Agenda and minutes

Health and Wellbeing Board - Wednesday 26 May 2021 9.00 a.m.

Venue: Council Chamber - Rotherham Town Hall, Moorgate Street, Rotherham, South Yorkshire S60 2TH. View directions

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

Items
No.	Item
1.	Declarations of Interest Minutes: There were no Declarations of Interest made at the meeting.
2.	Questions from members of the public and the press Minutes: There were no questions from the member of the press present at the meeting.
3.	Communications Minutes: Suspension of the requirement to produce Pharmaceutical Needs Assessments by April 2022 Following a national postponement last year in response to COVID pandemic, Pharmaceutical Needs Assessments were due to be renewed and published by Local Authority Health and Wellbeing Boards in April 2022. Normal practice in Rotherham was to start to prepare approximately a year prior to publication, to ensure thorough engagement and consultation periods. However, due to ongoing pressures across all sectors in response to the COVID-19 pandemic, the national requirement to publish renewed Pharmaceutical Needs Assessments had now been suspended further until October 2022. Local Authority Health and Wellbeing Boards would retain the ability to issue supplementary statements to respond to local changes and pharmaceutical needs during this time. Updated national Pharmaceutical Needs Assessments guidance was planned to be published in the summer. The National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 would be updated to reflect this change in due course. The intention in Rotherham was to await the new guidance and then begin preparations for the PNA review and consultations in the autumn. Board Membership The membership of the Board included 3 Elected Members one of whom was the Deputy Leader, however, due to the review of Cabinet Member portfolios that was no longer possible. Discussions were to take place with the Leader and senior officers as to a third Member. Once known, details would be circulated to the Executive.
4.	Minutes of the previous meeting PDF 210 KB Minutes: The minutes of the previous meeting of the Health and Wellbeing Board were considered. Resolved:- That the minutes of the previous meeting held on 10^th March, 2021, be approved as a correct record.
5.	Joint Strategic Needs Assessment PDF 2 MB Presentation by Gilly Brenner and Jessica Dunphy, Public Health Minutes: Gilly Brenner, Public Health Consultant, and Jessica Dunphy, Public Health Consultant, gave the following powerpoint presentation on the Joint Strategic Needs Assessment:- What is the JSNA - “An assessment of current and future health and social care needs of the local community” - This includes specific health and social care behaviours e.g. smoking but also wider determinants of health such as housing and access to green spaces - The information found from the JSNA can be used to inform strategy, policy and action by an organisation in the Borough - All local authorities must produce a JSNA but there was no specific format meaning that they varied between areas - Rotherham’s version of the JSNA was the Rotherham Data Hub: http://www.rotherham.gov.uk/data/ What does the Rotherham JSNA contain - People - Socio-economic - Environment - Community and neighbourhoods - Health behaviours Structure of Theme Sections - Initial introductory page introducing the topic, its overall relevance to good health and key points for Rotherham - Covid lens – a page discussing the current impact of Covid on this topic and some potential impacts for the future - Data for Rotherham – local authority level data or, where available, Ward level or lower super output area (LSOA) level data - Useful links – links to further reading - List of data sources Impact of Covid - The long term impacts of Covid were yet to be fully determined but they were likely to be worse in more deprived areas and to worsen any pre-existing inequalities in all areas - Deprivation in Rotherham was high compared to England as a whole. A third of Rotherham residents lived within the top 20% most deprived areas in the country and overall deprivation increased between 2015 and 2019 according to the Index of Multiple Deprivation (IMD) Risk Factors affecting DALYs (Disability Adjusted Life Years) - Smoking - High blood glucose - Diet - High BMI - High blood pressure - High cholesterol - Alcohol use - Occupational risk - Cold homes - Air quality Headline Data Examples - 75.6% of adults classified as overweight or obese - 0.5% of workers cycle to work - 25% of 16-64 year olds not economically active - 14% of residents utilise outdoor space for health or exercise purposes - Gismo search for ‘weight’ – RUCST weight loss programme Links to the JSNA - Homepage – Rotherham Data Hub - Socio-Economic – Rotherham Data Hub - Environment – Rotherham Data Hub - Community and Neighbourhoods – Rotherham Data Hub - Health Behaviours – Rotherham Data Hub - People – Rotherham Data Hub Future Actions - Greater focus on prevention and inequalities - Greater input across place – CCG, Healthwatch Rotherham and VAR all contributed data this year - TRFT and RDaSH keen to contribute some data during this calendar year e.g. smoking, IAPT (Improving Access to Psychological Therapies) - As part of input across place, greater inclusion of information about long term conditions such as cancer and cardiovascular disease - Links to ... view the full minutes text for item 5.
6.	Update from the Local Outbreak Engagement Board Verbal update by Sharon Kemp, Chief Executive, RMBC Minutes: Sharon Kemp, Chief Executive RMBC, gave the following verbal update on behalf of the Local Engagement Board:- - Since the last meeting of the Board, there had been further relaxing of the lockdown in accordance with the Government’s roadmap - Rotherham’s rates as of 24^th May for all ranges had been 24.5 per 100,000 population which was a much better position. In the over 60’s it was 5.9 per 100,000. This was near to the England average (approximately 60^th local authority). This was due to the hard work of many and the responsible behaviour of Rotherham’s citizens - There had been a reduction in the number of hospital admissions which was currently in single figures. This had been a stable position for the past few weeks - A watchful eye was being kept on those areas where the Indian variant was present as to the impact on hospitals. Regional work with colleagues would continue to ensure Rotherham was in the best position should there be a change in the infection rate - There was still good take-up of testing with the centres still available at Maltby, Midland Road and Dinnington. The need for supervised testing was being reviewed at the moment given that Riverside House was offering that facility. Increasing numbers of the public were taking up the offer of home testing and the collect service that was available through either the PCR site or customer services and libraries - Local contact tracing work continued and had seen a completion rate of above 90% and much higher on most days - There had been a positive uptake of the vaccines across the Borough. The decision to use the Primary Care network had made a number of local venues and GP surgeries available thereby making it much easier for members of the public to get access to the vaccine. There would be continued encouragement for everyone to take up the opportunity of a vaccine when offered - There were no significant pockets of areas where vaccine take-up was low but it was constantly reviewed Chris Edwards, CCG, reported that the model used in Rotherham for the roll out of the vaccine had been a real success with 24% of the population left to vaccinate. Rotherham was ahead of the 3 other authorities in South Yorkshire and other parts of England. The vaccine supply was probably the limiting factor but the deadline would be met. Resolved:- That the update be noted.
7.	Timeline - Implementation of the Health and Social Care White Paper Verbal Update by Chris Edwards, Chief Operating Officer, Rotherham CCG Minutes: Chris Edwards, CCG gave a verbal update on the implementation of the Health and Social Care White Paper. On 11^th February, 2021, the Department of Health and Social Care had published its White Paper Integration and Innovation: working together to improve health and social care for all. The proposals followed the journey of integrating care, a journey that South Yorkshire and Bassetlaw had been on since 2016, and put it on a statutory footing involving the 5 Clinical Commissioning Groups in South Yorkshire and Bassetlaw transforming into a national Integrated Care System. It was proposed that it would become statutory from 1^st April, 2022. It was not envisaged that a big difference would be seen in Rotherham and maintain the existing strong working partnership and benefit from the effects of working in a wider footprint across South Yorkshire and Bassetlaw. Resolved:- That the update be noted.
8.	Health and Wellbeing Board Annual Report PDF 1020 KB Councillor Roche (Chair) and Ben Anderson, Director of Public Health, to present Additional documents: Health and Wellbeing Board Annual Report , item 8. PDF 509 KB Minutes: The Chair and Ben Anderson, Director of Public Health, presented the 2020/21 Annual Report “A Healthier Rotherham by 2025” with the aim of the following powerpoint presentation:- Due to the COVID-19 pandemic, the Board had continued to meet virtually, and as the report showed, it had achieved much over the past year such as its work on loneliness, encouraging better physical health and activities, supporting young people’s mental health, setting up an unpaid carers group that was supporting the refresh of the Carers Strategy and placing an increasing emphasis on the wider determinants of health. There was still a lot more work to be done on tackling health inequalities, including inequalities between Rotherham’s least and most deprived communities. The Board had committed that this would be its main area of focus, to ensure that the health of the most vulnerable was improving the fastest. In the coming year, The Board would need to refresh its priorities, taking into account the impact of the pandemic, as well as the changes that would be brought in through the Health and Care Bill. As well as partners working closely together on the response to the COVID-19 pandemic, there has also been significant progress made over the past year to support delivery of the Health and Wellbeing Strategy:- - Engaging with the Local Maternity System on the Maternity Transformation Plan - Implementation of the Mental Health Trailblazer in schools ‘With Me in Mind’ - Delivery of the Suicide Prevention and Self-Harm Reduction Action Plan, including promoting information around debt advice and signposting to Rotherhive website, sharing information for people at risk of relationship breakdown, helping carers and following up missed appointments - Pooling knowledge, expertise and resources across the partnership with regards to the mental health and wellbeing of our workforce - Launching the Moving Rotherham campaign to encourage local people to be more physically active - Establishing an unpaid carers group to ensure carers had the support they needed throughout the pandemic. This group has also been closely involved in the co-production of the Carers Strategy - Tackling loneliness and social isolation during COVID-19, including reaching out to at-risk groups, raising awareness via social media and redeveloping the MECC training - An estimated 400,000 people engaged in the Rotherham Together programme, which was developed to respond and support recovery from COVID-19. The programme focussed on 3 key themes: Joy, Gratitude and Hope and provided innovative and COVID-secure ways to foster connectedness - Working with the other Boards across the Rotherham Together Partnership to deliver the safeguarding protocol, including coming together to discuss mental health as a cross-cutting issue - Maintaining a link between the Health and Wellbeing Board and the Local Outbreak Engagement Board What are we worried about? - There were large gaps in life expectancy and healthy life expectancy both within the Borough and compared with the national average. Moreover, the coronavirus pandemic had exacerbated existing health inequalities, with the most disadvantaged communities being hit the hardest - The leading causes ... view the full minutes text for item 8.
9.	Health and Wellbeing Board Priorities and Action Plan PDF 352 KB Becky Woolley, Policy Officer, to present Minutes: Becky Woolley, Policy Officer, presented the latest update on the Health and Wellbeing Board’s priorities and action plan and gave a brief verbal update on the progress made. It was noted that the final application bid was to be submitted to the Shaping Places Fund around Green Spaces and the use of Green Spaces for physical activity in Rotherham (Aim 3). Resolved:- That the report be noted.
10.	Health and Wellbeing Board Terms of Reference PDF 324 KB Becky Woolley, Policy Officer, to present Minutes: Becky Woolley, Policy and Partnership Officer, submitted the updated Board’s Terms of Reference for information. Resolved:- That the updated Terms of Reference for the Health and Wellbeing Board be approved.
11.	Loneliness and Befriending Presentation by - Phil Hayes (Rotherfed), Julie (Live Inclusive) and Hayley (Lets Befriend) Minutes: The Chair welcomed Phil Hayes (RotherFed), Hayley Rundle (B:Friend) and Julie Hodgkinson (Live Inclusive), who gave a verbal presentation on the work that had been taking place on loneliness and befriending during the Covid pandemic. RotherFed - The initiative had started in a response to the pandemic in March 2020 involving some of the key VCF partners - The Community Hub and Rotherham Heroes had been formed but very early on it had become quite clear that it was not only the practical issues of food and medicine but loneliness, isolation and disconnection were big issues too - Resources had been deployed to make contact and had also combined forces with other providers including B:Friend, Live Inclusive, Rema, Rotherham Parents and Carers Forum, CAB, so as not to duplicate services. It became a formal network and met on a monthly basis - Many of the calls were around welfare as much as financial issues and the clients received support much more quickly than they would have - The next stage was to try to get people integrated into their community and how to do that - It was not just older people but also young parents who had no-one else to talk to apart from their children - Some of the volunteers were originally recipients of the service with their confidence having grown to such an extent as to enable them to offer support to others Live Inclusive - A small independent charity - Normally worked with those referred via their GP as part of social prescribing, however, it had become quite apparent that their needs were quite different to what assessed as before the Government lockdown announcement e.g. they could not see their grandchildren etc. - Loneliness was a massive issue - Previously the focus had been on supporting clients in community groups; now it was to get them to go outside of their house - Dedicated team of volunteers - The community groups were not there presently for them to go to - Close working in the VCS B:Friend - 2 case studies provided to illustrate the work of the project - The project paired up local people from the community with old people who needed extra company for as long as they wanted it to be - Live Inclusive would refer clients in who needed longer term support - Approximately 600 pairings in the last year 78 of which were in Rotherham Shafiq Hussain, VAR, reported that it was Volunteer Week shortly and there was a series of events planned with a spotlight on volunteers and the impact/benefit of them. It was also important, as part of the collective recovery plan, to help the community groups start up again and identify where the gaps were. It was noted that the Neighbourhoods Team had produced guidance on the opening of community buildings which was in the process of being circulated more widely. Phil, Julie and Hayley were thanked for their presentation. Resolved:- That an ... view the full minutes text for item 11.
12.	South Yorkshire and Bassetlaw Integrated Care System: Health and Care Compact PDF 261 KB Minutes: The Board received for information the terms of reference for the Health and Care Compact Partnership.
13.	Date and time of Meetings 2021/22 Wednesday, 21^st July, 2021 commencing at 9.00 a.m. 22^nd September 24^th November 26^th January, 2022 16^th March 22^nd June Venues to be confirmed Minutes: Resolved:- That a further meeting be held on Wednesday, 21^st July, 2021, commencing at 9.00 a.m. venue to be confirmed.