Agenda and minutes

There were no declarations of interest.

Stefan Taylor Health Improvement Specialist will provide a verbal presentation at the meeting.  Strategy is attached.

Members of the Board considered a verbal presentation from Stefan Taylor, Health Improvement Specialist, Bury MBC.  The strategy had been circulated to members for consideration prior to the meeting and contained the following information:

The key vision for the strategy is: everybody active, more often – for those who do nothing it is about getting them into a pathway, for those already active it is about doing a little bit more and/or sustaining existing high levels of participation over the life course.  The strategy provides an overview in terms of the position in Bury with regards to activity levels, the effects of inactivity and sets out a clear action plan for moving forward.

The strategy has two clear aims:

1.  Adopt a targeted approach to supporting the inactive to become active.

2.  To sustain and increase participation for those already active.

The Health Improvement Specialist reported that the Health and Wellbeing Board will provide strategic direction and oversight, for the strategy. There will also be reporting lines to Team Bury, recognising that the outcomes of this strategy contribute to a number of areas of the Community Strategy and will not just relate to health and wellbeing promotion.

In response to a member’s question, the Director of Public Health reported that a Food and Health Strategy will be developed to sit alongside the Physical Activity & Sports Strategy. The two strategies will serve to support people maintain/achieve a healthy weight.

In response to a Member’s question the Health Improvement Specialist acknowledged the work undertaken by volunteers in helping to deliver a number of different sporting activities.  The Council would continue to work with partners and the voluntary sector to provide support and identify different funding streams.

Delegated decision:

1.That the Health and Wellbeing Board provides strategic oversight and direction in respect of the Physical Activity and Sport Strategy.

2.That regular reports in respect of the progress of the Physical Health Strategy Action Plan be received by the Health and Wellbeing Board.

Minutes attached.

Delegated decision:

That the Minutes of the meeting of the Health and Wellbeing Board held on Thursday 11^th June 2015, be approved as a correct record and signed by the Chair.

Forward plan attached.

·       Councillor Simpson referred to minute HWB.90 Child Death Overview Panel Report, the BSCB Development Officer had clarified the following information in relation to consanguinity;

In the year 2013/4 there were 10 deaths associated with consanguinity reported to the CDOP; 4 Oldham, 4 Rochdale, 2 Bury

This year 2014/15 there were no deaths reported from Bury where consanguinity was deemed to be a modifiable factor.

·       The Chief Operating Officer reported that at a meeting of the Healthier Together Committees in Common, the Committee has agreed that the fourth specialist site will be Stockport NHS Foundation Trust.

·       The Director of Public Health reported that a Greater Manchester wide Public Health Memorandum of Understanding had been agreed, further information will be provided at a future meeting of the Board.

Delegated decision:

The Greater Manchester Public Health Memorandum of Understanding will be considered at a future meeting of the Board.

There were no questions from Members of the Public present at the meeting.

The Chief Operating Officer, Bury CCG will report at the meeting.

The Health and Wellbeing Board considered a verbal presentation from the Chief Operating Officer, Bury CCG, Stuart North, in respect of work ongoing to address issues raised as a result of an external review of nine serious untoward instances within the maternity department at Pennine Acute NHS Trust.  An accompanying report had been circulated to members which included a summary of the external review findings:

·       The population of women cared for at Pennine Acute Trust is diverse and challenging and includes a significant number of high risk and vulnerable women.

·       There are clearly areas of good practice which are appropriately noted and acknowledged and which should be widely shared.

·       The three maternal deaths did not appear to be the result of deficiencies in care.

·       The serious incidents were thoroughly and comprehensively reviewed by the Trust and there was a clear, honest and open approach to identifying failings.

The Chief Operating Officer reported that there were twelve recommendations made within the review, a comprehensive improvement plan has been developed by the Trust to address the issues identified in the external review.

The Chief Operating Officer reported that he and Gill Harris, Chief Nurse Pennine Acute NHS Trust, co-chair the maternity incident management group, a group established to address the issues raised in the external review.

In response to a Board member’s question, the Chief Operating Officer reported that a review of maternity services across Greater Manchester is also being undertaken building on the work/findings of the external review at Pennine Acute NHS Trust.  

                Delegated Decision:

The Chief Operating Officer, Bury CCG will provide the Board with an update in respect of the Pennine Acute NHS Trust Maternity Services review findings at a future meeting of the Health and Wellbeing Board.

A report from Rob Bellingham, NHS England is attached.

Rob Bellingham, Director of Commissioning, NHS England attended the meeting and provided members with an overview of the NHS England Quarterly Commissioning report.

The report provides an update with regards to the services directly commissioned by NHS England; primary care services, dental pharmaceutical and ophthalmic and secondary care dental services.

The Director of Commissioning reported that the family and friends test was introduced to primary medical care services in December 2014.  The most recent data available is for the period January to March 2015, during which all 33 practices reported, with 1,256 responses across Bury – 85% of patients recommended the practice.

In response to a question from the Chair, The Director of Commissioning reported that he would be able to provide, at a future meeting, comparative statistical data in respect of how well other GPs surgeries perform in the friends and family test.

The Director of Commissioning reported that access to NHS dental services in Bury appears to have increased over the past three quarters.  In response to a Member’s question, the Director of Public Health reported that the Oral Health of Children aged 0-5 still remains an area of concern, this will be monitored via the Starting Well Partnership Board and an Oral Health Strategy is currently being developed.

Delegated decision:

The report be noted.

The Director of Public Health will report at the meeting.  Report attached.

The Health and Wellbeing Board considered a verbal presentation from the Director of Public Health, in respect of the Tobacco Control Annual Report.  The report reflects the progress made since the first refresh of the Bury Tobacco Control Strategy, and the future plans for tobacco control work in Bury.

The 3 key objectives of the Bury Tobacco Control Strategy that the Bury Tobacco Alliance promotes and supports are:

•Enabling smokers in Bury who want to quit, to be able to quit with the right support.

•Tackling the accessibility of tobacco products for young people, particularly in relation to illegal and illicit tobacco, underage sales and niche products.

•Protecting children, families and communities from the effects of second hand smoke.

Delegated decision:

The report be noted.

Letter is attached.

The Health and Wellbeing Board considered a letter received from Duncan Selbie, Chief Executive Public Health England, following a recent visit to the Borough.

The Chief Executive for Public Health England commended the high priority placed on healthcare matters and public health within the Borough.

Delegated decision:

The content of the letter be noted.

Letter attached.

The Health and Wellbeing Board considered a letter received from Lyn Romeo, Chief Social Worker, Adult Social Care, following a recent visit to the Borough.

The Chief Social Worker reported that the visit was very informative, worthwhile and memorable and commended those staff involved.

                Delegated decision:

The content of the letter be noted.

The Director of Public Health will report at the meeting.  Report is attached.

The Director of Public Health shared with members of the Board the Public Health Annual Report 2013.14.  The report is based around the nine key areas identified in 'Improving the public's health: A resource for local authorities' published by The King's Fund in 2013, together with a tenth looking at 'Health and Social Care'.

Local Authorities are now at the heart of the drive to improve and protect the public's health and reduce health inequalities following the Government's 2012 health and social care reforms.

The Report provides an overview of Bury Council's contribution to public health and includes information and performance in the following areas:

·       The best start in life

·       Healthy schools and pupils

·       Helping people find good jobs and stay in work

·       Active and safe travel

·       Warmer and safer homes

·       Access to green and open spaces and the role of leisure services

·       Strong communities, wellbeing and resilience

·       Public protection and regulatory services

·       Health and spatial planning

·       Health and social care

Delegated decision:

The report be noted.

Bury MBC Social Development Manager will report at the meeting.  Report attached.

Chloe McCann, Assistant Improvement Advisor informed the Board that a refreshed HW B page has been created on the Bury Directory.

Delegated decision:

The Board approves the development of the Health and Wellbeing Board web pages.

Bury MBC Social Development Manager will report at the meeting.  Report attached.

Heather Crozier, Health and Wellbeing Board Policy Lead provided members of the Board with an update in relation to the HWB strategy refresh.

This refreshed strategy sets out Bury Health and Wellbeing Board's bold five-year vision for improving health and wellbeing in the borough.  It makes three underpinning principles and identifies five cross-cutting priorities, to help achieve this.  The refreshed priorities are:-

Priority 1 – Starting Well

Priority 2 – Living Well

Priority 3 - Living Well with a Long Term Condition or as a Carer

Priority 4 – Ageing Well

Priority 5 – Healthy Places

Members of the Board discussed how best to embed issues around public health, the environment and the recently developed spatial framework into the planning process.  The Director of Public Health reported that there was little focus on health within the planning process but it is an area that is currently being developed.

The Health and Wellbeing Board Policy Lead reported that the Board’s sub group minutes will be included as part of the agenda and each group will be required to present an update report twice a year.

Delegated decision:

That  Members of the Board approve the refreshed Health and Wellbeing Strategy and the revised governance arrangements.

The Social Development Manager, Heather Crozier, will report at the meeting.  Report attached.

The Chair of the Board, Councillor Andrea Simpson presented the HWB Annual Report for 2014/15.  The report provided an overview of the work undertaken by the Board; the board has successfully signed off the Better Care Fund and The Pharmaceutical Needs Assessment and have refreshed the Health and Wellbeing Strategy; agreed the governance structure for delivering priorities in the strategy.

The Chair reported that a large amount of work had been undertaken by the Policy Lead to assist with the smooth running of the Board this has included:

·         A review of the Board and all its documentation one year on and this led to a number of improvements to the board Member Development Sessions were introduced prior to each board meeting

·         A Member Development Away day has taken place and will continue on an annual basis

Delegated decision:

That  Members of the Board approve the Health and Wellbeing Board Annual Report for 2014/15.

There was no urgent business reported.

Minutes attached.

·       (Priority 1)Children’s Trust Board Minutes

·       (Priority 2, 3 & 4) Bury Integrated Health and Social Care Board Minutes

·       (Priority 5) Carbon Reduction Board Minutes

·      (Priority 5) Housing Strategy Programme Board Minutes