Agenda and minutes

Consideration was given to the minutes of the meeting held on 27^th September, 2010.

Resolved:- That the minutes of the meeting held on 27^th September, 2010 be approved as a correct record.

John Radford, Director of Public Health gave a presentation in respect of the Marmot Review.

The presentation drew specific attention to:-

• History
• Life expectancy at birth
• The Millennium Preston Curve
• Income inequality within a country correlated with outcomes in health and crime
• How we stack up in the world
• Average age of death in South Yorkshire
• Effect of politics/Microeconomics
• Summary from history
• Marmot Review- 4 tasks
• 6 Policy Objectives Identified
  • Give every child the best start in life
  • Enable all children, young people and adults to maximise their capabilities and have control over their lives
  • Create fair employment and good work for all
  • Ensure healthy standard of living for all
  • Create and develop healthy and sustainable places and communities
  • Strengthen the role and impact of ill health prevention

• Quote from Review Overview
• Summary – Key Points/Themes

Members present commented on the following:-

• the increased number of younger people dying prematurely
• how successful Sure Start had been

Resolved:- That the content of the review be noted and John Radford be thanked for his informative presentation.

Kathy Wakefield, Strategic Lead for Infection Prevention and Control presented the submitted report in respect of the Infection Prevention and Control Annual Report for 2009/10.

This was the first Annual Report and covered the period from November 2009 to March 2010 and gave an update in respect of the following areas:-

• Infection Prevention and Control Arrangements
• Director of Infection Prevention and Control (DIPC) reports to the Trust Board
• Healthcare Associated Infections
• Swine Flu
• Communicable Diseases
  • Blood Borne Viruses
  • TB Services
  • Chlamydia

• Vaccination and Immunisation
• Infection Prevention and Control in Care Homes
• Incidents
• Audit

A question and answer session ensued and the following issues were discussed:-

• Reference was made to representation by the Yorkshire Ambulance Service on the Strategic Infection Prevention and Control Committee and a query was raised as to why there had not been a nomination made.  It was noted that the Yorkshire Ambulance Service were monitored through Bradford PCT.
• Why Community Nurses had not been involved
• How MRSA was monitored in Care Homes
• What training was available for staff in respect of barrier protection

Resolved:- That the content of the report be noted.

Shona McFarlane, Director of Health and Wellbeing presented the submitted report in respect of the Annual Report of the Joint Learning Disability Service.

The Annual Report outlined the continued strong performance of the Joint Learning Disability Service.

Performance against Local Authority Performance Indicators had improved with the service achieving the third highest performance in the country against D40 when measured against the other Learning Disability Services.  The Partnership Board Self Assessment was submitted in March and had achieved over 30 mentions in the Regional Good Practice and Innovations Guide.

The performance on the Annual Health Assessment had further improved achieving 3 greens and an amber on the 4 health targets resulting in Rotherham achieving the second highest performance across the Yorkshire and Humber region.

It was noted that the Learning Disability Service linked its services and priorities to those identified within the Neighbourhoods and Adults Services Plan based on Strategic Objectives and the Outcome Framework.

Resolved:- That the content of the Annual Report and the Service Objectives for 2010/11 be noted.

The following item is likely to be considered in the absence of the press and public as being exempt under Paragraph 3 of Part 1 of Schedule 12A to the Local Government Act 1972 (as amended March 2006) (information relating to the financial or business affairs of any particular individual (including the Council)):-

Resolved:- That, under Section 100A(4) of the Local Government Act 1972 of the Local Government Act 1972, the press and public be excluded from the meeting for the following item of business on the grounds that it involves the likely disclosure of exempt information as defined in Paragraph 3 of Part 1 of Schedule 12A to the Local Government Act 1972 (business/financial affairs).

Shona McFarlane, Director of Health and Wellbeing presented the submitted report in respect of the first steps to the personalisation of day care services and residential services.

It was noted that people who lived in residential care had attended day centres.  The personalisation of both residential and day services would provide the opportunity to develop and offer proper personalised 24 hour residential services and residential providers would be supported to develop person centred plans and approaches to deliver personalisation to its customers.

The Learning Disability Service had scrutinised its use of existing resources in relation to 24 hour residential care continuing to day services and proposed that residents would no longer traditionally attend the day care element of day services provision.  The proposals outlined in the report would increase the flexibility of residential services, enabling them to provide a more personalised service.  By developing personalised services for customers in residential care, there would be a reduction in the need for the day care element of day services.  These services would provide opportunities to develop community presence and social networks, enabling customers to maintain friendships and provide opportunities to develop new relationships in a more inclusive environment and at the same time ensure that the resources were available to support young people in transition who live at home with their families.

Resolved:- That the proposals to improve the ability of the day services to accommodate the young people coming through transition service be accepted.