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Agenda and minutes

Venue: Town Hall, Moorgate Street, Rotherham S60 2TH

Contact: Dawn Mitchell  Email: dawn.mitchell@rotherham.gov.uk

Items
No. Item

1.

Declarations of Interest

Minutes:

There were no Declarations of Interest made at the meeting.

2.

Questions from members of the public and the press

Minutes:

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

3.

Communications

Minutes:

Members of the Select Commission were reminded about the demonstration of the Liquid Logic database and cohort data for Adult Social Care which was to take place on 4th July at 4.30 p.m.

4.

Minutes of the Previous Meeting held on 13th April, 2017 pdf icon PDF 61 KB

Minutes:

Consideration was given to the minutes of the previous meetings of the Health Select Commission held on 13th April, 2017. 

 

Members’ attention was drawn to the supplementary information which had been supplied after the meeting with regard to domestic abuse training (Minute No. 92 RDaSH Quality Account).

 

With regard to Minute No. 93 (Whole School Approach to Prevention and Early Intervention), it was noted that former Select Commission Member Councillor Cusworth had volunteered to attend the final meeting of the whole steering group as she had attended previous ones.  The Select Commission would receive feedback in due course.

 

Resolved:-  That the minutes of the previous meeting held on 13th April, 2017, be approved as a correct record.

 

5.

Evaluation of the Integrated Locality Pilot pdf icon PDF 409 KB

Dominic Blaydon, Associate Director of Transformation, TRFT, to present

Additional documents:

Minutes:

Dominic Blaydon, Associate Director of Transformation, and Melanie Simmonds, Strategy and Transformation Manager, presented an evaluation of one of the existing transformational initiatives that was currently underway – The Health Village Integrated Locality Pilot.  The report was supplemented by the following powerpoint presentation:-

 

Key Challenges

-          Funding challenges in Health and Social Care

-          Increase in older population

-          Difference between actual and healthy life expectancy

-          Development of new care models

-          Early intervention and prevention

-          Self-management

-          Public expectation

-          Fragmentation of services

-          Strengthening leadership at all levels

 

Key Elements of new Service Model

-          Multi-disciplinary team

-          Breaks down professional and organisational boundaries

-          Team supports GP practice populations (Clifton and St. Ann’s)

-          Designated care homes

-          New technology supports interface between locality and acute care

-          All workers are co-located

-          New leadership model evolving

-          Operates a Virtual Ward

-          Referral management service

 

Team Composition

-          Community Nurses, Rotherham FT

-          Physiotherapists, Rotherham FT

-          Occupational Therapists, Rotherham FT

-          Social Workers, Rotherham MBC

-          Mental Health Workers, RDaSH

-          Social Prescribing, VAR

-          Community Link Workers, Rotherham MBC

 

A New Approach

-          Community Reablement

-          Management of Long Term Conditions

-          Community Nursing

-          Parity of Esteem

-          Assessment and Care Management

-          Community Development

 

Outcomes

-          Reduction in unscheduled hospital admissions

-          Reduction in admissions to hospital for assessment

-          Non-elective bed days

-          Average length of stay in hospital

 

Roll Out

-          November 2017-March, 2018 Scoping and Design

-          March 2018 Designed and agreed contracting model

-          April 2018-2020 Phased implementation

-          October 2020 Evaluation, conclusion and conference

 

Discussion ensued on the presentation with the following issues raised/highlighted:-

 

·           The regulatory responsibility for care homes rested with the CQC.  Local Authorities had a duty, as did other public services, to ensure safeguarding and there were powers within their contracts to carry out visits.  Rotherham had a dedicated Care Homes Team involved in the Locality Pilot which had reached out to care homes and supporting staff

 

·           The Care Home Support and Locality Teams within the new structure would assist in spotting any issues in care homes

 

·           An away day had been held earlier in the year to allow staff to come together and discuss the difficulties they were experiencing and to agree a joint vision.  A staff evaluation before and after the event showed an increase in their satisfaction levels.  A further evaluation would be conducted in July to ascertain if they were still engaged, motivated and empowered which reflected on how well the project performed

 

·           There were national issues regarding computer systems linking together with no plans to introduce one system across Acute, Primary and Community Care.  However, Rotherham was way ahead of other local authority areas in terms of developing the links and creating a system which increased visibility and then facilitating the interface between Primary, Community and Acute Care.  It would continue to be an ongoing challenge until there was single system across the NHS

 

·           Liquid Logic used  ...  view the full minutes text for item 5.

6.

Director of Public Health Annual Report 2015-16 pdf icon PDF 49 KB

Terri Roche, Director of Public Health, to present

Additional documents:

Minutes:

Giles Ratcliffe, Public Health Consultant, introduced the 2015/16 independent report which highlighted some of the successes in Rotherham as well as a frank assessment of some of the challenges faced as a community.  A powerpoint presentation was given on healthy ageing living well and living longer as follows:-

 

Why focus on healthy ageing?

“Provides the opportunity to shine the light on the rich asset that older people are within our society and also to consider the changes that are developing within our older population”

Considerations include:-

-          Ageing population

-          Changing communities

-          Older people as local asset

-          Value of focussing on prevention

-          Improving quality of later life

 

Local data highlights

-          Rotherham’s over 65s population is growing the fastest.  By 2025:-

21.7% of population will be over 65

Over 85s population will rise by over 40%

-          Rotherham has lower life expectancy than England (men and women)

-          Life expectancy and healthy life expectancy gap is greater than England average (men and women)

-          Poor perception of “their own health” reported in Census surveys by older people in Rotherham

 

Healthy Ageing Framework Structure

Four sections

-          Healthy behaviours and lifestyles

-          Age friendly environment and community support health

-          Encouraging social inclusion

-          Quality integrated services and prevention interventions

 

Healthy behaviours and lifestyles – adding life to years and years to life

Includes

-          Obesity

-          Fruit and veg

-          Inactivity

-          Alcohol

-          Tobacco

-          Sexual health

-          Living with long term conditions (LTCs)

-          Making Every Contact Count (MECC)

 

Key messages

-          To promote the 5 a day and balanced diet messages and their importance in later life including hydration

-          Older adults to be more active and meet CMO guidelines of 150 minutes per week including strength and balance activities

-          It is never too late to stop smoking

-          Alcohol misuse in later life leads to increased hospital admissions

-          Older people are made aware of the health risks of regular and excessive alcohol use

 

Recommendation 1

-          All services should encourage lifestyle behaviour change in older people where appropriate particularly in the most disadvantaged communities.  This could be achieved through taking a systematic approach to MECC

 

Age friendly environment and community supporting health

The impact of where we live on our health in later life and includes

-          Role older people play in their communities (e.g. volunteering)

-          WHO Age friendly cities and communities

-          Excess winter deaths

-          Poor quality housing impact

-          Cold homes and fuel poverty

-          Falls prevention and support

 

Key messages are to:

-          Plan together

Use a Framework or plan to join activity and work towards a common goal for Healthy Ageing

Housing need to plan adequately for the ageing population, considering account of tenure changes and promoting independence

Preventing falls and providing early intervention for those who have fell is an important factor in maintaining independence

-          Work together

A wide range of people can identify vulnerable people who may be at increased  ...  view the full minutes text for item 6.

7.

HSC Work Programme 2017-18 pdf icon PDF 133 KB

Janet Spurling, Scrutiny Adviser, to present

Minutes:

Janet Spurling, Scrutiny Officer, gave the following presentation on issues for possible inclusion within the Select Commission’s 2017/18 work programme:-

 

The big five issues

-          Rotherham Place Plan (Health and Social Care integration)

·                Prevention, self-management, education and early intervention

·                Rolling out integrated locality working model – ‘The Village’ pilot

·                New Integrated Urgent and Emergency Care Centre (July 2017)

·                Further development 24/7 Care Co-ordination Centre

·                Building a Specialist Re-ablement Centre

-          Adult Social Care (development programme and performance)

-          Learning Disability

-          Mental Health (child and adolescent)

-          Regional Scrutiny – NHS reconfiguration

 

Continuing from 2016/17

-          Big Five

-          Public Health – annual report

-          Carers – links Adult Social Care Programme

-          Access to GPs

-          Autism

 

Each year

-          NHS Trust Quality Accounts and provider performance including progress on Care Quality Commission action plans following inspections

-          Rotherham NHS Foundation Trust (hospital)

-          Rotherham, Doncaster and South Yorkshire NHS Foundation Trust (RDaSH)

-          Yorkshire Ambulance Service

 

Other Suggestions

-          Dementia (from discussions in April)

-          Suicide Prevention Plans – Parliamentary Select Committee

-          Health and Wellbeing Strategy implementation

 

Methods – for example

-          Reports – initial and Select Commission to decide if more work needed and information/progress/monitoring

-          Presentations

-          Reviews – spotlight or full

-          Sub-groups

-          Visits

-          Service user/patient experience – case study or direct

 

Select Commission Members were asked to submit any suggestions to Janet.

 

Resolved:-  (1)  That the Scrutiny Officer work with the Director of Public Health and Assistant Director of Strategic Commissioning to draw up a draft work programme.

 

(2)  That a draft membership of the Quality Account Sub-Groups be submitted to the next meeting for consideration.

8.

Joint Health Overview and Scrutiny Committee for the Commissioners Working Together Programme

Minutes:

The Health Select Commission received an update from the Scrutiny Officer concerning the Joint Health Overview and Scrutiny Committee (JHOSC) for the Commissioners Working Together Programme.  The issues highlighted:-

 

-          The decision on the reconfiguration proposals for Hyper Acute Stroke and Children's Surgery and Anaesthesia had been postponed from May until 28th June.  However, the Joint Committee of Clinical Commissioning Groups would only be making the decision on the Children's Surgery and Anaesthesia on that date as there was further work taking place with regard to Hyper Acute Stroke.  The new date had not been announced for that decision.

 

-          There would be another meeting of the JHOSC in July.  This would provide an opportunity to discuss the final decision for Children’s Surgery and Anaesthesia and to discuss future scrutiny following any changes.

 

Resolved:- That the information be noted.

9.

Healthwatch Rotherham - Issues

Minutes:

-          No issues had been raised.

10.

Health and Wellbeing Board pdf icon PDF 83 KB

Minutes of meeting held on 8th March, 2017

Minutes:

The minutes of the meeting of the Health and Wellbeing Board held on 8th March, 2017, were noted.

11.

Date of Next Meeting

Thursday, 20th July at 9.30 a.m.

Minutes:

Resolved:- That the next meeting of the Health Select Commission be held on Thursday, 20th July, 2017, commencing at 9.30 a.m.