Agenda and minutes

Health and Wellbeing Board - Wednesday 13 January 2016 2.00 p.m.

Venue: Oak House, Bramley

Contact: Dawn Mitchell  Email:

No. Item


Rotherham Council


The Chairman referred to the recent announcement regarding the potential restoration of some powers to the Council/Elected Members in February, 2016 as well as the appointment of Sharon Kemp as Chief Executive who would commence on 18th January, 2016 and attend future meetings of the Board.


He placed his thanks on record for the work of the Commissioners and in particular Commissioner Manzie for her efforts on behalf of the Health and Wellbeing Board.


Declarations of Interest


There were no Declarations of Interest made at the meeting.


Questions from members of the public and the press


There were no questions from members of the press and public present.


Minutes of the previous meeting pdf icon PDF 64 KB

Minutes of meeting held on 25th November, 2015


Resolved:-  That the minutes of the meetings held on 25th November, 2015, be approved as a correct record.


Arising from Minute No. 34 (Communications), it was noted that an update would be given at the next meeting regarding the refresh of the Board’s website.


Arising from Minute No. 37 (Suicide Prevention and Self-Harm), it was noted that meetings had taken place with 2 individual Head Teachers but not at the collective Head Teachers meeting.  Commissioner Manzie undertook to raise this issue with the Head of School Effectiveness Service.


It was also noted that 2 training programmes had been publicised.  Firstly the Applied Suicide Intervention Skills training to be held on 10th and 11th March, 2016 and secondly the Safe Talk Training to be held on 12th and 26th February, 2015.  Both programme were to be held at the Brinsworth Training Centre.  They were open to the general public as well as employers.


An All Members seminar was to be held on 5th April, 2016, on this issue.


For Information

Opportunity for Board Members to report any issue that may be of interest


Physical Activity Event

The Chairman reported that the event would now take place in May, date to be confirmed, at the New York Stadium.


Network Event

An event was to be held in York on 11th March for Health and Wellbeing Board Members and Support Officers.  The Chair and Vice would be attending.  There were a further two places available.  Anyone interested in attending should contact Kate Green.


Better Care Fund

A progress report would be submitted to the February meeting.  A meeting had taken place between the Council, CCG and Foundation Trust to discuss assurance that there was a shared approach from the Hospital, CCG and Council.  A report would be submitted to the March meeting focussing on locality and a named key person to all the services the three organisations offered.


Julie Kitlowski reported that the Trust had developed a ten minute soundbite which talked about what 2016 for Rotherham was going to look like, the transformation plans, getting people out of hospital and looked after closer to home in their home and the locality model.  It would need to be shared widely and hopefully would be presented to the next Board meeting.  It was hoped to have a version that could be shared with the population of Rotherham.


(Julie Kitlowski assumed the Chair at this point in the meeting.)


Update on the Health and Wellbeing Strategy Implementation pdf icon PDF 48 KB


Further to Minute No. 35 of the meeting held on 25th November, 2015, Terri Roche, Director of Public Health, submitted an update on the progress made and the Board sponsors/lead officers as follows:-








Proposed Board Sponsor

Lead Officer (to be nominated by Board sponsor – from different organisation)


1.  All children get the best start in life

Richard Cullen, CCG

Cara Milner, Matron, Children’s Services, Rotherham Foundation Trust


2.  Children and young people achieve their potential and have a healthy adolescence and early adulthood

Ian Thomas, CYPS

CCG to nominate representative (suggested Safeguarding lead)

3.  All Rotherham people enjoy the best possible mental health and wellbeing and have a good quality of life


Kathryn Singh, RDASH

Ian Atkinson, CCG

4.  Healthy life expectancy is improved for all Rotherham people and the gap in life expectancy is reducing


Julie Kitlowski, CCG

Giles Ratcliffe, Public Health Consultant

5.  Rotherham has healthy, safe and sustainable communities and places

Jason Harwin, SYP

Assistant Director of Community Safety and Neighbourhoods, RMBC (when appointed)


A series of development workshops would take place for aims 3, 4 and 5 to help identify where the Board could add value to specific actions and consider what was already in place locally.


Aims 1 and 2 would be led by the Children’s Trust Board and was, therefore, suggested that the wider Children’s Partnership be used to develop them rather than individual workshops.


Discussion ensued on the nomination of Lead Officers and the need to ensure a balance of organisations.


Resolved:-  (1)  That the Board sponsors and lead officers for each Strategy aim, as set out above, be approved.


(2)  That a review of the nominated officers be reviewed as part of the LGA Peer Review.


(3)  That discussions take place with Voluntary Action Rotherham with regard to possible nominated representation.


NHS Planning Guidance 2016/17-20/21 pdf icon PDF 209 KB

Dr. Julie Kitlowski to present


Read the Planning Guidance for NHS providers and commissioners.




The Chair drew the Board’s attention to the recently published NHS Planning Guidance 2016/17-2020/21 which set out the steps to deliver a sustainable, transformed Health Service.  It included the key priorities for the system, agreed by all national health and care bodies, plus the business rules and incentives that would support delivery.


The CCG would have to produce two plans as well as consult with the Board on the Rotherham Place Plan which was a five year plan and had to be produced by March, 2016.  CCG’s were also being instructed to produce a regional Sustainability and Transformation Plan which included sustainability across the hospital sector as well as the CCG. Debate was taking place as to whether this would include South Yorkshire and Bassetlaw or South Yorkshire, Bassetlaw and Derbyshire.  Technical guidance was awaited and there would be timescale issues. 


Discussion ensued with the following issues raised:-


-          Possible alignment with the City Region – Health was not part of the South Yorkshire devolution

-          It covered all ages and was all encompassing


Resolved:-  That the report be noted and further updates be submitted as and when information becomes available.


Indices of Multiple Deprivation

Presentation by Miles Crompton, Policy, Improvement and Partnerships


Miles Crompton, Policy and Partnerships, gave the following presentation:-


Indices of Deprivation 2015

-          Government measure produced by Oxford University

-          Updates the previous ID2010

-          7 domains (37 Indicators) = Index of Multiple Deprivation (IMD) with 2013/14 baseline

-          SOA Geography (167 in Rotherham and 32,844 in England)

-          Average of SOA Scores measure – Rotherham increased from 53rd most deprived district in 2010 to 52nd in 2015 (326 districts)

-          Minor changes to methodology


Rotherham Deprivation relative to England

% of Rotherham population within English IMD deciles









Most deprived 10%





Most deprived 20%





Most deprived 30%





Less deprived than national average





23.1% of children 0-15 live in 10% most deprived areas nationally (15.6% in 2007)


Rotherham’s most deprived SOAs

All in top 2% of 32,844 English SOAs


Rank in 2010

Rank in 2015



242 (+609)

East Herringthorpe North


257 (-27)

Eastwood Village


302 (+1,905)

Canklow North


315 (+119)

Eastwood East


323 (+318)

East Herringthorpe South


480 (+440)

Eastwood Central


500 (+589)

Maltby Birks Holt


597 (+610)

East Dene East


623 (+84)



634 (+213)


Deprivation by Domain



Top 10%







Education & Skills










Health & Disability















Living Environment










40% of Rotherham is in the most deprived 20% nationally but none is in the least deprived 20%


Indices of Deprivation

Change in Health Indicators


ID 2010

ID 2015


Years of potential life lost




Comparative illness & disability ratio (sickness & disability benefits)




Acute morbidity (emergency admissions) 2006-8/2011-13




Mood & anxiety disorders (Mental Health) 2006-8/2012-13




Overall Health & Disability Score




Average SOA scores (above) show improvement

Mental Health is worse – GP prescribing, hospital episodes, disability benefits and suicides

24.3% of children 0-15 are affected by low income


Income Deprivation affecting Children Index 2015

-          Children 0-15 are 19% of population but 25% of those affected by low income

-          35% of children in low income families live in 10% most deprived nationally


Children and Young People’s Attainment

Education Sub-Domain 2015

-          27% of children and young people live in 10% most deprived areas nationally

-          16% live in 5% most deprived areas


Comparison of Life Chances: Children

20 Contrasting Neighbourhoods

10 most deprived areas

10 least deprived areas

Total population (2013)



Children (aged 0-17)

5,870 (33.6%)

2,655 (16.8%)

Live in a family with 3+ dependent children

2,975 (50.7%)

470 (17.7%)

Good level of development at Foundation (2013)

117 (36.7%)

115 (73.2%)

Achieve Level 4 at Key Stage 2 (2011-13)

143 (56.7%)

135 (88.0%)

Achieve 5+ GSCEs A*-C inc  ...  view the full minutes text for item 48.


Children's Strategic Partnership Arrangements

Verbal updated by Ian Thomas, Strategic Director, Children and Young Peoples Services


Ian Thomas, Strategic Director, Children and Young People’s Services, gave a verbal report on the Children’s Strategic Partnership.


The Partnership was strongly related to Aims 1 and 2 of the Health and Wellbeing Strategy.  There had been two development days held so far with the first meeting of the refreshed Partnership taking place on 10th February where the Chair and Vice would be agreed as well as the Terms of Reference.  The Partnership’s key workstreams were:-


Early Help

Workforce Development across the system

Development of a Children and Young People’s Plan


with the key headline outcomes of  keeping children safe and keeping children and families safe, children ready to learn and children and their families ready for work.


The Partnership would meet bi-monthly and report into the Health and Wellbeing Board.


Resolved:-  That the update be noted.


Early Help Progress Report - September to December, 2015 pdf icon PDF 93 KB

Report by David McWilliams, Assistant Director, Early Help and Family Engagement


Ian Thomas, Strategic Director, Children and Young Peoples Services, presented an update on the progress made in developing Rotherham’s Early Help Offer.


The report highlighted:-


-          Appointment to the posts of Assistant Director for Early Help, Heads of Service, Team Managers and Children Centre Leaders

-          Transfer of staff into the new locality team on 5th October, 2015 and major review of all property in the Borough that would provide Early Help office space and Service delivery points

-          In excess of 30 different referral routes into Early Help each with its own criteria, assessment and evaluation and recorded across 8 databases

-          Review of the Early Help Assessment Team within the MASH and reconfiguration to secure more efficient and effective processes

-          0-19 Pathway almost complete.  It would be launched as an interactive online tool for all partners and practitioners as part of the Early Help Offer website

-          Progress in developing an online Early Help Offer with over 76 services and agencies having completed a service synopsis of what they offered and how it could be accessed

-          Monthly reporting of performance measures.  However, until the Case Management System (Liquid Logic) was operational it would continue to be an inefficient process with 7 different databases and systems to interrogate in order to extract the required data

-          Finalised Early Help Quality Standards and a new electronic Case Audit tool development and introduced.  All Team Managers and Heads of Service were required to undertake 1 Case Audit per month as part of the wider Early Help QA Framework


It was also noted that in October, 2015, the best ever NEET figures had been reported.  Rotherham’s final (NCCIS validated) figures were:-


Y11                     98% offers made (against a national average of 97%)

Y12                     97% offers made (against a national average of 91%)

Combined – 97.6% offers made (against a national average of 94.1%)


The Offer would go live on Monday, 18th January, 2016.


Discussion ensued with the following issues raised/clarified:-


·           There were six Police Officers within the Integrated Youth Support Service.  A Sergeant had also been recruited and a Missing from Home Officer who would sit within the Early Help Office


·           The new Barnardos’ service, although not live until later in the month, was already taking referrals – there would be fifteen additional bodies out and about raising awareness around CSE working with schools and communities


Resolved:-  That the report be noted.


Joint Commissioning Update pdf icon PDF 76 KB


Ian Thomas, Strategic Director, Children and Young Peoples Services, presented a report outlining the progress that had be made on the Rotherham Joint Commissioning Strategy


The Strategy had been developed in partnership with young people as well as extensive consultation with parents, carers and stakeholders in the development of the 7 priorities i.e. SEND, Child Sexual Exploitation Post-Abuse Support Services, Early Help, Transition, Looked After Children – our Sufficiency Strategy in relation to Residential Care and Fostering Placements, CAMHS and 0-5 Years including Best Start.


Rotherham had suffered in the past as there had been no partnership working to deliver better outcomes for its communities.  The Joint Commissioning Strategy aimed to impact positively on children and young people through enhancement of current Mental Health Service provision.  The priorities would bring about a positive contribution to promoting equality through improving access into service provision from disadvantaged and vulnerable groups.


Resolved:-  That the report and progress made to date be noted.


(Julie Kitlowski assumed the Chair)


Rotherham Local Safeguarding Children Annual Report 2014-15 pdf icon PDF 64 KB

Christine Cassell, Chair, Rotherham Local Safeguarding Children Board, to present

Additional documents:


Christine Cassell, Independent Chair of the Rotherham Local Safeguarding Children Board, gave the following powerpoint presentation:-


Role of the Local Safeguarding Children Board

-          Section 14 of the Children Act 2004 sets out the objectives of LSCBs which are:-

·           To co-ordinate what is done by each person or body represented on the Board for the purposes of safeguarding and promoting the welfare of children in the area

·           To ensure the effectiveness of what is done by each such person or body for those purposes


Relationship to the Health and Wellbeing Board


-          Do not commission or deliver direct frontline services though they may provide training

-          Should also work with the Health and Wellbeing Board, informing and drawing on the Joint Strategic Needs Assessment

(Working Together 2015)


LSCB Annual Report

-          The Chair must publish an annual report on the effectiveness of child safeguarding and promoting the welfare of children in the local area (Working Together 2015)

-          The report should be submitted to the Chair of the Health and Wellbeing Board (Working Together 2015)

-          Inspectorates expect to see evidence of LSCB influence on the Health and Wellbeing Board


Rotherham LSCB Report 2014-15

Commentary by previous Chair on priorities

-          Importance of Early Help strategy being refreshed

-          Neglect and Domestic Abuse – strengthening Families Framework being introduced

-          CSE Strategy refresh

Commentary on LSCB Improvements

-          Performance, challenge and improvement

-          Co-ordination with strategic commissioning activity

-          Hearing and acting on the experience of others

-          Learning and Development


Priorities for 2015-16

-          Effectiveness of Early Help

-          Effectiveness of the response to neglect

-          Experience of Looked After Children

-          Effectiveness of the multi-agency response to child sexual exploitation

-          Continuing to improve the effectiveness of the LSCB


Safeguarding is everybody’s business

-          Council

-          Statutory and non-statutory partners

-          Voluntary and community organisations

-          The wider community


What should the Health and Wellbeing Board do?

-          Ensure a safeguarding focus in commissioning decisions

-          Support LSCB priorities through the implementation of the Health and Wellbeing Strategy

-          Undertake safeguarding impact assessments on major budget and organisational change

-          Reports back to the LSCB on the impact of its work in support of LSCB priorities


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


-          Further consideration was required to Impact Assessment in terms of the agencies’ budgetary and organisational agendas


-          To have an impact there had to be a baseline and once that discussion had been hade, how to get a collective view on what the impact was given agencies were driven by their own strategy and all measured outcomes differently; there had to be some commonality


Resolved:-  (1)  That the Health and Wellbeing Board:-


(a)  Ensures a focus on safeguarding children in its commissioning decisions;


(b)  Supports LSCB priorities through the implementation of the Health and Wellbeing Strategy


(3)  That the issue of Impact Assessments be discussed at the Health and Wellbeing Board’s Away Day and reported back to the Local  ...  view the full minutes text for item 52.


Date, time and venue of the next meeting

Wednesday, 24th February, 2016, at 9.00 a.m. venue to be confirmed


Resolved:-  That a further meeting be held on Wednesday, 24th February, 2016, commencing at 9.00 a.m. to be held at the Rotherham Town Hall.