Agenda and minutes

There were no declarations of interest.

Delegated decision:

That the Minutes of the meeting of the Health and Wellbeing Board held on Thursday 14^th November 2013, be approved as a correct record and signed by the Chair.

Members of the Board reviewed the Health and Wellbeing Board Action Log.

Democratic Services reported that the Assistant Director of Legal Services had provided the Board with guidance in relation to the Pharmaceutical Needs Assessment.  The current regulations (The National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013) make provisions for the conduct of PNAs. Regulation 5 states that each HWB must publish its first PNA by April 1^st 2015.

Regulation 4(2) requires each HWB in so far as is practicable; to keep up to date the map which includes in its pharmaceutical needs assessment pursuant to paragraph of Schedule 1 (without needing to republish the whole of the assessment or publish a supplementary statement) this map identifies the premises at which pharmaceutical services are provided in the are of the HWB.

The Interim Director of Public Health has requested that the Commissioning Support Unit provided the Board with an up to date assessment of the current pharmaceutical need in Bury.

Delegated decision:

The action log be noted.

The Chair, Councillor R Shori, invited questions, comments and representations from members of the public present at the meeting.

Questions were asked and comments made on the issues detailed below.

In response to a question from Councillor Walker, with regards to the site formally occupied by the Peel Health Centre, the Chief Operating Officer, CCG reported that the NHS does not own the building and there is no further information to report with regards to the progression of a business case.

In response to a question from Councillor Walker, in relation to the membership of the Health and Wellbeing Board, Democratic Services reported that the Board’s membership was constituted as defined in the Health and Social Care Act.  The Council if it wishes may appoint additional members to the Board.  Currently representatives from Pennine Care Foundation Trust and Pennine Acute NHS Trust would by invited to attend the Board meeting as required.

The Chief Operating Officer CCG, reported that it would be useful to review the membership of the Board.

Stuart North Chief Operating Officer, CCG, Interim Director of Public Health, Lesley Jones and the Assistant Director of Commissioning and Procurement, Julie Gonda, gave a presentation providing an overview of the model for Bury’s Integrated Health and Social Care and Better Care Fund. An accompanying report had been submitted to the Board providing an overview which included information relating to:

·         Health and social care reform is part of a wider programme of Public Services Reform across Greater Manchester.

·         Work has been on-going to progress new models of delivery.

·         Integration of health and social care is complex and a medium to long term ambition.  The new model of delivery is still developing and will continue to evolve in the light of health reforms and neighbourhood initiatives.

·         Shared vision and commitment to person centred and coordinated care, empowering and enabling, emphasis on prevention access to services 7 days a week.

·         Better care fund - £3.8billion nationally - Local allocation £11.727m, £1billion directly is related to performance, which equates to £3m locally.

·         Main aims of the better care fund is to protect adult social care services, invest in new and re-shaped services which help integration and benefit both health and social care.

Questions were invited from those present at the meeting and the following points were raised:-

Dave Bevitt, B3SDA, commented that the Better Care Fund must be linked to the Joint Strategic Needs Assessment.

The Executive Director of Adult Services reported that a large amount of data analysis has been undertaken in relation to different patient pathways, integrated models of care and data intelligence to inform the better care fund submission.

In response to a question from the Executive Director of Children’s Services, the Chief Officer, CCG reported it will be necessary to reduce the demand at A&E by 15% over the next two years, this will require a change in emergency activity.

The Chair of the CCG reported that the CCG are looking at a number of measures to tackle the required reduction in funding and the requirement to reduce A&E attendance, these include short term measures as well as longer term preventative measures.

The Chief Officer of the CCG reported that the CCG’s are in the process of developing an ambitious five year plan.

The Chair reported that he wanted to ensure that the assurance and oversight of the better care fund and associated funding would remain with the Health and Wellbeing Board.

          Delegated decision:

·         That the Health and Wellbeing Board:

Sign off this first working draft of the Better Care Fund Plan to be submitted to NHS England 14 February 2014;

·         Delegate authority for the sign off of the final plan, to be submitted to NHS England 4 April 2014, to Chair of Health & Wellbeing Board, Executive Director of Adult Care Services and Chief Officer, Bury CCG.

·         The Health and Wellbeing Board continue to monitor the progress of the Better Care Fund.

·         That the Clinical Commissioning Group’ Five Year Strategy is brought to a future meeting  ...  view the full minutes text for item HWB.723

Members of the Board considered a verbal presentation from the Chair of the Clinical Commissioning Group Dr. Patel in relation to the Healthier Together conversation.  The presentation contained the following information:

The CCG Chair reported that Healthier Together is initially a Community ‘Conversation’ about transforming health and social care across Greater Manchester.

The purpose of the conversation will be to update communities and gather views about; joining up health and social care services, enhancing GP and community services and transforming hospital services.

The CCG Chair reported that the service review will be about enhancing the level of care and will result in centres of excellence supported by local fit for purpose, smaller units.

 The CCG Chair reported that no decisions have been made about the location of hospital services, the final decision will be made by the Association of Greater Manchester Clinical Commissioning Groups once the public conversation and consultation had been completed.

Questions were invited from those present at the meeting and the following points were raised:-

Dave Bevitt B3SDA commented that the CCG must ensure that public engagement in relation to the Healthy Together conversation is not just limited to Township Forums.

In response to a question from the Executive Director of Children’s Services, the CCG Chair reported that in order to manage political fall out from any major service reconfiguration it would be necessary to build trust, be transparent and assure members that the service changes proposed are in the best interest of their area.

The Interim Director of Public Health reported that her department would liaise with representatives within the CCG to review how they may be able to support the conversation and public consultation.

Delegated decision:

Healthier Together would remain a standing agenda item.

Members of the Health and Wellbeing Board discussed the approach being taken to deliver the outcome measures and develop ways of reporting on the actions from the Health and Wellbeing Strategy.

The Interim Director of Public Health reported that the Board has a key role in provided oversight and assurance in relation to the Health and Wellbeing Strategy.  The Board will gain assurance oversight through three related reports that will be present at future Board meetings; Performance against outcomes report; delivery plan and milestones report and a thematic report (focusing on a priority area).

The Head of Customer Services reported that a series of workshops focused on each of the Strategy key priority areas have been arranged.  The key leads and groups identified for each priority area will then form a virtual network that will then be responsible for delivering the actions and measures of success for the priority.

Delegated decision:

The report be noted.

The Interim Director of Public Health provided members of the Board with an update in relation to the Community Health and Wellbeing Assessment.

The Interim Director reported that the current Joint Strategic Needs Assessment provides high level data on a number of important health related issues which has informed the Health and Wellbeing Strategy. 

The Interim Director reported that there is currently a lack of infrastructure and capacity in Bury to meet the JSNA requirements.  The CHWA steering group has met and agreed the following:

·         To commission research to understand what data is currently held by Team Bury partners, what use the data is currently put to, what intelligence and analytical capacity exists across agencies, what questions partners would most like the CHWA to answer

·         To scope the options for a publically available platform where CHWA products can be shared and better utilised.

·         To focus on capacity-building for the CHWA through development of an intelligence hub within the Adult Care Directorate, partnership working with intelligence and analytical specialists from partner agencies and investment in analytical tools.

Questions were invited from those present at the meeting and the following points were raised:-

The Executive Director of Children’s Services reported that representatives from Ofsted and the Office of the Children’s Commissioner had both made representations in relation to early help services and child exploitation, that the JSNA should contain information in relation to these matters.

The Interim Director reported that it is important for the Council to prioritise what population information and data intelligence information is contained with the JSNA.

The Interim Director reported that the JSNA should provide a detailed summary of the needs, assets and hold qualitative intelligence information.

The Chair of the Health and Wellbeing Board reported in order for the JSNA to be effective and have the required capacity it would be necessary for partners and stakeholders to invest financially in the JSNA data.

The Interim Director reported that there are currently vacancies for two data intelligence analysts post within public health.

Dr Gibson reported that it would be necessary to invest in a web platform facility that would allow people to access up to date quality information about local services and community assets.

The Head of Customer Services reported that a separate web platform had been identified that would meet this requirement.

Delegated decision:

The report be noted.

The Chair Councillor Shori informed the Board that Superintendent Mark Granby would retire in February 2014 and would cease to be a member of the Board. 

Delegated Decision:

That Superintendent Mark Granbybe thanked for his commitment and valuable contributions to the Health and Wellbeing Board during the last year.