Agenda item

- Terri Roche / Chris Edwards to present

Further to Minute No. 29 of the meeting held on 20^th September, 2017, Terri Roche, Director of Public Health, presented an update by way of a powerpoint presentation on the progress being made in relation to the refresh of the local Health and Wellbeing Strategy and alignment to the Integrated Health and Social Care Place Plan (Place Plan).  The presentation included:-

 

Health and Wellbeing Strategy 2015-18 Principles

-          Shared vision and priorities

-          Enables planning of more integrated services

-          Reduce health inequalities

-          Translates intelligence into action

 

Need for a Refresh

-          Existing Strategy runs until the end of 2018 but a number of national and local strategic drivers were now influencing the Health and Wellbeing Board

-          An early refresh ensured the Strategy remained fit for purpose, strengthening the Board’s role in:

High level assurance

Holding partners to account

Influencing commissioning across the health and social care system as well as wider determinants of health

Reducing health inequalities

Promoting a greater focus on prevention

-          LGA support to the Health and Wellbeing Board

Self-assessment July, 2016

Stepping Up To The Place workshop September 2016

-          Positive feedback given about Board’s foundation and good partnership working

-          The current Strategy was published quickly after the Board was refreshed (September 2015)

-          Now in stronger position to set the right strategic vision and priorities for Rotherham

 

Joint Strategic Needs Assessment

-          Ageing population – rising demand for health and social care services

-          More people aged 75+ living alone, vulnerable to isolation

-          High rates of disability, long term sickness (more mental health conditions) and long term health conditions e.g. Dementia

-          Need for care rising faster than unpaid carer capacity

-          High rates of smoking and alcohol abuse, low physical activity and low breastfeeding

-          Rising need for Children’s Social Care especially related to Safeguarding

-          Relatively high levels of learning disability

-          Growing ethnic diversity especially in younger population with new migrant communities

-          Growing inequalities, long term social polarisation

-          High levels of poverty including food and fuel poverty, debt and financial exclusion

 

Proposed Refreshed Strategy

-          Sets strategic vision for the Health and Wellbeing Board – not everything all partners do but what partners can do better together

-          Includes 4 strategic ‘aims’ shared by all Health and Wellbeing partners

-          Each aim includes small set of high level shared priorities

-          Which the Integrated Health and Social Care Place Plan ‘system’ priorities will align to

 

Strategic Aims

Aim 1

-          All children get the best start in life and go on to achieve their potential and have a healthy adolescence and early adulthood

 

HWB Priority 1         Ensure every child gets the best start in life (pre-conception to age 3)

HWB Priority 2         Improve health outcomes for children and young people through integrated commissioning and service delivery

HWB Priority 3         Reduce the number of children who experience neglect

HWB Priority 4         Education

 

Aim 2

-          All Rotherham people enjoy the best possible mental health and wellbeing and have a good quality of life

 

HWB Priority 1         Improve mental health and wellbeing of all Rotherham people

HWB Priority 2         Reduce the occurrence of common mental health problems

HWB Priority 3         Improve support for enduring mental health needs including Dementia

 

Aim 3

-          All Rotherham people live well and live longer

 

HWB Priority 1         Prevent and reduce early deaths from the key health issues for Rotherham people such as cardiovascular disease, cancer and respiratory disease

HWB Priority 2         Promote independence and enable self-management and increase independence of care for all people

HWB Priority 3         Improve health outcomes for adults and older people through integrated commissioning and service delivery ensuring the right care at the right time

 

Aim 4

-          All Rotherham people live in healthy, safe and resilient communities

 

HWB Priority 1         Increase opportunities for healthy sustainable employment

HWB Priority 2         Ensure planning decisions consider the impact on health and wellbeing

HWB Priority 3         Ensure everyone lives in healthy and safe environments

HWB Priority 4         Increase opportunities for all people to use green spaces

 

Consultation and Engagement

-          Health and Wellbeing Board and Place Board received proposal in September 2017

-          Framework shared with Board sponsors and theme leads for comments

-          Health Select Commission December 2017

-          All partners to consider taking through their own governance structures November-March 2018

-          Consider what other stakeholder engagement may be needed

-          Following approval at Health and Wellbeing Board, work will progress with Board sponsors/theme leads on the Strategy detail

-          Full draft of Strategy and Place Plan to be presented to Health and Wellbeing Board on 19^th January 2018

-          CCG Governing Body, Place Board and Cabinet to endorse Strategy and Place Plan February 2018

-          Place Board to sign off Place Plan March 2018

-          Health and Wellbeing Board to sign off the Strategy March/April 2018

 

Discussion ensued with the following issues raised/clarified:-

 

General

·           The refresh should streamline the process and not result in extra meetings

·           Each Aim was not in isolation and did have linkages to each other

·           Loneliness and Isolation did not just affect the older generation.  It potentially fitted all the Aims but needed to be “anchored” in 1

 

Aim 1

·           More work to be done on the ante-natal pathway particularly

·           Continued investment in Early Years but more work to be done through Children’s Centres, GPs and Post-Natal Services

·           Priority 3 – should include the word “abuse” in all its forms i.e. physical, emotional and sexual

·           Embedding the voice of the child

·           Linkages to delivery mechanisms around the SEND agenda

·           Raising aspirations and developing self-esteem and self-motivation

·           Consideration of inclusion of adverse events in a child’s life, such as bereavement, and learning from CSE referrals and parental capacity to change

·           Work of the Child Death Overview Panel and the adverse issues affecting children and some of the motivating factors that had been identified

·           The need for linkage to the Foundation Trust’s Strategy regarding transition from Children to Adult Services

·           No reference to Looked After Children or childhood obesity/lifestyles

 

Aim 2

·           The Mental Health and Wellbeing Strategy to be revisited by the Transformational Group regarding what work needs to take place

·           Need to link to the ageing population

·           Autism, although linkages with all the Aims, had to be based in 1 in order for someone to have responsibility – Aim 3 was too big

·           Learning Disabilities should be included

·           Suggestion that the title should be changed to “all Rotherham people enjoy the best possible wellbeing and mental health”

 

Aim 3

·           Suggestion that the overall aim title should be changed to “all Rotherham people live well and live longer in better health” and possible inclusion of the word “safely”?

·           Did Priority 5 fit better into Aim 4?

 

Aim 4

·           Pleasing to see Housing fitting into an Aim (Aim 4)

·           Suggestion that the Strategic Director of Regeneration and Environment be added to the Board membership

·           Further work required on the priorities to ensure alignment with the Safer Rotherham Partnership

·           Suggestion that Loneliness should sit within Aim 4 taking into the community resilience perspective

 

Resolved:-  (1)  That the proposed framework of aims and priorities for the Health and Wellbeing Board, taking into account the comments made in the meeting, be approved.

 

(2)  That a discussion take place at the Executive Board with regard to the addition of the Strategic Director of Regeneration and Environment to the Board membership.

 

(3)  That Loneliness be included within Aim 4.

 

(Dominic Blaydon, Sam Bairstow, Lydia George Shafiq Hussain, Giles Ratcliffe and Sarah Watts left following discussion of this item.)