Issue - meetings

(1) Board Members were reminded of the revised arrangement whereby Councillor David Roche, Advisory Cabinet Member for Health and Wellbeing, is the Chair of the Health and Wellbeing Board, with Dr. Julie Kitlowski, Chair of the Rotherham Clinical Commissioning Group as Vice-Chair.

(2) First anniversary of the report by Professor Alexis Jay on Child Sexual Exploitation - the Borough Council will be issuing appropriate press releases in respect of progress made since the publication of Professor Alexis Jay’s report (August 2014) and in order to minimise any negative publicity. This item will be considered further at the next meeting of the Health and Wellbeing Board.

Attention was drawn to the “Weigh Up Event” which was the launch of the newly commissioned Weight Management Services on 24^th April, 2015.

Letter from Ministers regarding information sharing for the protection of children

Joint commitment to share information effectively for the protection of children

Correspondence had been sent to all local authority Chief Executives, Directors of Children’s Services, Police and Crime Commissioners, Local Safeguarding Children’s Boards, Health and Wellbeing Boards and GPs setting out how and when personal information should be shared in light of the Alexia Jay and Louise Casey reports.

An overview of the existing Legislation and guidance on information sharing was annexed to the letter together with a summary of the package of cross-Government information sharing guidance which would be published by the end of March, 2015. 

Nothing should stand in the way of sharing information relating to child sexual abuse even where there were issues with consent.  Failures to share information were not just due to legal barriers and there was a need for genuine integrated multi-agency approaches to underpin information sharing.  Local processes or model must ensure that the right input from the right agencies was reflected and considered as part of risk assessments at the right time and in the right way with jointly agreed and executed actions.

It was noted that the Board had signed up to an Information Sharing Protocol in 2014.  However, it may be timely to revisit the protocol to ascertain if any changes were required.

Resolved:-  That an item on the Information Sharing Protocol be included on the April Board meeting setting out what the current position was and if any changes were required.

Chris Edwards, Rotherham Clinical Commissioning Group, to report

Chris Edwards, Rotherham Clinical Commissioning Group, reported that informal communication had been received regarding Rotherham’s submission but official written confirmation was awaited.

·         NHS England letter on organisational alignment and capability programme (Carol Stubley)

·         Better Care Fund – verbal update (Tom/Chris Edwards)

NHS England Organisational Alignment and Capability Programme (OACP)

Carol Stubley, NHS England, presented a letter received from Eleri de Gilbert, Director NHS England (South Yorkshire and Bassetlaw) regarding the changes to the organisation’s internal structure.

The aim of the reorganisation was, across England, to reduce the number of teams from the current 27 to 12 including the London configuration and to establish 4 regional teams.  For South Yorkshire that would mean a move to 1 geographic team which would encompass Yorkshire and the Humber meaning the 3 existing teams (South Yorkshire and Bassetlaw, West Yorkshire and North Yorkshire) would disappear and form into 1.  The changes were internal to the NHS and, therefore, there had been internal consultation with staff.  The changes would be implemented as from the beginning of 2015.

Whilst moving to 1 geographic footprint, there would still be a presence in each of the localities e.g. in Oak House for South Yorkshire and Bassetlaw.

In terms of the director functions for Yorkshire and the Humber there would be a Director of Operations and Commissioning (replacing the existing area teams – an appointment made and commencing on 5^th January, 2015), a Medical Director, Finance Director and a Nursing Director.  There would be a further 3 Directors, each 1 would be locality based i.e. 1 within South Yorkshire and Bassetlaw, 1 for West Yorkshire and 1 for North Yorkshire.  The structure for this area had been developed specifically taking into account the large geographic area and the fact that each of the areas had unique issues.

There may be a change in attendance at the Health and Wellbeing Board but there would be more information once the team had been established.

The Chairman stated that he personally felt that the role of a NHS England representative on the Board was invaluable.

Better Care Fund

Chris Edwards, Rotherham Clinical Commissioning Group, reported that a meeting had been held with Nick Clarke, Better Care Adviser.  The submission was being revised and would be communicated to the next Board meeting.

Health and Wellbeing Website

Michael Holmes, Policy and Partnership officer, reported that the website was up and running but at some point the Board should consider developing a wider communication plan including the use of social media.  There had been no feedback from partners with regard to any additions required.

The website would link to the NHS Constitution.

Crisis Care Concordat

It was noted that the Council had signed up to the Concordat as had the Clinical Commissioning Group, South Yorkshire Police and RDaSH.

RDaSH

It was reported that Chris Bain was to leave her position as Chief Executive of RDaSH.

Resolved:-  That the Board’s best wishes be conveyed to Chris and appreciation for her work in supporting the Board.

Child and Adolescent Mental Health Services

Scrutiny Reviews that had implications for the Board and/or partners would be circulated at the scoping stage so there was the opportunity for the Board to discuss and possibly have an input.  ...  view the full minutes text for item 45

·                Better Care Fund (NHS England letter attached)

·                Health and wellbeing Website (Presentation)

(1)     Better Care Fund Plan – Assurance Review

          Further to Minute No. S24 of the meeting of the Health and Wellbeing Board held on 1st October, 2014, the Board considered correspondence from the National Director (Commissioning Operations), NHS England, stating that the Better Care Fund plan had been assessed as part of the Nationally Consistent Assurance Review (NCAR). The letter stated that the Better Care Fund plan has been placed in the ‘approved, subject to conditions’ category.

          The Strategic Director of Neighbourhoods and Adult Services outlined the content of the letter drawing particular attention to the eight separate actions and the appointment of the Better Care Adviser, Nick Clarke, who would work on developing an action plan to detail how and by when the agreed actions would be addressed to meet the conditions.  Many of the conditions would simply be met by the importing the detail onto the new template, which needed to be completed by the 7^th December, 2014 deadline.

          It was also noted that the Section 256 Transfer Document had not been included as part of the documentation, but that it be noted that the use of the Better Care Fund was in accordance with the Section 256 Transfer Document.

(2)     Health and Wellbeing Website

          Michael Holmes and Jasmine Swallow demonstrated the accessibility tabs on the new Health and Wellbeing Website, which would be subject to partnership branding.

          This also coincided with the launch of the new online survey on the 29th October, 2014 which had had 102 responses initially.  Feedback to date had been positive and had been extended to external and internal organisations and partners.

          Discussion ensued on the various links to the partner websites and how the website would be managed through the workstream group.

(3)       Health and Wellbeing Board Minutes and Meetings

The Chairman was in receipt of some correspondence from a member of the public who had raised concern about the use of acronyms in some of the reports being presented.  To alleviate this problem it was suggested that all reports have the full description with the acronym in brackets.

It was also suggested that some consideration be given to a bullet point list summary of reports for members of the public rather than them having to sieve through the large number of pages on the agenda.

This needed to be explored further on the feasibility of such a suggestion and whether it was something that could be accommodated within the resources available.

In addition, the member of the public referred to an incident involving the Foundation Trust, where an unregistered locum doctor was employed at the hospital via an agency.

The Chief Officer for the Foundation Trust provided an overview of the incident, the reasons how it came about and the outcome, which had led to an improved agency framework that provided the relevant assurances that such an incident would not occur again in the future.  It was stressed, however, that during the course of the two day locum  ...  view the full minutes text for item 37

HWB Peer Challenge

Pharmaceutical Needs Assessment

Peer Challenge

See Minute No. 22 above.

Pharmaceutical Needs Assessment (PNA)

Dr. John Radford, Director of Public Health, reported that a draft PNA had been produced in line with the statutory requirement for the Board to produce such a document before April, 2015. 

A PNA was a tool required by NHS England to allow new pharmacies or changes in pharmacies across the Borough.  It was a legal framework for pharmacies to enter the market place.  This would be of particular importance in the town centre when the new emergency and urgent care centre at the Hospital opened and the maintenance of a pharmacy over that period.

The document would be circulated to Board Members as part of the 2 months consultation period with comments submitted to the Board.  Once finalised and published there will be a process to update whenever required.

CAMHS Strategy

This item would now be discussed at the November Board meeting together with the Emotional Health and Wellbeing Strategy.

Alex Jay Independent Inquiry

A special Board meeting was to be held on 24^th October at 1.00 p.m. to discuss the report.

Better Care Fund

Better Care Fund

The Board considered 2 letters that had been received from the Departments of Health and Communities and Local Government and the BCF Programme Director, both dated 11^th July, 2014, which gave a general update with regard to the funding and the new BCF Programme Team. 

A further letter had since been received which gave much more detail and included the new updated guidance and deadlines for resubmitting plans.

(a)           Carers Review

Janet Wheatley asked if the voluntary sector and multi-agency working group had been set up and, if so, who was the contact.

Shona McFarlane reported that the Service Manager would be Janine Moorcroft.  The Steering Group for Carers at present had no 3^rd sector representative but it was being refreshed.  There would be an invitation extended to VAR and others to take part in that process.

Councillor Jenny Andrews was the Champion for Carers.

(b)           Dalton and Treeton Health Centres

Prior to the PCT reorganisation last year, 2 capital projects had been agreed in Rotherham (replacement of 2 ageing health centres in Dalton and Treeton).  However, no progress had been made. 

In the reorganisation it had been passed to Propgo and it was believed there was still the intention to proceed with the development.

Resolved:-  That Carol Stubley, NHS England, submit a progress report to the next Board meeting.

-        Rotherham Tobacco Control Alliance – notes of meeting 17^th April, 2014

-        Integrated Youth Support Services – Raising Participation and NEET

-        Data Sharing Protocol – Request from South Yorkshire Fire and Rescue Service

(a)    Rotherham Tobacco Control Alliance

The notes of the meeting held on 17^th April, 2014, were noted.

(b)           Integrated Youth Support Services

A report was submitted for information on the progress achieved by the Integrated Youth Support Service and its partners in relation to progression and retention in learning and employment for young people, academic age 16-18 years.

(c)           Data Sharing Protocol – Request from South Yorkshire Fire and Rescue Service

A request had been received from the South Yorkshire Fire and Rescue Service to sign up to the Data Sharing Protocol. 

Resolved:-  That South Yorkshire Fire and Rescue Service sign the Data Sharing Protocol.

-        Offer of Peer Review

-        Rotherham Heart Town Annual Report 2013

(a)    Rotherham Foundation Trust

The Board’s congratulations were recorded to Louise Barnett who had been formally appointed as the Chief Executive.

(b)           Peer Review

The Chairman reported that the LGA had an offer for Health and Wellbeing Board’s to have a peer challenge, which involved a group of peers from other areas coming into the Council and reviewing the work of the Board over a 4 day period.

It was noted that other Health and Wellbeing Boards in the area had taken up the offer.

It was felt that the detail of the review was required as well as any resource implications.

Resolved:-  (1)  That contact be made with the Local Government Association with regard to taking up the offer of a Peer Review.

(c)           Rotherham Heart Town Annual Report 2013

The Board noted the Rotherham Heart Town Annual Report 2013 which highlighted the work that had taken place during the year.

(d)           Motor Neurone Disease

The Chairman reported receipt of correspondence from the Motor Neurone Disease Association requesting sign up to the MND Charter “achieving quality of life, dignity and respect for people with MND and their carers”.

Resolved:-  (2)  That the Charter be circulated to all members of the Board.