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Agenda and minutes

Venue: Town Hall, Sheffield S1 2HH

Contact: Jason Dietsch, Democratic Services  Email: jason.dietsch@sheffield.gov.uk

Items
No. Item

1.

Apologies for Absence

Minutes:

 

Apologies for absence were received from Councillor Julie Dore and Phil Holmes, Jayne Ludlam, Larraine Manley and John Mothersole.

 

 

 

2.

Declarations of Interest pdf icon PDF 65 KB

Members to declare any interests they have in the business to be considered at the meeting.

Minutes:

 

There were no declarations of interest from Members of the Board.

 

3.

Public Questions

To receive any questions from members of the public.

Minutes:

3.1

Public Questions Concerning Sustainability and Transformation Plans

 

 

3.1.1

Mike Simpkin asked the following questions concerning the South Yorkshire and Bassetlaw and Sheffield Local Sustainability and Transformation Plan:

 

 

3.1.2

1)    What was the role of the Health and Wellbeing Board in relation to the Sustainability and Transformation Plan (STP) given that it will not meet in public again until April?

 

 

 

2)     Where was the South Yorkshire regional dimension being publicly discussed?

 

 

 

3)    Given the size of the funding gap for Sheffield, how will the STP be financed, especially if the South Yorkshire and Bassetlaw footprint was not successful in obtaining transformation funding? To what extent does the STP require financial reallocations between health and social care organisations within Sheffield and the wider sub-region?

 

 

 

4)    Details of the STP were not expected to become available for another two weeks when some sort of consultation process will begin. Yet the timetable appears to demand that 2 year contracts will be signed before the end of the year.  What was the nature of these contracts?

 

 

3.1.3

Greg Fell, Director of Public Health, responded that with regard to the role of the Health and Wellbeing Board, the NHS planning guidance was clear that there was not an expectation that Health and Wellbeing Boards would sign off the Sustainability and Transformation Plans. Health and Wellbeing Boards did not override the existing governance arrangements of constituent organisations at this stage.  Alison Knowles, NHS England stated that the role of the Board was to have responsibility for setting the strategy for health and wellbeing in the Sheffield and therefore to ensure that the STP was something which would help to drive that strategy forward and would not be to the detriment of the strategy for the City.

 

 

3.1.4

With regard to where the regional dimension relating to South Yorkshire was being publicly discussed, Greg Fell stated that the NHS wished to make sure that various parts of the health and social care system owned the STP before going to the public. However, no one expected that there would not be wider consultation prior to any change.

 

 

3.1.5

The STP was a plan and organisations may choose not to implement some elements of that plan. The plan for Sheffield was progressing, whilst the South Yorkshire plan was quite light on detail at this stage.  With regard to discussion about the plan for South Yorkshire and Bassetlaw at regional level, there was not a similar forum at the regional level. People in each area would be discussing the plans. Discussion was taking place regarding the Sheffield plan. 

 

 

3.1.6

Alison Knowles confirmed that discussions relating to the STP were happening at each of the five areas in South Yorkshire and Bassetlaw, and included individual health Trusts, Clinical Commissioning Groups and Health and Wellbeing Boards. There would be open and public discussion about the STP. In addition, if there were proposals for significant change, there was a statutory requirement to engage and consult. A team was working on the engagement relating  ...  view the full minutes text for item 3.

4.

Sustainability and Transformation Plans and Shaping Sheffield pdf icon PDF 326 KB

Joint report of the Director of Public Health and the Integrated Commissioning Programme Director, Sheffield Clinical Commissioning Group.

Additional documents:

Minutes:

4.1

The Board considered a report of the Director of Public Health and the Integrated Commissioning Programme Director concerning the development of the South Yorkshire and Bassetlaw Sustainability and Transformation Plan (STP) and Sheffield Local STP. Greg Fell, the Director of Public Health, introduced the report and confirmed that the existing statutory bodies had responsibility for governance relating to the Plan and the Board was requested to note the current position as regards the STP and Sheffield Place Based Plan and to provide robust challenge as appropriate.

 

 

4.2

The STP would be used to deliver what people wanted to be done in Sheffield, including better care, enabling people to be healthier and an NHS which ran more efficiently. A coalition of different organisations would work together to achieve those aims.

 

 

4.3

Members of the Board asked questions and made comments and responses were provided, as summarised below:

 

 

4.4

The Plan documents should make sure to mention children and young people as well as adults, for example in relation to mental health. The programme relating to children and young people was developing and there was an emphasis on increasing the proportion of children in the City who were school ready. There were also positive developments relating to dental health for young children and immunisation. 

 

 

4.5

There were inequalities relating to health in Sheffield. For example, many people did not go to their GP and there was evidence of people dying early when they might have received treatment for their health condition. A problem was how people might be encouraged to seek help when they were aware of symptoms. Action did need to be taken to help people who did not access health services. In some circumstances, investments may have to be made on wider determinants of health which would impact upon inequalities, such as work to increase the numbers of school ready children.

 

 

4.6

The Plan broadly referenced voluntary and intermediary groups and it could be more specific so as to include people who were volunteers, in voluntary and community organisations, in workforce programmes. It was also acknowledged that the voluntary, community and faith sector and Healthwatch were particularly effective in relation to involvement and engagement and it was suggested that the Board support the establishment of a working group on that issue.

 

 

4.7

Whilst the link between economic and health factors was mentioned in the Plan, there was a risk that the Plan became focussed too much on health services. Such factors as employment and health might be included to a greater degree in the Sheffield Local STP. Business and education sectors would need to be included in engagement to discuss such issues as sickness and wellbeing, employment and apprenticeships.  Attention should also be given to the inclusion of black and minority ethnic communities. 

 

 

4.8

Work and health were included in the Plan and a bid had been submitted to the Government’s Work and Health Innovation Fund with regard to a project which aimed to get people with certain health  ...  view the full minutes text for item 4.

5.

Minutes of the Previous Meeting pdf icon PDF 135 KB

Minutes of the meeting of the Board held on 31 March 2016.

Minutes:

 

RESOLVED: That the minutes of the meeting of the Health and Wellbeing Board held on 31 March 2016 be approved as a correct record.

 

6.

Date and Time of Next Meeting

To note that the next meeting of the Board will be held on Thursday 30 March 2017 at 3.00 p.m. at the Town Hall Sheffield.

Minutes:

 

The next meeting of the Health and Wellbeing Board would be held on 30 March 2017.