Agenda and minutes

Following the submission of apologies from the Chair and Vice Chair, a replacement Chair will be elected for the duration of the meeting from the Core membership.

Delegated decision:

In the absence of the Chair and vice chair Councillor Rishi Shori, Deputy Leader, Cabinet Member for Finance and Housing would be appointed Chair of the Health and Wellbeing Board for the duration of the meeting.

Councillor Roy Walker declared a personal interest in respect of HWB.347, as a patient of Mile Lane Health Centre. 

Minutes attached.

Delegated decision:

That the Minutes of the meeting of the Health and Wellbeing Board held on Thursday 16^th July 2015, be approved as a correct record and signed by the Chair.

Forward plan.

Delegated decision:

The forward plan be noted.

Several members of the public addressed the committee to raise concerns in respect of the withdrawal of physiotherapy services from Radcliffe Health Centre.  A letter from Mr. Grayson, a patient and a briefing note prepared by the Clinical Commissioning Group; had been circulated to members of the Board prior to the meeting.

Members of the public expressed their concerns with regards to the following:

·       Lack of consultation with Patients/Patient Cabinet and the Local Authority

·       A lack of information in respect of arrangements during the interim period

·       Longer waiting times at Fairfield – current referral 1-3 days

·       Difficulty in accessing Fairfield/costs incurred

·      Demographic factors mean that the need for quick and easy access to physiotherapy (as is currently provided) is greater in Radcliffe

·       Increased costs

·       Problems with transitional arrangements

Margaret O’Dwyer and Dr Patel responded to concerns raised on behalf of the Clinical Commissioning Group.  The CCG has recently reviewed the provision of physiotherapy across the Borough following concerns about equity of access.  Following the review, the CCG consulted with service providers, GP practices and Pennine Acute NHS Trust. 

The decision to restructure physiotherapy services was made by the Clinical Cabinet; the new service will generate savings of £150,000.  Dr Patel reported that savings will have to be identified elsewhere if not meet through the restructure of physiotherapy services.

Dr Patel reported that the new system will allow for equity of access for physiotherapy services across all of the Borough. Dr Patel reported once the service is fully operational, physiotherapy will be available five days a week with an expected waiting time of two weeks.   The model of good practice will be uniform across the Borough.  Dr Patel reported that he will discuss highlighted problems with the interim arrangements with providers.

Councillor Shori reported that this matter had been discussed at meetings of the Radcliffe Township Forum and the Health Overview and Scrutiny Committee meeting.  The Health Scrutiny Committee resolved to establish an overview project group to review physiotherapy services across the Borough.

Delegate Decision:

Bury Clinical Commissioning Group will provide an update report in respect of changes to physiotherapy services at the next meeting of the Health and Wellbeing Board due to be held on 17^th December 2015.

The Housing Development & Policy Officer will report at the meeting. Presentation attached.

Katie Fitzsimons Unit Manager - Private Rented Sector & Energy attended the meeting and provided members with an overview of the work undertaken within the Borough to tackle fuel poverty.  The presentation contained the following information:

·         Improving housing efficiency

·         Health consequence of fuel poverty

·         Temperature effects on health

·         Costs to the health service

·         Fuel poverty strategy for Bury

Katie Fitzsimons Unit Manager reported that inadequate room temperatures can cause or exacerbate; cardiovascular problems; respiratory infections; mobility problems and mental health conditions.

                 Fuel poverty and living in a cold home can lead to excess winter death.

                 In Bury there were 130 Excess Winter Deaths in 2012/13.

There can be significant costs to the NHS for cold related illness e.g. repeat GP visits, A&E admissions due to stroke, heart attack, respiratory and falls, extra bed days and repeat admissions.

Total cost to the health service for A&E admissions attributable to cold related illness, based on the Department of Health reference costs for this time period is £11,247,990.

In response to a Member’s question, the Director of Public Health reported that work is underway with partners including Pennine Care Foundation Trust to identify households at risk of fuel poverty.

Dave Bevitt, Chief Officer Citizens Advice Bureau commented that numbers of clients they are seeing on pre-payment meters who are getting into debt as a result of the cost of energy is increasing.  The organisation is doing some proactive work to identify and support people in fuel poverty.

Delegated decision:

The report be noted.

Karen Whitehead, Strategic Lead Children/families reported that Children’s services, Bury CCG and Pennine Care Foundation Trust are developing a Local Transformation Plan for CAMHS.  The plan is an important document as it will guide and shape the investment of additional funding.  The plan will need to be submitted by October 2015.

                Delegated Decision:

1.   Sign off of the Local Transformation Plan for Child and Adolescent Mental Health Services will be delegated to the Cabinet Member for Children, Young People and Culture and the Executive Director for Children, Young People and Culture in consultation with the Chair of the Health and Wellbeing Board.

2.   Following submission the Local Transformation Plan for Child and Adolescent Mental Health Services will be considered at the next meeting of the Health and Wellbeing Board due to be held on the 17^th September 2015.

Cindy Lowthian, Communities Manager, Bury MBC will provide a verbal presentation at the meeting.  Copy of Cabinet report and Strategy attached.

Communities Manager Cindy Lowthian, submitted the Bury Domestic Abuse Strategy 2015-18. The Strategy supports the Bury Community Safety Partnership ambition to tackle domestic violence and abuse by seeking to reduce repeat incidents through a focus on prevention and early intervention.

The Strategy is a partnership document which seeks to consolidate the work of the Council and partners by setting out a robust framework to deliver real change tackling domestic violence and abuse requires a whole system, multi-agency response.  The Strategy is a partnership document which has been developed following a multi-agency review of domestic violence and abuse in the Borough.  It sets out a clear direction of travel which is more closely aligned to Team Bury priorities and the Council’s ambitions to support the most vulnerable residents.

In response to a question from the Chair of Bury CCG, the Communities Manager reported that figures can be made available in respect of where referrals into the service originate from and training is provided for stakeholders and partner agencies.

In response to a member’s question, the Chief Inspector reported that the police have received £10,000 of additional funding to work with community groups and in particular those from the black and ethnic minority groups to support work in this area.  

Delegated decision:

The report be noted.

The Assistant Director, Strategy, Procurement and Finance and the Director of Public Health will report at the meeting.

The Assistant Director, Strategy, Procurement and Finance attended the meeting to provide members of the Board with a verbal update in respect of the development of the Devolution Manchester proposals.  The presentation contained the following information:

The recent focus throughout has been the first Comprehensive Spending Review submission and further development of governance arrangements for final sign off at the September Programme Board and shadow operation from October.

• The Strategic Plan continues to develop at pace with strong support from the locality SROs.

• Financial modelling is progressing with the baseline modelling and strategic financial framework completed.

• Initial discussions to further shape system governance and accountability models from April 2016.  An Memorandum of Understanding  is in development with Health Education England as part of the workforce work package.

• Preparations for the NHS Expo in September are underway with a strong GM devolution presence planned.

• All early implementation priorities remain on schedule – Healthier Together decision was made in July.

In response to a Member’s question, the Assistant Director reported that the Locality plan is being developed.

The Assistant Director reported that Devolution will allow the Local Authority and the CCG to accelerate some of their commissioning plans.  Devolution will allow partners to provide a much more holistic approach to service provisions across health and social care.

Delegated decision:

Devolution Manchester will be a standing item on the Health and Wellbeing Board agenda.

Jo Marshall, Greater Manchester Police will report at the meeting. Report attached.

The Health and Wellbeing Board considered a request in respect of Greater Manchester Police to a recent report entitled Mental health and vulnerable adults.  Recommendation 11 states

Police forces should be included as members of all Health and Wellbeing Boards in England and equivalent local partnership boards in Wales. These local bodies should have a local focus on reducing unnecessary use of police custody through inter-agency needs assessment and service planning. This will be supported in practice by:

• establishing a sub group focused on custody for each local body; and

• clarifying accountabilities between these local oversight bodies and those with responsibility for commissioning services, both in the NHS and in local authorities.

Members of the Board discussed the feasibility of implementing this recommendation.

                Delegated decision:

Implementation of recommendation 11 of the mental health and vulnerable adults report would be discussed with the Chair and Vice Chair of the Health and Wellbeing Board at the next agenda setting meeting.

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

The Health and Wellbeing Board Policy Lead shared with members of the Board the Health and Wellbeing Board plan on a page.

Delegated decision:

The Board approves the Health and Wellbeing Board plan on a page and the re-branded Health and Wellbeing Strategy.

The Director of Public Health will report at the meeting.

The Director of Public Health reported that the Joint Strategic Needs Assessment will be re-developed.  The two posts that will support the development have now been filled; the post of Public Health Consultant and the Public Health and Social Care Intelligence Manager.

A JSNA consultation has been launched and members of the Board are encouraged to get involved.

Delegated decision:

               A further update in respect of the Joint Strategic Needs Assessment will be provided at a future meeting of the Health and Wellbeing Board.

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.  The Policy Lead reported that the report had been considered at a meeting of the Health Scrutiny Committee and has now been re-branded.

Delegated decision:

               The update be noted.

The minutes from the Health and Wellbeing Board sub groups are attached for information:

Children’s Trust Board

Bury Integrated Health and Social Care Board Minutes

Adults Safeguarding Board Minutes

Carbon reduction Board Minutes

Housing Strategy Programme Board Minutes

Copies of the minutes for the following sub groups were circulate for information:

Children’s Trust Board

Bury Integrated Health and Social Care Board

Adults Safeguarding Boards

Carbon reduction Board

Housing Strategy Programme Board

Delegated decision:

                  The minutes be noted.