Agenda and draft minutes

Councillor Fleming declared a personal interest on the range of matters included on this meeting’s agenda as he was an employee of the Sheffield Teaching Hospital Trust.  He remained in the meeting and spoke and voted on the items.

Councillor Mallinder also declared a personal interest on the range of matters including on this meeting’s agenda as she was the Carers Champion.  She remained in the meeting and spoke and voted on the items.

There were no members of the public or the press present at the meeting.

(1) GP Event

The Chairman and Councillor M. Vines had attended the recent GP event which had been based on Health, Care and the whole package around GPs in the Borough.  It had been a very interesting event partly due to the individuals who had led on the event. 

Councillor Vines had talked to six student doctors about their training and had found it very disappointing that only two wished to become a GP.

Following the meeting it was established that to become a GP you needed to complete a five year degree course in medicine and a two year foundation programme of general training.  You also needed specialist training in general practice which would take three years.  Many foundation programmes included placements in general practice – over 40% of FY2 rotations in 2011.  These provided useful and invaluable experience even for those who did not intend to train as a GP.  Some but not all did 1/3 of their F2 year in general practice. 

(2)   RCCG Communication and Consultation Sub-Committee meeting

Councillor Mallinder had attended the meeting as a substitute for the Chairman.  Engagement was the priority and the CCG was very keen to know how they could engage and communicate with others.  Other issues discussed included the use of bank staff and GP shortages.

Resolved:-  That Councillor Mallinder prepare a report on the meeting and circulate to Select Commission Members.

(3)  CAMHS

The Scrutiny Review response had been signed off by Commissioner Newsam and was to be discussed at the Overview and Scrutiny Management Board on 10^th December.  All of the twelve recommendations had been accepted and work was progressing on delivery.  Some of the actions linked in with the new CAMHS Transformation Plan.

(4)  Visits

Good practice visits had taken place to Wigan and North Lincolnshire with regard to Adult Social Care as part of the Adult Social Care Working Party.

(5)  Health and Wellbeing Board

Councillor Roche, Advisory Cabinet Member for Adult Social Care and Health, reported that external funding had been secured from the LGA and Rotherham United for an event to share and showcase good practice that was happening in sports and health.  It was to be a South Yorkshire Event held on 13^th April, at the New York Stadium.  There would be a key note speaker from Birmingham who had done a lot of work promoting physical activity and sport.

The Board was now moving on to developing and implementing its action plans for the Health and Wellbeing Strategy.  There would be a sub-group (Engine Room) consisting of practitioners which would drive forward the key parts of the Health and Wellbeing Strategy.

There was to be a report to the February Board meeting from partners as to how they were progressing integration. The report would be submitted to the Health Select Commission.

Resolved:- That the minutes of the previous meeting of the Health Select Commission held on 3rd December, 2015, be agreed as a correct record.

Further to Minute No. 39 (Health and Wellbeing Board), Councillor Roche, Advisory Cabinet Member for Adult Social Care and Health, reported that the Board’s website was being refreshed and had its own Twitter account.

Further to Minute No. 40 (Annual Review of NHS Rotherham Clinical Commissioning Group’s Commissioning Plan), it was noted that a letter had been sent to the Yorkshire Ambulance Service and the Commissioning Group highlighting Councillor Parker’s concerns with regard to an incident.

Sarah Farragher, Contact and Enablement Service Manager, to present

Sarah Farragher, Change Leader, Adult Social Care, gave the following powerpoint presentation:-

What do we need to do

-          The Care Act has a strong focus on carers, recognising the caring role as fundamental to the whole adult social care system.  Carers have increased rights and status within the Act with enhanced rights to promotion of wellbeing, earlier support and personalised support

In Rotherham

-          We have a mixed picture of carer involvement and support.  We need to build stronger collaboration between carers, the Council and other partners

-          We want to lay the foundations for achieving these partnerships and set the intention for future working arrangements

-          We want to do something that makes a difference now whilst setting up the right co-produced options for the future

Progress to date and timescales

-          This is a Rotherham Carers Strategy not a Rotherham Council Carers Strategy.  It is a partnership plan

-          Hopefully will be taken through the Health and Wellbeing Board

Progress to date and timescales

-          The Group has met three times and the first draft of the Strategy has been circulated and comments made.  Second draft to be worked up following Carers Rights Day

Further work being undertaken to strengthen the voice of young carers

Asking carers “what three things would make a positive difference?” through Crossroads AGM, at Carers Rights Day and through volunteer sector forums

Strategy based around three outcomes

-          Outcome One – Carers in Rotherham are resilient

-          Outcome Two – The caring role is manageable and sustainable

-          Outcome Three – Carers in Rotherham should have their needs understood and their wellbeing promoted

What do we need to do to achieve these outcomes?

-          We need to strengthen some things that are already in place to increase the reach and get parts of the system working together better

-          We need to view carers as partners when making decisions about care (without losing the voice of the cared for person)

-          We need more people doing Carers Assessments including partners in the independent and voluntary sector

-          Need to develop a Carers Wellbeing budget and Allocation System (RAS)

-          We need whole family assessments to stop duplication of assessments

-          We need to target services better and understand who our carers are and what they need

-          We need to provide reassurance for carers that a back up is there when they cannot provide the usual care

What three things?

-          Information and advice

-          A voice

-          Consistent support

-          Valued

-          Time for me

-          Involved

-          Quality care

-          A break

-          Financial help

-          Understanding

Strategy – who is involved

-          Currently being developed through a working group of partner agencies – outcomes came from group and were part of consultation

-          Hope was to get some carers onto the group (thirty people expressed an interest at Carers Rights Day event)

Consultation and Engagement

-          Carers Forum – event end January/beginning of February organised by Councillor Mallinder

-  ...  view the full minutes text for item 50.

Powerpoint presentation by Jon Tomlinson, Interim Assistant Director of Adults Commissioning and Sam Newton, Interim Head of Adult Service, Adult Social Care

Jon Tomlinson, Interim Assistant Director of Adult Commissioning, gave the following powerpoint presentation:-

Better Care Fund Update

-          Building on previous presentations – good progress around integration continues to be made

-          Robust governance and reporting has enabled Rotherham to comply with national requirement to submit information about progress

-          Latest quarterly return (27^th November, 2015) approved by Health and Wellbeing Board and submitted

-          Regional feedback has been received on the Quarter One Return

Main points from Feedback

-          Rotherham is not an outlier in any areas of the BCF

-          We are still working towards meeting two of the national conditions:-

Implementing 7 day working

·           Pilot commenced 1^st December

·           Hospital Discharge Team

NHS Identifier

·           In scope cohort of adults records should be matched by the end of 2015

Moving Forward

-          Key lines of enquiry for NHS England for future BCF Integration

-          Changing format shifting focus from compliance with national conditions to strategy, pace and development of integration

-          Personal health budgets, preventative care and use of integrated records across Health and Social Care are now integration metrics

-          Work to rigorously review current projects has been completed

-          Clearly the BCF remains a key driver for integration of Health and Social Care

-          Target dates and resources have been included within the spending review

-          Senior officers will be meeting on 7^th December to review the strategic vision and priorities

-          A new proposed model at an individual, family and community level will be considered

-          This will feed into and inform the review that has been undertaken

Discussion ensued with the followings issues raised/clarified:-

·           There was massive pressure on the Council to provide services to help the vision become reality.   The Authority needed to ensure that the money was in the right place which was where commissioning and joint commissioning came into its own.  There were probably areas that needed careful consideration and redistribution of the resources into the correct places which would then feed into the agenda of prevention and supporting people into not coming into Social Care as a statutory service.  The challenge was huge but no different to anywhere else in the country. 

·           Integration was the first step and critical.   Agencies in Rotherham were very close to being on the same page with regard to integration and looking to do the same things i.e. provide the best possible care and outcomes for the citizens of Rotherham

·           Joint commissioning was the way forward for Social Care as it reduced duplication and the opportunity for varying rates.  Value for money was vital.  The citizens would be best placed to determine value for money with the drive to personalisation, personal budgets and individuals buying their own services.

·           In terms of commissioning, the Authority had the responsibility for the overall contracting and management of the market and benchmarking would give an indication of whether it was a reasonable rate being charged.  The contracting arrangements, reviewing and monitoring what the Authority received for its  ...  view the full minutes text for item 51.

Verbal update by Jon Tomlinson, Interim Assistant Director of Adults Commissioning, and Sam Newton, Interim Head of Adult Service, Adult Social Care

This was combined with Minute No. 51 above.

Councillor Ahmed gave the following verbal report on the work of the Improving Lives Select Commission:-

-          In terms of work with CSE, we were looking at meeting some CSE survivors in December.  However, that was to be arranged to ensure that there was a clear process of conducting ourselves and not overloading/overburdening survivors with questions.  Hopefully, a further update would be given to the next meeting.

-          The Select Commission had had CSE updates from the Police and different partners.  There appeared to be a robust system in place within the MASH hub and progress was being made. In a couple of years Rotherham would hope to be seen as one of the best local authorities in providingthe most appropriate support for CSE survivors

-          A lot of work been done by the newly established Early Help Group which had met in November and was to meet again on 8^th December where the Assistant Director was the lead.  The Group was considering how the Authority could look at early help and intervention, to intervene at an early stage and prevent any young person becoming a victim of CSE. This included looking at localities, how they were based in schools, how Universal Services would play a far more proactive role in completing FCAFs to provide the assessment opportunity and asking Universal Services to take some responsibility.  There would be a lot of emphasis on looked after children which was a key priority in Jay report

-          Other potential work could include further audit work to identify specific themes and ensure ongoing good social work practice.  Also missing young people, including those missing from the school roll

-          It was important to be mindful of looking atthings from the whole family perspective and what therapeutic services were in place, from the Health Select Commission point of view -  looking at what gaps there were still in terms of support that the whole family can receive and the CAHMS element of it 

Councillor Ahmed informed the Commission that the Corporate Parenting Panel had also discussed work that was going on in terms of CSE and a lot of excellent work that was taking place at the moment with the CSE teams and the survivors to look at preventing any young person becoming a victim.

Councillor Rose reported that she had attended a RDaSH meeting as a Governor.  They were appointing a full-time CSE Worker and taking every item of any concern very seriously.  She had felt very reassured that RDaSH were moving with the Authority on this issue.

No issues had been raised.

Thursday,      21^st January, 2016               3.00 p.m.

                        17^th March                             9.30 a.m.

14^th April                                9.30 a.m.

Resolved:-   That meetings be held as follows:-

Thursday,      17^th December, 2015 at 9.30 a.m.

                        21^st January, 2016 at 3.00 p.m.

                        17^th March at 9.30 a.m.

                        14^th April at 9.30 a.m.