Agenda item

Joanne Martin to present an update on the Neighbourhood Working programme.

Joanne Martin, Programme Lead, Transformation and Delivery, NHS South Yorkshire, presented an update on the Neighbourhood Working programme.

Rotherham had been accepted onto the National Neighbourhood Health Implementation Programme (NNHIP), a national initiative aimed at accelerating neighbourhood working and strengthening proactive care.

Addressing health inequalities through the Programme went beyond improving outcomes for individuals; it strengthened the entire health and care system.  By focusing on proactive care and targeted prevision, the aim was to reduce the disproportionate burden of disease in deprived communities and among minority groups.  This approach ensured that those most at risk received timely, co-ordinated support which not only improved quality of life but also prevented escalation to acute care.

The programme supported a cultural shift towards prevention and community-based care, building resilience and equity across the system.

The Programme’s collective role was to create the conditions for NbH to flourish:-

The Project

-        Building on existing mechanisms

-        Focussing on a defined cohort

Adults with long term conditions and rising risk

Local prioritisation, existing pilot schemes

Most likely to have highest impact

-        Refine, adapt, generate new ideas

-        Rapid cycle testing driven by data

-        Shared learning

The People

-        Working towards a shared purpose

-        Building on relationships across the system

-        Taking collective action and shared accountability

-        Being curious and open-minded

-        Not being afraid of ‘failure’

-        Being action and delivery focussed

Suggested Neighbourhood Programme

-        National Neighbourhood Programme – Proactive Care – Enhance Current Model

Meets national cohort request

Rotherham Place approach based on PCN footprint

Involves all stakeholder participation

Baseline established

Data drive via Eclipse and judgement

-        Local Neighbourhood Programme – Place wide

Focus on prevention of diabetes and heart health

Suggest focus on key drivers on long term conditions i.e. smoking, obesity and hypertension

Target focus – Eastwood Village

The presentation also set out the proposed governance structure.

Discussion ensued with the following issues raised/clarified:-

·        18 identified people who attended the sessions including patients

·        It was a 12 month programme and insufficient time to re-look at structure and re-organise teams but focus on what the function was of all the teams and the outcome could follow

·        Ensure providing consistent universal provision of services but sufficiently flexible to be able to target communities across the Borough.  It would be data driven as to where the resources needed to be focussed

·        The workshops had extended beyond the national ask i.e. adults with 2 or more LTC and wanted to tackle prevention, support children, getting people fitter, tackle frailty and end of life care and getting people back to work

·        It was not a new model for Rotherham but about enhancing the existing model

·        The Operational Group had been set up and met once.  It was currently feeding into the Place Board which had agreed to sponsor this as a programme

·        How could Elected Members and Neighbourhood Co-ordinators support the Programme?

·        It was a national Programme that was already 3 months into the 12 months.  Undertaking a massive restructure across Rotherham to shape the way Social Care worked and Community Teams were provided into bespoke neighbourhoods would detract from getting the positive patient outcomes

Resolved:-  (1)  That the programme of the National Neighbourhood Health Implementation Programme (NNHIP) and the alignment of national requirements with Rotherham’s local priorities be noted.

(2)  That the proposed governance structure, including the establishment of the Operational Group reporting to the Place Leadership Team, and onward reporting to the Health and Wellbeing Board as required, be approved.