Items
No. |
Item |
1. |
Apologies for Absence (5 mins)
Additional documents:
Minutes:
1.1
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Apologies for absence were received from
Alexis Chappell (SCC), Dr David Hughes
(Sheffield Teaching Hospitals NHS Foundation Trust), Greg Fell
(Director of Public Health), David Warwicker (Clinical
Commissioning Group), Zac McMurray (Sheffield CCG), Councillor
Jayne Dunn (Sheffield City Council), Mark Tuckett (AVP), Jane
Ginniver (AVP), Kate Josephs (Sheffield City Council), James
Henderson (Sheffield City Council), Mick Crofts (Sheffield City
Council) and Dr Mike Hunter (South Yorkshire NHS).
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2. |
Declarations of Interest (5 mins) PDF 129 KB
Members to declare any interests they have in
the business to be considered at the meeting.
Additional documents:
Minutes:
2.1
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There were no declarations of interest
made.
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3. |
Public Questions (10 mins)
To receive any questions from members of the
public.
Additional documents:
Minutes:
3.1
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No public questions were received.
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4. |
COVID-19 Update (20 mins)
Additional documents:
Minutes:
4.1
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Chris Gibbons was in attendance to provide an
update on COVID-19. Chris talked attendees through a number of
slides outlining the current COVID-19 position in Sheffield. He
stated that Sheffield’s infection rate was lower than a
number of cities within South Yorkshire. Chris stated that there
had been some increases in younger people, between the ages of 19
and 24, and for those living in Care Homes. Chris said that the
removal of restrictions on gathering and working from home had
influenced the increase.
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4.2
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Chris stated that hospital
admissions were rising. He stated that flu cases and other
respiratory illnesses were also factors in the rise in hospital
admissions. Chris said that hospital numbers would continue to
increase and stated that a further COVID-19 peak was due to
occur.
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4.3
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Chris shared some information
on vaccination and immunity in Sheffield. He stated that
vaccination rates were decreasing but added that this was to be
expected. He said that it was essential that people had their
vaccinations and booster jabs, where required.
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4.4
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Helen Steers asked what the
correlation was between those who have been vaccinated and
hospitalisation. Chris stated that hospitalisations were most
likely for those who had not been vaccinated or those who were
immunocompromised. Helen suggested that this information be more
widely publicised.
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4.5
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Terry Hudsen asked the board to
consider how they might use this information to inform the public
and partner organisations.
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4.6
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Councillor George
Lindars-Hammond referred to the role of inequality on the
vaccination programme. Councillor Lindars-Hammond asked whether
there had been a clear difference in terms of infections and
hospitalisations in areas of Sheffield where health inequalities
were at their greatest, in comparison to more prosperous areas of
Sheffield. Chris responded and stated that there was a sense that
understanding the prevalence of COVID depended on testing which was
occurring at varying rates across the city. In terms of the
hospital admissions, Chris stated that there was not a breakdown
based on socioeconomic background available; however, he
said
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4.7
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Judy Robinson asked how the
COVID-19 review plan was being used during this phase of the
pandemic.
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5. |
ICS and Health and Wellbeing - Update and Role of the Board (30 mins) PDF 404 KB
Additional documents:
Minutes:
5.1
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Chris and Sandy were in
attendance to update the board on the relationship between
Integrated Care Systems and the Health and Wellbeing Board. Chris
stated he was aware that there had been a significant number of
apologies and he said that he wanted to have input from all members
of the board. He added that the supplied report was to provide
Board Members with an understanding of the new Integrated Care
Board and Partnership.
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5.2
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Chris stated that there was
some ongoing work on the Health and Wellbeing Board Terms of
Reference, including some one-to-one meetings with Health and
Wellbeing Board members.
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5.3
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Chris shared some information
on themes provided by the Director of Public Health, Greg Fell.
These themes included resourcing, the board’s intentions on
joint commissioning, existing assets available and community
capacity.
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5.4
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Sandy said that the Joint
Commissioning Committee could assist in improving the relationship
between Integrated Care Systems and the Health and Wellbeing
Board.
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5.5
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Chris stated that the key
question was ‘How (practically) is our Sheffield Health and
Wellbeing Board going to influence the work of the new Integrated
Care Board and Partnership?’
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5.6
5.7
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Terry stated that there are
three acronyms being used: the ‘Integrated Care
Systems’ (ICS) which would be made up of two components, a
Statutory Commissioning Board and the Integrated Health and Care
Partnership (ICP). Terry stated that the partnership should inform
other Health and Wellbeing Boards in the surrounding areas, for
example Rotherham’s Health and Wellbeing Board.
Helen stated she felt there
would need to be a number of connections between boards and
organisations. Terry stated that this issue would form part of the
constitution for the consultation.
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5.8
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John Macilwraith stated that he
felt this was an opportunity which the board should seize. He
stated that the Council HAD a Health and Wellbeing Strategy which
highlights the role of health inequality. John asked how different
departments within the Council could address these
issues.
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5.9
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George Lindars-Hammond said
that he was interested in looking at the Integrated Care
Partnership as he felt it was the least developed element. He
stated he was optimistic, but that he had some queries around how
the partnership would work with the Health and Wellbeing Board and
Sheffield’s other organisations. George asked how funding
could be used to address some significant health inequalities.
George said he felt this would be a significant challenge for the
board without duplicating work and whilst keeping one another
informed of work carried out.
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5.10
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Terry stated that he felt it
was important to recognise that the legislation did not change the
statutory nature of the Health and Wellbeing Boards. He noted it
was important to ensure that the Health and Wellbeing Boards and
the partnerships complement one another and added that the
Strategic Needs Assessment would assist with this. Terry stated
that when the Board thought about different determinants of poor
health and poor wellbeing, there could be similarities across South
Yorkshire alongside differences. He asked that the ...
view the full minutes text for item 5.
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6. |
Better Care Fund (30 mins) PDF 539 KB
Additional documents:
Minutes:
6.1
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Jennie Milner was in attendance to present a
report put together by Sheffield City Council in conjunction with
Clinical Commissioning Groups (CCGs).
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6.2
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Jennie gave an overview of the
reports aims.
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6.3
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Jennie outlined the Ambulatory Care Sensitive Conditions which
were being considered. She said that the expectation was that 1,200
of these cases would have been presented last year; however, she
said there were fewer admissions last year due to COVID-19 and
people staying at home rather than going into hospital with these
conditions.
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6.4
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Andrew stated that last year it
was decided that 14 days and 21 days were the metrics to follow
when examining longer-term hospital patients. Andrew outlined the
number of patients in hospital from March 2021 to October 2021 and
stated his belief that unless individuals were very unwell, they
should not be in hospital.
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6.5
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Andrew outlined some of the
reasons it was felt that patients could be in hospital for a longer
length of time, including patients waiting for intervention,
patients who did not have an agreed care plan and patients who were
not well enough to go home. Andrew stated that partners met daily
and escalated things twice a week, with the intention of reducing
the number of inpatients. Andrew stated they were intending to put
together a more targeted support team.
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6.6
6.7
6.8
6.9
6.10
6.11
6.12
6.13
6.14
6.15
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Andrew stated that the System
Partnership approach to COVID-19 had been helpful in supporting the
health of Sheffield citizens. He shared information with attendees
around how System Partners could assist with reducing the number of
inpatients.
Jennie asked Board Members
whether they understood the planning guidance requirements and new
metrics included within the Better Care Fund, and she asked that
the Joint Commissioning Committee continue to monitor progress on
behalf of Health and Wellbeing Board. She also asked whether the
Board was happy to delegate approval of the narrative plan and
submission to the Co-Chairs.
Terry reminded attendees that
the Council was nine months past the beginning of the financial
year.
Terry asked Jennie and Andrew
whether they felt that the historical nature of the metrics
provided would pose any challenges with the BCF.
Jennie stated that she felt the
biggest challenge would be the length of stay one. She added that
they had been asked to use the figures from the previous year and
said if that had been done the figures would be significantly
different. She said she had consulted with the region and asked
whether the current position could be used as a starting
point.
Andrew stated that they were
previously asked to reach pre-COVID-19 levels, which he had felt
was a challenging target.
George Lindars-Hammond stated
that he felt the Board should thank everyone involved in carrying
out the work being carried out in this area. He said that he felt
there had not been enough support available at a national level to
enable a long-term vision which helped to avoid crises.
Chris noted that
...
view the full minutes text for item 6.
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7. |
Engagement and Health & Wellbeing (30 mins) PDF 1 MB
Additional documents:
Minutes:
7.1 Rosie stated that they had
commissioned Healthwatch to assist; however, she stated there had
only been a limited budget for this. She recommended that this
figure by doubled from £10,000 per annum to £20,000 per
annum.
7.2 Rosie asked that the Engagement
Working Group continue to work as a steering group going
forward.
7.3 Helen clarified that Healthwatch
works with individuals rather than the VCS.
7.4 George thanked those who
were involved in this work and report. He stated that he felt it
was important that what the Engagement Working Group had requested
was met. He said that the Board did not then have allocated funds
and asked that the full partnership of the Board could work
together to try to get this funding. He stated that he felt it was
important that there be a clear idea of how to work with existing
partners and bring in additional staff.
7.5 Judy stated she agreed
with George and added that she felt it was important to connect
together the work already being carried out.
7.3 Terry suggested that the phrase
‘the Engagement Working Group begins to define…’
be used.
7.7 Terry noted that financial
decisions could not be made here but added that the Board would
support these suggestions.
7.8 George suggested that
wording along the lines of ‘the Board agrees an
ambition’ be added.
7.9 Rosie stated that
improving the sharing of information would be less costly longer
term.
7.10
AGREED: The Engagement Working Group’s requests were
agreed upon.
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8. |
Healthwatch Update (20 mins)
Additional documents:
Minutes:
8.1 Judy provided an update on
Healthwatch’s recent themes. She stated that feedback had not
all been negative but said that she was sharing negative feedback
to highlight what they felt needed be improved. She said that
access continued to be an issue for those with disabilities. Judy
stated that mental health resources were limited, and only provided
for a short period time. She said that a number of people had said
they found it challenging to log a complaint. Judy stated she had
met with the Dental Commissioner as this was a national issue
whereby many individuals were not able to access NHS dental
healthcare but were unable to pay for private appointments. Judy
said that small changes could make a significant difference to
people with access issues. She added that Healthwatch felt these
changes should address inequality wherever possible.
8.2 Councillor George
Lindars-Hammond asked how Healthwatch felt they might need to
change in order to improve the quality of their work as the system
changed, and how the system might support that change. Judy stated
that Healthwatch were trying to work with their colleagues
Nationally. Judy added that she felt that the more the board
engaged with local people on these issues the more successful
Healthwatch’s work would be.
8.3 John Macilwraith asked how
the board could support the voice of the service user. Judy stated
that Healthwatch found it difficult to link the voices of service
users to decisions being made. She said that reports could be
completed, alongside recorded lived experiences; however, linking
these voices and stories to decisions were challenges.
8.4 Terry
Hudsen asked how the board might also incorporate the voices of
those who do not get access to services which they might require.
Helen stated that COVID-19 had increased waiting lists for mental
health services. She stated that she felt the board should use the
intelligence provided by Judy to consider how those requiring the
services can be supported.
8.5 Simon
stated that many people seen by South Yorkshire Police do not know
how to access these resources. He stated that as many elements of
face-to-face support, for example, a GP appointment, had now been
reduced. He suggested that these support markers and resources
needed to be better shared with those who require the support the
most.
8.6 Terry Hudsen informed
attendees that Healthwatch had shared some Speak Up reports which
did focus on the experiences of people with learning disabilities,
autism and mental health. He recommended that attendees review
these.
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9. |
Minutes of the Previous Meeting (5 mins) PDF 140 KB
Additional documents:
Minutes:
9.1 AGREED that the minutes of the meeting held on the 25th of
March 2021 to be approved as a correct record.
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10. |
Date and Time of Next Meeting (5 mins)
9th
December 2021, 2pm to 5pm, Venue to be confirmed
Additional documents:
Minutes:
10.1 The next meeting of Sheffield Health
and Wellbeing Board would be held on Thursday 9th
December 2021 at 2.00pm.
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