Agenda item

Implementation of the Health and Wellbeing Strategy 2018-25 - Update

Councillor Roche, Cabinet Member for Social Care and Health


Councillor Roche, Cabinet Member for Adult Social Care and Health, reported that the Health and Wellbeing Strategy was a living document and was a Rotherham success story.


The Rotherham Health and Wellbeing Board was recognised by the Local Government Association as one of the 10 best Boards in the country and been part of a case study last year.  Rotherham had been asked to take part again this year.  A presentation had been made recently at a conference in London by Inside Government on Rotherham’s journey.


Rotherham was one of the few that had taken on board including the Place Plan under the remit of the Health and Wellbeing Board which allowed accountability.  It had also added loneliness to its Aims in 2018 and recently added Addictive Gambling to Aim 4.


The Strategy and Place Plan would need to be refreshed to take account of the NHS 10 Year Plan once the detail was known.


Terri Roche, Director of Public Health, and Becky Woolley, Policy and Partnerships Officer, gave the following powerpoint presentation:-


Health and Wellbeing Strategy

-          Aim 1

All children get the best start in life and go on to achieve their full potential

Sponsors:-  Jon Stonehouse (RMBC) and Dr. Jason Page (RCCG)

-          Aim 2

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

Sponsor:  Kathryn Singh (RDaSH)

-          Aim 3

All Rotherham people live well or longer

Sponsors:  Sharon Kemp (RMBC) and Louise Barnett (TRFT)

-          Aim 4

All Rotherham people live in healthy, safe and resilient communities

Sponsors:  Steve Chapman (SYP) and Paul Woodcock (RMBC)


Aim 1:  All children get the best start in life

Key progress has included:-

-          New weight management service for children and young people currently being finalised which will be delivered by the 0-19 Service and aligned closely with the National Child Measurement Programme (NCMP) (links also to Healthy Weight for All Plan in Aim 3)

-          Implementation of Phase Two and Phase Three of the Early Help Strategy

-          The development of a Smoking in Pregnancy Pathway

-          Enhancing the use of evidence-based programmes to reduce health and wellbeing inequalities such as sleep programmes, introducing solid foods, Talking Tables, Baby Box University and Bookstart

-          Ensuring the effective implementation of the ‘Rotherham Family Approach’ (Signs of Safety, Restorative Approaches and Social pedagogy) across the wider Children’s workforce

-          The development of a Draft SEND Sufficiency Strategy

-          Supporting young people to be ready for the world of work through a number of programmes – achieved the combined 2018/19 NEET/Not Known Target: 5.8%


Aim 2:  All Rotherham people enjoy the best possible mental health and wellbeing and have a good quality of live

Key progress has included:

-          The rollout of the Five Ways to Wellbeing campaign across the partnership

-          Promotion of workplace wellbeing, including through the launch of the South Yorkshire Workplace Wellbeing Award

-          The CORE 24 (Mental Health and Liaison Service) went live from January 2019 with positive joint working in place with other teams including the Alcohol Liaison Team

-          Clinically-led review of Rotherham Dementia Care Pathway commenced with consideration of new NICE guidelines – Rotherham has one of the highest rates of dementia diagnosis in Yorkshire and the Humber

-          A draft Autism Strategy has been developed.  This has been co-produced with people (including young people) with autism, professionals, parents, families, carers and local businesses


Aim 3:  All Rotherham people live well or longer

Key progress has included:

-          Making Every Contact Count training on smoking and alcohol delivered to over 300 frontline staff across the partnership

-          Embedding the QUIT programme for smoking across Rotherham and South Yorkshire

-          Rotherham’s award winning approach to social prescribing was featured within the national NHS Prevention Vision

-          Mapping is underway to develop a Rotherham-wide ‘Healthy Weight for All’ plan using a whole-system approach to reducing the rise in excess weight and obesity – this will include working towards adopting the Local Authority Declaration on Healthy Weight

-          The assurance process for health checks and screenings for cardiovascular risks is currently being reviewed

-          Rotherham Activity Partnership established, involving a range of partners, to plan and promote physical activity and sport across the Borough, with a particular focus on children and young people and the least active


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

Key progress has included:

-          Worked closely with Safer Rotherham Partnership to influence the priority-setting process and to ensure that the impact on health and wellbeing was considered

-          SRP funded mental health triage car operational over Christmas period supporting the diversion of punitive action

-          Programmes underway with a focus on healthy, sustainable employment for local people

-          Links established with the Thriving Neighbourhoods programme to help build resilience in communities

-          Piloting the Housing First model in partnership with South Yorkshire Housing Association

-          A new Equal and Healthy Communities Supplementary Planning Document is in development

-          The pilot of the MECC loneliness training has commenced in the south of the Borough


What are we worried about

-          Life expectancy for both men and women in Rotherham was lower than the England average

-          Inequalities in health outcomes between our most and least deprived neighbourhoods were increasing

-          Specific concerns that have been raised by partners at the Health and Wellbeing Board included:-

Obesity including childhood obesity

Chaotic lifestyles

The impact of austerity


What needs to happen

-          Explore opportunities within local and national policy developments to address health inequalities

-          Ensure that across partners plans have a focus on upstream prevention and early intervention

-          Specific work was being undertaken to address concerns raised:-

Development of a ‘Healthy Weight for all Plan’ with a particular focus on children and young people

Exploring opportunities to support those with chaotic lifestyles in a more co-ordinated way


Performance Framework

-          The Health and Wellbeing Board has approved a performance framework to measure the impact of the Health and Wellbeing Strategy

-          This framework seeks to provide a high level and outcomes-focussed overview of performance complimented by other sources such as JSNA and quarterly performance reports on the Place Plan

-          This does not seek to capture all of the indicators that the Strategy sought to impact upon rather partners have agreed a number of priority indicators that require a partnership focus


Discussion ensued with the following issues raised/clarified;-


·           Concern regarding the phrase “punitive action” when referring to the SRP mental health triage car and agreement that the wording would be changed


·           Rotherham’s social prescribing was award winning.  It was mostly funded by RCCG and the contract was with VAR.  As far as it was understood at the moment, but further detail was awaited in the NHS 10 Year Plan, GPs would be funded up to 100% for signposting through link workers.  That was positive because it meant there was money in the system but also a negative because there was already a very good model in Rotherham.  There was the threat that there was no money in the system within the Long Term Plan to support the voluntary and community sector 


·           Social prescribing was being extended to include mental health social prescribing


·           It was understood that the Autism Strategy was completed and just waiting on the action plan


·           Planning decisions were crosscutting and if they had an impact on people’s health and wellbeing it would impact on the other indicators. An indicator would be developed following publication of the Equal and Healthy Communities Supplementary Planning Guidance


·           The wording of Aim 4 “number of repeat victims of anti-social behaviour” was aligned with the Safer Rotherham Partnership performance framework.  The reason why anti-social behaviour in particular had been stated was because public perception of anti-social behaviour in Rotherham was currently very high but mismatched with recorded incidents of anti-social behaviour.  Perception was having an impact on how people felt in their communities


·           Having said that there was a mismatch between reality and the numbers, it was known that anti-social behaviour figures were probably different to those being recorded because of the problem with the 101 telephone line and the number of abandoned calls (in excess of 30% in November 2018).  The Aim spoke about the perception and numbers and yet the indicator was the number of repeat victims, therefore, based all on the numbers when it was known that there was a mismatch.  Was that really the right indicator or should it about whether people felt safe?


·           Aim 4 had been developed over the last few months with senior planning officers invited to the Board when planning was discussed.  A workshop was to be held shortly on Aim 4.  There were national guidelines as to the percentage of green space per new planning development.  The Board needed to ask Planning to make sure that always happened


·           The Board was a broad umbrella that partners reported to and it was not necessarily involved in the operational difficulties.  The performance framework indicators were the priority indicators for partners but did not prevent exploration of other indicators


·           Addictive gaming and the effect on children’s health – was that something the Board could look at?


·           Rotherham Public Health was one of the first to access the free training offered on gambling.  The Long Term Plan would provide additional funding to provide appropriate services to support people with addictions


·           Reducing the number of children who experienced neglect and abuse was an attempt to catch people/families much earlier and offer them Early Help support; it was not avoiding making children the subject of a Child Protection Plan.   It was about supporting families much earlier and recognising neglect


·           Currently the training on gambling was aimed at statutory front line staff and not those that worked in a shop e.g. bookmakers.  Consideration would be given as to whether an invitation could be extended to such operatives


·           Meetings were taking place with carers but, due to the Judicial Review, caution had to be taken as to what was and was not said.  The Strategy was being renewed and refreshed and when complete could be submitted to the Commission


Resolved:-  (1)  That the presentation be noted.


(2)  That the Select Commission participate in an annual performance session.


(3)  That when completed the Autism Strategy be submitted to the Select Commission.


(4)  That the Carers strategy be submitted to the Select Commission.

Supporting documents: