Agenda item

7.1

The Committee received the joint report of the Accountable Officer, NHS Sheffield Clinical Commissioning Group (CCG) and the Chief Executive, Sheffield City Council, to which was appended a document detailing Sheffield’s Plans for Integrated Commissioning 2014/15 and beyond, and the Sheffield Joint Health and Wellbeing Strategy 2013/18 (the Strategy).  The report set out the Sheffield Health and Wellbeing Board’s priorities for 2014/15 which were based on the Strategy.

7.2

In attendance for this item were Tim Furness, Director of Business Planning and Partnerships, NHS Sheffield CCG, and Louisa Willoughby, Commissioning Officer, Sheffield City Council.

7.3

Members made various comments and asked a number of questions, to which responses were provided as follows:-

·                The Health and Wellbeing Board (HWB) team was presently working on data to demonstrate progress against the outcomes in the plan, some of which still needed to be collected.  All data would be presented to the Board so that progress could be reviewed.

·                Generally, the Council and CCG wanted to move to more outcome based specifications for services but there would be limitations.  Some home support contracts were coming up for renewal and work on these specifications would be expressed in the contracts in 2016.

·                There were a number of projects relating to community support for people to keep well and a model was to be developed for this involving practices, community health services and local voluntary, community and faith organisations.  It was important to have an anchor organisation in the community so that there was a single point of contact.

·                It was estimated that between 15 and 16,000 people in the City would benefit from care planning.

·                The CCG and the Council were presently involved in running a shadow pooled budget in 2014/15, prior to setting a formal pooled budget for 2015/16.  It was recognised that the Council started its budget planning at an early stage and the CCG needed to work within this timetable.

·                A pilot scheme in Low Edges, Batemoor and Jordanthorpe on community support had been community led.

·                The problem of health inequalities was acknowledged and it was accepted that not a lot of progress had been made in this regard.  It was hoped to target interventions on areas with lower life expectancies, but this would take time to have effect.

·                The Strategy set out what was wanted to be achieved in relation to intermediate care, but detailed calculations had not yet been completed and modelling was required.  It was recognised that more step up services were required to prevent people going into hospital.

·                Members’ comments on the omission of issues such as climate change, pollution and allergy increases in the Strategy would be reported to the HWB and considered in any refresh.

·                It should be borne in mind that the proposals regarding intermediate care were aspirational.

·                Issues regarding supported living were picked up in relation to long term care, but it was accepted that the Strategy, as a relatively brief and high level document, didn’t say much on this issue.

·                It was recognised that the Board’s plans had human resources implications and conversations in this regard had been started with providers.

7.4

RESOLVED: That the Committee:-

(a)       thanks Tim Furness and Louisa Willoughby for their contribution to the meeting;

(b)       notes the contents of the report and the responses to questions;

(c)        requests that the Sheffield Health and Wellbeing Board considers the impact of environmental factors on health, such as climate change, pollution and allergy increases, together with increased focus on children and young people, for inclusion in any refresh of the Sheffield Joint Health and Wellbeing Strategy; and

(d)       requests that it be involved at an earlier stage in any refresh of the Sheffield Health and Wellbeing Board’s Health Inequalities Action Plan, particularly in relation to:-

(i)        working closely with local communities;

(ii)       issues regarding communities supporting each other; and

(iii)     flexibility in care plan arrangements in the context of developing the Council’s strategic plans.