Agenda Item Number 11c MEETING Health Board DATE 1 December 2010 LEAD DIRECTOR Director of Primary Care, Community & Mental Health / Director of Strategic & Operational Planning SERVICE, WORKFORCE & Patient Safety, Governance & FINANCIAL FRAMEWORK - THEME Learning TITLE OF REPORT Stakeholder Engagement SITUATION / PURPOSE OF REPORT The purpose of this report is to provide the Board with an update on the current position in respect of a number of key areas of work related to stakeholder engagement across Cwm Taf. BACKGROUND / INTRODUCTION The Board aims to understand and satisfy the requirements of all its stakeholders by ensuring effective engagement takes place at all levels. This report sets out the current position in respect of a number of key areas of work that are progressing stakeholder engagement across Cwm Taf. ASSESSMENT / GOVERNANCE AND RISK ISSUES Localities Vision Paper The Welsh Assembly Government published Setting the Direction: Primary & Community Services Strategic Framework in February 2010. It provides at a National level the strategic direction for the NHS in Wales and, equally significant, the requirement for greater integration of Social Care and Health Services in the community. The Localities Vision Paper (attached as Appendix 1) provides Board Members with advice on the outcome of discussions held between Cwm Taf LHB, Merthyr Tydfil County Borough Council and Rhondda Cynon Taf County Borough Council regarding the model for developing integrated Health and Social Care Services in response to Setting the Direction. 1 Agenda Item Number 11c The Localities Vision Paper describes the challenges facing existing services and seeks approval in principle for the proposed new arrangements. Draft Children and Young People's Plans 2011-14 for Rhondda Cynon Taff and Merthyr Tydfil The Children and Young Peoples Partnerships in Rhondda Cynon Taff and Merthyr Tydfil are currently developing the next Children and Young People's Plan for 2011-14. The interim planning guidance restates that the children and young people’s plan is the defining statement of strategic planning intent and priorities for all children and young people’s services within each local authority area. The Welsh Assembly Government expects Local Authorities, Local Health Boards and their partners to focus on outcomes for children and young people and to ensure that all their partnership working is effective and efficient. Partners are accountable to one another for the delivery of all services for children and young people in their area, and are expected to hold each other to account collectively as a partnership as well as individually as organisations. The draft plans are due for publication on 1st April 2011 and consultation on the draft plan for Rhondda Cynon Taff has commenced and will run until 21st January 2011, with Merthyr Tydfil’s Plan due to commence consultation in December 2010 for 12 weeks. These our second Children & Young People’s Plans tell the story of what we have collectively achieved in the last three years, and building on that experience, set out our aims and objectives for the next three years. Both Rhondda Cynon Taff and Merthyr Tydfil Children and Young Peoples Partnerships would be grateful to receive your views and feedback as required. Cymorth Revenue Grant Arrangements for 2011-12 and Families First Pioneer Areas The First Minister wrote to the Welsh Local Government Association in April 2010 setting out the intention to bring together a number of existing grant funding streams including Cymorth and the Child and Family Organisation Grant to support an innovative, national programme of activity designed to give effect to the Wales draft Child Poverty Strategy. In July 2010, The Deputy Minister for Children, Huw Lewis, announced Wales’ first "Families First Pioneer Consortia areas": One in North Wales led by Wrexham working with Flintshire and Denbighshire, and another in South Wales led by Rhondda Cynon Taf working with Merthyr Tydfil and Blaenau Gwent. These pioneer areas will look at ways in which support for families, particularly those living in poverty can be developed and 2 Agenda Item Number 11c enhanced, in line with the principles set out in the child poverty strategy so that services are more family focused, bespoke, integrated, pro-active, intensive and reflective of local need. The aim of Families First and the emergence of the a new Families First grant to replace Cymorth is to lead the way in improving the delivery of services to families across Wales, especially those living in poverty, as set out in the Welsh Assembly Government’s draft Child Poverty Strategy. It is a part of a wider programme of reform targeted at families most in need within Wales, including the Integrated Family Support Team and the Innovation and Efficiency Board Complex Families Review. Each pioneer area has been tasked with ensuring that efficient and effective service models to support families out of poverty are in place, in a way which is consistent with the three strategic objectives of the draft Child Poverty Strategy: • To reduce the number of families living in workless households • To improve the skill level of parents and young people in low income families so that they can secure well paid employment • To reduce the inequalities in the health, education and economic outcomes for children living in poverty, by improving the outcomes of the poorest A grant of £1.5 million is available in 2010/11 to support the work of the pioneer areas. The Welsh Assembly Government have been very clear that this is to help us deliver the Child Poverty Strategy, and have been specific around the funding use this year aiming to support the transformation of services and not service delivery, so to support the way we work together better in the future supporting development of infrastructure and tools to support our work. A local draft plan has been developed which identifies the immediate work required to drive forward the most important priorities of our pioneer area and describes what we want to do to improve efficiency and effectiveness of services provided as part of the project. Feedback from the Public Fora The latest in the series of public fora were held in each of the four localities in the Cwm Taf Local Health Board (LHB) area during October/November 2010. The meetings provided members of the public and representatives of local organisations with information on the following matters: • Developing Primary and Community Care Services (Merthyr Tydfil, Rhondda and Taff Ely); • An update on the Merthyr Tydfil Health and Social Care Health Park and developments at Prince Charles Hospital (Merthyr Tydfil); 3 Agenda Item Number 11c • The Individual Health Record (Merthyr Tydfil, Rhondda and Taff Ely); • An update on the Service Workforce and Financial Framework (Taff Ely); • An update of Primary Care and Hospital Estate in the Cynon Valley (Cynon Valley); • An update on local Mental Health Services (Cynon Valley) • Public Infection Protection (all) More detailed information relating to the topics discussed at these meetings is provided in Appendix 2. The views of the attendees were captured and will be fed back into the LHB’s planning processes. Members also agreed that public fora meetings were a valuable engagement tool which local attendees wished to see continue. Attendees reiterated the importance of on-going engagement during the development of health care services across the Cwm Taf LHB area. A number of very positive comments were received on feedback forms that indicated that the programme of topics chosen was well received. The next series of public fora meetings are scheduled for the dates below: • Rhondda Valleys - 6th January 2011 • Cynon Valley – 13th January 2011 • Merthyr Tydfil – 25th January 2011 • Taff Ely Forum – 31st January 2011 The venues, times and agendas for the above events will be circulated when they have been finalised. Stakeholder Reference Group Newsletter The draft minutes from the last meeting of the ‘Shadow’ Stakeholder Reference Group held on 29th September were reported to the LHB Board at its meeting in November. That meeting focused specifically on the development of new Health, Social Care & Well-being Strategies and Children & Young People’s Plans for Merthyr Tydfil and Rhondda Cynon Taff, as well as providing an update on the development of the LHB’s Citizens Engagement Strategy. Attached as Appendix 3 for reference is the newsletter which was developed following that meeting. The purpose of the newsletter is to ensure that key messages from the Group can be cascaded more widely to stakeholder organisations and community groups, and to provide them with an opportunity to engage in future debates via their representatives on the Group. The first full meeting of the Stakeholder Reference Group, chaired by Cllr. Gareth Jones was held on 25th November and focused on the development of mental health services for adults of working age (18-65 years). The draft minutes from that meeting will be presented to the LHB Board at its next meeting in February 2011. 4 Agenda Item Number 11c COMPACTS A Compact is a partnership agreement between the third sector and the public sector. It provides a framework within which the development of shared aims, objectives, mutual respect and understanding will assist the ability of public and third sector partners to improve the quality of life for the people living within a particular County Borough. Merthyr Tydfil, under the leadership of Voluntary Action Merthyr Tydfil (VAMT) developed a COMPACT which was developed in 2008 and signed up to by the Third Sector, Local Authority, LHB Communities First and Police in Merthyr Tydfil. Chairmanship of the Compact Project Board rotates annually between the partners and is currently held by Mrs Jenny Ludlow on behalf of the LHB. The Merthyr Tydfil COMPACT has achieved much in its first two years, including the development of the Third Sector Commissioning Code of Practice and Codes of Practice for Volunteering, Partnership Working and Conflict Resolution and Disputes Mediation which were approved by the LHB Board at its last meeting.