Agenda and minutes

There were no declarations of interest.

Minutes attached.

Delegated decision:

That the Minutes of the meeting of the Health and Wellbeing Board held on Thursday 10^th April 2014, be approved as a correct record and signed by the Chair.

Action log attached.

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

In respect of Action 10, concerning the Joint Strategic Needs Assessment (JSNA), the Interim Director of Public Health reported that three pieces of work would be undertaken to support the JSNA; firstly a piece of research work to establish and understand the available data held, including partners and stakeholders; secondly; examine any capacity issues in relation to the JSNA and thirdly develop a web portal. 

The Board was informed that work to commission the research was being progressed.  The JSNA steering group have drafted a specification and a provider open day has been organised for the 1st July. 

Delegated decision:

That the action log be noted.

The Chair, Councillor R Shori, invited questions, comments and representations from members of the public present at the meeting and the following issues were raised:

In response to the questions raised by Councillor Walker, Councillor Shori reported that scrutiny of the new provider of Bury’s Drug and Alcohol service will be undertaken by Bury’s Health Scrutiny Committee who have resolved to review its progress.  Representatives from the CCG and Healthwatch would provide Councillor Walker with contact details to assist the scrutiny review of Dentistry services.  Democratic Services would speak with the CCG to request a response to the request for information in relation to the Speakeasy project.

The Chair of Healthwatch reported that following their review of Patient Transport Services a public meeting had been held with representatives from Arriva and concerns raised within the report were discussed. 

A verbal update will be provided by Martin McEwan:  Associate Director – Engagement and Partnership for NHS Commissioners in Greater Manchester.

The HWB considered a verbal presentation from the Associate Director – Engagement & Partnership, Healthier Together, Martin McEwan.  The presentation contained the following information:

·                     The future health and social care system will look substantially different as a result of the Healthier Together proposals.

·                     Case for change; variation in patient outcomes, quality and safety standards; rising demand on services; workforce availability; many patients using hospital rather than primary and community services; more care needs to be provided within the community.

·                     Each locality has developed clear plans for Integrated Care and Transformation of Primary Care.

·                     Public Consultation will commence in July and will include a number of different options.

The Associate Director, Engagement & Partnership, Healthier Together, reported that the CCG Committee in Common met on the 18^th June 2014 to finalise the consultation proposals.  The proposals will now be considered by NHS England, prior to the commencement of the public consultation.

The Associate Director, Engagement & Partnership, Healthier Together, reported that no change will not be an option.

The Associate Director, Engagement & Partnership, Healthier Together reported that, no District General Hospital (DGH) or A&E will close as a result of these proposals.

In response to concerns raised by the Executive Director of Children’s Services, in relation to the sustainability and viability of DGHs as a result of the Healthier Together proposals; the Associate Director reported that, currently there are ten hospitals providing differing levels of staff cover across a variety of specialist services.  As a result of this, the level and quality of provision varies within hospitals.  The proposals would result in the specialist centres providing consultant cover 24 hours a day, seven days a week.  The DGHs would then concentrate on elective, low risk work that would require a different workforce skills mix.

The Deputy Chief Officer/Head of Commissioning, Sharon Martin reported that that the proposals will result in a centralisation of expertise, services and goods.  The risks in relation to the sustainability of DGH will be greater if the status quo remains, the proposals will result in enhanced services in local DGHs, and a sustainable future for all.

The Chair of Healthwatch reported that they too, will engage with the public to seek their views, in relation to the Healthier Together proposals. 

                Delegated decision:

                The presentation be noted.

A joint report from Bury Clinical Commissioning Group and Bury Council is attached.

Cath Tickle; Joint Commissioning Manager, NHS Bury CCG and John Campbell; Strategic Planning and Policy Manager, Bury Council will be in attendance.

The Health and Wellbeing Board considered a verbal presentation from the Joint Commissioning Manager, Bury CCG, Catherine Tickle and the Contracts and Procurement Officer, Bury Council, John Campbell; in relation to the action plan for learning disabilities and challenging behaviour.Accompanying reports had been submitted to the Board providing an overview which included the following information:

·                     Following the investigation by BBC Panorama in 2011, which revealed abuse of patients at Winterbourne View the Department of Health developed the Winterbourne View Concordat. 

·                     The Concordat outlines a commitment to transform the way services are commissioned and delivered for people with learning difficulties.

·                     One of the main requirements is for Bury CCG and Bury Council to set out a joint strategic plan to commission the range of local health, housing, and care support services to meet the needs of people with challenging behaviour in their area.

A draft action plan has been developed focusing on how Bury CCG, Bury council and key partner will respond to the Concordat, nine people from Bury meet the Winterbourne criteria.

The Bury Learning Disability Strategy will be refreshed in 2014-15, it is proposed that the refreshed strategy will be an all age strategy, covering the health, education and social care needs of all people with low, moderate and complex learning disabilities in Bury.

In response to a Board Member’s question the Contracts and Procurement Officer reported that the development of a Joint Learning Disabilities partnership would require a commitment from relevant partners.

The Executive Director of Communities and Wellbeing reported that the Safeguarding Board will provide assurance and oversight to the development of the refreshed Learning Disability Strategy and the action plan.

          Delegated decision:

The Bury Learning Disability Strategy, once refreshed, will be considered at a future meeting of the Health and Wellbeing Board.

A report from the Interim Director of Public Health, Lesley Jones is attached.

The Interim Director of Public Health submitted a report which;

-Outlined the details of the scope of the formal Pharmaceutical needs assessment (PNA) consultation and the proposed methods that will be used to engage different stakeholders and ensure patient and public involvement.

-The Greater Manchester Commissioning Support Unit is carrying out the PNA on behalf of the HWB.

-The health and social care act 2012 transferred the responsibility for developing and updating the PNAs to the Local Authority and HWBs.

-There is a legal requirement for the HWB to publish the PNA before 31^st march 2015.

Delegated decision:

1.           The Health and Wellbeing Board resolve that engagement will be undertaken with all stakeholders listed in the Greater Manchester Commissioning Support Unit Local Authority Pharmaceutical Assessment Project 2014, as well as those on B3SDA mailing list.

2.           Greater Manchester Commissioning Support Unit must ensure that paper copies of the Pharmaceutical Needs Assessment consultation will be made available for those who do not have access to the internet/email.

Protocol is attached.

Members of the Board reviewed the Bury Safeguarding Children’s Board/ Health and Wellbeing Board Joint Protocol.

Delegated decision:

1.                   Section three of the Joint Protocol would be amended to include information relating to the statutory functions of the Health and Wellbeing Board.

2.                   Subject to the above amendment, the HWB agree in principle the Joint Protocol.

3.                   The protocol will be subject to review in light of the ongoing work as part of the development of the Bury Partnership Framework.

A report from Tracey Flynn is attached.

Members of the Board reviewed the Work Programme Leavers – Draft Protocol.

The protocol is part of a high profile, co-funded and co-commissioned pilot between AGMA and Whitehall, designed to tackle persistently high levels of worklessness in Greater Manchester.

 In response to concerns raised by Board members, Anne Finlay, Work Programme Leavers Manager provided practical examples of work undertaken in other Boroughs to support the unemployed to access health services.

The Work Programme Leavers Manager reported that the Work programme Leavers Protocol had been discussed and subsequently agreed at all other Health and Wellbeing Boards within Greater Manchester.

Delegated decision:

Members of the Health and Wellbeing Board support and endorse the Greater Manchester Health Protocol subject to the inclusion of a footnote to provide assurance that any health services provided for work programme leavers will be on the basis of clinical need.

Press release is attached; Healthwatch Chair; Carol Twist will report at the meeting.

Members of the Board considered the Healthwatch Review of Patient Transport Services.  The Chair of Healthwatch reported that a questionnaire had been developed by Healthwatch Oldham to review the provision of patient transport services following the decision by Blackpool CCG to award the Greater Manchester contract to Arriva.  Bury Healthwatch received 36 replies to the questionnaire.

The Healthwatch Chair report that the questionnaires highlighted a number of recurrent concerns including; not arriving for an appointment on time, long waits post appointment and problems with timing of journeys.

The Healthwatch Chair reported that Bury healthwatch would continue to monitor the Arriva’s provision of patient transport services.

Delegated decision:

The Health and Wellbeing Board would continue to monitor the Arriva’s provision of Patient Transport Services.

A report from the Health and Wellbeing Board Policy Lead will be sent to follow.

The HWB Policy Lead submitted a Board Development plan which had been formulated to guide, support and develop the work of the Health and Wellbeing Board.

Delegated Decision:

The Health and Wellbeing Board agree to implement the Health and Wellbeing Board Development report.

In response to concerns raised by the Healthwatch Chair, Dr.Gibson, CCG representative reported that the information reported in the Corporate Risk Register in relation to health visitors was out of date.

Delegated Decision:

Proposed changes to Health Visitors in Bury will be considered at a future meeting of the Health and Wellbeing Board