Agenda and minutes

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

Items
No. Item

14.

Welcome, introductions and apologies for absence

Minutes:

Apologies were received from the Chair, Councillor Rachael Blake, Kathryn Singh, Steve Shore (Debbie Hilditch deputised), Paul Moffat (Mark Douglas deputised), Richard Parker, Steve Helps and Chief Superintendent Shaun Morley (Superintendent Dan Thorpe deputised).

15.

Chair's Announcements.

Minutes:

There were no announcements made by the Chair.

16.

Public questions.

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

 

Minutes:

Dr David Crichton advised that a statement and questions had been received by email from Mr V Patel addressed to the Board, as follows:

 

JSNA does not provide the full waiting list for primary care and secondary care services for assessment and diagnosis.  Given that it is up to the statutory authority to deal with making sure that public sector equality is upheld will they do the following:

 

Question 1) Will the chair including all associated bodies that commission local services, now ask or provide waiting lists for each contract in place for assessment and diagnosis, in the NHS and provide the total cost of clearing each waiting list?

 

Question 2) Will the chair request that the waiting list for all Social Care services are published on a monthly basis where people are waiting for a review emergency or otherwise, and the first assessment and provide a cost for each month to clear that waiting list?

 

Question 3) Will the board then provide the list to the Secretary of State for Health and Social Care, to make sure they are aware of the waiting list and hold them to account on funding the clearing of such waiting list under the health and social care act and the care act?

 

Dr Crichton explained that responses to the points raised by Mr Patel had been sought and received from relevant organisations represented on the Board, and these would be forwarded to Mr Patel, together with signposting to the relevant individual commissioning bodies as regards picking up the other elements of the questions that could be more appropriately dealt with by way of FOI requests, should the questioner wish to submit them.

 

17.

Declarations of Interest, if any.

Minutes:

No declarations were reported at the meeting.

18.

Minutes of the Meeting of the Health and Wellbeing Board held 14th June 2018 pdf icon PDF 179 KB

Minutes:

RESOLVED that the minutes of the meeting held on 14th June 2018 be approved as a correct record and signed by the Chair.

19.

Joint Strategic Needs Assessment Policy Statement and Workplan 2018/19 pdf icon PDF 340 KB

Minutes:

The Board considered the Joint Strategic Needs Assessment (JSNA) Policy Statement, which outlined a new approach to understanding the health, wellbeing and social care needs of the Doncaster population.  The Statement also included, at Appendix 1, a copy of the JSNA Work Plan for 2018/19.

 

It was noted that rather than being ‘a document’, it was proposed that the new JSNA approach would comprise three strands of information:

 

·       Open data, including demographics and routine health and care statistics;

 

·       Commissioned work packages of investigations, deep dives and reviews; and

 

·       An annual ‘State of Health’ report.

 

In response to a query as to how housing would be taken into account in the new JSNA approach, Jon Gleek explained that the Housing Needs Assessment could be included in the repository of information and intelligence that would form one of the strands of the new JSNA.

 

Arising from a further question, it was agreed that it would be useful if the ‘State of Health’ report could be brought to the Health and Wellbeing Board each year for its consideration.

 

Dr Rupert Suckling enquired as to whether the open data would support decision makers, and whether the partners around the table would be able to access the data.  In reply, Jon Gleek explained that the data could be published in a range of accessible formats, such as interactive dashboards.  He stressed that accessibility was key to this new approach.  It was noted that Officers had been working with Surrey County Council which already had a similar JSNA system in place, based on a ‘life course approach’.  https://www.surreyi.gov.uk/jsna/

 

In reply to a query regarding the scope for using the JSNA to help predict future demands and trends, such as population increases, the officers confirmed that as the main tenet of the JSNA was to provide the best evidence base for understanding the current and future health and wellbeing needs of the local population, the JSNA could be used to assist in analysing likely future trends and demand modelling.

 

                  RESOLVED to:-

 

(1)        endorse the new JSNA approach outlined in the Policy Statement; and

 

(2)        agree that this Board receives the ‘State of Health’ report each year.

 

20.

An Overview of the Impact Report of the Children and Young People's Plan

Minutes:

The Board received a presentation by Callum Helman, Project & Transformation Officer, which gave an overview of the Impact Report (2018) of the Children & Young People’s Plan (CYPP). 

 

It was noted that the Impact Report served both as a means of reviewing the performance of the CYPP and also as a tool to promote the Plan and its achievements with the wider partnership as well as the people of Doncaster.  In creating the report, the views of children and young people had been central in examining the impact that improving service delivery was having on the lives of families across Doncaster.

 

The presentation summarised the preliminary findings together with the draft recommendations of the Impact Report in respect of each of the 4 key themes of the CYPP, comprising:

 

  • ‘Safe’
  • ‘Happy and Healthy’
  • ‘Achieve’
  • ‘Equality’

 

It concluded by outlining the next steps in terms of the year ahead and publication of the Report, which was due to take place on 11th September at the Children and Families Forum event at the Keepmoat Stadium.  Councillor Nuala Fennelly, Chair of the Children and Families Forum, stated that she hoped that as many members of the Board as possible would be able to attend the event.

 

During discussion on the CYPP and the Impact Report, Damian Allen confirmed that there had been significant progress in the Plan’s first year, and that services across the partnership had improved the lives of children and young people in all 4 themes of the Plan.  He added that the feedback received from children and young people on the effectiveness of the Plan would be invaluable and enable enhancements to be made where required.

 

After the Board had discussed a range of issues emanating from the CYPP, including the need for greater investment in early years services and the ambition to make Doncaster the most child friendly Borough in the country, it was

 

RESOLVED to note the content of the presentation.

 

21.

Better Care Fund Annual Report 2017/18 pdf icon PDF 99 KB

Additional documents:

Minutes:

The Board considered a report which provided an update on the 2017/18 year end position of the Better Care Fund (BCF).

 

In presenting the report, Dr Rupert Suckling confirmed that, following the receipt of Government guidance on the 2018/19 BCF Plan in August 2018, and an invitation for partnerships to re-submit their plans if they so wished, it had been decided to leave Doncaster’s plan in its present form, in light of the fact that it continued to fully meet all of the national conditions for BCF and remained on track to meet the targets set out for the four national indicators.  He added, however, that a watching brief would be kept on future developments that may potentially impact on the Plan.  Jackie Pederson pointed out that she had heard that changes to the BCF were in the pipeline, and that it would be tied into the NHS 10 year plan.

 

After Members had welcomed the continuing progress with reducing Delayed Transfers of Care as a result of effective joint working by Doncaster Health and Social Care Partners and acknowledged that Doncaster’s local BCF Plan provided a solid foundation for moving forward in the future, it was

 

                  RESOLVED to:-

 

(1)        Note the final BCF out-turn position for 2017/18; and

 

(2)        Note the progress against the BCF national conditions and performance indicators, and progress in moving towards the wider integration of health and social care.

 

22.

Prevention pdf icon PDF 153 KB

Additional documents:

Minutes:

The Board received a presentation by Dr Rupert Suckling on ‘Better Lives – Progress on Prevention’ which accompanied a briefing paper updating the Board on the progress made on prevention and early help as originally outlined in the Doncaster Place Plan (Oct 2016) and which highlighted key developments and potential next steps.

 

Having summarised the progress against the 10 areas for development identified in the Place Plan, Dr Suckling then described the 7 building blocks that were emerging in relation to a Doncaster ‘People Powered’ approach to Better Lives, as detailed in the paper.  Dr Suckling explained that his task was to ensure that these blocks were happening and that the necessary co-ordination was taking place.

 

Members then discussed and commented on a wide range of issues in relation to prevention and the points raised in the paper, including the following:

 

  • Whilst endorsing the 7 blocks, Members noted that it was likely that some services would struggle to continue in the current climate of financial constraints.

 

  • Members acknowledged that there had been significant cuts in the funding for prevention and the question to be addressed was how this Board could ensure that prevention remained a priority going forward.

 

  • It was recognised that more could be done by partners in terms of working together to identify suitable property assets which could be utilised for the provision of facilities such as community wellbeing hubs.

 

  • Members noted that collaboration was an important driver in prevention approaches, and that it was also vital that communities felt enabled and energised to support themselves.

 

After Dr Rupert Suckling had outlined the possible next steps and stated that a further progress report would be brought back to the Board in due course, it was

RESOLVED to note the report and support the Doncaster ‘people powered’ approach to Better Lives.

 

23.

Recovery City pdf icon PDF 98 KB

Minutes:

The Board received a presentation by Professor David Best, Professor and Head of Criminology at Sheffield Hallam University, which outlined the background to the recovery city movement (which was aimed at improving social cohesion and supporting recovery), how the Borough was making progress to embed the CHIME principles (Connectedness, Hope, Identity, Meaning and Empowerment) into services and interventions, and highlighted potential next steps.

 

During subsequent discussion, the Board fully supported this initiative and welcomed the opportunity to develop an Inclusive Cities model in Doncaster to help support and promote the recovery process in the Borough.

 

Superintendent Dan Thorpe explained that the use of the spice drug in prisons was a significant problem, which resulted in many people coming out of prison being addicted to the substance.  He stated that the prisons partnership board was doing some work in helping to build connections for people, so that they received the support they needed.  Superintendent Thorpe confirmed that South Yorkshire Police (SYP) would be very interested in helping to support and promote recovery initiatives in the Borough.  He reported that SYP were hosting a national conference on drugs on 4th December and extended an invitation to Professor Best to address the event if he was available.  On prisons, Professor Best gave an example of an initiative being run at HM Prison Kirkham, which was aimed at empowering family members/relations of prisoners to strengthen family connections and linkages in order to help inmates avoid re-offending in the future.

 

Various members of the Board then spoke in support of this initiative, expressing the view that the partners represented on the Board all had a responsibility and role to play in supporting residents through the recovery process.  They also recognised the value of recovery from a preventative angle, which would help future generations.  Members acknowledged that a change of mindset in society was essential to promote sustained recovery and this initiative was invaluable in terms of fostering prosocial behaviour and developing social networks.

 

It was then

 

RESOLVED that:

 

(1)        Dr Rupert Suckling co-ordinate this piece of work in liaison with Professor Best and report back to a future meeting of the Board on the next steps; and

 

(2)        the Board hold a future workshop session on the subject of Recovery.

 

24.

Oral Health Needs Assessment pdf icon PDF 98 KB

Additional documents:

Minutes:

The Board considered the Doncaster Oral Health Needs Assessment (OHNA) 2018 report, and received a presentation by Dr Rupert Suckling summarising the key findings and recommendations, which outlined how reductions in oral health treatment could be maximised by implementing a range of preventative approaches.

 

During discussion on the various recommendations set out in the OHNA, a number of members supported, in particular, the recommendation to investigate the feasibility of water fluoridation in Doncaster.  Dr Suckling explained that, in considering the feasibility of a water fluoridation scheme, a range of issues would need addressing, such as:

 

1)    Would the public support such a scheme?

2)    Do the decision makers support it?

3)    Technical feasibility, i.e. depending on how Doncaster’s water system is configured, would it be difficult to isolate Doncaster’s water supply from those of neighbouring areas, due to cross flows of water across the wider water supply network?

 

After the Board had discussed other issues arising from the report, including the merits of extending early years monitoring to also encompass wider health issues such as oral health, and the recognition that smoking and drinking remained significant risk factors affecting the increasing trend in mouth cancer in Doncaster, it was

 

RESOLVED that:

 

(1)        the report be noted; and

 

(2)        the recommendations put forward in the OHNA 2018 paper be endorsed and, in particular, the Director of Public Health be asked to lead a piece of work to assess the feasibility of water fluoridation in Doncaster.

 

25.

Report from Health and Wellbeing Board Steering Group and Forward Plan pdf icon PDF 154 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:

·             Doncaster Clinical Commissioning Group’s Primary Care Commissioning Committee - Dr Rupert Suckling reported that there was an opportunity for a HWB Member to sit on this body, with a request to forward any nominations to Jonathan Goodrum, Senior Governance Officer (DMBC) by 19th September 2018;

·             ‘Work and Health’;

·             Well Doncaster Annual Report 2017/18;

·             Minutes of the SY&B Shadow Integrated Care System Collaborative Partnership Board meeting held on 8th June 2018; and

·             Forward Plan for the Board – Dr Rupert Suckling explained that there was an intention to move towards mapping out the Board’s Forward Plan across a 12 month period in future, to enable it to be populated with key milestones, such as showing when the various annual reports would be received by the Board.

 

RESOLVED that:

 

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

 

(2)        the proposed Forward Plan, as detailed in Appendix A to the report, be agreed.

 

It was confirmed that the venue for the Board’s workshop on 4th October would be the National College for High Speed Rail, Carolina Way, Doncaster, DN4 5PN.