Agenda and minutes

The Board congratulated Janet Wheatley who had attended Buckingham Palace the previous day for the award of her MBE by Her Majesty the Queen.

There were no Declarations of Interest made at the meeting.

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

The minutes of the previous meeting of the Health and Wellbeing Board held on 20^th September, 2017, were considered.

Resolved:-  That the minutes of the previous meeting held on 20^th September, 2017, be approved as a correct record.

(1)  Janet Wheatley reported that the Shadow Secretary of State for Health, Jon Ashworth, was to visit Voluntary Action Rotherham on 1^st December, 2017, to talk about Social Prescribing.

Janet would forward details to Board members.

Action:-  Janet Wheatley

(2)  Voluntary Action Rotherham had been nominated for their Supporting Self-Care at the Health Services Journal awards.

- Terri Roche / Chris Edwards to present

Further to Minute No. 29 of the meeting held on 20^th September, 2017, Terri Roche, Director of Public Health, presented an update by way of a powerpoint presentation on the progress being made in relation to the refresh of the local Health and Wellbeing Strategy and alignment to the Integrated Health and Social Care Place Plan (Place Plan).  The presentation included:-

Health and Wellbeing Strategy 2015-18 Principles

-          Shared vision and priorities

-          Enables planning of more integrated services

-          Reduce health inequalities

-          Translates intelligence into action

Need for a Refresh

-          Existing Strategy runs until the end of 2018 but a number of national and local strategic drivers were now influencing the Health and Wellbeing Board

-          An early refresh ensured the Strategy remained fit for purpose, strengthening the Board’s role in:

High level assurance

Holding partners to account

Influencing commissioning across the health and social care system as well as wider determinants of health

Reducing health inequalities

Promoting a greater focus on prevention

-          LGA support to the Health and Wellbeing Board

Self-assessment July, 2016

Stepping Up To The Place workshop September 2016

-          Positive feedback given about Board’s foundation and good partnership working

-          The current Strategy was published quickly after the Board was refreshed (September 2015)

-          Now in stronger position to set the right strategic vision and priorities for Rotherham

Joint Strategic Needs Assessment

-          Ageing population – rising demand for health and social care services

-          More people aged 75+ living alone, vulnerable to isolation

-          High rates of disability, long term sickness (more mental health conditions) and long term health conditions e.g. Dementia

-          Need for care rising faster than unpaid carer capacity

-          High rates of smoking and alcohol abuse, low physical activity and low breastfeeding

-          Rising need for Children’s Social Care especially related to Safeguarding

-          Relatively high levels of learning disability

-          Growing ethnic diversity especially in younger population with new migrant communities

-          Growing inequalities, long term social polarisation

-          High levels of poverty including food and fuel poverty, debt and financial exclusion

Proposed Refreshed Strategy

-          Sets strategic vision for the Health and Wellbeing Board – not everything all partners do but what partners can do better together

-          Includes 4 strategic ‘aims’ shared by all Health and Wellbeing partners

-          Each aim includes small set of high level shared priorities

-          Which the Integrated Health and Social Care Place Plan ‘system’ priorities will align to

Strategic Aims

Aim 1

-          All children get the best start in life and go on to achieve their potential and have a healthy adolescence and early adulthood

HWB Priority 1         Ensure every child gets the best start in life (pre-conception to age 3)

HWB Priority 2         Improve health outcomes for children and young people through integrated commissioning and service delivery

HWB Priority 3         Reduce the number of children who experience neglect

HWB Priority 4         Education

Aim 2

-          All Rotherham people enjoy the best possible mental health and  ...  view the full minutes text for item 42.

- Christine Cassell to present

Christine Cassell, Chair of the Rotherham Local Safeguarding Children Board, presented the Board's annual report 2016-17 with the aid of a powerpoint presentation, which outlined the role of the Board, its relationship to the Health and Wellbeing Board and the context for the 2016-17 annual report which was:-

·           Children and Social Work Act 2017

·           Continuing austerity

·           Increasing demands and expectations on public services that safeguard children

·           Brexit

·           Excellent commitment from partners locally to working together to improve the way that Rotherham children are kept safe

Rotherham LSCB Report 2016-17

Key messages about services and how they work together:-

·           Responses to children and families generally more timely

·           Early Help – better co-ordinated offer to families with good feedback.  Needs more multi-agency partner involvement

·           Assessment of risk or harm – issues in multi-agency practice

·           Looked After Children – initial health assessments and missing episodes children out of Rotherham

·           Neglect – high percentage of cases include elements of neglect – associated with parental issues of domestic abuse, mental ill health and substance misuse

Priorities for 2017-19

·           Early Help

·           Neglect

·           Safeguarding Looked After Children

·           Child Sexual Exploitation

·           The effectiveness of multi-agency decision making when a child is at risk of harm

·           Evidence of the child’s voice will be expected in all the above

Safeguarding is Everybody’s Business

·           Council

·           Statutory and non-statutory partners

·           Voluntary and community organisations

·           The wider community

Changes to LSCBs

·           Statutory guidance now out for consultation

·           Statutory requirement for LSCBs abolished

·           Local Authority, Health and Police become jointly responsible for the local Safeguarding arrangements to replace LSCBs

·           Challenge will be to ensure robust arrangements that engage the wider partnership e.g. schools

What should the HWB 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

·           Report back to the LSCB, through the local protocol arrangements, on the impact of its work in support of LSCB priorities

It was noted that quarterly meetings took place between the Chair of the Children and Young People’s Partnership, Independent Chairs of the Adults and Children’s Boards, Chair of the Health and Wellbeing Board and Chair of the Safer Rotherham Partnership, where the effectiveness of the Safeguarding Partnership Protocol was discussed and how they could continue to improve linkages between Boards and challenge each other where appropriate.

Discussion ensued with regard to the proposed abolition of LSCBs which was currently out to consultation.  It was felt that the tripartite response without an Independent Chair would result in it being no one agency’s responsibility.  Locally, areas could determine their own arrangements and it would depend upon local areas developing strong and robust arrangements rather than those robust arrangements being specified by the centre.  South Yorkshire Police had already submitted their response to the consultation.

It was felt that there was no reason why there could not still be an Independent Chair as other working parties/Improvement Boards had. 

The LSCB would be considering its response to the  ...  view the full minutes text for item 43.

- Jacqui Clark to present

Jacqueline Clark, Head of Service Early Intervention and Prevention, presented the Council’s Independent Living and Support Service (ILS), Strategic Commissioning and its contracted home care providers’ current position against UNISON’s suggested 3 stages of implementing the Ethical Care Charter.

UNISON had drawn up the Ethical Care Charter, aimed to ‘establish a minimum baseline of safety, quality and dignity of care by ensuring employment conditions which (a) do not routinely short change clients and (b) ensure the recruitment and retention of a more stable workforce through more sustainable pay, conditions and training levels’, as a result of a national survey they had commissioned in June/July 2012.

UNISON had called for Councils to commit to becoming Ethical Care Councils by adopting the Charter and only commission homecare services which adhered to the Charter.  They had suggested that implementation of the Charter be conducted in 3 stages and had produced guidance for Councils and providers.

The report set out the Authority’s current position against the 3 stages of implementing the Charter.

Resolved:-  That the report and progress of the Authority in implementing the Charter be noted.

- Ian Atkinson to present

Chris Edwards, Chief Operating Officer RCCG, reported that this item had been included on the agenda due to a rise in the number of Delayed Transfer of Care (DTOC) cases.  However, the situation had since started to improve.

The Rotherham System-Wide Escalation Plan 2017/18, which included Winter planning, was included on the agenda at Minute No. 49 below.  The Plan set out the winter planning arrangements for health and social care in Rotherham including resources and capacity put in place to manage the impact of winter pressures.

The Chairman stated that DTOC was a key metric within the Better Care Fund and one that the Government took particular note of.  

Resolved:-  (1)  That the Integrated Health and Social Care Delivery Group  examine Delayed Transfer of Care at their next meeting.

(2)  That should there be a “red alert” on the system for Delayed Transfers of Care, that a report be submitted to the Health and Wellbeing Board as a matter of urgency.

Action:-  Chris Edwards/Louise Barnett

- Bev Pepperdine to present

(This item was considered in the closed part of the meeting due to it not being placed in the public arena until January 2018.)

Bev Pepperdine, Performance Assurance Manager, presented the key findings from the 2017 Borough-Wide Lifestyle Survey report and the pilot report for Newman Special School.

The report also set out the plans to distribute the survey results to schools, to Boards and ongoing actions supporting the lifestyle survey results by partners.

Attention was drawn to the sections relevant to the Board.

Discussion ensued with issues raised regarding:-

-          Dental visits

-          Young carers

-          Non-participating schools

-          Work with Public Health

Resolved:-  That the report be noted.

- Steve Turnbull to present

Stephen Turnbull, Speciality Registrar Public Health, gave the following powerpoint presentation on Mapping the Pharmaceutical Needs Assessment:-

PNA Mapping Regulations

·           Schedule 1: Para 7

A map that identifies the premises at which pharmaceutical services are provided in the area of the Health and Wellbeing Board

·           Part 2: Para 4(2)

Each Health and Wellbeing Board must, in so far as it practicable, keep up-to-date the map which it includes in its Pharmaceutical Needs Assessment

SHAPE Tool

·           Strategic Health Asset Planning and Evaluation

·           Free to use application for NHS and local authorities

·           Web-based:  automatically updates background information

·           Enables more analysis e.g. populations, indicators, access to services, service gaps etc.

Uses in the Draft PNA

·           Mapping pharmaceutical services

·           Calculating access by walking time and driving time

·           Calculating access to pharmaceutical services not in Rotherham

·           Mapping service provision by population and/or indicators e.g. needle exchange by crime deprivation, Emergency Hormonal Contraception by female population 18-29 and 30-44 year olds and small area analysis

Next Steps Exploring

·           Automate data collection

·           Generic log-in

·           Additional datasets e.g. Health Indicators, Local Plan

·           Other assessments e.g. oral health

The Board had to approve the 2018 Rotherham PNA by 1^st April, 2018, the date it was legally due for renewal.  The consultation period would commence shortly for a period of 60 days, however, this would be extended due to the Christmas period falling within the timeframe.  The final PNA would be submitted to the Board in March, 2018 in order to meet the publication deadline.

The process included formal consultation with specific stakeholders.  It was suggested that Rotherham’s consultation would also include the CCG, VAR and South Yorkshire Police.  It was also noted that each GP surgery had a Patient Participation Group which then had an overarching meeting from time to time who it may be worthwhile discussing the issue with.

The 4 South Yorkshire authorities were working together, led by Rotherham, to produce the 4 separate PNAs covering South Yorkshire.  A South Yorkshire PNA Steering Group had been established to take this forward comprising the relevant PNA lead from each local authority.

Resolved:-  (1)  That the planned timetable for consultation and for the final document to be submitted to the Health and Wellbeing Board be approved.

(2)  That the additional consultees highlighted above be included in the consultation.

-               Chairman to report

This item was deferred until the January Board meeting.

The Rotherham System Wide Escalation Plan 2017/18 (including Winter Planning) was submitted for the Board’s information which set out Winter planning arrangements for health and social care in Rotherham including resources and capacity put in place to manage the impact of Winter pressures.

The Plan incorporated Rotherham’s response to the National Cold Weather Plan, updated in 2016, which helped prevent the major avoidable effects on health during periods of cold weather in England.

The Rotherham CCG, along with other local CCGs, was required to provide assurance to NHS England regarding year-round and Winter planning across the Rotherham health and social care community.  The report, alongside the baseline assessment and ongoing highlight reporting from the Rotherham A&E Delivery Board, aimed to provide that assurance.

- Nigel Parkes, CCG to present

The Board noted the October 2017 refresh of the Local Child and Adolescent Mental health Services (CAMHS) Transformation Plan for Rotherham.

Wednesday, 10^th January, 2018 at 10.00 a.m.

Venue to be confirmed

Resolved:-  That a further meeting be held on Wednesday, 10^th January, 2018, venue to be confirmed.