Agenda and draft minutes

There were no declarations of interest made at this meeting.

A member of the public spoke about the work of the ‘Speak up for Autism’ Group which, in association with the Sheffield Hallam University, was undertaking a study of the stress levels experienced by people who suffer Autism.

Members noted that the agenda item about Children’s Continuing Healthcare has been deferred from the next meeting of the Health Select Commission (23^rd January 2014) and will be considered at a later date.

Consideration was given to the minutes of the previous meeting of the Health Select Commission held on Thursday 24th October, 2013.

Resolved:-  That the minutes of the previous meeting be agreed as a correct record for signature by the Chairman.

-        Minutes of meeting held on 16^th October, 2013

Consideration was given to the minutes of the meeting of the Health and Wellbeing Board held on 16th October, 2013.

The Select Commission noted that:-

: (Minute S44) - the Joint Strategic Needs Assessment continues to be a priority for consideration  by the Health and Wellbeing Board. New information is being suggested for inclusion, for example, the impact of domestic abuse, as a recommendation from the recent scrutiny review.

: (Minute S45) – the Health and Wellbeing Board had not yet expressed a definitive view concerning the presence of fast-food outlets near schools and within deprived areas – officers within the Planning Service and the Public Health Service are developing a policy on this matter for consideration by Elected Members.

Resolved:-  That the minutes be received and the contents noted.

-        Progress on implementation by Councillor Wyatt

Councillor Wyatt (Cabinet Member for Health and Wellbeing) presented a progress report about the Health and Wellbeing Strategy, which was twelve months into implementation.  The six strategic priorities of the Strategy were being delivered through a set of workstreams, each with an identified lead officer who had attended the Health and Wellbeing Board to present their action plan. The new outcomes framework to measure progress on the priorities is being developed, linked to the national Public Health Outcomes Framework.

The workstreams and progress to date were as follows:-

Workstream 1: Prevention and Early Intervention

-          Individual commissioning plans for the locally determined priorities (smoking, alcohol and obesity) being developed ensuring they had a focus on Prevention and Early Intervention;

-          An increase in the number of adults screened and offered brief intervention within Primary Care in relation to alcohol;

-          The Clinical Commissioning Group’s Strategy was delivering more alternatives to hospital admission, treating people with the same needs more consistently and dealing with more problems by offering care at home or close to home;

-          Remained 1 of the best performing Health Check Programmes, with 57% of people in Rotherham having completed a first Health Check since 2006.  There will need to be a step change in performance to achieve the 20% annual target of eligible people screened;

-          The ‘Making Every Contact Count’ model had been agreed in principle at the previous Health and Wellbeing Board;

-          The Suicide Review Group had been established and had reviewed all suicide deaths and looked to support actions to improve mental health and wellbeing, including the development of active bereavement support to reduce the risk of suicide in family members.

Workstream 2: Expectations and Aspirations

-          Development of a customer pledge which was currently proceeding through the final agreement stage, but not progressing as well as hoped;

-          Complaints baselines had been collated to enable monitoring of performance against numbers and types of complaints in relation to Customer Service;

-          Practitioner Information Sharing events had taken place for a number of the deprived areas, with the purpose of looking at how to tackle some of the challenges in relation to poverty and deprivation;

-          A single set of Customer Standards had been consulted upon at the Rotherham Show in September and was now being developed by the Council with the intention of rolling out further and seeking sign-up from other partners.

Workstream 3: Dependence to Independence

-          Formal review process being undertaken - to validate that this element of the Strategy was embedded and resulted in effective outcomes;

-          Workforce Strategy Group established and a draft Workforce Strategy now in place;

-          Risk Strategy Task and Finish Group, Terms of Reference and action plan are in place;

-          Shared decision making framework has been agreed;

-          Presentation made to Shaping the Future Provider Forum on 9^th July 2013, with presentations to be made to future Crossroads and Age UK Annual General Meetings;

-          Voluntary sector representation on workstream group;

-          Joint  ...  view the full minutes text for item 49.

-       Steve Mulligan, Principal Educational Psychologist

Further to Minute No. 19 of the meeting of the Health Select Commission held on 11^th July, 2013, Steve Mulligan (Principal Educational Psychologist) gave a presentation about the progress of the implementation of the actions arising from the scrutiny review of autistic spectrum disorder (ASD). The various issues highlighted were:-

Scrutiny Review: September-November, 2012

Objectives of the Review

-          The reasons for the higher diagnosis rates

-          Services required at diagnosis stage and after

-          16plus (pupils leaving school) support and transition

-          Budget implications

Final Recommendations

-          That the Autism Communication Team (ACT) continue to co-ordinate the monitoring and intelligence of ASD rates of diagnosis in Rotherham and partner agencies be requested to share information to facilitate this being done accurately. ACT should also ensure that partner agencies have access to this compiled information;

Local and regional data continued to be collected and shared across Education and Health.  CAMHS and the Local Authority have improved their dialogue via regular meetings during the past four months.  The most recent figures, collated to October, 2013, were:-

Mainstream                    1,015

Special                               192

Total                                1,207

-          That the Rotherham Child Development Centre (CDC) and the Child and Adolescent Mental Health Services (CAMHS) bring forward proposals to streamline their assessment processes and reduce waiting lists.  In particular, transition referrals at age 5 years should be the subject of a clearly documented care plan that is shared with all partners and the family

CDC/CAMHS are physically located in the same building and complied with Diagnostic and Statistical Manual version5.  Waiting times are being reviewed and both CDC/CAMHS were examining pathways for the Autism Spectrum conditions, working with the Education Psychology Service.

-          That the Special Educational Needs reform project group is being asked to implement a pilot project for the development of Education, Health and Care plans for children with a diagnosis of ASD with a view to ensuring that in the future all children with a diagnosis will have a multi-agency care plan with a lead worker allocated

Education, Health and Care plans were being developed by the Local Authority group looking at Support and Aspiration under strategic leadership within the Council.  Pilot Education, Health and Care plans were being formulated in compliance with the new Code of Practice and the Children and Families Bill 2013

-          That proposals are brought forward to develop more wrap around family support to assist with the transition between different services (particularly post-5) and at different life stages.  This Service should recognise the vital role that parents and carers need to play in working with and influencing Service providers and should be developed in line with the commitments in the Partner and Child Charter

Continued work regarding the development and understanding of multi-element planning.  The principles of the Parent and Child Charter continue to be implemented and rolled out.  Development of the Early Years Charter

-          That the hierarchy of support within a mainstream setting with ACT and Educational Psychology concentrating on  ...  view the full minutes text for item 50.

-        Hester Rowell, Head of Quality & Patient Experience, Yorkshire Ambulance Service, andDavid Bannister, A and E Locality Manager for Rotherham. 

Further to Minute No. 42 of the meeting of the Health Select Commission held on 24^th October, 2013, Members welcomed Hester Rowell, David Bannister, Steve Rendi and Amanda Best (representing the Yorkshire Ambulance Service)

Hester Rowell, Head of Quality and Patient Experience, Yorkshire Ambulance Service, and Steve Rendi, Locality Manager (Rotherham), reported on the Quality Accounts which would be published in June, 2014 and would provide information on Service performance in the period between April, 2013 and March, 2014. The Service was inviting comments from partner organisations and from the public on the contents of the Quality Accounts report, with a deadline for submission of responses of 31^st December, 2013.

Members received a presentation which highlighted the following issues:-

Clinical Quality Strategy

-          Key part of the Integrated Business Plan

-          Sets out key clinical quality priorities for 2012-2015

-          Focus on evidence based practice and national priorities

-          Focus on most important issues for the people who use the service

What influences the Yorkshire Ambulance Service Clinical Quality Strategy?

-          Learning from the outcome of the Inquiry by Lord Francis into care failings at the Mid-Staffordshire NHS Trust

Quality Accounts 2012-13

-          Accountability

-          Transparency

-          Consultation

Current Priorities

-          Improving the experience and outcomes for patients in rural areas

-          Working with care and residential homes

-          Achieving a reduction in harm to patients (when being transported by ambulance) through the implementation of a safety thermometer tool – it was acknowledged that the incidence of such harm was extremely rare

-          Public education

-          Patient Transport Service improvement

Progress

-          NHS safety thermometer

Increased awareness raising across staff on safety thermometer and harms

Review of Patient Transport Service booking process

Review of dynamic risk assessments

Audit of equipment on vehicles

Standardisation of procedures

Education and training review

Regional Falls Network

-          Public Education

Choose well

: Accident and Emergency (A&E) and the ‘999’ ambulance services are intended for people with life-threatening or serious conditions which need immediate attention, such as heart attacks, strokes, breathing problems or severe bleeding

: if someone needs treatment or advice for a minor illness, ailment or injury, there are a number of services available – self-care, pharmacy, NHS Direct, GPs, walk-in centre, minor injuries unit;

: Pharmacists provide an easily accessible service on the high street and at many supermarkets and can give confidential, expert, free advice;

: by choosing the most appropriate service, people can help to ensure that emergency services such as A&E and ‘999’ are available for those who really need them.

-          Working with care and residential homes

Working in partnership to ascertain reasons for ‘999’ emergency calls, because a high percentage are received from care homes.

-          Patient Transport Service for routine appointments

Patient Transport Service and recruitment

Restructuring the management team

Reviewing how the communication function operates

Re-assessing how work is planned and scheduled

Reviewing rotas to ensure better links between the service and patient needs

Improving how the  ...  view the full minutes text for item 51.

-       Thursday, 9^th January, 2014 at 9.30 a.m.

Resolved:- (1) That a special meeting of the Health Select Commission be held on Thursday, 9^th January, 2014, commencing at 9.30 a.m.

(2) That the next scheduled meeting of the Health Select Commission be held on Thursday, 23^rd January, 2014, commencing at 9.30 a.m.