Working together for a healthy Rotherham

1. Working together for a healthy Rotherham Your life, Your health

2. 7,000 years of life lost

3. Roy Lilley NHS Writer, Broadcaster, commentator and conference speaker

4. Working Together for a Healthier Rotherham Dr Julie Kitlowski

5. Celebrations • Investors In Excellence Award • Best PPG in the country • National awards for prescribing • National award for social prescribing

6. Challenges • Emergency care – now and the future • Mental Health – improve emergency MH and dementia services • Community transformation – additional investment and IT • GP Access and variation

7. Collaborations • Working together with the Local Authority • Primary Care & NHSE • Working together across SY • Patient Voice

8. Rotherham Health and Wellbeing Board Cllr Ken Wyatt J.P. Chair September 2011 – June 2014

9. What is it? • Established as part of the Health and Social Care Act 2012 • local authorities leading the coordination of health and wellbeing through high-level ‘Health and Wellbeing Boards’ • Key responsibilities include: • Producing a Joint Strategic Needs Assessment • Developing and publishing a Joint Health and Wellbeing Strategy • Improving local population health and reducing health inequalities • Integrating health, social care and public health

10. Celebrations • One of the first boards to be established in 2011 (statutory board from April 2013) • Local Health and Wellbeing Strategy demonstrates good joint working and collaboration between partners • 6 ‘strategic outcomes’ of the strategy now embedded in plans and commissioning intentions • Successful Commissioning of HW R’ham

11. Collaborations • Real enthusiasm to work together to improve the health and wellbeing of Rotherham people • Better Care Fund – moving towards greater integration for health and social care • Good integration of Public Health team • Sub-Groups accountable for delivery of key priority work-streams

12. Challenges • Significant health challenges across the borough BUDGETS • Showing some improvement, but not as fast as other areas • ‘So What?’ challenge how we use the strategy and collective efforts of all partners to make a difference in 3 years and beyond • Huge changes to the health and social care environment

13. Working together to create a healthier Rotherham

14. Celebrate Rotherham Heart Town Healthy Weight Framework Rotherham Recovery Hub

17. Outlying Measures • Overarching Indicators • 0.1i/ii Healthy life expectancy at birth • 0.2i/ii Life expectancy at birth • 0.2vi Gap in life expectancy at birth between each Local Authority and England as a whole • Wider Determinants of Health • 1.01ii Percentage of all dependent children under 20 in relative poverty • 1.02ii School Readiness (Year 1 pupils) • 1.09ii Sickness absence - The percent of working days lost due to sickness absence • 1.12i Violent crime (including sexual violence) - hospital admissions for violence • 1.14 The percentage of the population affected by noise • 1.16 Utilisation of outdoor space for exercise/health reasons • NOTE - Red text indicates downward trend • Health Improvement • 2.01 Percentage of all live births at term with low birth weight • 2.02i/ii Breastfeeding initiation/prevalence • 2.03 Rate of smoking at time of delivery per 100 maternities • 2.06ii Excess weight in 10-11 year olds • 2.13ii Percentage of physically active and inactive adults - inactive adults • 2.14 Smoking prevalence (adults) over 18 • 2.15i Successful completion of drug treatment - opiate users • 2.17 Recorded diabetes • 2.21vii Access to non cancer screening programmes - diabetic retinopathy • Healthcare & Premature Mortality • 4.02 Tooth decay iin Children aged 5 • 4.03 Mortality rate from causes considered preventable • 4.04i/ii U-75 mortality rate from all cardiovascular disease/considered preventable • 4.05i/ii U-75 mortality rate from cancer/considered preventable • 4.07i U-75 mortality rate from respiratory disease • 4.08 mortality from communicable diseases • 4.11 Emergency readmissions within 30 days of discharge

18. Challenges NHS health Check Maternal health Mental Health

19. Collaboration

20. RDaSH: ‘Leading the way with care’ Lawson Pater

21. 1 in 4

22. 10%

23. 2 in 100

24. 1 in 3

25. 35000

26. Key Challenge • Sustaining / improving quality as……….. • Health needs increase and……. • Income reduces

27. Meeting the challenge Reviews of: • ‘Parity of esteem’ for MH • Learning Disabilities • Adult MH • CAMHS • Older peoples MH

28. To celebrate! • SY Police & RDASH street triage • Memory services: accreditation • IAPT: recovery rate

29. Summary • Significant challenges ahead • Robust 5 year planning • Transformation & collaboration: critical • Success: best quality and value services for Rotherham’s people

30. THE ROTHERHAM NHS FOUNDATION TRUST Martin Havenhand Chairman

31. Mission To improve the health and well-being of the population we serve, building a healthier future together. Vision To ensure patients are at the heart of what we do, providing excellent clinical outcomes and a safe and first class experience.

32. Celebrations, Challenges and Collaborations Patient and Clinical Sustainability GovernanceFinancial Sustainability Stakeholders/ Our People Partners A Stand Alone Trust with Collaboration Strategic Intent

33. “Healthwatch has provided us with honest, straightforward feedback based on people’s experiences and their ideas for improving the quality of health and social care.  We are using this information to change our thinking and improve the way services are designed and provided.  Over the next 12 months Healthwatch will provide a vital contribution to our response to the new responsibilities set out in the Care Act and the integration of health and social care services in Rotherham.” • Tom Cray, Rotherham Metropolitan • Borough Council Strategic Director Neighbourhoods and Adult Services

34. Working together for a Healthier Naveen Judah – Chair Healthwatch Rotherham

35. NY Stadium 16th July 2014

36. Celebrations (1) • Complaints systems improved • Hearing services in Rotherham • Current autism pathway being reviewed • Section 117 after arrangements to be reviewed (timely discharge) • Highly Commended for best Healthwatch team in England.

37. Challenges (1) • Continuing the ongoing good relationships with providers • Not to be shot as the messenger • Matching strategic/national/local agendas

38. Challenges (2) • Capturing changes that occur due to HWR • Getting the balance right • Watchdogs V Bloodhounds

39. Collaborations • TRFT • Yorkshire and The Humber Healthwatch • RMBC & Councillors • National (special inquiry unsafe discharge & Complaints)

40. “Healthwatch has provided us with honest, straightforward feedback based on people’s experiences and their ideas for improving the quality of health and social care.  We are using this information to change our thinking and improve the way services are designed and provided.  Over the next 12 months Healthwatch will provide a vital contribution to our response to the new responsibilities set out in the Care Act and the integration of health and social care services in Rotherham.” • Tom Cray, Rotherham Metropolitan • Borough Council Strategic Director Neighbourhoods and Adult Services

41. Question time Panel members: Lawson Pater – Chairman, RDaSH NHSFT Martin Havenhand- Chairman, The Rotherham NHS Foundation Trust Julie Kitlowski - Chair, Rotherham Clinical Commissioning Group (CCG) Roy Lilley -NHS Writer, Broadcaster, commentator and conference speaker Ken Wyatt – Councillor, RMBC