Agenda and draft minutes

1.1

Apologies for absence were received from Dr David Black (NHS), Mick Crofts (Sheffield City Council), Councillor Jayne Dunn (Sheffield City Council), Brian Hughes (Sheffield CCG), Dr Mike Hunter (NHS), John Macilwraith (Sheffield City Council), Professor Chris Newman (University of Sheffield), Chris Gibbons (Sheffield City Council) and Councillor Alison Teale (Sheffield City Council).

2.1

There were no declarations of interest made.

3.1

No public questions were received.

4.1

Pearse Butler and Gavin Boyle were in attendance to give an overview of the Integrated Care Board, which they hoped would be implemented from the 1^st of July 2022. Gavin Boyle stated he felt there were good foundations in Sheffield to create the Integrated Care Board (ICB). He said there were appointments taking place to the board. He stated that the intention was to make the board representative of the community which it serves. He stated the aim would be to deliver more integrated care through engaging the voluntary sector. He said there would be four main aims for the board: to improve health outcomes, to address health inequalities, to maximise resources and to use the scale of support available to improve the health of those in South Yorkshire. Pearse Butler stated they had been to discuss this with the four Health and Wellbeing Boards in South Yorkshire. He stated the ICB was critical to moving the agenda forward, particularly for health inequality. He said that the first meeting was expected to take place in advance of the ICB being formally set out, and he stated this was likely to be in June. He said that he expected the Health and Wellbeing Board feed into the ICB in a formal way.

4.2

Dr Leigh Sorsbie (standing in for Zac McMurray) stated she worked as a GP in the north of Sheffield. She said that the area struggled with health inequality. She stated that she felt a number of the targets previously set could increase health inequalities. She asked how this issue could be navigated and whether it would be possible to replace artificial targets with more nuanced goals. Gavin Boyle stated that responding to these challenges through a health inequality lens was possible.

4.3

Greg Fell asked whether any thought had been given to the ‘burning platforms’ approach versus the ‘business as usual’ approach. He asked how the Health and Wellbeing Board might best support the ICB in achieving its objectives. Gavin Boyle stated that one of the challenges for the ICB could be to identify a smaller number of priorities for South Yorkshire, and he asked that the Health and Wellbeing Board assist with this. Pearse Butler stated that he felt the real challenge would be to achieve the day-to-day targets, whilst also addressing the larger aims of the board.

4.4

Judy Robinson stated that she was concerned that the People and Communities Strategy had a limited timeframe. She asked for reassurance that it would be possible to return to this strategy following the initial 3-month period. Gavin Boyle stated that this was a transitional strategy which would be extended beyond this timeframe.

4.5

Dr Terry Hudsen asked how the relationship between the ICB and the Health and Wellbeing Boards was envisaged. Pearse Butler stated that the Health and Wellbeing Boards would be critical to place-centred support. 

4.6

Councillor George Lindars-Hammond asked if the ultimate responsibility for decisions would be moving from Sheffield to South Yorkshire. Pearse  ...  view the full minutes text for item 4.

5.1

Mark Tuckett, Director of the Sheffield Health and Care Partnership was in attendance to give an update on the development of the strategic relationship between statutory bodies and the Voluntary Sector in Sheffield.

5.2

Helen Steers stated she felt Sheffield had a good deal of innovative and strong partnerships. She said there were examples of the VCS leading the city in health assessments. She said that a partnership approach was taken when dealing with people who had a multitude of requirements for support. She said she felt principles could be agreed upon. She stated there were a wider set of connections which the VCS had, including community embedded organisations.

5.3

Councillor George Lindars-Hammond asked how the Health and Wellbeing Board might want the statement of intent to move forward. Dr Terry Hudsen stated that he welcomed the paper and its strategic steer. He asked to what extent the future commissioners would value the voices of the VCS. Dr Terry Hudsen asked to what extent they had moved beyond the Statement of Intent. Helen Steers stated that she felt there would be opportunities to do more around health creation.

5.4

Judy Robinson stated she was happy to see the reference to Health Watch; however, she noted that they were not a voluntary organisation.

5.5

Mark Tuckett suggested that the Health and Wellbeing Board engage with the LACs.

5.6

Councillor George Lindars-Hammond stated that he hoped the Statement of Intent would increase the focus on the role of the voluntary sector.

5.7

Dr Terry Hudsen stated he would want to see this as a collectively owned tool which empowers the voluntary community and faith organisations.

5.8

David Warwicker asked that this return to the board. AGREED: Councillor George Lindars-Hammond agreed that this return to the board. Dr Terry Hudsen suggested that a more detailed consideration of the progress made to date be carried out. He asked that this be covered in the next public meeting of the Health and Wellbeing Board. Helen Steers stated there is a VCS element in the ICB. She said she felt it would be helpful to return to this item in the near future. It was agreed that this return either at the next public meeting or once the ICB had been established.

6.1

Greg Fell outlined a hygiene paper, based on a review carried out between December 2021 and February 2022. He stated that the paper asked that three half day workshops be given on significant issues. Greg Fell stated that feedback had been received on follow up actions and decisions, suggesting that these workshops could increase.

6.2

Lucy Darragh said that the decision to move to three half day events would allow the Health and Wellbeing Board to prioritise its attention. She stated it was hoped that these wider events would allow lived experience to be more of a focus. She said it was hoped that fewer events would improve the quality of the events. Lucy Darragh stated that a clearly named substitute should be nominated if board members were unable to attend.

6.3

Dr Terry Hudsen thanked Greg Fell and Lucy Darragh for carrying out the interviews which fed into the report. He said that the value that community voices brought to the board was critical, and he stated that he felt these changes would enable a different way of engaging. Dr Terry Hudsen asked whether the half day sessions should be held at the Town Hall, or instead out in the community. He stated that any added programme planning for the Health and Wellbeing Board should be carefully managed. Greg Fell said that he had asked his team to be more focused on assisting with programme management. He added that he would support having meetings within the community, rather than at the Town Hall.

6.4

Benn Kemp stated his support of the concept of the review. He said he had noted the disparate nature of Health and Wellbeing in Sheffield from his perspective as a non-healthcare professional. Councillor George Lindars-Hammond stated he felt there was both a strength and a challenge that different groups attended the Health and Wellbeing Board. He said it was important to avoid duplicating work.

6.5

David Warwicker said that he felt it was important for conference style meetings include as wide an audience as possible. He said he felt it was important that board members engage with the public to ensure the right individuals attend. Dr Terry Hudsen stated that previously individual members of the Health and Wellbeing Board were responsible for this. He agreed that it might be useful to identify individuals to do this going forward.

6.6

Greg Fell asked board members to consider what would be best to cover on the agendas of future conference meetings.

6.7

Councillor George Lindars-Hammond agreed that a final Terms of Reference should not be brought in June given the changes to CCGs taking place in that time. He suggested instead that an interim paper be brought. Dr Terry Hudsen stated he would hope to have this put together before the 1^st of July 2022. Dan Spicer stated there was a process to be completed in keeping with Council guidelines. He said there needed to be some clear guidance put together in June ahead of  ...  view the full minutes text for item 6.

7.1

Greg Fell gave a verbal update on this item, and highlighted issues including

tobacco use and poverty. Greg Fell stated Lucy Darragh had carried out some interviews to identify some of the key issues referenced. Greg Fell stated that they had not committed to putting together an action plan, as the plan would be

particularly lengthy. 

7.2

Helen Steers said she agreed that the context should be considered, particularly

regarding life expectancy.

8.1

Judy Robinson provided an update and highlighted four elements, long COVID,

a review of communication methods, primary care, and dentistry. She stated that

Healthwatch would continue to address these issues wherever possible.

8.2

Greg Fell stated he was carrying out a piece of work on long COVID and access to

support for these people. Regarding dentistry, Greg Fell stated he had experienced

issues accessing NHS dentistry himself.

8.3

Dr Terry Hudsen stated that the constant engagement team had accepted more

could be done in these areas. He said he welcomed members of the public to share

their views. Judy Robinson said that she felt hearing more voices was a positive thing.

8.4

David Warwicker stated that dentistry could be devolved to the ICS.

8.5

Greg Fell stated that he believed NHS dentistry in Sheffield to be performing at a higher rate than elsewhere in the UK. He said he felt that improving oral health would reduce the need for some aspects of dentistry.

8.6

Dr Terry Hudsen stated that oral health extends beyond teeth, and could increase

the risk of heart disease. Greg Fell concurred and stated that dentistry was imbedded with wider health.

8.7

Judy Robinson stated that she was worried that commissioning would be further removed through the introduction of the ICB. Greg Fell suggested a focused update on oral health. Councillor George Lindars-Hammond agreed that this would be covered at the next Health and Wellbeing Board.

9.1

AGREED that the minutes of the meeting held on the 28^th of October 2021 to be approved

as a correct record, with the amendment of Sandy Buchan to Sandie Buchan.

11.1

Dr Terry Hudsen invited the board to note its thanks to Jennie Milner for her

work and support for the board.