Agenda and draft minutes

Resolved:-  That the minutes of the meeting held on 27^th November, 2013, be approved as a true record.

Arising from Minute No. S55 (Flu Vaccination Programme), Dr. John Radford reported that he had attended a meeting regarding 2014’s Flu Vaccination Programme.  The JCVI was proposing that the United Kingdom be the first country in the world to stop the transmission of flu.  Over the last 10-15 years flu vaccination uptake in the elderly had been running at 60-70% and 50% in the at risk group.  Although best performing country, it was not sufficient to interrupt the transmission.  It was proposed to vaccinate all secondary aged children from September-December, 2014.

This would be a logistical challenge in terms of commissioning and delivery across the network.

Arising from Minute No. 56 (Frequency and Format of Meetings), it was noted that the work programme and review would be submitted to the January meeting.

-          Minutes of the Obesity Strategy Group held on 23^rd October, 2013 (Pages )

-          Winter Pressures Grant (Pages )

-          Yorkshire and the Humber Clinical Senate (Pages )

(a)    Obesity Strategy Group

The minutes of the above Strategy Group, held on 23^rd October, 2013, were noted.

(b)    Winter Pressures Grant

Correspondence had been received from Sir David Nicholson, Chief Executive, NHS England, with regard to additional Winter Pressures monies that was being made available to the NHS to support effective delivery of Winter Plans.  The Rotherham CCG would be receiving £1,228M.

The additional resources should be used to secure resilient delivery of the services to patients through the winter and would involve:-

-          Schemes to minimise A&E attendance and hospital admissions

-          Improvements to system flow through 7 day working across hospital, community, primary and social care with innovative solutions to tackle delayed discharges

-          Specific plans to support high risk groups

It was noted that the Urgent Care Board had met that morning and considered bids submitted by the Local Authority, RFT and the Ambulance Service.  All bids had been successful and funding secured.

(c)    Yorkshire and the Humber Clinical Senate

An update was provided on the development of the above Senate.  In accordance with the national guidance, it would need to provide a broad, strategic view on the totality of healthcare with Yorkshire and the Humber, bringing together experts to understand the impact of any 1 single initiative, or group of initiatives, upon the wider geographical area.  The aim was for it to be a well-respected organisation whose judgements were trusted by commissioners who would call upon the Senate on issues ranging from quality standards and inconsistencies, the development of care pathways or reconfiguration proposals.

The Yorkshire and the Humber was following the national proposed structure of a Senate Council and a Senate Assembly; the Council being a core multi-disciplinary group to oversee Senate business, receive objective data/information and co-ordinate the formation of advice and the Assembly being a diverse multi-professional forum providing perspectives, ideas and expert opinions encompassing the birth to death spectrum and providing a source of experts for the Senate Council to draw upon.

Interviews for the Senate Chair had been held on 10^th December, 2013 with the successful appointment being announced shortly.

A nursing representative and a clinical commissioner from within South Yorkshire and Bassetlaw was being sought and would be encouraged to apply for a position on the Senate Council.

It was felt that consideration should be given to a South Yorkshire-wide Health and Wellbeing Board meeting be held in 2014 once the Senate was established.

(d)    Award

The Chair reported that Rotherham had been listed for an award by a national organisation. 

(e)    111 Centre

The Chair reported that he was to visit to the 111 Centre the following day.

-          Chrissy Wright to present

Chrissy Wright, Strategic Commissioning Manager, submitted the final draft of the JSNA Refresh which included sections on user perspective and a Directory of Assets consisting of community assets, physical infrastructure and individuals and met the latest Government guidance on JSNA content

A web-based approach had been adopted – www.rotherham.gov.uk/jsna/site - a presentation of which was given at the meeting.  During 2014, as part of the Council’s website refresh, the technology would be utilised to improve and enhance the JSNA website including the use of images.

There were 7 main headings, accessed via the tabs along the top of the page – People, Places, Economy, Staying Safe, Healthy Living, Ill Health and Services.  In consultation with subject matter experts, analysis of the available information focussed on answering 3 key questions:-

-          Why was this an issue?

-          What was the local picture and how did we compare?

-          What was the trend and what could we predict would happen over time?

This approach would enable the Board to easily identify and prioritise the key current and emerging issues affect health and wellbeing in the Borough.

If approved by the Board, there would then be a period of consultation with stakeholders from 30^th December for 6 weeks.  Any comments/amendments would be made with the final version submitted to the February Board meeting.

Discussion ensued on the document and the consultation that was to take place with the following issues raised/clarified:-

-          Work would take place with the Communications Team with regard to the consultation

-          The consultation questions would be appropriate to the audience concerned

-          VAR was to help facilitate a consultation session with the voluntary and community sector

-          The document needed to illustrate on the issues that now impacted on family life and how the population now presented with more complex needs

Resolved:-  (1)  That the draft JSNA be approved for consultation.

(2)  That the final version be submitted to the February Board meeting.

-        report attached

Kate Green, Policy Officer, submitted the proposed Terms of Reference for the Task Group established at Minute No. S53 of the meeting held on 27^th November, 2013 and Risk Register.

Brian Hughes, NHS England, reported that the draft guidance was expected the following day containing the funding allocations.  It was a very detailed document setting out the expectations of what was now known as the “Better Care Fund”.

The proposed Terms of Reference appeared to be in accordance with the guidance. 

The completed Better Care template, as an integral part of the CCG’s Strategic and Operational Plans, should be submitted to NHS England by 14^th February, 2014.  They would be aggregated to provide a composite report and any areas identified where it had proved challenging to agree plans for the Fund.  The revised version of the Plan should be submitted, as an integral part of the CCG’s Strategic and Operational Plans, by 4^th April, 2014.

The guidance was not clear as to what happened if the Local Authority and CCG could not agree on the joint plan and who would be the arbitrator.

It was noted that the guidance was very prescriptive in terms of approval and the timeline would be quite challenging.

Resolved:-  (1)  That a special Board meeting be held in February to approve the joint plan for submission to NHS England.

(2)  That the Better Care Fund be included on the agenda for the January meeting.

-          Wednesday, 22^nd January, 2014, commencing at 9.30 a.m.

-          Wednesday, 19^th February, 2014, commencing at 1.00 p.m.

-          March and April to be agreed

Resolved:-  (1)  That further meetings of the Health and Wellbeing Board be held as follows:-

Wednesday, 22nd January, 2014, commencing at 9.30 a.m.

Wednesday, 19^th February, 2014, commencing at 1.00 p.m.

Wednesday, 26^th March, 2014, commencing at 9.30 a.m.

Wednesday, 23^rd April, 2014, commencing at 1.00 p.m.

in the Rotherham Town Hall.