Agenda and minutes

Venue: 007a and b, Civic Office, Waterdale, Doncaster DN1 3BU. View directions

Items
No. Item

24.

Welcome, introductions and apologies for absence

Minutes:

Apologies were received from Peter Dale, Damian Allen (Patrick Birch deputised), Cllr Nuala Fennelly, David Crichton, Richard Parker (Marie Purdue deputised), Paul Moffat (Jacqueline Wilson deputised), Karen Curran and Cllr Cynthia Ransome.

 

25.

Chair's Announcements.

Minutes:

The Chair, Councillor Rachael Blake, informed the Board of the following matters:

 

  1. A formal approval letter from NHS England had now been received in respect of Doncaster’s Better Care Fund Plan for 2017-19.

 

  1. The Chair explained that she and Councillor Nigel Ball were both keen to identify ways of engaging more with third sector health and social care providers in Doncaster.  To this end, she advised that a meeting had been set up with a range of providers to discuss possible ways of building closer links between this Board, the Council and its partners and the third sector providers in future, the outcome of which would be fed back to this Board’s meeting in January 2018.

 

  1. The Chair advised that she had been offered a seat on the Accountable Care Partnership (ACP) Leadership Team, with Dr Rupert Suckling acting as her deputy, when required.

 

26.

Public questions.

(A period not exceeding 15 minutes for questions from members of the public.)

 

Minutes:

In addressing the Board, Councillor Derek Smith explained that a friend of his had recently lost his Mother to cancer.  He explained that during this lady’s treatment, District Nurses had been required to visit her at night, and he asked how many District Nurses in total were available in Doncaster to treat patients during the night.  Councillor Smith explained that his query was in the context of seeking an assurance over capacity issues in the health service and whether demand could be met in relation to end of life treatment pathways.

 

In reply, Kathryn Singh stated that she would be happy to provide Cllr Smith with the information requested outside of the meeting, including the number of patients and the number of District Nurses caring for them, on a routine night in the Borough.

 

27.

Declarations of Interest, if any.

Minutes:

There were no declarations of interest made at the meeting.

 

28.

Minutes of the Meeting of the Health and Wellbeing Board held on 7th September 2017. pdf icon PDF 81 KB

Minutes:

RESOLVED that the minutes of the Health and Wellbeing Board held on 7th September 2017 be approved as a correct record and signed by the Chair.

 

29.

HWB Outcomes Framework and Areas of Focus Update pdf icon PDF 87 KB

Additional documents:

Minutes:

The Board considered a report which provided an update on the potential Outcomes Framework for the Health and Wellbeing Board, specifically updating the board on the board workshop held on 5th October 2017.  It was noted that the Outcomes Framework, once agreed, would allow the Board to drive delivery and be sighted on the key outcomes and indicators identified as important for the Board.

In presenting the report, Dr Rupert Suckling summarised the key points covered in the workshop and outcomes of the conversations held by the attendees in relation to the proposed life course and care categorisations which the outcomes and indicators would be measured against, and on the characteristics of good performance reporting.

In reply to a question, Dr Suckling confirmed that it was hoped that a fully populated outcomes framework would be presented to the Board’s next meeting in January 2018.

During subsequent discussion, the Chair stressed the importance of ensuring that this Board only dealt with the right outcomes at the right level, in order to avoid getting bogged down with unnecessary detail.  She added that, at this stage, she did not feel that the picture was entirely clear as to the nature of this Board’s role in terms of performance monitoring, and which were the key outcomes that the Board should be focusing on.  Steve Shore added that this issue had been one of his frustrations, as he felt that the Board had never really fully identified whether its role was to deal with performance reporting on a macro or micro scale.  Arising from this discussion, the Chair suggested that this might be an appropriate time to arrange a Board Development day (half day event) to consider the Board’s role in more depth, which could be held on the next scheduled workshop date of 7th December 2017.  Jacqueline Wilson added that, at the same time, it would also be helpful to look at where the Health and Wellbeing Board sat in relation to the wider partnerships structure.

Dr Rupert Suckling then summarised the contents of Appendix B to the report, which provided an interim update on progress for each of the Areas of Focus, answering four questions:

What is going well?

What needs development?

What is being done about it?

What needs Escalating to the Board?

 

During consideration of the focus area updates, in relation to Substance Misuse, the Board supported a request to endorse the introduction of urine testing for fentanyl in the Aspire and Project 3 services and provision of take home kits for service users to test their drugs for the presence of fentanyl.

 

With regard to the Mental Health area, Kathryn Singh stressed that there were pockets of money available for various services and there was a need to ensure that these monies were secured for Doncaster.  To achieve this, she suggested that partners needed to ensure there was a joined up approach so that positive bids for funding were submitted.  Dr Rupert Suckling added that third sector partners could also  ...  view the full minutes text for item 29.

30.

Doncaster Place Plan Update pdf icon PDF 86 KB

Additional documents:

Minutes:

The Board received a paper which provided an overview of the work streams that were currently in train to deliver the ambition of the Doncaster Place Plan.  In presenting the paper, Dr Rupert Suckling drew attention to the salient points, including the main work streams contained within the Place Plan, and the national funding streams which supported the Plan (the Better Care Fund and the improved Better Care Fund).

 

During subsequent discussion, Paul Tanney informed the Board that he understood there had been some delays in appointing to the complex lives team.

 

It was then

 

RESOLVED to note the update on the delivery of the Doncaster Place Plan.

 

31.

Doncaster & Bassetlaw Teaching Hospitals NHS Foundation Trust - Strategic Direction pdf icon PDF 85 KB

Minutes:

The Board received a presentation by Marie Purdue, Director of Strategy & Transformation at Doncaster & Bassetlaw Teaching Hospitals NHS Foundation Trust (DBTH) which explained how the Trust’s Strategic Direction contributed to improving health and wellbeing in Doncaster and how it aligned with local Place Plans and strategies.  Having explained the context in which the Trust currently operated, both within the NHS and in terms of internal changes within the Trust itself, Marie outlined the Trust’s vision and values, together with its strategic objectives which would be delivered across all services.

 

Discussion followed, during which Board Members asked questions and made observations on various issues, including:-

 

  • The current levels of vacancies within the Trust, noting the measures being taken to offer local people and existing staff within the Trust opportunities with regard to long term career pathways and progression.  With regard to recruitment, the Board also acknowledged the importance of working with schools and colleges in encouraging young people to pursue careers in the NHS and in the Care sector in general, by way of offering, for example, apprenticeships and work placements.

 

  • The ways in which the Trust had been innovative in its approach to service provision, including the establishment of an integrated discharge team.

 

It was then

 

RESOLVED to note the contents of the presentation.

 

32.

Doncaster Safeguarding Children Board Annual Report 2016-17 pdf icon PDF 95 KB

Additional documents:

Minutes:

The Board received a presentation by Rosie Faulkner, Doncaster Safeguarding Children Board (DSCB) Manager, setting out the key findings from the DSCB’s Annual Report for 2016-17 published on 19th October 2017, a copy of which had been circulated with the agenda papers.  In particular, Rosie briefed the Board on the following subjects:-

 

     Role of DSCB

     Annual Report requirements

     Annual Report format

     Headlines from 2016-17

     Areas for Development 2017-18

 

The Board noted that, overall, the Annual Report showed that safeguarding in Doncaster had improved significantly in recent years, with a much stronger culture of challenge between partner agencies, and more effective partnership working at a strategic level and in day to day work with children and families.  There was also a more coordinated response to key safeguarding risks such as Child Sexual Exploitation and Domestic Abuse.  However, the Report also highlighted key challenges ahead to ensure that recent improvements were embedded and areas of continuing concern were addressed.

 

During a brief discussion on Early Help, the Board noted that a programme of learning and training was offered by the Doncaster Children’s Services Trust (DCST) to support members of staff in the DCST and the Council in delivering early help to families.  Members also noted that the DSCB would be seeking assurances on the quality of Early Help as one of its areas of development in 2017-18.

 

It was then

 

RESOLVED to note the presentation on the DSCB Annual Report 2016-17, including the key implications for children and young people’s commissioning priorities and the action required by HWB partners to improve the effectiveness of safeguarding in Doncaster, particularly in the context of the Doncaster Health and Well-Being Strategy 2015-2020.

 

33.

Safe and Well Pilot pdf icon PDF 112 KB

Minutes:

The Board received a paper and presentation by Steve Helps, Head of Prevention and Protection, South Yorkshire Fire and Rescue (SYFR), which gave an update on progress with the Safe and Well Visits (SWV) pilot in Doncaster.  The Board also viewed a short video entitled “Let’s be Fire Safe Together”, in support of the most recent campaign the SYFR service was promoting.

 

The Board noted that the aims of the visits were to:

1)    Lower fire risk;

2)    Provide health information;

3)    Identify cold homes;

4)    Reduce slips, trips and falls; and

5)    Help to prevent crime.

 

The introduction of Safe and Well Visits also supported the broader aims of ‘Making Every Contact Count’, with information and services being provided to the most vulnerable in order to support safe independent living and reducing the future needs of public services.

 

The initiative had been run as a 6 month pilot, specifically targeting people aged 65 and over in the Doncaster area, with a total of 223 visits being completed during that time.  During the presentation, the Board was shown a map of the Borough which plotted where the Safe and Well Visits had been made, together with information on the SWV demographics of the service users who had received a visit, and details of the risks identified and referrals made during the visits.

 

During subsequent discussion, in reply to a query as to whether the SWV would be extended to cover younger people/families in the future, Steve explained that nationally the SWV had been focussed on the over 65s age group.  However, he pointed out that the Fire Service still offered Home Safety checks which were open to residents of all age groups and added that he was of the personal opinion that all Fire Service visits should be re-badged and take the form of Safe and Well Visits.

 

After Board Members had congratulated Steve and the Fire Service staff, particularly the Edlington team, for their efforts in making the pilot a great success, it was

 

RESOLVED to note the update on progress with the SWV pilot in Doncaster.

 

34.

Report from HWB Steering Group and Forward Plan pdf icon PDF 86 KB

Additional documents:

Minutes:

The Board considered a report which provided an update on the work of the HWB Steering Group to deliver the Board’s work programme and also provided a draft Forward Plan for future Board meetings, as set out in Appendix A to the report.

         

In particular, the report included updates for the Board on:

·             BME Health Needs Assessment – Follow Up;

·             Outcome of the Peer Review of Public Health 2017;

·             Doncaster Festival of Research 2017; and

·             Forward Plan for the Board.

 

After a brief discussion on the successful outcomes of both the Peer Review of Public Health and the Doncaster Festival of Research, it was

 

RESOLVED that:

 

(1)        the update from the HWB Steering Group be received and noted;

 

(2)        the proposed Forward Plan, as detailed in Appendix A to the report, be agreed, subject to the revision to the workshop on 7 December, which will be used as a Board Development Day, with the Culture and Wellbeing workshop being deferred to 1 February 2018;

 

(3)        the Board’s thanks be recorded and forwarded to the organisers of the Doncaster Festival of Research, which had received positive feedback from attendees; and

 

(4)        it be noted that the Peer Review of Public Health, conducted in the summer of 2017, had gone very well and had resulted in exceptionally positive feedback from the Peers, particularly in respect of the performance of the Council’s Public Health team.