priorities through the Health and Wellbeing Strategy informed by the JSNA

-          The Health and Wellbeing Board have made a commitment to integration through the local Strategy

-          Clear links to what needs to be delivered as part of the Better Care Fund

-          Better Care Fund Plan would help deliver the Health and Wellbeing Strategy

Definition of Integration

-          Adopt the nationally recognised definition of Integration:

“I can plan my care with people who work together to understand me and my carer(s), allowing me control, and bringing together services to achieve the outcomes important to me” (‘National Voices’)

Vision

-          Ovearching vision of Health and Wellbeing Board: To improve health and reduce health inequalities across the whole of Rotherham

-          The Better Care Fund would contribute to 4 of the strategic outcomes of the Health and Wellbeing Strategy:

·                Prevention and Early Intervention – Rotherham people will get help early to stay health and increase their independence

·                Expectations and Aspirations – all Rotherham people will have high aspirations for their health and wellbeing and expect good quality services in their community

·                Dependence to Independence – Rotherham people and families will increasingly identify their own needs and choose solutions that are best suited to their personal circumstances

·                Long-term Conditions – Rotherham people will be able to manage long-term conditions so that they are able to enjoy the best quality of life

Measuring Success

-          Develop ‘I statements’ as a common narrative to help us

·                Keep the voice of Rotherham people at the heart

·                Understand what integration feels like for service users/patients/carers

-          Based on what people tell us – way of ‘making it real’

-          Influencing change through people’s experiences

-          Adopt this as a principle with aim to implement at a later date (drawing on lessons learned from national consultation)

Criteria for Selection of One Local Measure

Must have:-

-          A clear, demonstrable link with the Joint Health and Wellbeing Strategy

-          Data which was robust and reliable with no major data quality issues (e.g. not subject to small numbers – see “statistical significance” in next section)

-          An established, reliable (ideally published) source

-          Timely data available, in line with requirements for pay for performance – this meant that baseline data must be available in 2013-14 and that the data must  ...  view the full minutes text for item 69