Items
No. |
Item |
1. |
Apologies for Absence
Additional documents:
Minutes:
1.1
|
Apologies for absence were received from
Councillor Jackie Drayton (Sheffield City Council), Brian Hughes
(Sheffield CCG), Dr David Hughes (Sheffield Teaching hospitals NHS
Foundation Trust),
Dr Mike Hunter (Sheffield Health and Social
Care NHS Foundation Trust), Alison Knowles (NHS England), John
Macilwraith (Sheffield City Council), Laraine Manley (Sheffield
City Council),
Dr Zak McMurray (Sheffield CCG), Prof Chris
Newman (Sheffield University), Dr Toni Schwarz (Sheffield Hallam
University), Lesley Smith (Sheffield CCG), David Warwicker (***) and Councillor Paul Wood (Sheffield
City Council).
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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
|
Dr. Terry
Hudsen declared an interest in agenda
item no. 4 – NHS Sheffield CCG Commissioning Plan.
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3. |
Engagement Report from NHS England
Additional documents:
Minutes:
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4. |
Public Questions
To receive any questions from members of the
public.
Additional documents:
Minutes:
4.1
|
No public questions were received.
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5. |
NHS Sheffield CCG Commissioning Plan PDF 666 KB
Report of the Deputy Accountable Officer, NHS
Sheffield CCG
Additional documents:
Minutes:
5.1
|
Sandie Buchan from Sheffield Clinical
Commissioning Group (CCG) attended the meeting and presented the
report.
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5.2
|
The CCG Commissioning Plan had recently been
refreshed and the new plan detailed work that had been undertaken
and challenges ahead. The plan also
included the Better Care Fund Programme and aligned with the Health
and Wellbeing Board Strategy and the Accountable Care Partnership
(ACP) objectives.
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5.3
|
Terry Hudsen noted the different way to bring
commissioning together and hoped that the stronger position would
reassure the Board.
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5.4
|
Judy Robinson asked how the Commissioning
Principles would involve the people of Sheffield and noted that
there were opportunities for different provision within the Home
Care Sector.
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5.5
|
Sandie Buchan informed the Board that the CCG
engaged with and collected feedback from the public. The Plan steered and monitored delivery of
services and feedback was an integral part of development and
delivery. The CCG looked at all opportunities available and was
working with Sheffield City Council (SCC) to see what was
available, including within the independent sector.
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5.6
|
Maddy Desforges welcomed the focus on health
inequalities and felt that it showed top down service
delivery. There was a need to work with
communities to look at assets and work from the bottom
up. People needed to focus on
wellbeing.
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5.7
|
Sandie Buchan responded that the CCG wanted to
do more on health inequalities and this was ongoing development
work.
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5.8
|
Terry Hudsen stated that that the report was
important as it mapped the organisational commissioning
intentions. There was also a need to
articulate its ambitions. Public
engagement was always tricky, but it should be noted that the CCG
had been rated outstanding for the last 12 months for its
engagement.
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5.9
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Questions for the Health and Wellbeing
Board:
1. Do the CCG commissioning intentions assure
the Health and Wellbeing Board the actions will address the
priorities of the Health and Wellbeing strategy? Yes
2. Are the 2020/21 aligned commissioning
intentions between Sheffield CCG and Sheffield City Council the
right focus to continue to progress? Yes
3. Are there any gaps within the commissioning
plan to ensure delivery of the Health and Wellbeing objectives?
No
4. Does the Board agree to delegate approval
of the Better Care Fund expenditure to Chairs subject to the next
public meeting? Yes
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5.10
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AGREED that:-
1.
The Health and Wellbeing Board is assured on the alignment of
Sheffield CCG’s commissioning intentions to the objectives of
the Health and Wellbeing strategy;
2.
The Health and Wellbeing Board be assured on progress with Joint
Commissioning Intentions; and
3.
The Health and Wellbeing Board provide an update on the Better Care
Fund planning process.
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6. |
Covid-19 Rapid Health Impact Assessments PDF 636 KB
Report of the Director of Public Health,
SCC
Additional documents:
Minutes:
6.1
|
Eleanor Rutter attended the meeting and
presented the report.
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6.2
|
The Chair reminded the Board that the Rapid
Health Impact Assessments had been discussed at the previous
meeting and the report was now in front of the Board.
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6.3
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Eleanor Rutter reminded the Board that the
Rapid Health Impact Assessments were the work of 100’s of
people. The work had been commissioned
in May as there was a need to document the impact of the pandemic
and the responses to it. This had
created an evidence base from which to move forward. Concerns had been raised that there were too many
recommendations which were too disparate and
far-reaching. Work had been undertaken
to alter the wording and help the Board engage.
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6.4
|
The Chair said that the recommendations could
be used to implement the Health and Wellbeing Strategy and asked if
the Health and Wellbeing Strategy needed to be modified to align
with the recommendations.
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6.5
|
Mark Tuckett said that the report was to be
shared on the Accountable Care Partnership (ACP).
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6.6
|
Terry Hudsen said that he was happy with the
recommendations and there was a need to share them with all
partners. It was also incumbent on
commissioning organisations to consider the recommendations. He
also thanked all those involved.
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6.7
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AGREED that the Health and Wellbeing
Board:-
(1)
note, the impact on health and wellbeing identified in the
RHIAs;
(2)
Notes the recommendations made by practitioners in the field and
those contributing to the RHIA;
(3)
Note the action taken already in response to the pandemic, which
have been identified in the RHIA;
(4)
Commit to considering those recommendations as part of our approach
to implementing the Health and Wellbeing Strategy and give due
consideration to whether any of the 9 objectives outlined within
the strategy need modifying in the future in response to the
learning from the RHIA. This ties in to the learning produced
during the summer workshops with respect to: learning from the
crisis response; new opportunities; new
challenges and the changing context; and the strategic role of
the Board;
(5)
Commit to sharing the recommendations with partners (some of whom
may sit outside the immediate sphere of influence of the Board)
and;
(6)
In relation to point 5 above, commit to receiving ongoing feedback
from or engaging in dialogue with partners regarding those
recommendations
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7. |
Healthwatch Update
Additional documents:
Minutes:
7.1
|
Judy Robinson gave a verbal update on the work
of Healthwatch. Some of the immediate
feedback was not research but was an indication of what was
coming.
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7.2
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Further to John’s Campaign regarding
visiting people in care homes there had been 23 responders in
Sheffield. Only five carers had
received regular updates from the care home, 11 had received no
update at all. This showed the
importance of communication and there was a need for a link for
families to be able to maintain communications with care
homes. A full report was to be
published, but services needed to reflect on how communication
could be maintained.
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7.3
|
A report was being published about
carer’s and GP services. This was
an area which needed to be looked at as carer’s were
vital.
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7.4
|
Dentistry was a common issue during the
pandemic. Healthwatch was trying to
obtain guidance from the Dentistry Council as the lack of access to
dental care had a knock on effect to health.
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7.5
|
Healthwatch were currently asking for
information on BAME maternity services.
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7.6
|
Another area that had been repeatedly reported
on was interpreters in hospitals for deaf people. The situation was not changing.
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7.7
|
Full reports on the subjects were available on
the Healthwatch website., along with information on how they thread
into future planning.
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7.8
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Terry Hudsen expressed his disappointment that
dentistry was still difficult to access and noted that although the
was no representative of NHS England present at the Board, but this
would be fed back to them.
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7.9
|
The Chair noted that the issue had been raised
with the Healthier Communities and Adult Social Care Scrutiny
Committee and there was a need to strengthen the relationship with
the Committee.
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7.10
|
Judy Robinson welcomed the discussion and work
around guidance on risk and visiting care homes.
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7.11
|
AGREED that the update be noted.
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8. |
Health and Wellbeing Board and Engagement PDF 421 KB
Report of the Director of Public Health,
SCC
Additional documents:
Minutes:
8.1
|
Dan Spicer and Rosie May attended the meeting
and presented the report.
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8.2
|
Dan Spicer informed the Board that a review
had taken place of the Boards ways of working in 2016/17 and it was
felt that the approach to engagement was not
delivering. Steps had been taken to
address the issue. A small commission
to increase engagement was given to Healthwatch and Voluntary
Action Services. Covid-19 had
reinforced the fact that engagement was not delivering,
particularly with regards to Public Health England reports and the
Board needed to take further steps to increase
engagement. A Citizens Panel had been
established, but there was a need to avoid a piecemeal
approach.
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8.3
|
Rosie May asked the Board for a steer on what
the ambitions were for more engagement and which groups did the
Board want to hear more from. There was
a need to look at how to coordinate health engagement across the
city and ensure that engagement has an impact on decision
making. A working group was required
and there was a need to ensure that evidence was available to show
that the Board had listened and taken action.
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8.4
|
Councillor Dawn Dale asked what could be done
regarding the lack of BAME and young people representation on the
Board.
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8.5
|
The Chair felt that this was a valid question
that the Board needed to tackle. There
was a need to break down barriers and get to a place where the
Board was reaching out as far as it could.
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8.6
|
Maddy Desforges agreed and said that action
needed to be taken sooner rather than later. If the Board was to ask for views, it needed to be
prepared to invest time and commitment.
There would be a need to be realistic and make time to aggregate
the information gathered and commit to taking action as a
consequence of feedback received.
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8.7
|
Judy Robinson felt that it was important to
look at what we already know and thread what we have learnt through
future plans. The CCG has Statutory
Regulations on consultation. The Board
did need to be more representative and meet more in the
community.
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8.8
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Greg Fell said that the report was good and he
agreed that there was a need for a working group. It was important to build on the strengths and
bring new voices to the discussions.
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8.9
|
Terry Hudsen endorsed the report and asked how
did we know who we needed to hear from.
It was important that it was not just Board members on the Working
Group, but a broad range of people.
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8.10
|
The Chair also endorsed the report and agreed
that representation needed to be wrapped up with future
engagement. The Terms of Reference and
engagement needed to be looked at in conjunction.
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8.11
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AGREED that an Engagement Working Group
be established to develop a coherent proposal for consideration at
the Board’s March 2021 public meeting.
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9. |
Minutes of the Previous Meeting PDF 179 KB
Minutes of a meeting held on 24th
September 2020.
Additional documents:
Minutes:
9.1
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AGREED that the minutes of the meeting
held on 4th September 2020 be approved as a correct
record.
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10. |
Date and Time of Next Meeting
The next meeting is on Thursday
25th March 2020 at 3pm.
Additional documents:
Minutes:
10.1
|
The next meeting of the Health and Wellbeing
Board would be held on Thursday 25th March 2021.
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