Agenda and minutes

1.1

Apologies for absence were received from Councillor Jean Wharmby, Derbyshire County Council and Councillor Sue Saddington, Nottinghamshire County Council.

Councillor Firas Miro of Rotherham Metropolitan Borough Council attended as an observer.

2.1

There were no items of business identified where the public and press may be excluded from the meeting

3.1

There were no declarations of interest from members of the Committee.

4.1

The minutes of the previous meeting of the Committee held on 20^th March 2023 were agreed as a correct record.

5.1

The report, which provided the Committee with revised terms of reference to reflect changes to local NHS structure, was presented by Deborah Glen, Policy and Improvement Officer.

5.2

RESOLVED: That the Committee approves the revised terms of reference.

6.1

The report which provided an update on the work undertaken to develop the initial NHS Five Year Joint Forward Plan for South Yorkshire was introduced by Marianna Hargreaves, (Strategy and Transformation Lead NHS South Yorkshire), Katy Davison, (Deputy Director of Involvement NHS South Yorkshire) and Will Cleary-Gray, (Executive Director Strategy and Partnerships NHS South Yorkshire).

6.2

A presentation was delivered covering the parameters for the Forward Plan, the public engagement and consultation work done to inform the plan, the Joint Strategic Needs Assessment, the Joint Forward Plan Objectives, the phasing of the plan, the outcomes to be measured, and the next steps.

6.3

It was emphasised that the Plan referred to work to establish the Integrated Care Partnership (ICP) across four local authorities, the NHS and wider partners such as universities.  It was required to do the following:

1. Reflect the ambition in the Integrated Care Strategy South Yorkshire which was published earlier in the year.
2. Respond to the needs of communities.
3. Respond to the mandate from NHS England.

The Chair thanked the presenting NHS representatives and acknowledged the huge amount of work done in a short period of time.

6.4

Members raised concerns and asked questions on the following topics:

1. The role of elected Members in the consultation process

Members stressed that they were keen to be involved in consultations as they had a unique insight and established links to the community. 

2. Forward Plan Consultation

Members noted the low response rate to the consultation, i.e. 0.036 of the population of South Yorkshire.  They also queried whether consultations ever led to any real change in approach.  Concerns were raised as to the potentially leading nature of multiple-choice questions.

Members requested that the needs of individuals with additional needs, such as learning difficulties, which meant they would not be able to handle the conventional documentation be considered.

Katy Davison confirmed that lessons are always learned from engagement exercises and new approaches undertaken where necessary in subsequent consultations.

Will Cleary-Gray advised that consultation does influence outcomes, e.g. as with the sites of new GP practices in Sheffield.  Engagement was intended to be meaningful and was ongoing.

Members suggested that Social Housing providers should be included in future consultations.

3. Outcomes

Members stated that they felt the Plan was more about responding to rising demand rather than addressing the cause of rising demand (such as a sedentary lifestyle and poor nutrition), therefore it seemed insufficiently ambitious.

Will Cleary-Gray advised that there was more detail on this in the delivery plan, further information about which could be provided.

Marianna Hargreaves confirmed that the Joint Forward Plan had commitments to initiatives such as smoking cessation, weight management, and physical activity.  Work would be done to scale up initiatives which had been successful locally.

Members raised particular concerns regarding the provision of dentistry, which they felt was grossly under resourced, and that this resulted in very long waiting lists and extreme difficulties in accessing NHS dentistry at all for some patients.  They requested that a robust plan  ...  view the full minutes text for item 6.

7.1

The report, which proposed regular engagement between the Committee and the Yorkshire Ambulance Service, was presented by Professor Adam Layland, (System Partnership Director, South Yorkshire Ambulance Service).

7.2

Members agreed that Prof. Lanyard would attend the Committee twice per year in a formal capacity to give an overview of Yorkshire Ambulance Service (YAS) delivery and key information, and that, at the request of the Committee, attend any meeting as a partner to contribute to discussions.  The Committee’s feedback would also be sought on the YAS Annual Quality Report.  Details would be provided of an event on 26^th September regarding the YAS new strategy for the next 5 years.

7.3

RESOLVED: That the Committee notes the report.

8.1

The report which provided the Committee with a draft work programme covering 2023-24 was presented by Deborah Glen, Policy and Improvement Officer.

8.2

Members requested additional items be added regarding the 30% operational cut at the ICB and regarding dentistry.

A request to move the Oncology Review update to the October meeting was refused as members felt an update would be of value even if the review was not complete.

Members requested that an outline plan be provided by the ICB to help inform the Committee’s forward plan.

Professor Layland confirmed that he would bring the YAS Strategy to the October meeting of the Committee.

8.3

RESOLVED: That the Committee agrees the draft work programme, noting that it will need to be reviewed at every meeting.

9.1

It was noted that the next meeting of the Committee will be held at 10.00am on 21 September 2023.