Agenda and minutes

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Items
No. Item

84.

Welcome, introductions and apologies for absence

Minutes:

Apologies were received from Damian Allen (Riana Nelson deputised), Kathryn Singh, Kim Curry (Patrick Birch deputised), Councillor Glyn Jones, Steve Helps, Peter Dale, Norma Wardman and Karen Curran.

 

Also in attendance were Jacqueline Wilson, substituting for Paul Moffat and Chief Inspector Gwyn Thomas, substituting for Superintendent Scott Green.

85.

Chair's Announcements.

Minutes:

The Chair announced that this was Susan Jordan’s last formal Board meeting prior to her retirement at the end of the year.  She therefore thanked Susan for the contribution she had made to the work of the Board and for her work as Chief Executive of St Leger Homes of Doncaster.  She stated that Susan would be missed, and on behalf of the Board wished her good luck in her retirement.

86.

Public questions.

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

 

Minutes:

Mrs Angela Curtis asked the following question in relation to Air Pollution in Doncaster.

 

“Doncaster Council is responsible for a number of Public Health functions as highlighted in The Health & Wellbeing Strategy 2016. 

 

In “Where are we now” it states:

The Wellbeing of Doncaster people is improving in a number of key areas.  However, it states it is not improving as fast as it is in the rest of the country.  It further states diseases such as Cancer, Cardiovascular Disease, Respiratory Diseases, Liver Disease, account for between 80% & 90% of all preventable deaths in Doncaster.  It further states actions need to be put in place to improve Health & Wellbeing - I would like to know what actions!

 

Health and Wellbeing in Doncaster will not improve as fast as other parts of the country when the amount of Air Pollution in Doncaster is among the highest in the country.

 

Public Health England state 160 people in Doncaster this year will die premature deaths due to poor air quality, the largest pollutant being PM2.5particulate emissions from diesel  vehicles.

 

It has been scientifically established beyond any doubt that poor air quality affects people’s lives on a daily basis.  There is a proven link to Cancer, Dementia, Respiratory disease, Cardiovascular disease, all aspects of poor health which YOU are committed to improve.

 

So I ask this question:

 

If you are committed to improve the lives of Doncaster People, why is there not one reference to any strategy or priority given to address the detrimental effect of air pollution on all lives in Doncaster from the new-born babies through every stage of life to our oldest residents?

 

Doncaster people deserve better.”

 

In response, Dr Rupert Suckling advised that there were a number of local air quality management schemes operating in the Borough.  He also referred to a new requirement to establish partnership/steering groups, the membership of which would include members of the public, to consider air pollution related matters and confirmed that the Council was in the process of forming such a group. 

 

Dr Suckling concluded by informing Mrs Curtis that a full written response to her question would be sent to her within the next 10 days.

 

Councillor Cynthia Ransome added that the Council’s Health and Adult Social Care Scrutiny Panel would be looking at the issue of air pollution in more detail as part of its future Work Plan.

 

~~~~~~~~~~~~~~~~~

 

Beatrice Botomani gave a brief presentation to the Board on the work of the HARP project.  A briefing note on the project was also tabled for Members’ information.  Beatrice explained that HARP was a project within the Refugee Council and was funded by the Health Social Care Volunteering Fund until December 2017. 

 

HARP aimed to work closely with refugees and asylum seekers, health providers, third sector organisations and commissioners to:

 

           improve health outcomes and health services for all new migrants;

           decrease inequalities,

           improve access of health services; and

           give this group of clients a voice  ...  view the full minutes text for item 86.

87.

Declarations of Interest, if any.

Minutes:

There were no declarations of interest made at the meeting.

88.

Minutes of the Meeting of the Health and Wellbeing Board held on 1st September 2016. (Attached) pdf icon PDF 78 KB

Minutes:

RESOLVED that the minutes of the Health and Wellbeing Board held on 1st September 2016 be approved as a correct record and signed by the Chair.

 

89.

Housing Focus - Performance and Impact pdf icon PDF 87 KB

Minutes:

The Board received and noted a presentation by Susan Jordan which explored Housing issues, including links to the Anti-Poverty Strategy, and how these impacted on the Board’s key areas of focus.  The Board also received information relating to the levels of homelessness and people seeking social housing in the Borough.

 

Members were advised that the HWB could help in the following ways:-

 

·                The HWB recognise Housing as an ‘anchor’ for good health and wellbeing;

·                That the areas of focus for the Board have an element of their plans devoted to housing or housing issues where appropriate; and

·                Prototype workshops for families with complex dependencies would begin in November and information and insight from these workshops was to be fed back into the partnership – the HWB should seek and receive this information early in 2017.

 

During discussion on the connection between housing and health and wellbeing and the links to anti-poverty work, Members raised the following points:-

 

·                Jacqueline Wilson commented on the relationship between the quality of homes and the health of children and highlighted the need for more detailed mapping and gathering of data intelligence on the quality of private sector housing, such as homes owned by private landlords and families on low incomes, as less was known about the standards of these homes compared to that of the social housing stock.  She added there had been proposals to look at undertaking a whole housing stock survey.

 

·                The Chair, Councillor Pat Knight, advised that Doncaster Council’s Energy Team carried out valuable work in attending community events and providing general advice to residents on how to save energy and improve the energy efficiency of their homes, promoting heating and assisting with the treatment of mould and damp in homes.  She added that the Fire Service through its home safety visits referred relevant cases, such as cold homes with damp/mould problems, to the Energy Team.

 

·                Jackie Pederson stressed that social isolation was a significant contributory factor that needed addressing.  She also highlighted the importance of signposting people to the appropriate services.

 

·                Susan Jordan explained that SLHD were currently looking at establishing a home improvement agency to deal with small repairs in homes to help mitigate any risks of trips and falls from potential hazards, and it was hoped that funding could be obtained to help in setting this up.

 

Following the presentation, the Board discussed various issues that had been highlighted, including:-

 

·                The need to focus on improving the performance figures in respect of the percentage of care leavers in suitable accommodation.  Jackie Wilson informed the Board that to mark last week’s National Care Leavers’ Week, Andy Hood, Head of Service for Targeted Youth Support at Doncaster Children’s Services Trust, had spent the week living on a care leaver’s budget to help highlight the achievements and difficulties that care leavers experience as they move into adulthood and living their lives independently.  Andy had written a blog describing his experiences, and Jackie offered to arrange for this to be circulated to Board  ...  view the full minutes text for item 89.

90.

Doncaster Safeguarding Children Board Annual Report 2015/16 pdf icon PDF 96 KB

Additional documents:

Minutes:

The Board received a presentation by John Harris, the Independent Chair of the Doncaster Safeguarding Children Board (DSCB), setting out the key findings from the DSCB’s Annual Report for 2015-16 published on 6th October 2016, a copy of which had been circulated with the agenda papers.  In particular, Mr Harris briefed the Board on the following subjects:-

 

      Role of DSCB

      Annual Report requirements

      Board working arrangements

      Headlines from 2015-16

      Progress with the DSCB Business Plan 2015-16

      Key Areas for improvement

      Priorities for 2016-17

 

In concluding, John informed the Board that there had been a significant improvement in children’s safeguarding in Doncaster over the past 3 years, including a better understanding between the various partners, notably Doncaster Council and the Doncaster Children’s Services Trust.  In light of this, he felt there was reason to be optimistic that the necessary framework was now in place to aspire to achieving a ‘good’ rating from Ofsted in the future.

 

The Board then discussed at length the contents of the DSCB’s Annual Report, during which Members asked questions/made comments on a wide range of issues including:-

 

        The impact of Early Help on children’s health and wellbeing and the methods by which this was measured and tracked;

 

        An observation that the Annual Report did not appear to contain much detail in terms of the actual experiences of children and families in the system.  On this point, John Harris explained that the DSCB’s expectation was that agencies were engaging with people in their day to day work.  He added, however, that the DSCB did check that the relevant organisations were receiving feedback from service users.  It was noted that the Children and Young People’s Strategic Partnership did most of this work and the DSCB captured information from that Board’s work and from other sources.

 

        The ‘Signs of Safety' approach to child protection casework. 

 

        The need to address the difficulties surrounding the fact that 40% of assessment cases did not result in any social care involvement afterwards.

 

RESOLVED to note the Chair’s presentation on the DSCB Annual Report 2015-16, 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.

 

91.

Doncaster Safeguarding Adults Board Annual Report 2015/16 pdf icon PDF 87 KB

Additional documents:

Minutes:

Dr John Woodhouse, the recently appointed Independent Chair of Doncaster Safeguarding Adults Board (DSAB), briefly introduced himself to the Board before handing over to Angelique Choppin, Safeguarding Adults Team Manager who summarised the salient points contained in the Annual Report of the DSAB for 2015/16.

 

Angelique confirmed that, following the implementation of the Care Act 2014 which had placed Safeguarding Adult Boards on a statutory footing, the DSAB had developed a new Board Constitution, setting out the requirements of the Board and its members.

 

It was reported that the DSAB had continued to pursue its engagement agenda with great focus through a ‘Keeping Safe Campaign’ helping communities to respond to abuse and neglect.  It had also worked with the Doncaster Keeping Safe Forum, a community based forum that had been supported by the Board to grow in capacity and membership with the primary aim of spreading the message in Doncaster.

 

The DSAB had requested a Safeguarding Adults Peer Challenge which was undertaken in November 2015.  The process had identified a number of strengths and areas for development which were being addressed by way of an action plan, which was now 80% complete.

 

Members noted that other key headlines from 2015/16 included the completion of a ‘Lessons Learned Review’ by the DSAB’s Safeguarding Adults Review Panel, the appointment of Dr John Woodhouse as Independent Chair of the DSAB and a review/refresh of the Board’s structure and Strategic Plan.

 

General discussion followed, during which the Board commented and/or asked questions on the following issues:-

 

  • Whether a growing elderly population would lead to more safeguarding issues in the future;
  • What mechanisms were in place for carrying out checks on carers;
  • Dr Woodhouse explained that whilst the Safeguarding Adults work was less developed than that of Children’s Safeguarding, the DSAB had greater scope to develop tailored plans aimed at specifically dealing with the problems faced in Doncaster and these would be implemented over the next 3 years through the Board’s Strategic Plan;
  • Councillor Nuala Fennelly stated that there were currently 700 child carers in Doncaster and, in many cases, these would become adult carers in the future.  This often had an adverse impact on the children’s schooling and Councillor Fennelly asked what measures were being taken by agencies to change this situation.  In reply, Dr Woodhouse confirmed that this was not an issue that the DSAB had formally looked at as a Board, adding that under the Care Act 2014, local authorities had a responsibility to ensure that carers were given the support they needed.;
  • The importance of adopting a ‘whole-family’ approach was acknowledged, in order that the necessary support was provided to all family members and not just to individuals in isolation.

 

RESOLVED to note the multi-agency activities undertaken during 2015-16 by the Doncaster Safeguarding Adults Board to safeguard adults at risk and prevent abuse from occurring wherever possible, and also receive the multi-agency performance and training statistics for this period.

 

92.

Health and Social Care Transformation Update - Doncaster Place Plan and NHS Sustainability and Transformation Plan pdf icon PDF 110 KB

Additional documents:

Minutes:

The Board received a presentation by Jackie Pederson, Chief Officer of the DCCG, on the Doncaster Place Plan, which had been developed by the key leaders across health and social care in Doncaster during summer 2016.

 

The Place Plan was set in the context of the wider South Yorkshire and Bassetlaw Sustainability and Transformation Plan (STP) and included a shared vision based around the development of an agreed set of design principles and a description of a future landscape for health and social care services in Doncaster.  A copy of the full Place Plan was included in the agenda pack for Members’ information.

 

Jackie summarised the key features of the Plan, which included:-

 

·         ‘The case for change’ – it was acknowledged that the Plan must be aimed at spending the ‘Doncaster pound’ more effectively, in light of ever increasing costs of delivering health and care services, in order to help close the financial gap.

·         Recognition of the need for health and social care services to come together to commission and provide services.  To deliver this, a neighbourhood approach had been developed, comprising four co-terminus neighbourhoods with the intention of further enabling services to be locally focused and tailored and to deliver care and support locally whenever appropriate.

·         A focus on a set of Cohorts that would maximise the value of collective action and transform Doncaster’s health and care system further, so that services could be delivered in the best place, demand for acute services could be reduced and clinical and financial sustainability achieved.

·         A balanced set of measures, which had been identified in order to monitor success in addressing the key challenges.

·         A new care model landscape, with the CCG/LA working together as commissioners to jointly commission integrated health and care services.

·         Proposals for engaging with staff and the public, including specific consultation on individual elements of the Place Plan as the new arrangements were developed.

 

With regard to the public consultation to be carried out on the Plan, Steve Shore stressed the importance of providing the relevant information in both a timely and honest way in light of the fact that inevitably there would be some cuts made to health services and it was vital that the consultation was open about this.

 

During discussion on the STP, the Chair reported that the STP was expected to be published on 11th November 2016.  It was agreed that Board members would need to have sight of the STP at the earliest opportunity following its publication, and the Chair pointed out that there might be a need to convene an extraordinary HWB meeting in December or January in order to discuss the STP in detail.  Mike Pinkerton highlighted the need to consider the role of the Health and Wellbeing Board in implementing the STP.

 

After the Chair had stressed that the major challenge would be in running the current and new systems in tandem to ensure a smooth transition, it was

 

RESOLVED to note the contents of the presentation and endorse the  ...  view the full minutes text for item 92.

93.

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.

           

Dr Rupert Suckling summarised the salient points in the report, which included updates on:

·                Work and health;

·                Domestic Abuse Strategy;

·                Research across the Health and Care System; and

·                Forward plan for the Board.

 

Jacqueline Wilson confirmed that the Safer Stronger Doncaster Partnership would be looking at the Domestic Abuse Strategy in the near future and it was hoped to bring the final Strategy to this Board in January 2017.  All relevant parties and stakeholders would be encouraged to engage actively in implementing the Strategy’s Action Plan.  It was also noted that there was a proposal to move the lead for the Strategy from the Safer Stronger Partnership to this Board in the future.

 

RESOLVED:

 

(1)          to note the update from the HWB Steering Group;

 

(2)          to agree to the hosting of a Doncaster Research and Learning Conference in 2017; and

 

(3)          to agree the proposed Forward Plan, as detailed in Appendix A to the report.