Agenda and draft minutes

There were no Declarations of Interest made at the meeting.

There were no members of the public present and the member of the press did not have any questions for the Board.

The Chair reported that the ICP agenda setting meeting with the 4 Health and Wellbeing Chairs had taken place where everyone had been in support of the 3 proposed areas of focus for the ICP:-

Tobacco

Physical activity

CVD prevention

It was also agreed that there was a need to develop an action plan which would be shared early with Chairs as it developed. 

The agenda for the 15^th October meeting of the ICP Board would focus on the 3 proposed areas of focus.  The proposed item on the development of a Children and Young People Cabinet for South Yorkshire would be considered at a future meeting.

With regard to the ICP forward planner, the addition of homelessness work was also proposed for discussion at the November meeting.

Resolved:-  That the minutes of the previous meeting held on 26^th June, 2024, be approved as a true record.

Ruth Fletcher-Brown (Public Health Specialist) to present

Ruth Fletcher-Brown, Public Health Specialist, presented an update on the above action plan which recognised that loneliness was experienced across the life course and could only be tackled by actions from all Partners and the public.

A powerpoint presentation was given which highlighted:-

What’s working well

-        Making Every Contact Count – 119 staff trained since January 2024

-        Focus group discussions with some inclusion groups

-        Early Intervention and Prevention Fund – 13 grants allocated to voluntary and community sector

-        Refreshed JSNA Loneliness Chapter including focus group feedback

-        Rotherham Adult Neurodiversity Support Service (RANSS) supporting clients

-        16 of the 45 neighbourhood centres with wifi, RotherFed working with tenants

-        VCS Befriending Providers Forum

-        Communications messaging during Christmas/New Year and during Campaign to end Loneliness June 2024

-        Strengths-based approaches – e-learning for Council staff

-        Humanitarian and Communities Group developed an action plan to tackle cost of living related issues including actions to tackle loneliness and isolation and establishment of a new Rotherham Creative Health Board

-        Shared research in mental health impacts in children and young people

-        Forming partnerships with Public Health to support impact research

-        Stroke Link Worker who saw people referred by Rotherham Hospital Stroke Team and helped them transition back into independence.  Also with a focus on tackling loneliness

-        Children’s Link Worker – this role was early intervention, looking at making sure a child had help with family issues, mental health and socialisation through groups, interests and hobbies.  The focus was purely on the child

-        SYP Hate Crime Co-ordinator working with partners and organisations across Rotherham to raise awareness of hate crime and how to report

-        SYP Community Engagement Officer working closely with individuals and communities

-        Open Arms drop-in sessions – VCS delivering a co-ordinated response to support communities most affected by the cost of living crisis

-        Loneliness included in the Be Well @ Work standards

-        Digital inclusion support for community groups

What are we worried about

-        Loneliness remained an issue with people presenting at services

-        Community cohesion – some groups may be feeling more vulnerable and isolated

-        The risk of lonely, vulnerable people being exploited e.g. online contacts, loan sharks

-        Helping clinicians and commissioners to understand the value of creative health and support it through Social Prescribing

-        Funding for the VCS

-        Tackling loneliness was a collective responsibility involving all sectors and the public

What needs to happen next and when

-        Full communication and engagement plan at the end of September using the findings from the focus groups

-        Two further focus groups – September 2024

-        Training on use and interpretation of the JSNA

-        Early Intervention and Prevention Grant – groups delivery from July 2024 to July 2025 with final report due in the Autumn 2025

-        Ward priorities – will be completed by 31^st October 2024 then work would progress on implementation

-        Creative health – clarity on priorities

-        Further  ...  view the full minutes text for item 20.

Ruth Fletcher-Brown (Public Health Specialist) to present

Further to Minute No. 13 of 28^th June, 2023, Ruth Fletcher-Brown, Public Health Specialist, presented a report on the Prevention Concordat which focussed on upstream interventions and the wider determinants of health. It was a whole population approach and included those at greater risk supporting joint cross-sectoral action locally, including those with lived experience and the wider community. It encouraged collaborative working to address local needs and identify local assets and was about building the capacity of the local workforce to prevent mental ill health.

The presentation focussed on the work that had taken place during the last year which included:-

Understanding local needs and assets

-        Mental Health Needs Assessment

-        Maltby and Dinnington – population health management work (long term conditions)

-        Updated mental health and loneliness chapters in JSNA – qualitative data from focus groups

-        Mental health asset mapping – statutory and voluntary sector services

-        Promotion of data to Better Mental Health for All Group

-        JSNA sessions for Mental Health Alliance and internal RMBC staff

-        Prevention and Health Inequalities Plan – measures focusing on people with mental health conditions and improving health and wellbeing

-        Data used to inform Ward priorities

Working Together

-        Strong Partnership Groups – Better Mental Health for All and suicide prevention groups (RMBC, SY ICB Rotherham Place, RDASH, VAR, VCS, SYP)

-        Workforce development – Making Every Contact Count sessions (mental health, loneliness, sleep) and suicide prevention training

-        VCS Mental Health Network

-        Rotherham cross sector Befriending Network

-        Roll out of Say Yes Campaign

-        Open Arms Project

-        Rotherham Creative Health Board

-        Humanitarian and Community Group – collaboration on cost of living support

Taking action on prevention/promotion of mental health and addressing mental health inequalities

-        New information on RotherHive – pain management, physical activity

-        Mental Health Awareness Week in May 2024 – workshops for staff across Place

-        Communications campaigns – Five Ways to Wellbeing, Mental Health Awareness, Be the One

-        Talking Therapy and Qwell and Kooth – presentations at team meetings across the Partnership

-        Actions relating to Real Time Surveillance themes (chronic pain, domestic abuse, debt)

-        Be Well @ Work – 8 bronze, 7 silver and 4 gold.  Other organisations working towards these levels

-        Open Arms project -  VCS sector-led

-        Employment is for Everyone

-        Rotherham Social Prescribing Service – long term conditions which includes people with mental health conditions

-        Work to increase uptake of health checks for people with severe mental illness and those with a learning disability

-        Upstream work on Real Time suicide prevention themes

Defining success/measuring outcomes and Leadership and Direction

-        Actions cited in the Health and Wellbeing Strategy and Place Plan.  Annual updates on progress to the Health and Wellbeing Board

-        Regular updates to the MH, LD and Neurodiversity Transformation Group

-        Leading by example – evidence of partners engaging in communications campaigns and awareness raising weeks

-        Evaluation of training – measuring changes in knowledge  ...  view the full minutes text for item 21.

Alex Hawley (Public Health Consultant) and Sam Longley (Public Health Specialist) to present

In accordance with Minute No. 8 of 28^th June, 2023, Alex Hawley (Public Health Consultant) presented an update on the Rotherham Breastfeeding Friendly Borough Declaration with the aid of the following powerpoint:-

UNICEF Breastfeeding Friendly Accreditation

-        Family Hub funding from the infant feeding workstream utilised to pay for the accreditation process

-        3 training spaces secured for Breastfeeding Friendly Champions to support sustaining the work beyond the Family Hub Project

-        Breastfeeding Friendly guardians identified

-        Aiming to achieve level 1 accreditation by March 2025

Breastfeeding Friendly Spaces

-        RMBC Health and Wellbeing page in development to allow businesses to register

-        Business packs with signage available

-        Libraries and Children’s Centres provided with signage

-        Grimm & Co. used as a community venue for the Big Latch on and also a breastfeeding support group

Infant Feeding Support

-        Family Hub Strategic Infant Feeding Co-ordinator plus a band 5 nurse in post until March 2025

-        Voluntary Action Rotherham co-ordinating peer supporters and volunteers have increased to 20

-        Midwifery have increased their support for tongue tie

Community Events

-        Rotherham Show 2023 and plans to attend again in 2024

-        Big Latch On event 12^th April 2024 was very successful with 70+ attendees at Grimm & Co

-        World Breastfeeding Week 2^nd August 2024 picnic in Clifton Park with approximately 80 attendees

Next Steps

-        Prepare for level 1 UNICEF BFI accreditation assessment in children’s centres by March 2025

-        To focus on sustaining transformation of infant feeding practice beyond the end of Family Hub Funding

-        Whole Family Hub Partnership members to be supported by Public Health to work together to increase initiation and continuation of breastfeeding in Rotherham

-        Increase business sign-up to the Rotherham Breastfeeding Friendly Spaces Scheme

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

•         Breastfeeding uptake rates in Rotherham was continuing to rise and narrowing the gap with the national picture

•         It should not be forgotten that breastfeeding was not for everyone

•         On track to achieve level 1 accreditation by March 2025

•         The desire to increase the take up of Breastfeeding Friendly Champions preferably who were in the locality of the 3 family hubs

•         Any business signed up to the initiative would be advertised on the website.  The majority were cafes/places that Mums attended enabling a breastfeeding Mum to look at the website and see where they would be made welcome

•         Consideration would be given as to the target for the number of businesses hoped to see signed up to the Declaration

•         The need to set new targets for the number of women breastfeeding as the existing target had been met (35%)

•         The need to eliminate the stigma for those women who were unable to breastfeed

•         Possibility of reward/incentive for those businesses embracing breastfeeding

•         The need to train more people to provide peer support

Alex was thanked for his presentation.

Resolved:-   (1)  That the achievements made to become a Breastfeeding  ...  view the full minutes text for item 22.

Alex Hawley, Public Health Consultant, to present

Further to Minute No. 52 of 22^nd November, 2023, Alex Hawley, Public Health Consultant, gave an update on the work that had taken place since November, 2023, with the aid of the following powerpoint presentation:-

The current Family Hub Network

-        Rotherham Family Hubs

The Place Family Hub

Brookfield Family Hub

Maltby Stepping Stones Family Hub

-        Family Hub Network – RMBC and Contracted Sites

Arnold Nursery School and Childrens Centre

Aughton Early Years Centre

Dalton Family and Childrens Centre

Dinnington Early Help Centre

Dinnington Family and Childrens Centre

Ferham Family and Childrens Centre

Rawmarsh Childrens Centre

-        Family Hub Network – Voluntary Community Sector

Swinton Lock

JADE Youth and Community

REMA

Activate

Rotherham United Community Trust

Kimberworth Park Community Partnership

Grimm & Co

Rotherham Parent and Carer Forum

YWCA Yorkshire

CLP (Clifton Learning Partnership)

The Learning Community

Bright Stars

The Fun Hub

Rotherham Minster

What is a Family Hub

-        A Family Hub is a place where all children, young people and their families can go when they need help, advice and support.  You can get support across a wide range of areas including parenting, debt, housing and health and wellbeing.  There are 3 Family Hubs and a wider Family Hubs Network in Rotherham

What is in a Family Hub

-        Front-of-house staff now located in the Family Hubs

-        Following services were currently co-located in a Family Hub site or were delivering a service at a Family Hub site:-

Parent Carer Panel and Start for Life

Parenting Support

-        The Solihull Approach series – Ante-natal, postnatal, children and young people

-        Continue to see an increase in Solihull on-line course registration and active learners

-        Content of Triple P Baby was reviewed, assured by partnership expertise and reinstated

-        Increased capacity for ante-natal education offered by 0-19 infant feeding team (workshops offered in the evenings)

-        Parenting courses now delivered by wider partners

Parenting Support – Workforce

-        Comprehensive training programme for FH practitioners and multi-agency partners

-        Additional training for Family Hub practitioners

Infant Feeding

-        Comprehensive training programme in place for all Family Hub practitioners and multi-agency partners

-        A number of sessions were also open to all Family Hub practitioners

-        There were 11 active volunteers (BF Peer Supporters and  ...  view the full minutes text for item 23.

Polly Hamilton, Assistant Director, Culture, Sport and Tourism

Leanne Buchan, Assistant Director, Culture Sport and Tourism, gave the following powerpoint presentation on the Children’s Capital of Culture:-

Aim 4:  All Rotherham people live in healthy, safe and resilient communities

-        Young people consulted in the run up to Rotherham’s 2025 Children’s Capital of Culture identified mental health as a key issue for the young people in Rotherham

-        Rotherham ranked as the 35^th most deprived upper tier local authority in England out of a total of 151 authorities

-        26.6% of reception aged children were overweight or obese in 2019/20 compared to 23.0% nationally and 37.9% of Year 6 children were overweight or obese in 2019/20 compared to 35.2% nationally

-        95% of Rotherham’s BME community’s young people felt left out

Case for Creative Health

-        People who took part in the arts were 33% more likely to report good health

-        Young people who regularly accessed parks, green spaces and engaged with nature enjoyed better mental health

-        Students who were physically active tended to have better grades, school attendance, cognitive performance (e.g. memory) and classroom behaviours (e.g. on-task behaviour)

-        Children were smarter, better able to get along with others, healthier and happier when they had regular opportunities for free and unstructured play in the out of doors

What is it

-        Children’s Capital of Culture was a title bestowed upon Rotherham by its children and young people

-        In 2025 there would be a year long festival of imagination, creativity and community, devised, developed and delivered in partnership with children and young people from Rotherham aged 0 to 25

-        The festival year would have

      At least 5 major public cultural events including an opening ceremony and a closing ceremony

      Activities taking place across all 25 Wards including targeted work to make sure all CYP had the opportunity to take part

      A schools engagement programme

      Traineeships for young people

      A commitment to keeping 75% of the activities would go beyond 2025 leaving a legacy for the Borough

What difference would it make

-        Children and young people feel proud to call Rotherham their home

-        Children and young people feel confident that they could establish a career in Rotherham

-        Children and young people feel that their mental and physical health was improving

-        Rotherham residents – feel a stronger sense of community cohesion and connection with their local community and feel that Rotherham’s reputation was improving regionally and nationally

Engagement Programme as at June 2024

Creative Learning – In-School Learning:  Universal Offer

-        Flagship Universal Programme

Children and young people in 30 schools would work in partnership with artists and cultural organisations to create 15 short films inspired by Francis Alys: Children’s Games.  Included CPD for teachers and artists and resulting in a Children and Young Peoples’ Film Festival curated by school children

-        SEND-led Rotherham Creative Curriculum

Taking the imagination  ...  view the full minutes text for item 24.

Jason Page, Medical Director Rotherham Place Board, gave the following powerpoint presentation on Aim 1 of the Health and Wellbeing Strategy:-

Alignment of SY ICP Priorities with Rotherham’s Health and Wellbeing Strategy

-        Context for children’s health very similar in both strategies

Focus on both strategies on health inequalities and the impact of physical, commercial and socio-economic determinants on children’s health

Impact of the pandemic on children’s mental health

-        Focus of health areas very similar

1001 days, parental health, mental health, oral health

Children’s development, development of healthy habits (physical activity and healthy eating)

-        There was the focus on the SY Strategy on school readiness and this was also being promoted in Rotherham through activities in support of children and young people to develop well

-        This was also the focus of the ICP Strategy’s Bold Ambition – the area where more could be achieved by working together across South Yorkshire:

Focus on development in Early Years so that every child in South Yorkshire was school ready

Raise the level of school readiness in South Yorkshire and close the gap in those achieving a good level of development between those on Free School meals and all children by 25% by 2028/30

The Context

-        School age population has increased between 2011 and 2021, the number of children aged 0-4 has decreased from 15,738 in 2011 to 14,645 in 2021 (7% reduction)

-        The percentage of children living in poverty in Rotherham was higher than regional and England averages with an estimated 17,700 children and young people aged 0-15 living in families whose income was less than 60% of median income (2021)

-        Child obesity rates were also higher than national average – in 2022/23, 22.2% of reception age children were overweight or obese compared to 21.3% nationally and 41.1% of Year 6 children were overweight or obese compared to 36.6% nationally

Cross-Cutting Activities

-        The Family Hubs and Start for Life Programme has continued to become more integrated, more partnership-owned and better connected to Aim 1.  In particular, starting with a Partnership Maturity Self-Assessment workshop in February, the delivery plan has been redesigned into transformation and topic workstreams with better ownership and support

-        The Best Start Steering Group has since had oversight for all the Family Hubs and Start to Life workstreams outside of the main transformation workstreams (which are overseen by the Family Hubs Operational Group)

-        Outside of the Family Hub work, the Group has also continued to apply the Best Start and Beyond framework priority lenses to understand gaps and opportunities within the system through a partnership workshop that focused on school readiness on 19^th June

Strategic Priority 1: Develop our approach to give every child the best start in life

-        20 peer supports were now trained (with future training places filled) 6 of whom are actively providing peer support

-        The first breastfeeding friendly business has been recruited.  Breastfeeding friendly signage was now in libraries and Family Hubs and the Council’s  ...  view the full minutes text for item 25.

Sunday Elonge and Ben Anderson to provide update

Ben Anderson, Director of Public Health, presented the update on the Health and Wellbeing Board Strategy Action Plan as at September, 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.

Resolved: That the update be noted.

Andrew Turvey, Consultant in Public Health, presented a report outlining the work taking place to refresh the Health and Wellbeing Strategy.  A powerpoint presentation illustrated:-

Background

-        Current Strategy ran until 2025

-        Review process had begun to develop a 10 year Strategy

-        Likely to have a refresh point in 2030

-        Seeking alignment with partners’ strategies across the system

-        Focus on population need and addressing health inequality

-        Based on evidence and engagement

Health and Wellbeing Strategy Working Group

-        Running from August 2024 to February 2025

-        Small group representing key stakeholders

-        Aim to deliver draft 10 year Strategy by December 2024

-        Group to oversee

Structure and content of new Strategy

Workplan and timetable

Engagement plan – stakeholders and public

Assimilation of evidence into draft plan

Identification of priorities and principles

-        Publication of final version for March 2025

Gathering the Evidence

-        Assimilation of existing knowledge

Active gathering of all of the existing quantitative and qualitative knowledge, JSNA as key source

Review of partner strategies and plans

Review of previous engagement exercises through insights database

-        Broad consultation

Rotherham Show – approximately 150 responses collected

Collective consultation initiatives through partnership engagement group

      Smaller events/provider-led sessions

      Stakeholder survey

-        Specific follow-up

Bespoke follow-up to focus on inequalities and inclusion groups

Follow-up with stakeholders on identified high priority themes

Stakeholder Engagement

Broader consultation themes – providers and commissioners

-        Was there anything highlighted in the refreshed JSNA that was not well covered in the current HWB Strategy

-        Reflecting on the implementation of the current HWB Strategy, what impacts do you think it has had on the health of Rotherham residents

-        How had the current Strategy helped to drive change in the Borough

-        What do you think worked well and did not work well in the current Strategy

-        How relevant would you consider the current HWB Strategy in achieving better health and wellbeing for Rotherham residents

-        How do  you think that we can make a difference going forward

-        Where do you think the Health and Wellbeing Board could make the biggest impact

-        Were the 4 aims of the existing Strategy broadly right?  Was there a better way to structure the Strategy?

-        What do you think the vision for Rotherham should be

Discussion ensued with the following issues raised/clarified:-

•         It was important to have a development session to discuss the draft Strategy

•         The 4 priorities were still relevant albeit with a little tweaking i.e. make clear what was meant by “children” given the earlier discussion in the meeting

•         Should it be a 10 year Strategy or  ...  view the full minutes text for item 27.

Gilly Brenner (Public Health Consultant) to present

Further to Minute No. 57 of 22^nd November, 2023, Gilly Brenner, Public Health Consultant, presented an update on the Rotherham Food Network with the aid of the following powerpoint presentation:-

The Network – Benefits

-        Membership of the Rotherham Food Network (RFN) continued to grow with up to 77 members receiving invites to the meetings representing 26 stakeholder organisations

-        Stakeholder workshop held end of April facilitating collaborative planning and supporting opportunities for organisations to link up

-        Links made into South Yorkshire Regional Food Partnership

-        Working as a ‘system’.  This was a broad scope which no organisation could take responsibility for alone

Bronze Award

-        The Sustainable Food Places Award was designed to recognise and celebrate the success of those places taking a joined-up holistic approach to food and achieving significant positive change on a range of key food issues

-        Evidence needed to cover the 6 key areas of governance, good food movement, healthy food for all, food economy, catering and procurement and food for the planet

Best practice from application

-        “This was a strong Bronze application showcasing an impressive body of work across the key issue areas.  A fantastic achievement to pull all this evidence together in the absence of a dedicated funded co-ordinator role”

-        “Efforts of the Council’s catering company is so great to see and we hope they continue with the Food for Life work”

What Next

-        Development of working groups

Food Growing

Healthy Eating

Food in Crisis

Commercial Food

-        Developing a food strategy (required for Silver)

-        Creating a brand for the network – creating more of a presence within the Borough

Risks and Issues

-        In other areas various partners/grants generally fund food partnerships

-        Partners have stretched capacity with competing priorities

-        Further work engaging and supporting local food businesses, farms and supply chains

Opportunities

-        Food Strategy – in partnership with members in the food network, a Food Strategy should

Build a broad understanding of the local context and local food culture and collect baseline data

Explore different perspectives on food issues, facilitate community participation and build representation

Share knowledge and build the food system through representative partnership structures and processes

-        Longer action plan (5 years) to align to Strategy and refresh of Health and Wellbeing Strategy

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

•         Once an Authority was awarded Bronze it did not lose it

•         What was the impact of having Bronze award on the health and wellbeing of people?

•         Whilst wishing to aspire to Silver, it had to be acknowledged that currently Public Health did not have the capacity to support the bureaucracy associated with the Sustainable Food Places Award scheme or develop a separate Food Strategy

•         There were no voluntary sector organisations that were primarily focussed on improving food structures in Rotherham whereas other cities had that infrastructure in place

The Chair asked that her thanks be passed onto the former employee, Kelsey Broomhead, for  ...  view the full minutes text for item 28.

Chris Edwards, Executive Place Director, reported that the biggest risk on the risk register was still the GP collective action.

Jason Page, Medical Director, reported that there had been no significant impacts in terms of patients presenting at the UECC or making any extra emergency calls. However, many practices had not actively started the collective action. 

(a)  Better Care Fund (BCF) Call-Off Partnership/Work Order 2024/25

(b)  Better Care Fund (BCF) Quarter 1 Template 2024/25

(a) Better Care Fund (BCG) Call-Off Partnership/Work Order 2024/25

Consideration was given to a report confirming that Rotherham Metropolitan Borough Council (RMBC) and the South Yorkshire Integrated Care Board (Rotherham Place) had jointly developed a new Better Care Fund Call-Off Partnership/Work Order in 2024/25 which reflected local need and priorities.

The Department of Health and Social Care and Department for Levelling Up, Housing and Communities, had published a BCF Policy Framework for the implementation of the Better Care Fund (BCF) for 2023-25.

As set out in the BCF Policy Framework, the delivery of the BCF would support 2 key priorities for the health and care system that aligned with the 2 existing BCF objectives:-

-        Improving overall quality of life for people and reducing pressure on UEC, acute and social care services through investing in preventative services

-        Tackling delayed discharge and bringing about sustained improvements in discharge outcomes and wider system flow, as set out in the BCF objectives and priorities for 2023-25

NHS England and the Government had published the 2023-25 BCF Planning Requirements, the BCF vision being to support people to live healthy, independent and dignified lives through joining up health, social care and housing services seamlessly around the person.  This vision was underpinned by the 2 core BCF objectives:-

-        Enable people to stay well, safe and independent at home for longer

-        Provide the right care in the right place at the right time

(b)  Better Care Fund (BCF) Quarter 1 Template 2024/25

It was noted that the BCF Quarter 1 Template had been submitted to NHS England regarding the spend and outputs of Rotherham’s Discharge Fund for 2024/25.

The Better Care Fund Executive Group had approved, on behalf of the Health and Wellbeing Board, the documentation for submission to NHS England on 29^th August, 2024.

The overall delivery of the BCF continued to have a positive impact and improved joint working between health and social care in Rotherham.

Resolved:-  (1)  That the Better Care Fund Call-Off Partnership/Work Order for 2024/25 be approved.

(2)  That the submission of the BCF Quarter 1 documentation to NHS England on 29^th August, 2024, be noted.

Minutes of meetings held on 15^th May, 19^th June and 17^th July, 2024

The minutes of the Rotherham Place Board held on 15^TH May, 19^th June and 17^th July, 2024, were submitted for information and noted.

Minutes of meetings held on 15^th May, 19^th June and 17^th July, 2024

The minutes of the meeting of the Rotherham Place Board ICB Business held on 15^th May, 19^th June and 17^th July, 2024, were submitted for information and noted.

Resolved:-  That a further meeting of the Health and Wellbeing Board be held on Wednesday, 11^th December, 2024, commencing at 8.00 a.m. in Rotherham Town Hall.