Agenda and draft minutes

Health Select Commission - Thursday 23 January 2025 5.00 p.m.

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

Contact: Kerry Grinsill-Clinton, Governance Advisor. Tel: 01709 807267 email:  governance@rotherham.gov.uk  The webcast can be viewed online: http://www.rotherham.public-i.tv

Items
No. Item

40.

Minutes of the previous meeting held on 21 November 2024 pdf icon PDF 131 KB

 

To consider and approve the minutes of the previous meeting held on 21 November 2024 as a true and correct record of the proceedings and to be signed by the Chair.

 

 

Minutes:

Resolved:-

 

That the minutes of the meeting held on 21 November 2024 were approved as a true and correct record of the proceedings.

 

41.

Declarations of Interest

 

To receive declarations of interest from Members in respect of items listed on the agenda.

 

 

Minutes:

There were no declarations of interest.

 

42.

Questions from members of the public and the press

 

To receive questions relating to items of business on the agenda from members of the public or press who are present at the meeting.

 

 

 

 

Minutes:

There were no questions from members of the public or the press.

 

43.

Exclusion of the Press and Public

 

To consider whether the press and public should be excluded from the meeting during consideration of any part of the agenda.

 

 

Minutes:

There were no items of business on the agenda which required the exclusion of the press and public from the meeting.

 

44.

Sleep Pathways pdf icon PDF 917 KB

 

To consider a presentation in respect of Sleep Pathways.

 

 

Minutes:

The Chair welcomed Alex Hawley, Public Health Consultant to the meeting and invited them to introduce the presentation.

 

The Public Health Consultant advised that they held the Best Start and Beyond portfolio within the Public Health Team at the Council which included pre-conception all the way through to transition into adulthood.

 

They introduced their colleagues who had contributed to the preparation of the presentation and who were supporting its delivery to the Health Select Commission. They were Sue Turner, Public Health Specialist who was also a member of the Council’s Best Start and Beyond team in Public Health, Jill Harper from the 0-19 Service, Vicky Whitfield from South Yorkshire Integrated Care Board (ICB) and Helen Sweaton, Joint Assistant Director of Commissioning and Performance.

 

The Public Health Consultant provided a broad overview of what was meant by sleep health, the factors influencing sleep health and why the preventative approach was preferred and considered more productive.

 

The Public Health Consultant offered thanks to the Health Select Commission for expressing interest in considering sleep health as it was held as an underacknowledged public health concern.

 

They explained that poor sleep health was strongly associated with morbidity and mortality and had a causal role in health outcomes including cardiovascular disease, obesity, poor mental health and neurodegenerative diseases. There were also economic impacts associated with poor sleep health.

 

It was acknowledged that the influences on sleep health were complex, all encompassing and linked to socio-economic inequalities, and therefore merited a holistic approach which treated the source and not the symptoms.

 

With respect determinants of sleep health, these were categorised as follows:

 

·       Biological; Age, sex and chronotype.

·       Behavioural; Alcohol, caffeine, fasting, diet, physical activity, sedentary behaviour, gaming and social media, cognitive activity, listening to music.

·       Environmental; Disasters, air quality, ambient temperature, noise, light, green space.

·       Personal and Socio-economic; Attachment style, sexual orientation, psychological disposition, ethnicity, work, psycho-social stress, social relations, socio-economic status, seasonal and cultural patterns.

 

 The Public Health Consultant drew members’ attention to the role of age as a determinant of sleep health, and explained that everyone’s relationship with sleep changes through different stages of life.  Adults tended to experience more sleep disturbances, were prone to lighter sleeping and subjected to changes in bed times and wake times.

 

With children, there were huge changes in sleep patterns from newborn, infancy and reaching school age and puberty/adolescence and it was very common for children to experience sleep difficulties.  The Public Health Consultant explained that societal structures were not well aligned with natural sleep patterns, leading to expectations also contributing to poor sleep health.

 

They outlined a study that had been undertaken by Professor Russell Viner concerning adolescent health had concluded that adequate sleep was the strongest factor in the mental health and wellbeing of teenagers.  Professor Viner had advocated moving the school day to start later to accommodate the natural sleep patterns of adolescents, which were driven by changes in the internal body clock during that stage of development.

 

Whilst it was acknowledged that smart phone  ...  view the full minutes text for item 44.

45.

Adult Social Care - Domiciliary Care pdf icon PDF 376 KB

 

To receive an update in relation to Adult Social Care, Domiciliary Care. 

 

Members are encouraged to review the input that was delivered to the Health Select Comission in January 2024 should further background information be required.  This can be accessed via the following link:

 

Agenda Pack for Health Select Commission, 25/01/2024

 

The relevant information is detailed on Pages 11-38 of that agenda pack.

 

 

Minutes:

The Chair invited Councillor Baker-Rogers, Cabinet Member for Adult Social Care and Health to introduce the presentation.

 

Councillor Baker-Rogers advised that the update relating to Adult Social Care Commissioning was requested following its last presentation to the Health Select Commission in January 2024.

 

The presentation focussed on the following commissioning themes:

 

·       Domiciliary Care.

·       Mental Health.

·       Learning Disabilities and Autism.

 

It set out progress against a number of dynamic purchasing systems, which were at varying stages of maturity, and the ways in which these had positively impacted the lives of Rotherham residents.

 

The Cabinet Member for Adult Social Care and Health advised that Scott Matthewman Assistant Director of Strategic Commissioning, Jacqueline Clark, Service Manager, Adult Care, Housing and Public Health and Garry Parvin, Joint Head of Learning Disability and Autism Commissioning were assisting with delivery of the presentation.

 

The Assistant Director of Strategic Commissioning provided background and context to the frameworks that were in place to support the wider commissioning process and the important outcomes that were seen from commissioning activity over the past 12 months.

 

Commissioning adult social care services involved planning, identifying and monitoring services required by Rotherham’s residents. It was essential to ensuring that the appropriate support was in place to meet the needs of local communities, and enabled residents to live fulfilling lives as independently as possible.

 

The following were cited as key considerations when services were commissioned:

 

·       Assessment of need.

·       Priority setting.

·       Service planning.

·       Service procurement.

·       Service monitoring.

 

Co-production was highlighted as an essential part of the process, as was ensuring sufficiency within the market and ensuring that the quality of services delivered was at the highest possible standard.

 

The legal framework that covered services delivered was outlined:

 

·       Duties under the Care Act 2014:

¾   Prevent, reduce and delay needs.

¾   Market shaping.

¾   Managing provider failure.

 

The purpose of Dynamic Purchasing Systems was explained.  This was a vehicle to support providers to achieve the highest possible service standards in order to bring them to the local market, which enabled the Council to draw on those services as and when required.

 

This resulted in providers being brought onto the framework but at that stage there were no purchasing commitments from the Council’s perspective.  It afforded flexibility and responsiveness of service delivery in line with the needs of service users and ensured value for money.

 

The Service Manager, Adult Care, Housing and Public Health described the dynamic purchasing system that was in place for home care and support services.

 

There were a total of 21 providers appointed, which remained the same as when last reported in January 2024.  Tier 1 providers were obliged to take requests for service under contract arrangements, and 9 of these were appointed with three in the North, Central and South areas of the borough respectively, which ensured capacity.

 

There were a further 8 Tier 2 providers, who were called upon in the event of capacity issues from Tier 1 providers.

 

Whilst one small provider had exited the market from Tier 2, as  ...  view the full minutes text for item 45.

46.

Health Select Commission Work Programme - 2024/2025 pdf icon PDF 82 KB

 

To consider the Health Select Commission’s work programme for 2024/2025.

 

 

Minutes:

Resolved:-

 

That the Health Select Commission:

 

1.    Approved the work programme.

2.    Agreed that the Governance Advisor was authorised to make any required changes to the work programme in consultation with the Chair/Vice Chair and report any such changes back to the next meeting.

 

47.

South Yorkshire, Derbyshire and Nottinghamshire Joint Health Overview and Scrutiny Committee

 

No meetings of the South Yorkshire, Derbyshire and Nottinghamshire Joint Health Overview and Scrutiny Committee have taken place since the last Health Select Commission meeting.

 

The next meeting is scheduled to take place on 12 March 2025.  Relevant information will be shared with the Health Select Commission during its 1 May 2025 meeting.

 

 

Minutes:

Members were advised that the next South Yorkshire, Nottinghamshire and Derbyshire Joint Health Overview and Scrutiny Committee, was scheduled to take place 12 March 2025.  Further details were due to be shared during the 1 May 2025 Health Select Commission meeting.

 

48.

Director of Public Health's Annual Report pdf icon PDF 8 MB

 

To receive and consider the Director of Public Health’s Annual Report in respect of how this can inform the future work of the Health Select Commission.

 

The report is accompanied by a presentation which was previously shared at the Health and Wellbeing Board in December.

 

 

Additional documents:

Minutes:

The Chair drew members’ attention to the Director of Public Health’s Annual Report and encouraged the use of the document as a helpful source of information to drive future scrutiny activities.

 

Resolved:-

 

That the Health Select Commission:

 

1.    Note the Director of Public Health’s Annual Report and accompanying slide set.

2.    Agreed to be cognisant of the contents of the report and accompanying slide set when considering future agenda planning and work programming.

 

49.

Urgent Business

 

To consider any item(s) which the Chair is of the opinion should be considered as a matter of urgency.

 

 

Minutes:

There was no urgent business to be considered. 

 

However, the Chair took the opportunity to note that this was Ben Anderson, Director of Public Health’s final Health Select Commission meeting as he was leaving the Council to take up a new role.

 

The Chair extended thanks on behalf of the current and previous iterations of the Health Select Commission that the Director of Public Health had worked with for the valuable contributions made to the Commissions work over that period of time.