Agenda item

The Panel gave consideration to a presentation, which described the current planning processes underway across NHS South Yorkshire and within the Doncaster Place.

·         The National Context

·         What is the Ambition?

·         What is the Ask?

·         The South Yorkshire Approach

·         Integrated Care Strategy Engagement

·         Our Emerging Vision for the Strategy

·         Shared Outcomes

·         System Enablers – Building Blocks

·         Questions to Consider

Health of our Doncaster Population/Cost of Living Crisis – Concern was raised around the huge pressures families were facing and it was questioned, what was being done in Doncaster to support its most vulnerable.  In addition to what had been discussed during the meeting, reference was made to what was taking place in Primary Care, which was looking at how they could be more proactive with those that were vulnerable.  It was explained that this may involve going out and to see those that were known to be vulnerable at home.

It was added that a challenge around the Integrated Partnership Care Strategy was about how it would add value and look at different perspectives, moving away from repeating what had been asked through various other strategies.  It was explained that what had emerged was an appetite around support for early years (0-5 years).

JSNA – There was a brief discussion about the healthy life expectancy for Doncaster women as reported in the recent JSNA.  In terms of the Doncaster plan, it was explained that there was already a set of plans  and pieces of work in place across health and care.  Members heard that the Doncaster JSNA would be revisited and challenged to ensure that the Doncaster plan had the appropriate responses in place on issues such as women’s healthy life expectancy.

Reference was made to health inequalities and healthy life expectancy across the borough.  There had been a recent presentation at Health and Wellbeing Board about what investment from the Integrated Care Board (ICB) would experience the biggest benefit.  It was recognised that there was a need to consider how resources could be freed up from existing system to be sent further downstream, for example, early years of children.  Examples of targeted investment, included lung cancer pathway and the use of a bus to carry out CT scans to identify this at an earlier stage so it can be treated at a curable stage.

There was a brief discussion about the Health and Wellbeing Strategy and how it would look to take account of the issues around women’s healthy life expectancy and should influence the further planning work that will be undertaken.  It was added that as a publicly accountable board, the Health and Wellbeing Board would continue to look at this issue.

It was noted that taking into consideration the work that had been done around Early Help already,  there was a need to build on what we have in place already although this would need revisiting.   It was explained that the principle across South Yorkshire would be for partners to come together to support families and children through the years to help create a stronger Doncaster.   

A Member raised concerns about the impact of menopause on women’s lives and whether this had been taken into account in the strategy.  It was explained that the strategy would address the top 3 to 4 things that will make a significant difference in South Yorkshire, and then sitting under the strategy was a Joint Forward Plan, which would include the detail once developed.  It was explained that this Joint Forward Plan would then feed into local plans in Doncaster.

It was noted that there had been a lack of understanding around the menopause but that it was recognised as a medical condition and that organisations were looking more at this, with some developing a menopause policy.

Impact of Doncaster Being Awarded City Status on Health and Care – It was noted that there had been no automatic changes further to Doncaster becoming a city. It was considered that it was important as it would help build Doncaster’s profile to attract people as a place to live and work.  It was added that it should also provide some status around the facilities it should have, for example, Health and Care facilities such as a new hospital. 

It was commented that Doncaster now was the largest city in England without a university and therefore aspirations have changed. There was a brief discussion around the benefits of having university hospital and new build hospital.

Members were informed that a copy of the presentation would be shared with the Panel.

Reference was made to a forthcoming Health and Care summit for Doncaster in order to engage more broadly and consider issues beyond the Place Plan.

RESOLVED that;

1.   The report and update be noted; and

2.  That the Panel receive an update as part of its future workplan.