Agenda and minutes

There were no declarations of interest made at the meeting

Minutes of the last meeting held on 14^th April 2016 are attached.

Delegated decision:

That the minutes of the meeting held on the 14 April 2016 be approved as a correct record.

Forward plan is attached.

Action Log is attached.

The Principal Democratic Services Officer reported that further to consideration of HWB.881 item, Issues Affecting the Health of Refugees and People Seeking Asylum; the former Chair of the HWB, Councillor Simpson wrote to the Department of Health.  A response from Lord Prior of Brampton, Parliamentary Under Secretary of State for NHS Productivity (Lords) was circulated to Members of the Board.

There were no members of the public present.

Jon Hobday, Public Health Consultant will provide members of the Board with an update in respect of the Joint Strategic Needs Assessment.  Report attached.

                Jon Hobday, Public Health Consultant attended the Board to provide an update to members in respect of the JSNA.  The Public Health Consultant reported that he had meet with representatives from Pennine Care’s Military Veterans service and Regional Asylum Activism Project.

                The Military Veterans service would like information incorporating into the JSNA in respect of demographic information, rank on discharge, types of conditions.  Discussions are still ongoing with the asylum representatives.

                Delegated decision:

                The JSNA update be noted.

The Health and Wellbeing Board considered a verbal presentation from David Hanley, Chair of Bury’s Adult Safeguarding Board.  The presentation contained the following information:

The Safeguarding Adults Board is multi-agency partnership that meets to ensure that all agencies work together to minimise the risk of abuse and to protect vulnerable adults effectively when abuse has occurred or may have occurred. The Board is committed to learning from experience and to a process of continuous improvement.

Following the introduction of the Care Act, the Adults Safeguarding Board is now a Statutory Board and must produce a Strategic Plan as well as develop a good working relationship with the HWB.

The main focus of the Board is twofold; firstly how the Board deals with suspected or identified abuse and secondly how can the Board reduce the risk of abuse occurring.  The Adult’s Safeguarding Board Chair reported that the prevention agenda needs to be undertaken on a much wider footprint.  The Chair of the Adult’s Safeguarding Board asked that the HWB are involved and take an interest in safeguarding, to reduce the risk and should hold to account the Safeguarding Board.  Similarly the Adult’s Safeguarding Board should have a reciprocal arrangement that means they too can hold the HWB to account.

Members of the Board discussed the relationship between the HWB and the Adult’s Safeguarding Board. 

The CCG Chief Operating Officer reported that the CCG are interested in undertaking work that would support prevention and reduction of risk of adult abuse as well as reviewing how the HWB Strategy may mitigate some of this risk.

The Executive Director, Communities and Wellbeing commented that she supports the principal that the HWB should challenge the work of the Adult’s Safeguarding Board while at the same time working with the Board to mitigate risk. 

Members discussed a proposal from the Chair of the Adult’s Safeguarding Board to establish a task and finish group with representatives from the HWB and the Adult’s Safeguarding Board to scrutinise the work of the Safeguarding Board.  Members did however express concern that an additional group/body did not introduce a further tier of assurance/bureaucracy.

Delegated Decision

David Hanley, Chair Bury Safeguarding Board following consultation with officers will provide a written report to a future meeting of the Health and Wellbeing Board outlining his proposals for closer workings between the Board and the Adults Safeguarding Board

Pat Jones-Greenhalgh, Executive Director Communities and Wellbeing and Karen Young, Head of Inclusion will report at the meeting.

Bev Worthington, Project Lead, Neighbourhood Working attended the meeting to provide members of the Board with a further update in respect of the proposals.  The presentation contained the following information:

·         A key programme of work, driven by Team Bury designed to reduce reliance on public services, improve the quality of the environment and reduce health and wellbeing inequalities. 

·         “Wellbeing” includes the wider determinants of health such as income and employment, housing opportunities, reduced crime (and fear of crime), physical activity, etc.

·         Programme is a framework for the co-ordination of transformational change across Bury, as the Borough’s response to the local, regional and national priorities and initiatives

·         It will engage with communities and providers at township level to secure better outcomes

Jo Marshall and Pat Jones Greenhalgh will act as Programme leads in respect of delivery of the programme and there are five enabling work streams, these include; community engagement; service models; outcomes and monitoring; asset mapping and social capacity development.

The Project lead reported that a performance management approach will be adopted that focuses on outcomes, monitoring and evidencing progress towards these, to determine if anyone is better off.  For both the indicators and measures underneath the defined outcomes a scorecard will be generated.  The Results Scorecard software purchased recently by the Council enables instant creation and live data monitoring of the scorecards.

Members of the Board discussed the proposals, the community engagement and the measures of success.  Members sought assurances in respect of the community engagement undertaken and the use of up to date data to successful measure the programmes’ success.

Delegated Decision

The presentation be noted.

Stuart North, Chief Operating Officer, Bury CCG will provide members of the Board with a verbal update. Briefing note attached.

Stuart North, Chief Operating Officer Bury CCG, provided members with a verbal update in respect of the proposals for a City of Manchester single hospital site.  A stakeholder briefing had been circulated to Members in advance of the meeting.

In January 2016 the Manchester Health and Wellbeing Board commissioned the City of Manchester Single Hospital Service Review to look at the benefits that might be achieved from closer working and alignment between hospital services and how this could be effectively delivered.  Stage one of the report was published in April 2016; this part of the review involved extensive engagement with clinicians.  Stage two was published on the 8^th June.  The stage two report, outlines proposals for the creation of a new organisation which would take responsibility for the full range of services provided by: Central Manchester Foundation Trust, University of South Manchester and North Manchester General Hospital.

The Key recommendation of the Stage two report, is that the Trust Boards should enter into discussions to consider how the creation of a single organisation to run hospital services in Manchester would be best achieved.

The Chief Operating Officer, Bury CCG reported work is now underway to understand and evaluate the impact that the realignment of North Manchester General might have on the sustainability of the remaining services provided by Pennine Acute NHS Trust.

The Chief Operating Officer reported that the CCG the Pennine Acute NHS Trust and the Local Authority will work together to evaluate the impact of the proposal to transfer NMGH out of the Acute Trust. 

Questions and Comments were invited from those present at the meeting and the following points were made:

The Chief Operating Officer reported that the Pennine Acute NHS Trust are already experiencing problems with recruitment within the Trust whilst this uncertainty remains.  

Members of the Board expressed their concerns about the proposals and the viability of the Pennine Acute NHS Trust if NMGH was transferred into a city of Manchester single hospital site.

Delegated Decision

The Chief Operating Officer, Bury CCG will provide a report to the next meeting of the Health and Wellbeing Board detailing the potential impact of the proposals to remove North Manchester General Hospital out of the Pennine Acute NHS Trust and into a City of Manchester single hospital service.

The Chief Operating Officer reported that Devolution Manchester implementation continues at pace.  The CCG and Local Authority can now apply to access the £450 million transformation fund, to support Devolution.

The Chief Operating Officer reported that the Devolution Manchester Joint Commissioning Board will meet in public and it would be beneficial if the minutes of this meeting would be circulate with the agenda for the Health and Wellbeing Board.

As a result of Devolution the Chief Operating Officer commented that it will be Greater Manchester as a whole who will be held to account for the performance of the area not individual areas.  Devolution Manchester commences at what is a very difficult time for the NHS, the Greater Manchester area reporting the worst performance figures in the country in respect of the four hour A&E target.

 Delegated Decision

 The update be noted

Brett Nelson, Interim Programme Director will report at the meeting.  Report and presentation attached.

The Executive Director, Communities attended the meeting and provide members of the Board with an update in respect of the Borough’s Locality Plan.  The presentation contained the following information:

The Locality plan was initially submitted in October 2015 and was finalised in November 2015, the transformation plan has subsequently been develop and a two further for Locality plan workshops will take place in May and June 2016.

The plan will focus on key work areas

·         Radical upgrade in public health

·         Transforming community based care and support

·         Standardising Acute Hospital Care

·         Standardising Clinical Support and back office services

·         Enabling better care

The Executive Director, Communities reported that the locality plan will be updated, the high level finance and activity figures will be re-worked and programmes will be allocated to lead members of staff.

Delegated Decision

The update be noted.

The Social Development Manager provided members with a verbal update in respect of work undertaken to promote the Health and Wellbeing Board.  The HWB website is now live and members profiles as well as the Board’s terms of reference and Strategy have been included on the site.

The Healthwatch Chair reported that Healthwatch Bury will be moving location to Europa House in Bury and will be recruiting to the Chief Operating Officer position imminently.

The following minutes are attached for information:

Children’s Trust Board Minutes

Health and Social Care Integration Board Minutes

HSPB Minutes

Carbon Reduction Board Minutes

There were no Sub-Group minutes