Agenda and minutes

Venue: Council Chamber, Civic Office, Waterdale, Doncaster DN1 3BU. View directions

Contact: Caroline Martin - Senior Governance Officer 

Items
No. Item

1.

Apologies for Absence

Minutes:

Apologies were received from Councillors Tracey Moran, Austen White, Sean Gibbons and the Invitee Jim Board.

2.

Declarations of Interest, if any

Minutes:

Councillor Jane Kidd declared an interest by virtue that she works for the voluntary sector.

3.

Minutes of the Health and Adult Social Care Overview and Scrutiny Panel held on the 28th January 2021 and 18th March 2021 pdf icon PDF 172 KB

Additional documents:

Minutes:

RESOLVED: The minutes of the meetings held on the held on the 28th January 2021 and 18th March 2021 were agreed as a true record.

4.

Public Statements

[A period not exceeding 20 minutes for

Statements from up to 5 members of the public on

matters within the Panel’s remit, proposing action(s)

which may be considered or contribute towards the

future development of the Panel’s work programme].

 

Minutes:

There were no public statements made.

5.

Changes to NHS working (Integrated Care System - White Paper) and Potential Impacts of Changes pdf icon PDF 292 KB

Minutes:

The Panel received a presentation from the Chief Officer of Doncaster NHS CCG, outlining the possible impacts of changes and how the NHS operates in England (subject to parliamentary approval) as Clinical Commissioning Groups become part of Integrated Care Systems (ICS).

 

The presentation covered the following areas;

 

·       How the NHS and Doncaster works now?

·       How the NHS will look in the future?

 

There was a discussion held and the following areas were highlighted;

 

Integrated Care System (ICS) -  Focus on Inequality

 

In terms of how the Integrated Care System focused on inequality, it was explained that this was seen as a ‘place’ responsibility although the ICS may itself set some ambitions around that.  It was continued that this was being tested out within different locality areas when considering the differences and that solutions were being considered alongside providers. It was commented that this is in our gift to advise the future Integrated Care Partnership which priorities need addressing.  It was noted that it as everyone’s responsibility to help implement those ambitions through the ICS, by asking them to take action and holding them to account.

 

The Director of Public Health stated that in absence of a national target around inequalities, it was down to us as the ‘place’ to set out its ambitions.  It was advised that this in part, could be achieved through the Joint Strategic Needs Analysis (JSNA) and Health and Well-being Strategy (which were both tasks of the Health and Well Being Board).

 

It was expected that the role of overview and scrutiny would continue in terms of considering particular issues and major service changes and by setting the workplan.  It was viewed that these issues may be addressed either as individual Panels or jointly across South Yorkshire.

 

Members were advised that there was still going to be statutory organisations who would need to fulfil their equalities duties and due regard obligations. 

 

Integrated Care System (ICS) – Children and Young People

 

Members raised concern as to whether there was sufficient focus on the health and wellbeing of children and young people within the Integrated Care System (ICS).

 

Members were told that it would be about feeding it through the JSNA and Health and Well-Being Board into the Integrated Care Partnership (ICP).  Comments were made around sectoral collaborations across the ICS geography, with a children’s collaboration that was also being looked at.  It was stressed that at present, the only requirement was for Mental Health and an Acute collaborative within the Integrated Care System (ICS), but that the ICS was keen to ensure that children were a priority.  It was recognised that responsibility rested at Doncaster level as well as the Integrated Care Board (ICB), that discussions had been held and there was a need to make sure that it takes place as part of the partnership arrangements.

 

Reference was made to Doncaster Council’s Young Advisors that sat within the Children and Young People directorate.  It was outlined that the Young Advisers had recently undertaken a  ...  view the full minutes text for item 5.

6.

Update on Doncaster Joint Strategic Needs Assessment (JSNA) pdf icon PDF 272 KB

Minutes:

The Panel received a presentation from the Service Manager of Policy, Insight and Change, on an interim update, which highlighted the work undertaken to date on the 2021 JSNA and the forward plan.

 

It was explained how the JSNA provided an intelligence overview of the health and wellbeing in the Borough and should be used for strategic commissioning purposes to understand the needs and assets in communities as well as health and wellbeing outcomes. 

 

The presentation covered the following areas;

 

·       Health and Well-Being Update

·       2021 Policy Refresh

·       New Publications

·       JSNA Overview

·       Insights

·       Immediate Next Steps – Short Term

·       Work Plan

 

There was a discussion held and the following areas were highlighted;

 

Engagement

 

It was noted that the information would be collated through a number of ways such through what was already available and by identifying what has already been captured, such as through Young Advisors’ Make Your Mark surveys and adult social care surveys.  It was continued that consideration would be given as to how that knowledge would be shared across teams and partners. 

 

In terms of reflecting what was happening in communities, Members were reminded of Doncaster Talks project that comprised of surveys, engagement and was centred around the Borough Strategy.  It was acknowledged that public engagement was fundamental to the work. 

 

The Director of Public Health assured Members that decision makers would still have responsibility in making sure that the ‘voice’ was captured and taken into account as part of the decision making process.

 

Asset Based Approach

 

Members heard how the JSNA was framed around needs, which required further understanding and to provide us with more leverage, for example, hard assets (buildings), wider determinants of infrastructure, service assets, locality, universal offer or individual places.  It was added that the hardest to measure would be the soft assets such as community groups, feelings, aspirations, culture and leisure.

 

The Director of Public Health agreed the localities element was very important.

 

Communication of JSNA

 

Members were informed that the work and communication around the JSNA was ongoing and that the website would be made available shortly.

 

Challenges in Developing the JSNA

 

It was explained that challenges taking forward the JSNA included:

 

·       Factual representation.

·       Validity of information – is the information reflective of people’s experiences.

·       Delay of national statistics publishing data and availability of local up-to-data.

·       How the pandemic has affected information?

 

Integrated Care System (ICS) and JSNA

 

There was a brief discussion around what role the Integrated Care System would take with the JSNA (and vice versa).  It was explained how the importance of ‘place’ was recognised through official statistics or understanding people.

 

It was outlined that the JSNA included a section on age (that included children and young people).  In addition to this, it was explained that there was information around what was going to happen and the wider determinants.  Members were told how the JSNA was used by the Council to develop and influence the Health and Wellbeing Strategy and identify its priorities.

 

Regarding strategic influences, it was  ...  view the full minutes text for item 6.

7.

Overview and Scrutiny Work Plan and the Council's Forward Plan of Key Decisions pdf icon PDF 691 KB

Additional documents:

Minutes:

The Senior Governance Officer presented the Overview and Scrutiny Work Plan report for the 2021/2022 municipal year.

 

RESOLVED that:-

 

1.     The Overview and Scrutiny Work Plan for 2021/2022 be approved;  and

2.     The Council’s Forward Plan of Key Decisions, be noted.