Items
No. |
Item |
1. |
Apologies for Absence
Minutes:
1.1
|
Apologies for absence were received from Karen
Curran, Mike Hunter, Laraine Manley, Alison Knowles, Alison
Metcalfe, John Mothersole, Chris Newman, Lesley Smith and
Councillor Paul Wood.
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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.
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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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3.2
|
Greg Fell informed the Board of a follow up
email received regarding a Blue Badge complaint that had been
discussed at a previous meeting of the Health and Wellbeing Board
and noted that the issue was now progressing through the
Council’s complaints procedure.
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3.3
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The Board agreed that there should be no
follow up from the Board outside the established complaints
procedure, unless there was a clearly defined strategic question to
address.
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4. |
Towards an intelligence-led End of Life strategy for Sheffield PDF 541 KB
Minutes:
4.1
|
The Board received a report regarding an
intelligence-led End of Life Strategy for Sheffield.
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4.2
|
In attendance for this item were Dr. Eleanor Rutter, Dr.
Sam Kyeremateng, Dr. Anthony Gore,
Louise Brewins and Chris Gibbons.
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4.3
|
Eleanor Rutter explained that the paper
discussed end of life, not end of life care. It was important to understand the needs of people
approaching end of life and how best to meet them. How, as a city,
could we support people, and their families, at the end of
life.
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4.4
|
There was a need to look at the role of the
city and possibly create a Compassionate City Charter. It was acknowledged that modern healthcare had
greatly advanced life expectancy, but had also medicalised the end
of life, but not always with optimal quality of life. The wider impact of bereavement also needed to be
recognised.
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4.5
|
Anthony Gore stated that end of life care was
good in Sheffield and a lot of data was collected by different
bodies, but had not yet been looked at as a whole. There were 6 national ambitions for end of life
which formed a framework for local action which formed part of the
Health and Wellbeing Board’s strategy.
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4.6
|
Sam Kyeremateng said that the 6 ambitions were
cross cutting and familiar in terms of ageing well. However, there was a need to think about different
kinds of deaths e.g. perinatal, those with learning difficulties,
etc. There was a need to understand how
death can feel chaotic for some families.
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4.7
|
Members of the Health and Wellbeing Board
asked questions and the following answers and comments were
provided:-
·
Sudden, shocking, planned and early death would be covered by the
Strategy. It was not just about those
who were expected to die.
·
The leadership around end of life was mainly medical
professionals. This wasn’t
inappropriate but a wider constituency of voices was needed to
ensure a broad approach.
·
There was no consensus regarding what a good death
entailed. Sheffield was a
multi-cultural city and expectations were different in different
communities. There was a need to be
culturally sensitive. A good death was
different for everyone. This work would
be undertaken.
·
It was already established that minority groups accessed a range of
end of life services less easily and there was a need to give all
groups access to a platform to discuss end of life.
·
Much of the data available was health service based in its
orientation. All the data needed to be
brought together to see where the gaps in knowledge
lay. Resources may need to be made
available to achieve this.
·
The data from different sources needed to be brought together along
with wider socio-economic data in order to look for patterns.
·
A clear statement of strategy was required and it was felt that the
Health and Wellbeing Board was mainly medically based, but that the
City Council was much broader.
Representatives from the VCF sector also needed to be included in
the discussions.
·
There ...
view the full minutes text for item 4.
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5. |
Autism Strategy Update PDF 143 KB
Minutes:
5.1
|
The Board received a report giving an update
on the Autism Strategy.
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5.2
|
In attendance for this item was Joel Hardwick
(Head of Commissioning – Inclusion and Schools Services).
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|
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5.3
|
Joel Hardwick explained that it was currently
an adult focused conversation which was looking at how to include
autism within the Inclusion and SEND Strategies. There was a need to focus on what was already in
place.
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5.4
|
There was a need to look at effective
coordinated links with the teams who deal with learning
difficulties and mental health to ensure that there was a smooth
transition to adult care. Social Care
and Crisis Care also needed to be looked at.
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5.5
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Greg Fell said that the three step plan
outlined in the report felt right and the strategy would encompass
skills, training and employment.
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5.6
|
There was a need to understand all the issues
and make sure that the Council listens to those with autism and
their families to make sure their views were taken into
account.
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5.7
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RESOLVED: That:-
(1)
In considering the questions set out in the report in relation to
the Autism Strategy Update, the Board’s answers be as
follows:
(i)
Is this proposed plan appropriate? Yes.
(ii)
Are there any areas of autism support that the Board
wishes to flag to be considered as part of the action plan and
spring review? None specified.
(iii)
Are there any key changes the Board would like to see
in Autism support over the next five years? None
specified.
(2)
The proposed three step plan be approved by the Board;
(3)
A further update on this work area be presented to the Health and
Wellbeing Board in September 2020; and
(4)
A Member of the Board be nominated as
the key link for the Autism
Partnership Board.
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6. |
Sheffield Accountable Care Partnership (ACP) Workforce Strategy PDF 136 KB
Additional documents:
Minutes:
6.1
|
The Board received a report regarding the
Sheffield Accountable Care Partnership Workforce Strategy.
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6.2
|
Jane Ginniver
presented the report and explained that the ACP workforce was
complex and multi-faceted. Each
organisation within the ACP should have its own workforce strategy
which should be integrated with the ACP strategy. Unpaid carers and volunteers should also be
included.
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6.3
|
The ACP Workforce Strategy had been consulted
on with groups throughout the city and changes had been made
following feedback received. On the
whole there had been a positive response. The overview had been signed off by the ACP and
the detail needed to be developed.
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6.4
|
Greg Fell commented that he was pleased to see
the prominence given to carers and asked whether smaller
organisations without the infrastructure of big organisations were
at a disadvantage.
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6.5
|
Jane Ginniver
responded that how the ACP could support smaller organisations
would be part of the considerations.
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6.6
|
Judy Robinson asked how better feedback could
be obtained by staff and noted that it was pleasing to see the
unpaid workforce being valued.
Resilient communities created healthy communities.
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6.7
|
Jane Ginniver
explained that the voluntary service was included and there was a
separate conversation needed regarding capacity issues.
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6.8
|
Councillor Jackie Drayton said that
recruitment and retention needed to be included, as well as links
to universities and colleges, in-work training and career
progression.
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6.9
|
Jane Ginniver
agreed and explained that more detail needed to be worked into the
Strategy. A discussion took place
regarding retirement and drop-out rates later in careers and the
need to ensure that leavers could return if the opportunity was
there. There was also an amount of
turnover amongst the lowest paid workers and work should be done in
schools to make jobs in the NHS attractive to school leavers as
there was a range of jobs and careers available.
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6.10
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The Chair (Councillor George Lindars-Hammond)
said that Sheffield had a smaller high end sector than other
cities. Health and social care
represented the highest and lowest reward in the city. There was a need to address payment at the lower
end of the scale and create an empowered
workforce who were proud to work in health and social
care. It would be nice to see more in
the future to address the need to skill up and reward frontline
staff. The organisations involved also
had a duty to address this need.
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6.11
|
RESOLVED: That:-
(1)
In considering the question set out in the report in relation to
the Sheffield Accountable Care Partnership Workforce Strategy, the
Board’s answer be as follows:
Does the
Sheffield ACP Workforce Strategy cover all the most critical
considerations around workforce for the city, either directly or
through work with other bodies (e.g. the South Yorkshire and
Bassetlaw ICS) Yes
(2)
The Health and Wellbeing Board supports the system workforce
strategy.
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7. |
Care Quality Commission (CQC) Local System Review Action Plan - Quarterly Update PDF 150 KB
Additional documents:
Minutes:
7.1
|
The Board received a report regarding the Care
Quality Commission (CQC) Local System Review Action Plan –
Quarterly Update.
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7.2
|
Jane Ginniver
informed the Board that a review of the action plan had begun to
assess its impact and whether the plan was addressing the original
recommendations of the review. A more
thorough report would be submitted to the next meeting of the
Health and Wellbeing Board.
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7.3
|
The Shaping Sheffield plan had been endorsed
by the ACP and would appear on the ACP website.
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7.4
|
Areas of concern were the same as previously
and more work needed to be done on the relationship with the
voluntary, community and faith sector.
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7.5
|
Nikki Doherty felt that it was a good time to
review the action plan and reflect on the changing
environment. Integration of specific
programmes needed to be encouraged and the challenge was to get the
system to recognise the work done.
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7.6
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RESOLVED: That the areas of
good practice be noted by the Board.
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8. |
Minutes of the Previous Meeting PDF 120 KB
Minutes:
8.1
|
RESOLVED: That subject to the
addition of Councillor Dawn Dale and Brian Hughes as present, the
minutes of the meeting of the Board held on 27th June
2019, be approved as a correct
record.
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9. |
Date and Time of Next Meeting
The next meeting will be held on Thursday
12th December 2019 at 3pm, in the Town Hall,
Sheffield.
Minutes:
9.1
|
It was noted that the next meeting of the
Health and Wellbeing Board would be held on Thursday
12th December 2019 at 3pm, in the Town Hall,
Sheffield.
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