Items
No. |
Item |
1. |
Apologies for Absence
Additional documents:
Minutes:
1.1
|
Apologies for absence were received from
Councillors Jackie Drayton and Paul Wood, and Sara Storey.
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1.2
|
Councillors Dawn Dale and Garry Weatherall
acted a substitutes for Councillors Jackie Drayton and Paul Wood,
respectively.
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2. |
Declarations of Interest PDF 129 KB
Members to declare any interests they have in
the business to be considered at the meeting.
Additional documents:
Minutes:
2.1
|
No declarations of interest were made.
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3. |
Public Questions
To receive any questions from members of the
public.
Additional documents:
Minutes:
3.1
|
Question 1 – Received from Mr. Howard
Gordon
The strict criteria for the Disabled Persons
Council Tax reduction and Bus Pass discriminates against some
people living with dementia and other disabilities.
The only qualification for a School/Under 24/Older
persons Bus Pass is age, yet people with disabilities face
significant barriers to attain equality of services and attain
their rights regardless of diagnosis under International Law
including via articles 9,19,20,25,26 & 30 of the United Nations
Convention on the Rights of Disabilities, through the strict
criteria imposed on them.
Will the Health and Wellbeing board act to ensure that
Sheffield City Council uphold the rights and protected
characteristics of people with Disabilities under International Law
and remove the strict criteria for the Disabled Persons Council Tax
Reduction and Bus Pass, replacing the criteria with a
persons diagnosis, thereby redressing
the inequality that some with a disability face in this and other
matters.
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3.1
|
The Chair responded with an offer to discuss
the issue in person. Bus pass need was
assessed by the Council on behalf of South Yorkshire
Passenger Transport Executive. A full
written answer would be provided.
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3.3
|
Question 2 – Received from Natasha
Wilson
I would like to pose the
question as to how the city is facilitating essential family visits
to people with dementia in care homes? Even with the rise in
infection rates & covid positive
homes, it is of paramount importance that people in their last
months/summer/winter of their lives are
allowed to have some degree of quality to it, which involves having
loves ones surrounding them.
John's Campaign lead on his
& have launched a judicial review in to this:
https://johnscampaign.org.uk/#/
It would be useful for
Sheffield care and nursing homes to have a minimum consistent
standard approach. As this is here to
stay for the foreseeable, I think we need to explore:
need to explore:
- Ways of updating
family & friends; e.g all homes to
readdress their media consent procedures for residents and have
Facebook Groups & WhatsApp Groups for individual homes or even
better specific floors. Newsletters for people who aren't online.
Frequential texts so that relatives aren't having to do the
contacting or just be contacted in an emergency. Updates about
wellbeing & occupation aside from just "falls", "nutrition"
etc.
- Could a new role be
created for a member of existing staff or a volunteer to lead in
facilitating this. I seemingly remember an update being sent in
May/June time from SCC asking for social care staff to volunteer
themselves for just that, so to free care staff for care tasks and
have a volunteer helping with video calls etc. The offers were
never took up as far as I'm aware.
It seems a relatively small ask
considering how long this will go on for. Some homes do this, but
others don't. I feel consistency & minimum expectations are
needed in our new approach.
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3.4
|
Greg Fell responded that a full written
response would be provided, as this was a big issue. Most care homes were ... view
the full minutes text for item 3.
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4. |
Covid-19: Rapid Health Impact Assessments PDF 747 KB
Report of the Director of Public Health,
Sheffield City Council.
Additional documents:
Minutes:
4.1
|
Eleanor Rutter gave a presentation which
looked at:-
·
Themes and key messages
·
Crosscutting themes
·
Limitations and gaps
·
Theme recommendations
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4.2
|
The themes included inequality, neighbourhoods
and communities, digital inclusivity, mental health, access to
health and care, employment and poverty, communications and
engagement and limitations and gaps.
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4.3
|
Greg Fell explained that it was a living
document and it was hoped to use it to help implement the Health
and Wellbeing Strategy.
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4.4
|
Maddy Desforges said that it was an amazing
piece of work, but there were some inconsistencies within the
groupings. How did the work help to
build resilient communities? It may be
worth revisiting the strategy to help give structure to the Health
Impact assessments and move them forward. Eleanor Rutter agreed, but this was a discussion
for the Board. The structure of the
recommendations coud be looked at as time allowed.
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4.5
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Mark Tuckett asked if it was clear where the
recommendations would go and Eleanor informed the meeting that the
End of Life Group was still meeting, but the recommendations needed
some thought. It was possible that the
Accountable Care Partnership (ACP) may be involved. It needed to be wider than the usual
structures. Greg Fell felt that it
would be up to Board Members to direct the recommendations to the
most suitable place. The whole report
was quite large, but would be shared on
the website.
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4.6
|
Terry Hudsen thanked all those involved for
pulling the information together and felt that it gave a strong
insight into the city. The information
may need to be plugged in to what was happening
nationally. He was keen to keep
partnerships going, in particular
addressing inequality and equality.
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4.7
|
Brian Hughes liked the rawness of the
recommendations, but how does the Board own them? It would be helpful to align them with the State
of Sheffield report. How do all the
documents connect together?
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4.8
|
David Warwicker noted that there was a
difference between working on than sharing as perfect. The report needed to be given to partners so they
could start working on the recommendations.
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4.9
|
The Chair (Councillor George Lindars-Hammond)
thanked Eleanor for the report and noted that the Board would
commit to sharing the report quickly and efficiently to promote the
findings.
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4.10
|
Questions for the Health and Wellbeing
Board:
1.
How can the Board ensure that the evidence base and recommendations
of these impact assessments are acted on?
It is the responsibility of Board Members to
direct the report as appropriate.
2.
Which groups and stakeholders do the board believe this report
should be shared with?
The report should be shared wider than the
usual stakeholders.
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4.11
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AGREED that:-
1.
The full set of recommendations and endorse their delivery via
appropriate governance structures;
2.
To incorporate the evidence base generated through this work, and
recommendations produced as a result, into implementing the
Joint Health & Wellbeing Strategy;
3.
A future Strategy Development session be considered to look at the
findings of this work in ...
view the full minutes text for item 4.
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5. |
Health Inequalities and Impact of Covid-19 on BAME Communities and How Health and Social Care Are Working With Communities To Tackle It PDF 352 KB
Report of Brian Hughes, Deputy Accountable
Officer, NHS Sheffield Clinical Commissioning Group and Executive
lead for the Accountable Care Partnership, ACP, for the Impact of
Covid-19 on BAME communities work stream.
Additional documents:
Minutes:
5.1
|
Clive Clarke, Chair of the Impact of Covid-19
on BAME
communities strategy group, and North
East & Yorkshire Regional Director of Inclusion (formally
Deputy Chief Executive, SHSC) attended the meeting and introduced
the report. Sarah Hepworth (Health
Improvement Principal) and Shahida Siddique (Chief Executive
Officer - Faithstar) attended the meeting and gave a presentation
entitled ‘Impacts of Covid19 on
Black, Asian and Ethnic Minorities in Sheffield’
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5.2
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The presentation looked at:
·
PHE reports on Covid19 impact on risks and outcomes
·
What we did and why?
·
Who attends the group?
·
Methodology and ethos of group
·
Why are BAME populations being hit harder by Covid19 in
Sheffield?
·
Key impacts- lived experience
·
BAME Community Organisations
·
Development of Trust
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5.3
|
It was noted that the impact on the BAME
community was indisputable and the ACP had identified the need to
establish a group to look at how to manage the impact. The Group included BAME community representatives
who had helped to produce the proposals.
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5.4
|
Five themes had been identified,
including:
·
Improving diagnosis dates
·
Update on flu vaccinations in BAME communities
·
Having a BAME community voice on the ACP
·
Writing to various CEO’s asking for implementation plans
·
Asking the ACP for firmer proposals
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5.5
|
It had been difficult to formulate a BAME
impact assessment due to lack of data and it became evident that
there was a need to talk to the communities and allow them space to
talk about their experiences of Covid-19. A methodology to the group had been
organised which included a range of different leaderships.
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5.6
|
BAME communities had been hit harder on a
geographical level and the group wanted to collect lived
experiences, develop trust, be proactive and ensure that people
were being heard.
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5.7
|
Brian Hughes thanked Sarah and Shahida for
their work and asked how do we listen and learn and take forward
what we have learned? Greg Fell said
that this would start with the recommendations from the
Group. The methodology was also very
good and could be applied elsewhere.
Effort was needed to take forward the recommendations.
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5.8
|
Shahida Siddique explained that an
intersectional approach was very important to the citizens of
Sheffield and would place citizens at the heart of the issue.
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5.9
|
Judy Robinson stated that health inequality
within the BAME community was not new.
What would be done now to make a difference? Shahida Siddique explained that the group aimed to
promote proactive inclusivity and there was a need to look at how
to develop policy and strategy and ensure community
involvement.
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5.10
|
Mike Potts felt that it was good to see the
rawness of the report, but it needed to be distilled into a more
structured way. How do we continue to
deliver? No conversation had taken
place of any capability to deliver and an honest conversation
needed to take place regarding what could and couldn’t be
delivered.
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5.11
|
Shahida Siddique explained that communities
were tired of recommendations and the Group had started a action
log titled ‘You Said, We Did’ ...
view the full minutes text for item 5.
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6. |
Better Care Fund Update PDF 649 KB
Additional documents:
Minutes:
6.1
|
Jennie Milner from the Better Care Fund
attended the meeting and gave the presentation.
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6.2
|
The presentation looked at:
·
Priorities
·
2019 Better Care Fund Plan
·
2019/2020 Budget
·
Performance Indicators
·
Making a Difference
·
Successes and Challenges
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6.3
|
The priorities included urgent care, people
keeping well, active support and recovery, ongoing care, mental
health, independent living (equipment) and Capital.
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6.4
|
Greg Fell said that the Better Care Fund was
well led and well executed, patient experience was also
important.
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6.5
|
David Warwicker
felt that the Better Care Fund was moving towards a situation where
frontline care staff did not have to ask if a patient required
health or social care which was a broadly shared goal.
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6.6
|
The Chair thanked the team for all their hard
work.
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6.7
|
AGREED that the Better Care Fund Update
be noted.
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7. |
Terms of Reference PDF 496 KB
Report of Greg Fell, Director of Public
Health, Sheffield City Council.
Additional documents:
Minutes:
7.1
|
Greg Fell presented the report and thanked Dan
Spicer for putting the revised Terms of Reference together.
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7.2
|
The Board was now focussed on delivering the
Health and Wellbeing Strategy.
The Board was not as representative as it could be, but there was a
need to avoid tokenism. There were also
no children or young people representatives. Membership also didn’t cover housing. Effort
was needed to look at different ways of working and the size of the
Board.
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7.3
|
AGREED that the Terms of Reference, now
submitted, be approved.
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8. |
Healthwatch Update
Additional documents:
Minutes:
8.1
|
Lucy Davies from Healthwatch Sheffield
attended the meeting and gave the update.
|
8.2
|
A survey had been carried out and 570
responses had been gathered online and via paper
copies. The survey showed there was
continued confusion regarding the messages being published, and a
continuing impact on mental health.
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8.3
|
Concerns raised included ability to access
dental care, which was a national concern, the move to digital
consultations was also of concern as not everyone could access the
technology needed.
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8.4
|
Praise was given to frontline social care
staff, but there were concerns around paid direct services and
restrictions around care home visitation.
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8.5
|
Challenges included contacting those with whom
only informal contact had been made prior to Covid-19. E.g. those who had previously attended drop-in
centres etc. How do we contact those
that we haven’t heard from?
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8.6
|
The Chair noted the difficulties and that it
was important to reflect on how contact could be made.
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8.7
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AGREED that
the Healthwatch Sheffield Update be noted.
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9. |
Minutes of the Previous Meeting PDF 161 KB
Additional documents:
Minutes:
9.1
|
AGREED that the minutes of the meeting
held on 30th January 2020 be approved as a correct
record.
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10. |
Date and Time of Next Meeting
The next meeting is on Thursday
10th December 2020 at 3pm.
Additional documents:
Minutes:
10.1
|
The next meeting of the Health and Wellbeing
Board would be held on Thursday 10th December 2020 at
3pm.
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