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 18^th December 2014, be approved as a correct record and signed by the Chair.

Forward plan attached.

Members of the Board reviewed the Health and Wellbeing Board forward plan.

Delegated decision     

The Health and Wellbeing Board forward plan be noted.

There were no questions from members of the public.

A report produced by the North West Commissioning Support Unit in conjunction with NHS England Greater Manchester Area Team, Bury Clinical Commissioning Group and the Local Pharmaceutical Committee is attached.

The HWB considered a verbal presentation from Jimmy Cheung, Senior Medicines Optimisation Pharmacist in relation to the Pharmaceutical Needs Assessment.  An accompanying report entitled the Pharmaceutical Needs Assessment, post consultation draft 2015-2018 was circulated to members.

The Draft PNA and consultation response was issued to all pharmacy contractors, dispensing appliance contractors, Bury CCG, Bury LPC, Bury LMC, local Healthwatch and the general public.

With regards to pharmacy provision in the Besses ward, the Senior Optimisation Pharmacist reported that if a pharmacy contractor applied to trade in the M45 area, post April 2015, the revised PNA will form part of the decision making process. 

The Senior Optimisation Pharmacist reported that it would be the responsibility of the Commissioning Support Unit to provide supplementary statements over the lifetime of the PNA (three years).

In relation to concerns raised about Judicial Review; the Senior Medicines Optimisation Pharmacist reported that the Commissioning Support Unit has consulted with a wide range of stakeholders as part of the consultation process and the need identified in terms of the Besses ward was based on evidence.

                Delegated decision:

                1. That the Health and Wellbeing Board unanimously agrees to ratify the final version of the Pharmaceutical Needs Assessment.

                2. The Pharmaceutical Needs Assessment will be published no later than the 31^st March 2015.

The CCG Chief Operating Officer will report at the meeting.  Report attached.

The Chief Operating Officer, CCG provided members of the Board with an update in relation to the Better Care Fund. 

Bury’s Better Care Fund plan was signed off by the Health and Wellbeing

Board on 18^th September & submitted to NHS England on the 19th September 2014.  The plan was then subject to a national assurance process and was approved with conditions. 

A revised version of the plan was re-submitted to the national Better Care Fund Task Force on 14^th January 2015.  The Plan will now be subjected to a further national assurance process and assuming the conditions have now been met, it will either be approved of approved with support from either the national Better Care Fund Taskforce or the Local Area Team. 

The Chief Operating Officer, CCG, reported that initial feedback from the Task Force in relation to the revised plan has been positive.

Delegated decision:

The Health and Wellbeing Board ratify the Better Care Fund submission.

A report from the HWB Policy Lead is attached.

The Health and Wellbeing Board considered a verbal presentation from Anna Barclay, Public Health Analyst.  The presentation contained the following information;

In July 2014, the Health & Wellbeing Board entered into a commitment to refresh the Heath & Wellbeing Strategy.  To ensure that the Health & Wellbeing Board were kept informed of performance against each measure whilst the  refresh of the strategy was taking place, a data Dashboard was produced and agreed alongside the refresh of the strategy. Where possible, the data included on the dashboard is sourced from the three national outcomes frameworks as these provide robust data and enable comparisons with other areas.

·                     Public Health Outcomes Framework

·                     NHS Outcomes Framework

·                     Adult Social Care Outcomes Framework

The public health analyst reported that the targets for Bury will be dependent upon the comparison with the Borough’s statistical neighbours.  This will be either; to be better than our statistical neighbour average; to be the best statistical neighbour group or to be the best in England.

In response to a Member’s question; the Executive Director, Children and Families expressed concerns with regards to the Boroughs results in relation to the national phonics screening test; Bury has been ranked worst in the north-west.  The Council has submitted a plan to address these concerns to the Department for Education and Employment.

Delegated decision:

The report be noted.

The Executive Director for Children, Young People and Culture will report at the meeting.  Report attached.

The Health and Wellbeing Board considered a verbal presentation from the Executive Director, Children and Families.  An accompanying report had been circulated to members of the Board.  The report contained the following information:

Children & Young People’s Plan 2015-18 sets out Bury Children’s Trust working arrangements, its Ambitions for children and young people, and the Priorities which partners will work together to address over the next 3 years. 

The CYPP sets out overarching Ambitions which encapsulate the vision of the Children’s Trust for all children and young people.  Over the next 3 years, the Children’s Trust Priorities will be:

·                     Children and Young People will have access to early help: right help, right time, right person

·                     Developing Resilience and Improving Emotional Health & Wellbeing in children and young people

·                     Preventing Alcohol and Substance Misuse

Members discussed the importance of different agencies working together with stakeholders to develop resilience and improve the emotional health and wellbeing of children and young people.

Delegated decision:

·                    Health & Wellbeing Board approves the Children & Young People’s Plan.

·                    The Children’s Trust Board will provide update reports to Health & Wellbeing Board at six-monthly intervals.

·                    The Children’s Trust Board, Participation Strategy will be considered at a future meeting of the Health & Wellbeing Board.

Rob Bellingham, Director of Commissioning NHS England will report at the meeting.  A report will be sent to follow.

Members considered the NHS England quarterly report.  The report is focussed on the commissioning and provision of Dental Service, together with an update for the Bury Prime Minister’s challenge fund bid site. There is further additional information for GP Medical Practice, Community Pharmacy and Optometry Practices.

Delegated decision:

In the absence of the report’s author, Rob Bellingham, NHS England; Members of the Board agreed that any comments/questions in relation to the report would be forward to Julie Gallagher, Democratic Services Officer.

The Chief Operating Officer will report at the meeting.  Letter attached.

Dr. K. Patel, Bury Clinical Commissioning Group reported that NHS England has recently invited CCGs to take on an increased role in the commissioning of Primary Care Services.

NHS England would like to encourage HWBs to have a conversation with their local commissioners of Primary Care.  Dr. Patel reported the guidance indicates that in order for a joint committee between NHS England and the local CCG to appropriately address conflicts of interest issues, a member of the H&W Board and a member of the local Healthwatch should be on the committee.

Delegated decision:

The Health and Wellbeing Board approves the appointment of Pat Jones-Greenhalgh, Executive Director of Communities and Wellbeing as the Boards representative on the CCG/NHS England Joint Committee for Primary Care Co-Commissioning.

There was no urgent business reported.