Friday 28 October 2022

The South Yorkshire Integrated Care Partnership (ICP) held a meeting in public on Friday 28 October 2022. The meeting took place at South Yorkshire’s Mayoral Combined Authority’s Office, 11 Broad St W, Sheffield City Centre, Sheffield S1 2BQ, between 4:00pm – 5:00pm.

Members of the public were welcomed to attend.

We welcomed questions from the public and asked that they are submitted prior to the meeting in writing to helloworkingtogether@nhs.net to ensure these were answered fully. We kindly asked that questions were relevant to the meeting agenda. The responses will be published on the website no later than 14 working days after the meeting.

Questions not relevant to the meeting agenda can still be sent through and these will be answered in line with the Freedom of Information Act or through the Press Office.

We welcomed questions from the public and asked that they are submitted prior to the meeting in writing to helloworkingtogether@nhs.net to ensure these were answered fully. We kindly asked that questions were relevant to the meeting agenda. The responses will be published on the website no later than 14 working days after the meeting.

Questions not relevant to the meeting agenda can still be sent through and these will be answered in line with the Freedom of Information Act or through the Press Office.

  Question  
Q1

Dr Rupert Suckling has been in touch and confirmed the direct relationship between structural racism and racial health inequalities.

 

Given that the racism identified by Professor Gus John Doncaster Races 1079 Cherie on Top 1082 have never been properly addressed in Doncaster, I respectfully seek the necessary assurance of a commitment by this partnership of the need to apply an actively anti racist lens to addressing Core20Plus5 NHS England » Core20PLUS5 – An approach to reducing health inequalities and to ensure that there is a psychological safe space for interested black citizens like myself to have their meaningful say on the health inequalities that matters to them, especially in the context of Ethnic Health Inequalities in the UK - NHS - Race and Health ObservatoryNHS – Race and Health Observatory.

 

As a parent, I along with my family should not be subjected to years of racism and micro aggressions for advocating for a NHS and Social Care system that is diverse, inclusive and fair.
A1

At the heart of our role as a new Integrated Care Partnership is our commitment to listen and act on the experience and views of local people and communities. This includes supporting people and communities to sustain and improve their health and wellbeing, as well as involving people and communities in developing plans and priorities, and continually improving services. Hearing from people of all backgrounds from across South Yorkshire will be essential to help us build on the strengths of those communities to tackle health inequalities and the other challenges faced by our health and care system. The ICP will commit to ensure application of the actively anti-racist lens to address the Core20Plus5.

If you would like to speak to someone at NHS South Yorkshire about the issues you have raised, Anthony Fitzgerald, who is the Executive Place Director for Doncaster would be happy to discuss. Anthony can be contacted by email at anthony.fitzgerald3@nhs.net

Q2

In its first meeting in public on 1st July 2022 the Integrated Care Board approved its

 “Start with People South Yorkshire (People and Communities) Strategy”.

It was made clear in the discussion prior to approval that the Start with People South Yorkshire Strategy is for the Integrated Care Board only.

The cover sheet introducing this agenda item stated:

“ This strategy is for the ICB not the ICP/ICS– building an engagement strategy for the partnership is a next step that will fully involve all partners from the outset.”

  • When will the ICP begin to work with partners to build an involvement strategy?
Will the ICP pro-actively involve the people it serves in this strategy?
A2

We will shortly start to work with partners to develop an involvement strategy for the ICP and we will pro-actively involve our citizens in the development of this strategy.

Q3

In preparing the SY Integrated Care Strategy:

  • Why is the Integrated Care Partnership not following the law – as quoted in a) below?
  • Why is the Integrated Care Partnership not following the mandate published by the 

secretary of state – as quoted in b) below?

  • Why is the Integrated Care Partnership not following the guidance issued by the secretary of state – as quoted in c) below?

a)    The Health and Care Act 2022 describes in Section 26, the duties of Integrated Care Partnerships, and in particular their duties regarding integrated care strategies:

 “116ZB Integrated Care Strategies

 (3) “In preparing a strategy under this section, an integrated care partnership must have regard to –

(a)   the mandate published by the Secretary of State under section 13A of the National Health Service Ac t 2006, and     

 (b)   any guidance issued by the Secretary of State”    

(4)  “In preparing a strategy under this section, an integrated care partnership must -

(a)   involve the Local Healthwatch organisations whose areas  coincide with, or fall

wholly or partly within its area, and

(b)   involve the people who live or work in that area”

 b) The mandate published by the Secretary of State says, on page 10 in the “Taking account of the views of patients and the public” section point 1.10 that:

 “Integrated Care Boards and NHS England will need to engage with patients, carers and the public as they discharge their functions, both in relation to clinical decisions (where patients and carers should be closely involved) and in wider commissioning decisions.”

c)  The Department of Health and Social Care published “Guidance on the preparation of integrated care strategies” on 29th July 2022 which:

  1. Repeats the legal  requirements quoted in a) above, on :
  • pages 5 and 6 under the section “Legal duties and  powers of the integrated care partnership”
  •  page 9 in the first sentence of the section “Involving people and organisations” 
  1. Outlines how inclusive this involvement should be on page 11 in the section

“People and communities” stating that it:

 “is not limited to pro-actively involving people with a range of lived experiences of accessing health and or social care or having a mental or physical condition; seldom heard voices, people experiencing, or at risk of homelessness; those who commissioners have a 

responsibility for,  but reside outside the area of the integrated care board and integrated care partnership, such as people providing unpaid care at a distance; or those receiving specialist services outside the integrated care partnership area.”

A3

The Integrated Care Partnership in South Yorkshire met for the first time in September 2022 and agreed that its initial focus will be on developing an Integrated Care Strategy for South Yorkshire.  It was agreed that this will build on the strategies and plans that are already in place, especially the Health and Wellbeing Strategies. 

Given the timeline set nationally to develop and publish our interim Integrated Care Strategy by December we will approach this by building on work to date and seeing this as the start of a journey to develop a Strategy for South Yorkshire that will be dynamic and evolve over time.

We want to make sure our work is informed by the views of patients and the public about what our ambitions and priorities should be for health and care in South Yorkshire, however we know many people will have already told us many views on this in lots of different forums, talking to lots of different organisations.

To avoid asking people the same thing and to inform our early work we started by gathering insight from the wide range of engagement activities that have been undertaken in South Yorkshire over the last few years by our ICP partners that are related to the areas expected to feature in the ICP strategy. The report from that independently analysed insight gathering, which heard from over 280 sources of information will shortly be published on the ICS website. 

Our initial insight gathering has given us a lot of information about what our citizens have told us about health, care and wellbeing over the last few years and has particularly shown us that giving people the information, support and skills and tools to better manage their own health and wellbeing is a really clear focus for them. We propose taking this theme and using it as the focus for the next stage of the involvement, which will take place over the month of November.

We want to ensure we reach out and engage so that the voice of all the key under-represented and socially excluded groups within South Yorkshire are heard and we will work with our partners in the VCSE sector and Healthwatch to help us to do this. We will work hard to ensure we hear from children and young people. We will empower our partners to work in innovative ways that work for their communities.

Given the significant changes that have happened in recent weeks and months we feel that also doing a broad exercise that gives a large number of people the opportunity to also respond to the question ‘What matters to you about your health and wellbeing’ should they wish to would also be beneficial. We will do this using the existing citizen and staff networks of all partners and using a social media campaign.

Our Healthwatch partners have been involved from the start of this process.

 

Upcoming meetings held in public

The South Yorkshire Integrated Care Partnership will hold a meeting in public on Tuesday 20 December. More information about how to attend will be announced closer to the meeting date.