Venue: John Smith Room, Town Hall, Moorgate Street, Rotherham S60 2TH
Contact: Dawn Mitchell, Governance Advisor
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Declarations of Interest Minutes: There were no Declarations of Interest made at the meeting. |
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Questions from members of the public and the press Minutes: There were no members of the public or press present.
It was noted that 2 questions had been received in relation to the School Survey for which responses were being prepared.
Resolved:- That the questions and responses be submitted to the next Board meeting for information. |
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Communications Minutes: There were no communications to report. |
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Minutes of the previous meeting Minutes: Resolved:- That the minutes of the previous meeting held on 25th September, 2024, be approved as a true record. |
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Director of Public Health Annual Report Minutes: Ben Anderson, Director of Public Health, presented the Public Health annual report which focussed on General Practice. The headlines of the report were highlighted in the following powerpoint presentation:-
Why General Practice “Health inequalities mean that the Rotherham population experiences more ill health earlier in life and that too many of our population are suffering multi-morbidity, or the impact of more than one health condition at once. This is bad for Rotherham’s people, bad for Rotherham families and bad for Rotherham’s economy.
General Practices are uniquely placed within the health system to impact these inequalities in health. Through their mix of (..) health professionals, and their position within the heart of communities, General Practices are able to support people to stay healthy, to identify risk factors and conditions early when they can be reversed or controlled, and to support the good management of ill-health reducing the impacts this can have on people’s quality of life and their ability to contribute to their communities.
To achieve all of these goals however General Practice has to maintain a strong focus on quality, and on the outcomes that matter to the communities they serve, and has to be funded sufficiently to meet those needs, both now and in the future as our local population continues to age”
Report Structure - Historical long-term condition prevalence (10-years) - Future projections in line with a changing population - Quality outcome analysis (condition achievement, and achievement range by GP practice) - Condition contact and the impact on appointment sufficiency - Finance - Recommendations
Background and Methodology - The Rotherham population has increased by about 1,000 people per year from an estimated 259,400 in 2013 to 268,400 in 2022 (+3.5%). The oldest age groups are the fastest growing mainly those aged 75+ - All data is extracted from NHS Digital and 20 conditions have been reviewed across 5 groups - Trend data has been used to forecast what prevalence may look like over the next 10 years for Rotherham - Trend data on a PCN and general practice level is used to show how current prevalence and trends vary across Rotherham - Data for quality outcomes (met need, unmet need and not eligible) have been reviewed to determine opportunities for impact
Current Demand - Data for 2022/23 suggest there are 200,000 diagnosed conditions across the 20 QOF conditions for patients registered to a Rotherham General Practice - Top 5 prevalence are:- Depression (17.9%) Hypertension (16.6%) Diabetes (8.5%) Asthma (7.8%) Non-diabetic hyperglycaemia (6.6%) All other conditions have a prevalence less than 5%
Projections - This is a combination of the projections of the prevalence of conditions and the projected populations for Rotherham - Overall 36,900 more people are projected to be living with at least one of the 19 conditions in 2032/33 than they were in 2022/23 (this excludes NDH due to uncertainty in projection estimates) - Projections suggest that 16 of the 20 conditions will increase in prevalence by 2033. The exceptions are:- Coronary heart disease and peripheral ... view the full minutes text for item 38. |
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Chris Edwards, Executive Place Director, NHS SYICB, to present Minutes: Chris Edwards, Executive Place Director NHS SYICB, introduced the 2024-25 Winter Plan in the absence of Claire Smith. Fran Costello, Emergency Care Programmer, presented the following powerpoint presentation:-
What worked well last winter - Better Care Fund discharged monies including £500k investment schemes plus organisational investments - 2,407 additional appointments in Primary Care including ARI hub. 1,856 attendees/77% - Positive working with Yorkshire Ambulance Service including community in-reach and 3 PUSH pathways and on scene referral to the Community Respiratory Exacerbation Service - Acute front door, extended SDEC hours, flexible shifts to support cover, overnight portering - B5 converted to nurse-led discharge ward - Community read unit with dedicated support for TTOs - Introduction of Therapy Discharge to Assess model with 403 patients supported October-April - Closer working between IDT and community teams through the Transfer of Care Hub for admission avoidance and discharge - Virtual ward frailty/respiratory step up and step down pathways for those who would otherwise be in an acute bed. Aligned with urgent community response for greater flexibility of resource - Additional community resource Home from Hospital 20 hours per day 7 a.m.-11 p.m. 7 days a week November-March. 259 shifts/1,810 hours enablement resource released through service improvement. Additional therapy locum/community nurse resource - Cohorted community beds onspot purchase basis with improved bed management - 3 voluntary community sector pathways with 88% and 72% patient wellbeing ratings for social prescribing and personal health budgets respectively - Reduced mental health out of area placement (0 at start of the year)
Challenges - High incidences of acute respiratory infections/flu peaked in January, alongside diarrhoea and vomiting (impacting on acute beds and care home closures). Covid not a significant factor last year (end of testing) - Increased demand for Primary Care appointments - Unprecedented growth in attendances at UECC (reflecting national trend) - Additional escalation beds opened resulted in SDEC/B5 being bedded creating pressure on ED plus increased demand on discharge team and community discharge pathways - Increased complexity, acuity, end of life and out of area placements - Workforce challenges across health, social care and independent providers - Impact of workforce/cost of living pressures in care homes, reducing the options for managing surge - Placement of mental health patients out of area
External Challenges - Industrial action impacting on planning time/staffing and recovery lag with over 20 incidences in 2023-24 - Potential impact of GP collective action 2024-25 - Re-introduction of 4 hour standard – significant change to working practice - Increased admissions to Rotherham hospital from out of area residents
Summary of Key Plans 2024-25
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Rotherham School Students Survey 2024 Bev Pepperdine, Senior Project Officer, Performance & Quality, Children and Young People's Services, and Lorna Quinn, Public Health Intelligence Principal, Public Health, Adult Care, Housing, and Public Health, to present
Minutes: Lorna Quinn, Public Health Intelligence Principal, and Kaylynn Nogowczyk, Public Health Intelligence Analyst, presented the 2024 Rotherham School Student Survey drawing attention to the following:-
Background - Full review of questions and partner consultation - Aligned to HBSC where possible (academic year and age) - Health and Wellbeing Board ask last year - Respondents and optional questions - Survey monkey issue - Dissemination and further ad hoc/detailed reports
2024 Areas for Consideration - Follow up to areas from last year - Belonging and Safety - Substance use - Protected characteristics
2023 Follow-up - Food and Drink Consumption · Last year 1,195 students (26.4%) did not have breakfast. This year 17.6% of students reported never eating breakfast during the week · There was no significant difference in the amount of young people reporting drinking regular sugary, fizzy drinks at least once a day in Rotherham or nationally, 12.8% and 12% respectively · Compared to 2023 when 60.3% reported never drinking high energy drinks, 7.5% more students now report drinking high energy drinks - Physical Health · There have been no significant changes in how students rate their physical health since 2017. This year 27.3% of respondents rated their physical health as ‘excellent’, 52.4% rated their physical health as ‘good’ · Last year 21% reported a long-term illness. This year it was 29.5% (nationally this was 25%) - Mental Health · Last year 57.2% of respondents rated their mental health as good or excellent and this year 59.7% rated their mental health as good/excellent
2024 Results Participation and Demographic - All 16 schools participated and 3 Pupil Referral Units - 4,641 students in total (4,919 last year) - 263 children stated they live in a Children’s Residential Home or with Foster Carers (5.7%, last year was 3.9%) - 72% White British, 6% Pakistani, 3% ‘Other White Background’ - 2021 Census population data reports Rotherham as 91% White British and 9% Other Ethnic Groups - For dependent children, Census data reports 81.4% White British and 18.6% All Other Ethnic Groups - Young person shows 15% from ethnic minority
Belonging and Safety – Community and School Overall Community Belonging - 59.6% of students feel safe in the area where they live - 44.8% of students can trust the people in the area where they live - 61.7% of students could ask for help from neighbours - Year 7 views were more positive overall and a higher proportion of Year 7 students stated they felt safe during the day and after dark - Since 2022, question introduction, there has been no significant change to how safe students feel during the day or after dark
Belonging and Safety – Bullying - 1,415 students (42.6%) reported they have been bullied in the last 6 months. Nationally this was 35% - Girls in Year 7 had the highest reports of bullying - The number has seen an overall increase since 2017
Substance Use – Alcohol - 38.6% (1,307) respondents stated they had had an alcoholic drink before (21.4% Year 7/58.9% Year 10). Overall ... view the full minutes text for item 40. |
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Changes to Arrangements for Rotherham’s Child Death Overview Panel Alex Hawley, Public Health, to present Minutes: Alex Hawley, Consultant in Public Health, presented a report on the proposed changes to arrangements for the Rotherham Child Death Overview Panel (CDOP).
A local review of the governance arrangements for the Rotherham CDOP had concluded that the Rotherham Safeguarding Children’s Partnership (RSCP) was no longer the most appropriate place for CDOP to be reporting and had recommended that it sit under the Health and Wellbeing Board.
The decision to move away from the Safeguarding Partnership in favour of the Health and Wellbeing Board was consistent with the 2018 legislation which left it as a decision of the local child death review partners (the ICB and Local Authority) to determine what worked best locally.
In parallel, at South Yorkshire level, that had been a re-evaluation of the South Yorkshire CDOP and a decision taken to discontinue its operation under the guise of an overview panel but to continue as a less formally constituted network for information and best practice sharing and some continued combined reporting. This would require stronger local reporting arrangements particularly with regard to the annual report.
As from 2024-25, Rotherham CDOP would produce its own annual report and submitted to the Board for sign-off and publication.
Most of the cases considered by CDOP were neonatal deaths. The ICB and Local Authority jointly had governance for the whole child death process. The CDOP felt that very few cases had direct safeguarding links and that it was not the appropriate body. When considering all the partnership boards with ICB/Council leads the Health and Wellbeing Board was felt to be the most appropriate one to report to. The Board would receive the annual report and any learning that partners needed to be aware of.
Discussion ensued on the proposal and concern that the Board had been established to bring partners together to discuss strategy; if it was to become a governing body it was suggested that a change to the Board’s Terms of Reference was required.
Resolved:- (1) That Ben Anderson, Jo Brown and Chris Edwards discuss the Board’s Terms of Reference and any adjustments necessary to accommodate the proposed governance responsibility of the CDOP.
(2) That the changes in local and regional arrangements for administration of child death review and CDOP functions and for related networking/information and best practice sharing be noted.
(3) That the general principle of self-sufficiency of CDOP for the majority of the actions it commissions and carries out be noted and that the CDOP would exceptionally seek approval from the Board where this was deemed necessary and helpful.
(4) That the proposed action of CDOP in writing to the Housing Minister (or similar) be deferred for further consideration. |
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Health and Wellbeing Strategy Refresh Andrew Turvey to present Minutes: Andrew Turvey, Consultant in Public Health, presented an update on the work taking place to produce a refreshed Health and Wellbeing Strategy for 2025.
The Strategy Steering Group was meeting on a monthly basis to shape the 4 current workstreams ensuring that the relevant priorities and focus would be embedded in the new Strategy. These were:-
- A review of prior consultation and engagement exercises and existing reports pertaining to the health, wellbeing and care needs of the Rotherham communities drawing out recommendations and identified gaps in delivery - A review of the evidence and opportunities for developing the strategic response to population health and wellbeing needs arising from the evidence collated in the Joint Strategic Needs Assessment - Stakeholder engagement. A stakeholder survey for commissioner and provider organisations across Rotherham would close in mid-December. There were also cross-agency workstream events taking place - A programme of citizen engagement activity
The evidence generated would be used to pull together a high level draft of the Strategy in early January.
A Board development session was to be convened in January, 2025 with the final draft submitted to the Board for approval in March.
Andrew reported that not many responses had been received from the survey but had had separate written responses. It was hoped that there would be capacity to hold a workshop for the voluntary sector when a document had been pulled together.
Shafiq Hussain, VAR, confirmed that VAR had been involved in the consultation process and had signposted/referred organisations. However, in terms of wider consultation, there had been limited response.
Resolved:- (1) That the update be noted.
(2) That the 22nd January, 2025, Health and Wellbeing Board meeting be extended to incorporate a development session. |
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Aim 2 - Presentation by Board Sponsors Claire Smith, NHS SYICB, and Toby Lewis, RDaSH, to present Minutes: Chris Edwards, Executive Place Director NHS SYICB, in the absence of Claire Smith, SYICB, gave the following powerpoint presentation on Aim 2 of the Health and Wellbeing Strategy:-
Aim 2: All Rotherham people enjoy the best possible mental health and wellbeing and have a good quality of life - Promote better mental health and wellbeing for all Rotherham people - Take action to prevent suicide and self-harm - Promote positive workplace wellbeing for staff across the partnership - Enhance access to mental health services
The Context - In Primary Care the recorded prevalence of depression in Rotherham (aged 18+) was 17.29%. This was higher than the England value of 13.25% - The suicide rate for all person in Rotherham for 2021-2023 was 12.6 per 100,000 which was statistically similar to the national average for England at 10.7. However, there had been a slight increase in male deaths in Rotherham in this same period - The overall rate of self-harm amongst 10-24 year olds in Rotherham in 2021 was 226 per 100,000 compared with the all England rate of 319 per 100,000. By age group, the rates of self-harm for 2022 were 147.75 per 100,000 for 10-14 year olds, 302.2 per 100,000 for 15-19 year olds and 253.2 per 100,000 for 20-24 year olds. In Rotherham the 15-19 year olds were more likely to self-harm than 10-14 and 20-24 year olds
Strategic Priority 1 – Promote Better Mental Health and Wellbeing for all Rotherham People – progress being made - Social media messages promoting RotherHive and Five Ways to Wellbeing and regular messaging via neighbourhoods e-bulletins were ongoing. This included the voice of Rotherham people from focus group discussions - Good progress was being made within one year from the Board being approved as a signatory for the Mental Health Prevention Concordat. An update was given to the Board in September
Strategic Priority 2 – Take action to prevent Suicide and Self-Harm – progress being made - Zero Suicide Alliance (ZSA) Training has been promoted across the Partnership including the Autism and Suicide Module - Suicide Prevention and Safeguarding session delivered at Primary Care’s Protected Learning Time Event on 14th November - Activity to address themes and at risk groups identified through real time data - Social media used to promote ZSA training and stories from people with lived experience on World Suicide Prevention Day - A Task and finish Group was currently looking at suicide prevention communications and engagement work to reach out to neurodivergent communities - Amparo promoted their service at Primary Care’s Protected Learning Time event in July and its training sessions also promoted to staff across Place
Strategic Priority 3 – Promote Positive Workplace Wellbeing for Staff across the Partnership – progress being made - Rotherham has launched employment for everyone - Working with employers willing to offer employment or internship - Worked with local businesses across South Yorkshire to co-design ‘employability days’
Strategic Priority 4 – Enhance Access to Mental health Services – progress being ... view the full minutes text for item 43. |
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Health and Wellbeing Strategy Action Plan Update Ben Anderson, Director of Public Health, to present Minutes: Ben Anderson, Director of Public Health, presented the update on the Health and Wellbeing Board Strategy Action Plan as at December, 2024.
The current Health and Wellbeing Strategy would end in 2025. All projects were on track with the majority of the action plan “green”. Work would now move to development of the new Strategy.
Discussion ensued on 1.2 (Develop our approach to give every child the best start in life) and the impact of the new 3-4 months universal visit to identify opportunities to develop the healthy child programme. Currently there was a big gap in terms of communication with the Health Visitor between 6-8 weeks of a baby’s life and 6-9 months. It was a good opportunity for early identification of any issues there may be but its success would not be known until there had been an evaluation (September 2025).
Resolved: (1) That the update be noted.
(2) That the evaluation of the 3-4 months universal visit be submitted to the Board when completed. |
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Consultation for the Safer Rotherham Partnership Plan 2025-28 Minutes: Amanda Raven, lead on Domestic Homicide Reviews, gave the following powerpoint presentation:-
Safer Rotherham Partnership - Brings together partner organisations to tackle crime and community safety threats across the Borough so that people are safe and feel safe - Organisations represented included RMBC, South Yorkshire Police, South Yorkshire Integrated Care Board, Probation Service, South Yorkshire Fire and Rescue Service, South Yorkshire Mayoral Combined Authority, Voluntary Action Rotherham, South Yorkshire Violence Reduction Unit and Victim Support
SRP Priorities 2022-25 - Protecting Vulnerable Adults Substance Misuse Mental Health Modern Slavery - Protecting Vulnerable Children Child Exploitation Child Abuse - Safer Stronger Communities Making communities safe Preventing hate crime Online crime - Protecting People from Violence and Organised Crime Domestic Abuse Sexual Abuse Male violence against women and girls Serious violence Organised crime Counter terrorism
What informs the SRP Priority Review - Comprehensive review and analysis of crime and community safety data and information (Police and partner sources) - Consultation with Public and communities via online survey, events, focus groups Target groups include voluntary and community sector representatives, communities of interest, geographic communities, general public Ward Councillors and Parish Councils Partner organisations - Outcomes Joint Strategic Intelligence Assessment (JSIA)
Analysis will cover
Next Steps - Stakeholder consultation and engagement (September 2024 to December 2024) - SRP Board decision making on priorities (December 2024 to February 2025) - Final Strategy agreed April 2025 - Delivery plans agreed June 2025
Consultation Questions - What, in your view, are the top crime and community safety risks and threats for Rotherham? - What type of partnership responses do you think are most important to tackle these issues?
Resolved:- (1) That the presentation be noted.
(2) That the Board consider the consultation questions and feedback any responses to community.safety@rotherham.gov.uk by the end of December 2024. |
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Items escalated from Place Board Minutes: Jason Page, Rotherham Place Board, reported that there was very limited movement so far in terms of the collective action. However, discussions were taking place with regard to GPs taking industrial action.
There were no signs of resolution at the present time. |
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Rotherham Combatting Drugs Partnership Report 2024 Minutes: The Board, noted for information, the 2024 Rotherham Combatting Drugs Partnership report. |
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Small Grants for Carers Wellbeing Katy Lewis, Carers Strategy Manager, to present Minutes: The Board, noted for information, the report submitted detailing the outputs and outcomes achieved from the small grants programme. |
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Better Care Fund (BCF) Quarter 2 Template 2024/25 Additional documents: Minutes: The Board noted the Better Care Fund (BCF) Quarter 2 Template 2024/25.
The report had been submitted to NHS England with regard to performance, capacity and demand and actual activity of Rotherham’s Better Care Fund Plan for 2024/25.
The overall delivery of the Better Care Fund continued to have a positive impact and improves joint working between health and social care in Rotherham.
The BCF Quarter 2 template covered reporting on national conditions, metrics, actual activity in relation to hospital discharges and the community, expenditure and outputs.
Resolved: - (1) That the documentation for submission to NHS England (NHSE) on 31st October 2024 be noted.
(2) That a presentation on the Better Care Fund to a future Board meeting. |
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Rotherham Public Place Board Partnership Business Minutes of meetings held on 21st August, 8th September and 16th October, 2024 Additional documents:
Minutes: The minutes of the Rotherham Place Board (Partnership Business) held on 21st August, 8th September and 16th October, 2024, were submitted for information and noted. |
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Rotherham Place Board ICB Business Minutes of meetings held on 21st August, 18th September and 16th October, 2024 Additional documents:
Minutes: The minutes of the meeting of the Rotherham Place Board ICB Business held on 21st August, 8th September and 16th October, 2024, were submitted for information and noted. |