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Agenda and minutes

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Contact: Abby Brownsword, Principal Committee Secretary  Email: abby.brownsword@sheffield.gov.uk

Items
No. Item

1.

Apologies for Absence

Minutes:

1.1

Apologies for absence were received from Karen Curran, John Doyle, Alison Knowles, Laraine Manley, John Macilwraith, Zak McMurray, Chris Newman and Lesley Smith.

 

2.

Declarations of Interest pdf icon PDF 129 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.

 

 

3.

Chair's Message of Thanks

Minutes:

3.1

On behalf of the Health and Wellbeing Board, the Chair noted that it had been 6 months since the last meeting of the Board and this virtual meeting was an indication that we were now returning to a new normal.  Staff from all organisations and partners had been brilliant working through the crisis, not just the NHS, but care workers, carers, care home staff and Council staff.  The Board was recommitting to the Health and Wellbeing Strategy, launched last year, which aimed to end health inequality in Sheffield.

 

The pandemic was not over, but thanks to the continuing efforts of all those involved, doing what was needed to get Sheffield through, and create a pathway to a better city and healthier population.

 

 

4.

Public Questions

To receive any questions from members of the public.

Minutes:

4.1

There were no public questions.

 

 

5.

Covid-19: Rapid Health Impact Assessments pdf icon PDF 182 KB

Report of the Director of Public Health.

 

Additional documents:

Minutes:

5.1

Eleanor Rutter joined the meeting and explained that prior to the Covid-19 pandemic, there had been a 20 year gap in life expectancy and the pandemic and lockdown had impacted most on the most vulnerable.  The Health and Wellbeing Strategy had previously committed to closing the gap and it was now more of a challenge.  There was a need to carry out additional work.

 

5.2

The Covid-19 Rapid Health Impact Assessments were a collection of small impact assessments.  Rapidity was essential and getting as many responses as possible immediately, in order to get intelligence out as soon as possible.

 

5.3

Much of the data was qualitative – what was being experienced at the moment.  This was an asset based approach and Sheffield was responding in an incredible way.  The compassionate city approach with organisations being agile and flexible in their approach.  It was hoped that the data would feed into recovery and help to shape where Sheffield wanted to be in the future.

 

5.5

A small steering group had been established and a list of around 12 themes from a wide group of partners had been established.  Task and Finish Groups had been set up to coordinate the data and 1st drafts had been received from all.  Feedback was encouraged on the approach and content.

 

5.6

Judy Robinson praised the report and noted the need to keep moving forward.  She asked whether the work was being completed in line with Community Participatory Research Principles (CPRP) and, when looking at the data, would the impact on care homes be included?  Eleanor responded that the work was being done in line with CPRP with a community based questionnaire which gathered data quickly and an initial report would be made to the board in July.  The most vulnerable groups were represented within the data, but special reference to care homes would be useful.  Discrimination and marginalisation was included along with access to services by geography.

5.7

Brian Hughes supported and endorsed the approach, the work needed to be done quickly, the initial data in July would be valuable to shape responses.  Eleanor noted that all data was being shared between organisations.

 

5.8

A question was raised regarding coordination of the response.  There was a need to ensure people were not overwhelmed.  Eleanor stated that they were being careful to coordinate with other organisations and were trying to work together with the CCG as much as possible.  This was a live piece of work and there was a second focus on cross cutting themes, also looking at protected characteristics.

 

5.9

Terry Hudsen said he was excited by the pace at which the work had been done and hoped that it would pave the way for more real time intelligence and data going forward.  The key areas were broadly right, but what assurances could be made to ensure cultural sensitivity was maintained.  Eleanor responded that an update would be supplied in writing.

 

5.10

Sara Storey said that it was also important to understand  ...  view the full minutes text for item 5.

6.

Healthwatch Update pdf icon PDF 263 KB

Report of the Chair of Healthwatch Sheffield

 

Additional documents:

Minutes:

6.1

Judy Robinson and Lucy Davies presented the report which provided an update on the work of Healthwatch. Since the outbreak of COVID 19, Healthwatch had produced reports drawn from its inquiry service, feedback from individuals and from partner organisations. It had been a challenge to obtain information from some services.

 

6.2

There were both positive and negative stories regarding support packages during the pandemic and there was a need to take stock and ensure that all needs were being met.

 

6.3

There were different experiences of care homes, it was not always possible to access residents, but there were positive steps being taken to establish virtual inspections.

 

6.4

The Healthwatch survey report was due at the end of July.  There was a need to ensure that engagement was at the centre of reorganising services.  It was hoped to make service users feel empowered and add their experiences to shape services in the future and ensure that all voices were brought together.  Diversity and representation in decision making were key.

 

6.5

Communication to disadvantaged communities was to be made using volunteers and there was a need to think about the messages and how they were delivered.

 

6.6

It was hoped to develop virtual inspections and feed in to Council processes, it was hoped to include virtual contact with the residents.  The challenge was to engage with residents as this was usually done face to face.

 

6.7

Jackie Drayton stated that the comments highlighted the inequality of the impact of Covid-19 and the importance of clear communication and asked if there had been and comments from children or young people.  Lucy Davies noted that there had not been much input from children or young people.

 

6.8

RESOLVED: That the report from Healthwatch Sheffield on the impacts of Covid-19 be noted.

 

 

7.

Health Inequalities and Covid-19 pdf icon PDF 502 KB

Report of the Director of Public Health.

Minutes:

7.1

Greg Fell presented the report which summarised the key findings of three recent reports considering health inequalities in England:

 

1)    Health Equity in England: the Marmot Review 10 Years On, produced by the Institute of Health Equity and published on 25th February 2020;

2)    Disparities in the risk and outcomes of COVID-19, produced by Public Health England (PHE) and published on 2nd June 2020; and

3)    Beyond the data: Understanding the impact of COVID-19 on BAME groups (PHE) and published on June 16th 2020

 

7.2

It reflected on the Sheffield position in relation to these, and how they interacted with the current crisis.  It also reflected on work underway that was aiming to consider how Covid-19 was impacting on Sheffielders, and how this would contribute to addressing some of the issues raised in the reports, in the short term.

 

7.3

Greg Fell stated a key headline is that impact of Covid-19 is disproportionate on BAMER communities, due to structural inequalities, and that the response was the Health and Wellbeing Strategy, there was a need to focus on doing and then measure the outcomes.  The Marmot report was a little weak on the community aspects. There were many assets in Sheffield and the Marmot report should not be taken in isolation.  There was a need to build inequality impact assessments.  The Board Terms of Reference needed to be discussed by the board to ensure they were still fit for purpose.

7.4

Terry Hudsen noted that the report brought together complex information and was easy to understand.  Health inequality was a cross cutting theme in the strategy.  Did the strategy need to be more explicit regarding inequalities such as protected characteristics.  The focus should be on prevention.  Community led engagement was needed with a focus on cultural sensitivity in the responses.  A list of protected characteristics was needed to ensure there were no blind spots, but there is also a need to go beyond protected characteristics to consider layered inequality.

7.5

Councillor Jackie Drayton said that it was good to see the reports together and the board should be looking at how to commit to delivering the recommendations of the Disparities in the risk and outcomes of COVID-19 report.  Ethnicity recording should be carried out by the Council as a matter of course.  Communications were very important, how we use the information and how we write tender documents in the future needed to be looked at.  There was also a need for BAME experiences to be listened to.

 

7.6

Judy Robinson stated that there was a need to focus and keep things in balance.  A practical approach could be for the Health and Wellbeing Board to meet in other locations.

 

7.7

Greg Fell explained that location was one of the factors being looked at, but that hygiene factors needed to be taken into account.  It was hoped that and increased settlement would be available from the Government to offset some of the costs of Covid-19.  Sheffield City  ...  view the full minutes text for item 7.

8.

Minutes of the Previous Meeting pdf icon PDF 243 KB

Minutes of the meeting of the Health and Wellbeing Board held on Thursday 30th January 2020.

 

Minutes:

8.1

RESOLVED: That subject to Maddy Desforges being added as being present, the minutes of the Health and Wellbeing Board held on 30th January 2020 be approved as a correct record.

 

 

9.

Date and Time of Next Meeting

The next meeting will be held on Thursday 24th September 2020 at 3pm, venue to be confirmed.

Minutes:

9.1

It was noted that the next meeting of the Health and Wellbeing Board would take place on Thursday 24th September 2020 at 3pm.

 

 

 

On behalf of the Board, the Chair thanked Nicki Doherty for her contribution to the Health and Wellbeing Board and wished her luck in her new role.

 

The Chair also thanked those present for their attendance.