Venue: Rotherham Town Hall
Contact: Dawn Mitchell Email: email@example.com
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 members of the public or press present at the meeting.
The minutes of the previous meeting of the Health and Wellbeing Board held on 15th November, 2017, were considered.
Resolved:- That the minutes of the previous meeting held on 15th November, 2017, be approved as a correct record.
Further to Minute No. 41(1) the visit of the Shadow Secretary of State for Health, Jon Ashworth, had taken place on 1st December, 2017 and had shown a genuine interest in the Social Prescribing taking place in Rotherham.
Further to Minute No. 43(3) (Local Safeguarding Children Board Annual Report), it was reported that a response had been submitted on behalf of the Health and Wellbeing Board with regard to the proposed abolition of LSCBs.
It had also been clarified that the comments made at the last meeting with regard to a joint Partnership response had been included in the LSCB consultation response (Minute No. 43(5) refers).
Further to Minute No. 45 (Delayed Transfer of Care), it was noted that Rotherham’s recent performance on Delayed Transfers of Care had been 1.5% - good practice was 3%. It was also noted that Winter Pressures was not having an effect at the present time.
The Chairman reported receipt of an email from the Local Government Association stating that Rotherham’s Health and Wellbeing Board was regarded as a leader nationally.
They had asked the Chair to give a presentation at a meeting in York about the journey, where the Board had come from, the barriers it had faced and how it was moving forward.
Terri Roche, Director of Public Health, to present
Further to Minute No. 42 of the previous meeting, Terri Roche, Director of Public Health, presented an update on the progress being made in relation to the refresh of the Health and Wellbeing Strategy together with the full draft of the new 2018-2025 Strategy.
The 4 aims had been agreed at the November Board meeting with a number of minor suggestions made in terms of language and focus. It had also been agreed that the new Strategy became a longer term document, in line with the Rotherham Together Partnership Plan, and set the strategic vision and direction for the Board over the next 7 years. The Strategy’s main purpose was to strengthen the Board’s role in relation to high level assurance and holding partners to account as well as influencing commissioning across the health and social care system and wider determinants of health.
The aims contained within the Strategy were ambitious and would require a continued and dedicated focus on improving health and wellbeing outcomes across the Partnership. Results would not be seen overnight but would ensure work at Board level could be focussed on the activity required to deliver the aims in an appropriate timescale.
It was the intention to develop an annual plan demonstrating what activity would be undertaken during that year, what success would look like and, following the first year, also include a progress report in relation to the activity undertaken in the previous year.
It was noted that the Strategy had been discussed at VCS ‘An Audience With’ session the previous day, copies of the questions/points raised were circulated for consideration.
To ensure proper alignment with the Strategy, it was noted that the refreshed Integrated Health and Social Care Place Plan would now be submitted to the Place Plan Board in April and the Health and Wellbeing Board in May.
Discussion ensued with the following issues raised/clarified:-
· Raised at the Health Select Commission and VCS that loneliness could affect all age groups and not just the elderly - should loneliness be in Aim 3 with a reference in Aim 1?
· Focus on transition – make sure that transition from childhood to adulthood was referenced
· Consideration to be given to loneliness and isolation with regard to children and internet/cyber bullying
· Development work taking place on a Journey to Excellence Strategy for SEND children in Rotherham. Clarity was still required as to what would sit within the HWB Strategy and the discreet Strategy for SEND children
· Did the Aim focus too much on the child and not enough on the family?
· What actions would be available to strengthen perinatal health and supporting young people into work?
- Perinatal – multi-agency response required with effective anti-natal pathways, peer buddying. Discuss at 0-19 Healthy Children Commissioning
- Supporting young people into work – Bids within the Troubled Families Programme, NEETS in line with national average but need to increase the number of apprenticeships. The Skills and Employment Sub-Group was working with the University looking at skills and ... view the full minutes text for item 56.
Sandi Keene, Independent Chair of Rotherham Safeguarding Adults Board, to present
Sandi Keene, Independent Chair of Rotherham Safeguard Adults Board, presented the Rotherham Safeguarding Adults Board 2016/17 Annual Report.
During 2016/17 all the agencies in Rotherham had continued their commitment to improve Adult Safeguarding in the Borough and to build on previous progress. It was still the Board’s aim to engage better with the public and make it easy to report concerns about safeguarding and ensure that where there where safeguarding concerns were identified, that a personal response was provided.
- The Board had developed its Constitution with all partner agreement
- More public awareness, a website, leaflets and posters
- Partner self-assessment and challenge with key partner buy-in
- Performance framework with partner contribution
- Revise and refresh RSAB training plan and strategy
- Increased Board membership
- Mental Health – RDaSH Board and Sub-Group members
- Self-Neglect – regional and local work planned
- Domestic Abuse
- CSE – close partnership working and monitoring
- Users and carers – Board priority to increase customer involvement
- Learning Disability – working to embed the Making Safeguarding Principle in all Learning Disability Service
- Case file audits/quality assurance
- Multi-agency training approaches
- Practice issues (self-neglect, trafficking/modern day slavery, Deprivation of Liberty Safeguards (DoLs – all ages, MCA consistency)
- Assurance (Safeguarding and Learning Disability, Safeguarding Adult Reviews action plans and dissemination, advocacy take-up)
- Campaigns (Safeguarding is everyone’s business, Legal Power of Attorney)
- Development (joint work with Community Safety and Children’s Boards)
Sandi also drew attention to the following:-
· Due to the profile and complexity of cases it was important that a refresh of the Health and Wellbeing Strategy included a focus on Safeguarding for Adults as well as Children
· An independent person was undertaking the first independent case file audit
· There was to be a Safeguarding Week in Rotherham 9-13th July in collaboration with Children’s Services and other South Yorkshire authorities
· Work was taking place with the RSAB’s Legal Team updating the literature regarding Lasting Power of Attorney. It was the aim to have a publicity campaign around the issue which would hopefully have a positive impact on the number of DoLS
· Trafficking and modern slavery was seen as a potential growing need and the Board’s expertise needed to be built on the issue
· There was a gap in written policy, practice and procedures between all agencies ensuring there was a “golden thread” from a referral to an outcome, the ability to identify the appropriate practice/procedure that delivered the outcome. Sandie suggested the Safeguarding Adults board did not have the capacity to do it
With regard to the last bullet point, Kathryn Singh reported that it had been a common theme for all the Chairs at the Safeguarding Partnership Protocol Joint Chairs meeting that the capacity to ensure an effective safeguarding board was really important. However, it applied to all the organisations as well as the Adults and Children’s Boards. If workforces were expected to be consistent with policy and ... view the full minutes text for item 57.
Chairman to report
The Chairman presented a report on how Durham had successfully engaged with the public through a range of events and public attendance at their Health and Wellbeing Board meetings. Durham annually had over 200 members of the public asking questions at their Board events.
Discussion ensued on the issue of public engagement. It was felt that there were other ways that the Board could engage with the public including the use of social media. However, the Board was more than likely engaging with the public in a number of areas that was not currently being captured.
It was felt that the refreshed Health and Wellbeing Strategy would be engaging communities in developing the various actions. However, there was a need to capture the work that was taking place.
Resolved:- That the report be noted.
Date and time of next meeting
Wednesday, 14th March, 2018, commencing at 9.00 a.m. to be held at Oak House, Bramley
Resolved:- That the next meeting of the Board be held on Wednesday, 14th March, 2018, commencing at 9.00 a.m. to be held at Oak House, Bramley.