Agenda and draft minutes

Health and Wellbeing Board - Wednesday 22 January 2014 9.30 a.m.

Venue: Town Hall, The Crofts, Moorgate Street, Rotherham. S60 2TH

Contact: Dawn Mitchell 01709 822072 Email: dawn.mitchell@rotherham.gov.uk

Items
No.	Item
64.	Minutes of Previous Meeting and Matters Arising PDF 43 KB View the background to item 64. Minutes: Resolved:- That the minutes be approved as a true record. Arising from Minute No. S59 (Flu Vaccination Programme), Joanna Saunders reported that there was no further national information. There was a national meeting convened for the following week from which feedback would be received. Arising from Minute No. 61 (Joint Strategic Needs Assessment), Chrissy Wright gave clarification of the website address. A report would be submitted in due course on uptake. Janet Wheatley reported that a consultation event was to take place on 27^th January at the Unity Centre for the voluntary and community sector.
65.	Communications View the background to item 65. Minutes: The following were reported:- (1) Attendance at a meeting of specialist commissioners by Councillor Dalton. (2) NHS England’s Commissioning intentions had been received and would be circulated. (3) Rotherham was 1 of 6 areas in the country that had successfully secured funding from the local area CCG and the Police and Crime Commissioner for a pilot initiative for mental health patients in custody. There would be mental health practitioners working alongside the Police and Council employees to identify those with possible mental health issues. An update would be submitted in due course. (4) “Ramp up the Red” – a national Heart Town initiative – would run though the month of February.
66.	RMBC Budget - Meeting the Challenge PDF 91 KB View the background to item 66. - Presentation by Pete Hudson, Chief Finance Manager Minutes: Pete Hudson, Chief Finance Manager, gave the following powerpoint presentation:- The Financial Challenge - The scale of financial challenges/risks facing local government was set to continue at least until 2017 (possibly a decade) - From 2013/14 there had been increased financial risk transferred to local councils through the Local Government Finance and Welfare Reform challenges and restrictions on finances e.g. Council Tax Referenda - Sustainable medium/long term financial planning was now even more critical What this meant for Rotherham - 2010/11 £5M (emergency budget) - 2011/12 £30M - 2012/13 £20M - 2013/14 £20M - 2014/15 £23M - 2015/16 £23M (estimate) Old Budget Principles - Previous budget principles served the Council well in the past, however, in the context of the Government’s Finance and Welfare Reform changes, a new approach was essential to meet future financial challenges:- Support Services pared to a minimum Staff headcount reduced by over 1,000 and management posts reduced by 19% Lean Council No longer ‘salami slice’ services New Budget Principles The Council’s budget had been developed to:- - Focus on the things most important to local people - Help people to help themselves wherever possible - Provide early support to prevent needs becoming more serious - Shift scarce resources to areas of greatest need including targeting services and rationing services to a greater extent than at present What this meant for Rotherham - Need to create an Investment Fund to focus on delivering Business Growth - Not doing everything, providing fewer services directly and supporting more people needing help through forging partnerships with other public sector stakeholders, communities, businesses and citizens to help them to do more for themselves - Using the limited and shrinking resources to tackle the biggest problems for the most needy, focussing on the 11 most deprived areas, accepting some would need to get less or less frequently - Achieving the best quality, safest, most reliable outcome via the most affordable service delivery method - Direct provision of service only where the Council was the cheapest/best quality solution to meet the critical needs of its citizens Rotherham’s 2014/15 Budget Challenge Initial Funding Gap in Medium Term Financial Strategy £19.1M - June Spending Round adjustments +1.0M - July Technical Consultation adjustments £0.4M Additional Pressures - New Government announcements +0.7M (reduced Housing Benefit grant/reduced Education Support Grant) - Pensions Triennial Revaluation +1.5M - Undelivered savings target 2013/14 +0.3M Revised Funding Gap £23.0M Meeting the Challenge: Savings Proposals 2014/15 - Directorate Savings Proposals £15.6M - Central Savings Proposals £5.3M - Revisions to Planning Assumptions £2.1M - Total £23.0M It was noted that the budget proposals were to be considered by Cabinet 5^th March, 2014. Discussion ensued on the presentation with the following comments made:- · Important for all parties to share their budget proposals to enable collaborative working and achieve maximum impact for the funding available – also to ensure partners did not make budget cuts in the same areas · Once the full list of all the saving proposals had been compiled Impact Assessments ... view the full minutes text for item 66.
67.	RMBC Commissioning Intentions for Adults and Children's Services PDF 311 KB View the background to item 67. - presentation by Chrissy Wright, Strategic Commissioning Manager Minutes: Chrissy Wright, Strategic Commissioning Manager, gave the following powerpoint presentation:- The Big Things – Adult Social Care and CYPS - Early Intervention and Prevention - Dependence to Independence - Joint Commissioning and Integration - Achieving Financial Efficiencies Alignment with Health and Wellbeing Strategic Priorities - Priority 1 – Prevention and Early Intervention - Priority 2 – Expectations and Aspirations - Priority 3 – Dependence to Independence - Priority 4 – Healthy Lifestyles - Priority 5 – Long Term Conditions - Priority 6 – Poverty Adult Social Care – Priority Activities - Early Intervention and Prevention Growth of Connect to Support - Dependence to Independence Disinvest in residential care placements and invest in community-based services - Joint Commissioning and Integration Better Care Fund identify current joint work and opportunities for a pooled budget with alignment with RCCG - Achieving Financial Efficiencies Delivering the identified savings in the budget matrix CYPS Social Care – Priority Activities - Early Intervention and Prevention Partnership with Public Health on breast feeding and smoking cessation in pregnancy - Dependence to Independence Deliver Support and Aspiration SEND reforms - Joint Commissioning and Integration Building transition into the Better Care Fund programme - Achieving Financial Efficiencies Deliver the strategic transformation intentions e.g. reconfiguration of Children’s Centres Discussion ensued on the presentation with the following comments made:- - Children’s Centres had been a flagship for the previous Government, however, the current Government had not provided funding for them. Due to the critical financial challenges faced by the Council, there was only funding for 1 more year - Given the support for the 11 most deprived areas, many of which had Children’s Centres and were a model of good practice, it was felt that closing them would be disastrous - Just working in the 11 most deprived areas would not achieve the aims/aspirations across the board Chrissy was thanked for her presentation.
68.	Rotherham CCG Plan 2014/2015 PDF 380 KB View the background to item 68. - Robin Carlisle, CCG, to present Additional documents: CCG Commissioning Plan Appendix , item 68. PDF 2 MB Minutes: Robin Carlisle, Deputy Chief Officer, Rotherham CCG, presented the CCG’s 5 year commissioning plan for endorsement prior to submission to NHS England on 14^th February, 2014. The plan had been developed in discussion with member GP practices, other Rotherham commissioners (RMBC and NHS England) and providers of health services in Rotherham (including TRFT and RDASH) and circulated to stakeholders. Comments received and the requirements of the planning guidance “Everyone Counts” had been incorporated into the draft. Comments by Board members would be welcomed particularly on the following:- - 5 year vision - Plan on a page - QIPP (Quality, Innovation, Productivity and Prevention) both Provider and System Wide There was still work required by the February deadline with regard to financial implications, levels of ambition for outcome measures and Rotherham’s approach to the Better Care Fund. Discussion ensued on the document with the following comments made:- · Important for all Service providers to understand/know the detail of what the implications were for their particular services and the chance to be involved · Need to ensure all the plans being submitted to the various bodies all aligned and did not forget the transformational time required to make the plans happen Resolved:- (1) That any comments on the plan be submitted to the CCG as a matter of urgency to enable the plan to be submitted to NHS England by the 14th February, 2014, deadline. (2) That the Council and NHS England, as co-commissioners, confirm that the plan was complementary with their own commissioning plans. (3) That TRFT and RDASH, as substantial providers of health services within Rotherham, confirm that the financial, activity and strategic vision in the plan triangulated with their 5 year organisational plans.
69.	Better Care Fund PDF 134 KB View the background to item 69. - verbal update from the Task Group Minutes: Tom Cray, Strategic Director Neighbourhoods and Adult Services, gave the following powerpoint presentation;- Task Group Terms of Reference - To work with members of the Health and Wellbeing Board to understand and interpret the requirements of the Better Care Fund - To develop a local jointly agreed vision for integration - To develop a plan to be signed off by the Health and Wellbeing Board and submitted to NHS England by 14^th February - To do any necessary further work to ensure the plan was adopted and being monitored by April, 2014 We Are Here:- - The Health and Wellbeing Board has developed good relationships across the new health and care landscape - Already agreed the joint priorities through the Health and Wellbeing Strategy informed by the JSNA - The Health and Wellbeing Board have made a commitment to integration through the local Strategy - Clear links to what needs to be delivered as part of the Better Care Fund - Better Care Fund Plan would help deliver the Health and Wellbeing Strategy Definition of Integration - Adopt the nationally recognised definition of Integration: “I can plan my care with people who work together to understand me and my carer(s), allowing me control, and bringing together services to achieve the outcomes important to me” (‘National Voices’) Vision - Ovearching vision of Health and Wellbeing Board: To improve health and reduce health inequalities across the whole of Rotherham - The Better Care Fund would contribute to 4 of the strategic outcomes of the Health and Wellbeing Strategy: · Prevention and Early Intervention – Rotherham people will get help early to stay health and increase their independence · Expectations and Aspirations – all Rotherham people will have high aspirations for their health and wellbeing and expect good quality services in their community · Dependence to Independence – Rotherham people and families will increasingly identify their own needs and choose solutions that are best suited to their personal circumstances · Long-term Conditions – Rotherham people will be able to manage long-term conditions so that they are able to enjoy the best quality of life Measuring Success - Develop ‘I statements’ as a common narrative to help us · Keep the voice of Rotherham people at the heart · Understand what integration feels like for service users/patients/carers - Based on what people tell us – way of ‘making it real’ - Influencing change through people’s experiences - Adopt this as a principle with aim to implement at a later date (drawing on lessons learned from national consultation) Criteria for Selection of One Local Measure Must have:- - A clear, demonstrable link with the Joint Health and Wellbeing Strategy - Data which was robust and reliable with no major data quality issues (e.g. not subject to small numbers – see “statistical significance” in next section) - An established, reliable (ideally published) source - Timely data available, in line with requirements for pay for performance – this meant that baseline data must be available in 2013-14 and that the data must ... view the full minutes text for item 69.
70.	Joint Protocol between Health and Wellbeing Board and Children's Safeguarding Board PDF 38 KB View the background to item 70. - Phil Morris, Safeguarding Children and Families to report Additional documents: LSCB HWB Protocol Appendix , item 70. PDF 65 KB Minutes: Phil Morris, Rotherham Local Safeguarding Children Board (RLSB), submitted a proposed Protocol which outlined and confirmed the functions and responsibilities of Rotherham’s key strategic partnerships i.e. the RLSB, the Children, Young People and Families Partnership (CYPFSP) and the Health and Wellbeing Board. It also set out the relationship between them, providing clarity and ensuring that the needs of children and young people in the Borough were identified and addressed at a strategic level:- - The CYPFSP will formally report to the HWBB on the progress update against the relevant priorities (in line with the Health and Wellbeing Strategy) of both the CYPFSP and the key milestones and targets within the Children and Young People’s Commissioning Plan - The RLSCB will submit its Annual Report of the Health and Wellbeing Board - The Health and Wellbeing Board will ensure that: The Joint Strategic Needs Assessment takes account of key areas for vulnerable children identified via the RLSCB Annual Report and the CYPFSP key priorities. The Director of Public Health had specific responsibility for this - The Health and Wellbeing Board may also request that the CYPFSP and/or the RLSCB to consider issues for development, action or scrutiny Resolved:- That the Protocol be approved and be put into operation with immediate effect.
71.	Date of Next Meeting View the background to item 71. Special Meeting – Tuesday, 11^th February, 2014, commencing at 9.30 a.m. Scheduled Meeting - Wednesday, 19^th February, 2014, commencing at 1.00 p.m. Minutes: Resolved:- That a Special meeting of the Health and Wellbeing Board be held on Tuesday, 11^th February, 2014, commencing at 9.30 a.m. in the Rotherham Town Hall.