Agenda and minutes

Health Select Commission - Thursday 23 January 2020 1.00 p.m.

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

Contact: Janet Spurling  The webcast can be viewed at

No. Item


Declarations of Interest


To receive declarations of interest from Members in respect of items listed on the agenda.


There were no declarations of interest in respect of any of the items of business on the agenda.


Exclusion of the Press and Public


To consider whether the press and public should be excluded from the meeting during consideration of any part of the agenda.


The Chair advised that there were no items of business that would require the exclusion of the press or public from the meeting.


Questions from members of the public and the press


To receive questions relating to items of business on the agenda from members of the public or press who are present at the meeting.


There were no questions from members of the public or press in respect of matters on the agenda for the meeting.




The Chair confirmed that a workshop session had been held on 20January 2020 to scrutinise and comment on the refreshed Rotherham Integrated Health and Social Care Plan.  It was a good session and comments and recommendations from the Health Select Commission would be fed back to officers and partners before the final draft went for approval.  A paper reporting the outcomes of the meeting would be included in the agenda for the meeting in February.


The Chair welcomed David and Michael from Speak Up who were in attendance with co-optee Robert Parkin.


Minutes of the previous meeting held on 10th October 2019 pdf icon PDF 156 KB


To consider and approve the minutes of the previous meeting held on 10th October 2019 as a true and correct record of the proceedings.


Consideration was given to the minutes of the previous meeting of the Health Select Commission held on 10th October, 2019.


In respect of Minute No. 42 Mental Health Trailblazer, it was confirmed that Early Help and Family Engagement supported a dedicated group that met each week for LGBT+ young people.  Early Help Assessments would also look at each family member and assess their individual needs, so support could also be provided through that means.


Details of the training for Education Mental Health Professionals and the types of interventions to be offered in schools had previously been circulated.


Feedback would be given in due course regarding the recommendation to include support for LGBT+ young people as a cohort within the Social, Emotional and Mental Health Strategy and within the Trailblazer project.


Resolved:- That the minutes of the previous meeting held on 10th October, 2019 be agreed as a correct record.


Progress on Autism Strategy and Implementation Plan pdf icon PDF 892 KB

Ian Spicer, Assistant Director, Adult Care, Housing and Public Health to present a progress update.


The Cabinet Member for Adult Care and Health introduced the agenda item by started with an apology for the delay in producing a final version of the all-age autism strategy.  An earlier draft was deemed to need more focus on adults and concerns had also been raised that it was more of a vision rather than a strategy and plan, so this had led to further work.  The benefits of taking a co-production approach to development were highlighted even though it did take longer and although there had been the delay the additional work would mean a better result.


Our vision

To work towards making Rotherham an autism friendly place to live. This means a place where you can get a timely diagnosis with support, meet professionals with a good understanding of autism, find services, organisations and employers that make reasonable adjustments when required, where people can feel safe, have aspirations and fulfil their potential, and become a full members of the local community.


Guiding Principles

All autistic children, young people, adults and their families are at the centre of everything we do:

  • Focus on individual’s strengths to overcome barriers
  • Guidance, information and support are easily available
  • Supporting individuals to live the life they choose
  • The right support at the right time and making every contact count
  • Increasing awareness of autism across Rotherham
  • Ensuring a Person-Centred Approach for autistic people living in Rotherham


Diagnosis in Rotherham

·       Nationally and in Rotherham there has been an increase in requests for Autism Spectrum Condition (ASC) assessments for both children and adults.

·       The increase is because of increased awareness both by individuals themselves, their carers/family members and by the health, education and social care system.

·       More men than women are diagnosed with autism.  This is changing with increases in the number of women being diagnosed


Key Activity – Children and Young People

Working with partners, our voluntary organisations and community groups we have identified five priority areas on which to focus our implementation plan. Some examples of the operational activity that is underway are:

       A digital diagnostic pathway has been commissioned from Healios who will support local CAMHS service

       Planning is underway to re-design our C&YP pathway in 2020-21

       Education settings have engaged in training, licensed by Autism Education Trust

       New specialist education places have been created, at primary and secondary, for children with Autism

       Rotherham Opportunities College offers local post-19 education provision

       Project Search offers supported internships

       Rotherham Parent Carers Forum are commissioned by Rotherham CCG to offer regular drop-in sessions to support families on the diagnostic pathway


Key Activity – Adults

  • Planning to introduce a Rotherham based adult diagnostic and post diagnostic service from Q1 2020/21
  • Will maintain existing capacity in Sheffield service for one year to ensure waiting list is managed.
  • Launched Autism Alert Card – this was done in partnership between SYP, Police and Crime Commissioner, the Council, NHS and Rotherham NAS.
  • Parent Carer Forum and VOICE co-chair the Autism Partnership Board  ...  view the full minutes text for item 54.


Outcomes from Workshop on Suicide Prevention pdf icon PDF 141 KB


A short briefing paper summarised the key questions raised at the workshop held in October to scrutinise Suicide Prevention.  The purpose of the session had been to seek assurances regarding current activity, future plans and resources for work on suicide prevention and self-harm.  It also provided a good opportunity to scrutinise and have input into the draft action plan.


HSC Members were reassured about the multi-agency work taking place in Rotherham on suicide prevention and self-harm.  Training and awareness raising for staff, colleagues, parents and carers continues to be a key factor in supporting achievement of the key aims within the plan.  A response to the two recommendations on the plan and wider points raised about suicide prevention work overall, as outlined in the briefing paper, would be reported back to the Select Commission in due course.


A question was asked regarding any potential correlation between unemployment or casual work and suicide and whether any thought had been given to training job centre staff to look out for signs.  It was agreed to feed this back.


Resolved:- To note the information in the briefing paper.


Outcomes from Workshop on Adult Social Care Outcomes Framework pdf icon PDF 179 KB


A short briefing paper summarised the key questions raised at the Performance Sub-Group workshop held in November 2019 to scrutinise the Adult Social Care Outcomes Framework (ASCOF).  The focus of the session, which was chaired by the Vice Chair Cllr R Elliott, was to consider:


·       final year end performance ASCOF measures for 2018-19

·       regional, national and CIPFA benchmarking data with statistical neighbours to show how Rotherham compared with other local authorities 

·       key findings from the annual Service User Survey and biennial Carer Survey


Members had probed into those measures which had declined and sought assurances that the new model and ways of working in Adult Care would be reflected in improvements to the measures as they became embedded.  Support for carers was acknowledged as an area for improvement and would be included in the work programme in 2020.


The Chair opined how it was positive to see that issues discussed at the workshop, in relation to adults in contact with secondary mental health services living independently and regarding adults with learning disability on long term service in employment, were reflected in the refreshed Rotherham Place Plan discussed earlier that week.


Resolved:- That the information be noted.


Rotherham Healthwatch


Tony Clabby, Chief Executive reported that recent reports produced by Rotherham Healthwatch on registering at GPs and the outcome of surveys at the Urgent and Emergency Care Centre (UECC) had been shared with the Chair.  In terms of patient registration with GPs, a lack of awareness existed amongst the practices that there was no need for forms of identification to be provided in the case of vulnerable people. The survey undertaken at the UECC asked why people had chosen to go there for medical care rather than using one of the alternatives such as pharmacist or GP. One of the main reasons cited was a lack of GP appointments, which had been fed back to the Clinical Commissioning Group.


He informed Members that this would be his last attendance at a Health Select Commission meeting as a new provider would be in place for the Healthwatch contract from 1st April, 2020, which would be the Citizen’s Advice Bureau (CAB).  The independent NHS advocacy work previously undertaken by Rotherham Healthwatch would now be part of a separate broader advocacy contract that was out to tender.


Assurance was sought that information on matters of interest would be fed back to the Health Select Commission by the CAB.  It was confirmed that having a local Healthwatch was a statutory function and that the CAB would establish a separate entity with a separate group of trustees to fulfil this function.  Clear contractual objectives included a requirement to work across the entire health and care system and to bring forward the voice of local people.  HSC would have opportunities to identify issues to be looked at and it was hoped the CAB would regularly attend HSC meetings. Tony Cabby confirmed that he would be meeting with the CAB to plan the transition and handover.


The Chair thanked Mr Clabby for attending and wished him well for the future.


South Yorkshire, Derbyshire and Nottinghamshire Joint Health Overview and Scrutiny Committee - Update


The Governance Advisor reported back on the meeting held on 7th November, 2019.  The scheduled agenda item on Gluten Free Proposals had been postponed due to the pre-election period and might be something the joint committee would consider later in 2020. 


Updates were provided on three workstreams:


-   Hospital Services Review – The focus remained on transformation and working together through the hosted networks at this stage rather than service reconfiguration proposals. The Joint Health Overview and Scrutiny Committee (JHOSC) had requested a further report including feedback from staff, patients and clinicians about how that was working.


-   Hyper Acute Stroke Services - Since July 2019 most stroke patients In Rotherham had been taken to the Sheffield Hyper Acute Stroke Unit for their hyper urgent stroke care, followed by either discharge directly home, discharge home with support or transfer back to Rotherham hospital for ongoing acute stroke care and inpatient rehabilitation.  Officers reported that early feedback from patients and their families and staff had been very positive. The JHOSC had requested evidence to demonstrate that the new model was working as planned; information on patient flows; feedback from patients and families and feedback from the hospitals providing the additional services.


-   Integrated Care System Work Programme – What was coming up in the short term that the JHOSC might need to consider rather than being scrutinised locally.


The next meeting would be scheduled for February or early March and once the agenda had been published the link would be circulated to HSC members to feed in any questions or issues for the Chair to raise.


Urgent Business


To consider any item(s) which the Chair is of the opinion should be considered as a matter of urgency.


The Chair advised that there were no matters of urgent business to discuss at the meeting.



Date and time of next meeting


The next meeting of the Health Select Commission will be held on Thursday 20th February 2019 commencing at 2p.m. in Rotherham Town Hall. 


Resolved:- That the next meeting of the Health Select Commission take place on Thursday, 20th February, 2020, commencing at 2.00 p.m. in Rotherham Town Hall.