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 19^th June 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 2, concerning funding for the Speakeasy Charity, the Chief Operating Officer, CCG reported that the Charity did not offer value for money; the CCG would review and if necessary reconsider its decision not to fund the charity at a later date.

The Board was informed that the Healthier Together Consultation commenced on the 15^th July 2014.  Contained within the consultation document are eight different options for reconfiguration.  In response to a question from the Chair, the Chief Operating Officer, CCG reported that specialist stroke services were not part of the Healthier Together reconfiguration proposals and would therefore remain at Fairfield Hospital, Bury.

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, the Chief Operating Officer reported that he would discuss with him what support the Clinical Commissioning Group may be able to provide to support Bury Hospice

The Assistant Director of Business Redesign, Harry Downie, will report at the meeting.

The HWB considered a verbal presentation from the Assistant Director Business Redesign and Development, in relation to the new arrangements for Team Bury.  The presentation contained the following information;

The Assistant Director reported that there is broad agreement from partners and stakeholders that Team Bury must work differently to meet future challenges, to make better use of resources through stronger governance and performance management.

The Assistant Director reported that there will be three priorities for the Borough;

·                     Stronger economy, reducing worklessness

·                     Stronger communities

·                     Health and wellbeing

The Assistant Director reported it is not envisaged that there will be implications for the HWB other than further clarification around the roles and responsibilities of Board members; greater emphasis on the governance and accountability of the Board as well as a need to clarify links with other groups, partners and stakeholders.

          Delegated decision:

          The presentation be noted.

A report from the Health and Wellbeing Policy Lead is attached.

The Health and Wellbeing Board considered a verbal presentation from the Health and Wellbeing Board Policy Lead.  An accompanying report had been submitted to the Panel providing an overview of work undertaken to develop the Health and Wellbeing Board.  The report contained the following information:

The Health and Wellbeing Board has a duty to monitor the delivery of the Health and Wellbeing Strategy and members of the Board are committed to a refresh of the strategy.

The health and wellbeing strategy is an interactive document, refreshing the strategy is essential to ensure the document is fit for purpose, has a robust monitoring framework and has adequate governance arrangements that support the delivery of these priorities.

·           Members of the Board considered a verbal presentation from the Interim Director of Public Health which provided details of the Outcome Based Accountability framework which will form part of the measures that the Board will use to assess their performance against key indicators contained within the refreshed strategy.

Outcomes based accountability is based on ensuring that performance measures are based upon common language, common sense and common ground.  Outcomes accountability is made up of two parts, population accountability and performance accountability. 

The Interim Director of Public Health provided Board members with practical examples of how the Outcomes Based Accountability tool could add value to the work of the Board for example, by measuring permanent admissions to residential and nursing care homes.

·           Members of the Board Considered a verbal presentation from the – Integrated Health and Social Care Programme Manager which provided Members of the Board with details of the Health and Social Care Integration agenda.  

The vision in Bury is that people will live well, stay well, remain active and have better outcomes & experiences with a focus on citizenship, prevention, self-care & independence.  Agencies working together will Support people to enable them to live in their own homes and communities.  As well as, providing sustainable and quality joined up services closer to home.

The Integrated Health and Social Care Programme Manager reported that there are three key deliverables that support the vision of integrated Health & Social Care, these are:

•                                                         Ageing well – a range of initiatives to support prevention & self care

•                                                                       Reablement and Intermediate Care services to help people to remain as independent as possible

•                                                                       Integrated community and primary care services to provide support   closer to home.

The Integrated Health and Social Care Programme Manager reported that a revised better care fund plan must be submitted to NHS England by September 2014.

The Integrated Health and Social Care Programme Manager reported that £2.9m had been awarded from the Prime Ministers GP Challenge Fund to enable Bury GP surgeries to open for longer hours.

Members of the Board discussed the development of a revised Health and Wellbeing Strategy and the following issues were raised:

· Information held by the Council, partners and stakeholders must be up to date.

·    Involvement of the third sector

·    Avoid duplication with other strategies

·    Effective data sharing

·    Qualitative data to  ...  view the full minutes text for item HWB.148

The Interim Director of Public Health, Lesley Jones will report at the meeting.

The Interim Director of Public Health submitted a report which provided an update on the JSNA work programme commission research. 

The Interim Director of Public Health reported that rather than commission the data scoping research a decision had been taken to appoint an interim post to undertake this work and to project manage the implementation of the other twp strands of work.

Delegated decision:

The Health and Wellbeing Board notes the progress to date on the work programme and a further up date report will be presented at the meeting on the 18^th September 2014.

The Health and Wellbeing Board Policy Lead, Heather Hutton and Head of Strategic Planning and Management Service, Paul Cooke will present at the meeting.

Members of the Board considered a verbal presentation from the Health and Wellbeing Board Policy Lead, the Strategic Lead, Children’s Services; the Business Service Manager, Open Objects, the presentation contained the following information:

The Council is required to respond to a number of statutory reforms, most notably the Care Act 2014 and the Children and Families Act 2014. A key aspect of these reforms is the focus on how the local authority, working with its partner agencies, engages with and provides advice, guidance, and access to support to its customers.

The Bury Directory is a way of combining all existing information, advice, directories and resources (strategies/policies/documents) into one that can be accessed by the public, customers, patients, health and social care professionals and the community and voluntary sector in order to deliver the requirements of both the Care Act and The Local Offer.

‘The Bury Directory’ is a community e-directory/information system provided by Open Objects which:

•                      Offers innovative IT solutions

•                      Makes best use of technology

•                      Is easy to use

•                      Supports the requirements of the Care & Support Bill for both Adults and Children’s

•                      Is fully hosted by Open Objects with support available 24/7

In response to a members question the Business Service Manager reported that members of the public and staff will be able to access the website via the Bury Council website as well as through all major search engines.

The Website once live will automatically update to ensure the information held is up to date.

A full communications strategy will be produced to support the implementation of the Bury Directory.

Delegated decision:

The presentation be noted.

The Interim Director of Public Health, Lesley Jones will report at the meeting.

Jimmy Cheung and Stephen Wood, Greater Manchester Commissioning Support Unit gave a presentation providing an overview of the PNA draft consultation document. An accompanying report had been submitted to the Panel providing an evaluation of the pharmaceutical need across the Borough and included information relating to:

·         Context of the PNA

·         Public Health services

·         Population Demography

·         Local Identified health need

·         Current pharmacy provision and services

·         Future matters

Members of the Board highlighted that representations had been made to the Board that there was insufficient Pharmacy provision in the Besses ward. This ward is in a relatively deprived community, and that a local pharmacy presence was required within the ward.  The Chief Operating Officer reported that the strength of local feeling regarding the lack of pharmacy provision in the area must be reflected in the draft PNA.

The Chief Operating Officer reported that the PNA does demonstrate that Bury has the lowest number of pharmacies in the North West per 100,000 population.

                Delegated decision:

1.   The Chief Operating Officer CCG, will forward his comments in relation to the draft Pharmaceutical Needs Assessment, in particular, the failure to include public dissatisfaction within Besses ward about the lack of pharmacy provision and the low numbers of pharmacy compared to the national average within Bury; to the Interim Director of Public Health, for inclusion in the draft PNA.

2.   The Health and Wellbeing Board delegates sign off of the Draft Pharmaceutical Needs Assessment to the Interim Director of Public Health in consultation with the Chair of the Health and Wellbeing Board.

3.   Once the comments agreed above have been incorporated within the document, consultation will commence on the 1^st September 2014.

Delegated decision:

The Northwest Director of Public Health Manifesto will be considered at the next meeting of the Health and Wellbeing Board.

There was no urgent business