Items
No. |
Item |
1. |
Apologies for Absence
Minutes:
1.1
|
Apologies for absence were received from
Councillor Jackie Drayton, Councillor Paul Wood, Phil Holmes,
Laraine Manley, Alison Knowles, Jane Ginniver, David Hughes, Jayne Brown, Alison
Metcalfe, Chris Newman and Nicki Doherty.
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2. |
Declarations of Interest PDF 88 KB
Members to declare any interests they have in
the business to be considered at the meeting.
Minutes:
2.1
|
There were no declarations of interest
made.
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3. |
Public Questions
To receive any questions from members of the
public.
Minutes:
3.1
|
There were no questions from members of the
public.
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4. |
Care Quality Commission System Review - Action Plan Update PDF 194 KB
Report of the Accountable Care Partnership
Programme Director.
Additional documents:
Minutes:
4.1
|
Kathryn Robertshaw, Joint Interim Accountable Care
Partnership Director, presented the CQC System Review Action Plan
update. The position was more
favourable than the previous quarter and good work had taken place
regarding delayed transfer of care.
There was now a draft integrated workforce strategy for Older
People and a more holistic view was being taken of the user
experience through the system. The
Joint Commissioning Committee had now been established.
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4.2
|
Areas of concern included: the new
relationship with the voluntary sector, the commissioning focus on
multi morbidity and reviewing digital
inter-operability. There was a need to
ensure that the correct names were associated with actions on an
ongoing basis.
|
4.3
|
John Mothersole, Chief Executive, SCC, noted
the importance of delivering actual change, rather than treating
the Action Plan as a tick box exercise.
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4.4
|
RESOLVED: That the areas of
good practice be noted.
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5. |
Shaping Sheffield - Final Sign Off PDF 179 KB
Report of the Joint Interim Accountable Care Partnership
Director.
Additional documents:
Minutes:
5.1
|
Kathryn Robertshaw, Joint Interim Accountable Care
Partnership Director, presented the report which detailed the
production of the Shaping Sheffield Plan. The plan was strategically rooted within the
Health and Wellbeing Strategy and would be a dynamic document which
would change as work-streams changed.
|
5.2
|
The plan had been updated to reflect feedback
from the ACP, Executive Delivery Group (EDG) and Health and
Wellbeing Board, feedback from all partner organisations, feedback
from Healthwatch and the ACP Service
User Advisory Group and contributions from individuals and teams
across the system. It was now time to
move to the delivery stage of the plan. The need for good
communications was discussed.
|
5.3
|
Dr. Tim Moorhead
welcomed the plan and noted that the Health and Wellbeing Strategy
was looking for sponsors and there was a possibility that the two
documents could be aligned. The next
step was to consider how to take the plan forward.
|
5.4
|
The Chair asked whether any consultation had
been carried out with Trade Unions and Kathryn Robertshaw explained that consultations had been
carried out with all the main unions and a meeting with the GMB had
taken place regarding their online learning resource.
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5.5
|
The next step was to take the plan to all the
ACP Boards and to look at how the plan could be implemented
alongside the Health and Wellbeing Strategy.
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5.6
|
RESOLVED: That:-
(a)
Full partner support and ownership of the plan be confirmed
and;
(b)
The timetable for final sign off through system and partner boards,
be noted as agreed by EDG and set out below:
ACP Board
|
21st June 2019
|
Health and Wellbeing Board
|
27th June 2019
|
Partner Boards
|
June/July Boards
|
ICS – For Information
|
Q2 Review Date
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6. |
Better Care Fund PDF 477 KB
Report of the Director of
Delivery Care Out of Hospital, NHS Sheffield CCG.
Minutes:
6.1
|
Jennie Milner, Better Care Fund Programme
Manager, presented the report which gave an update on:
·
Progress on the Better Care Fund Programmes against the 17/19
narrative plan.
·
Performance against the agreed Better Care Fund KPI’s.
·
The financial performance of the Better Care Fund pooled budget for
2018/19.
·
Better Care Fund programme budget and high level plans for
2019/20.
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6.2
|
The report also included details of system
challenges within the year, the need to improve fragmented services
and full details of the budget including overspend. The programme was in the best position for the
last two years regarding delayed transfer of care, but the target
on non elective admissions had not been
met and it was felt that the target had been too ambitious and
should be amended. Additional
KPI’s were also being proposed to measure performance.
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6.3
|
John Mothersole, Chief Executive SCC, agreed
that the target had been too ambitious, but that the figures were
still heading in the wrong direction.
It was hoped that the new Joint Commissioning Committee could help
with issues such as this. He suggested
that it may be useful to look at what would constitute a good
distribution of resources would look like in 2021 to create a
blueprint.
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6.4
|
Sarah Burt, Sheffield CCG, welcomed the
possibility of a blueprint of resources. Social investment provided a good opportunity to
help manage pressures within the system.
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6.5
|
The Chair stated that the report was a good
representation of where we were now and it was hoped to spend the
Better Care Fund more strategically in the future.
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6.6
|
RESOLVED: That:-
(a)
in considering the two questions set out in the report in relation
to the Better Care Fund Update, the Board’s answers be as
follows:-
(1)
Is the progress to date on the way we work together
sufficient? The Health and Wellbeing Board noted that progress
was ongoing.
(2)
Considering the latest joint Health and Wellbeing
Strategy, feedback from the CQC Local System Review and the agreed
action plan, does the Health and wellbeing Board require any
additional information to the updates on the 2019/20
priorities? It was felt that the
Health and Wellbeing Board had sufficient oversight.
(b)
The update on the programme, be noted;
(c)
The outturn budget for 2018/19, be noted;
(d)
The establishment of the Joint Commissioning Committee and its
alignment to the Accountable Care Partnership to add pace and scale
to address the financial overspends, be noted;
(e)
The delayed NHS England (NHSE) guidance and final template for the
2019/20 plan, be noted and;
(f)
The proposed budget and priorities for 2019/20 be noted and final
responsibility for approval be delegated
to the Chair of the Health and Wellbeing Board, as it was subject
to the published NHSE guidance and template.
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7. |
Transitions and SEND Update PDF 331 KB
Report of the
Director of Commissioning, Inclusion and Learning, Sheffield City
Council.
Additional documents:
Minutes:
7.1
|
Dawn Walton, Director of Commissioning,
Inclusion and Learning, SCC, presented the report which gave an
update on transitions and SEND. This
was the second update to the Board and lots of activity had taken
place.
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7.2
|
A Preparation for Adulthood project team had
been established, the results from the Ofsted and CQC SEND
inspection and the written statement of action had been approved
and published.
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7.3
|
Other actions included:
·
Further work in early years services to ensure a child’s
additional needs are identified at the earliest opportunity and
support put in place.
·
Developing a package that supports the transition from nursery into
primary school, with primary schools given details about their new
SEN cohort in advance – to enable more effective
planning/support to be put in place earlier on.
·
Vulnerable Learner Reviews to more effectively identify the support
children need in advance and during key transition stages –
including the move from primary to secondary school and into
adulthood – and for those at risk of exclusion.
·
Developing the post-16 offer for young people with SEND, to include
meaningful activities for those unlikely to move into
employment.
·
Greater involvement from health and social care at transition
points.
·
Developing clearer and smoother pathways from children’s to
adults services.
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7.4
|
Greg Fell, Director of Public Health, SCC,
noted that there was beginning to be a distinction between a
principles approach and a service approach. Dawn Walton replied that work was still needed to
change the culture, but the right mechanisms were in place.
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7.5
|
Dr. Tim Moorhead
asked how much engagement there had been with families. Dawn Walton felt that there had been a lot of
engagement, including with the Parent and Carer Forum.
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7.6
|
There was still a challenge between adhering
to the statutory framework and being meaningful. All new plans were completed within the 20 week
statutory timescale, but there was a need to ensure that the right
provision was available.
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7.7
|
RESOLVED: That the update be
noted.
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8. |
Accountable Care Partnership Programme Directors Report PDF 315 KB
Report of the Accountable Care Partnership Programme Directors
– To Follow
Minutes:
8.1
|
Kathryn Robertshaw, Joint Interim Accountable Care
Partnership Director, presented the report which provided an
overview of the programme activities.
The leadership of the ACP was going through some changes and a
review of the chief executive sponsorship and workstreams was ongoing. The report also included details of the Risk
Log.
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8.2
|
A two day development session had given
workstreams an opportunity to focus on
developing delivery plans and to make connections between their
areas of work.
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8.3
|
The report gave an outline of the work in the
following areas:
·
Elective Care
·
Urgent and Emergency Care
·
Long Term Conditions and New Model of Care
·
Mental Health and Learning Disabilities
·
Primary Care and Population Health Management
·
Childrens and Maternity
·
Digital
·
Workforce/Organisational Development
·
Pharmacy Transformation
·
Communications and Engagement
·
Payment Reform
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8.4
|
It was noted that all the ACP Boards needed to
be better aligned and there was a need to ensure that reports to
the Health and Wellbeing Board should be more strategic.
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8.5
|
RESOLVED: That the following
be noted:-
(a)
Shaping Sheffield Plan had been developed with good cross system
engagement and was now ready for final sign off by the ACP Board
and Health and Wellbeing Board;
(b)
Re-visioning work was underway for the LTC Board and;
(c)
The Risk Log be noted.
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9. |
Minutes of the Previous Meeting PDF 97 KB
Minutes:
9.1
|
RESOLVED: That the minutes of
the meeting of the Board held on 28th March 2019, be approved as a
correct record.
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9.2
|
Further to Minute No. 4, Greg Fell, Director
of Public Health, SCC, reminded Board Members of the Health and
Wellbeing Strategy launch event to take place next week.
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10. |
Date and Time of Next Meeting
Minutes:
10.1
|
It was noted that the next meeting of the
Health and Wellbeing Board would be held on Thursday 26th September
2019, starting at 3.00pm.
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