Agenda and draft minutes

Health and Wellbeing Board
Thursday, 15th December, 2016 6.00 pm

Venue: Meeting Rooms A&B, Bury Town Hall, Knowsley Street Bury BL9 0SW

Contact: Julie Gallagher  Democratic Services

Items
No. Item

HWB.402

Declarations of Interest

Members of the Health and Wellbeing Board are asked to consider whether they have an interest in any of the matters on the Agenda, and if so, to formally declare that interest.

Minutes:

There were no declarations of interest made in respect of any items on the agenda to be considered at the meeting.

 

 

HWB.403

Minutes of previous meeting pdf icon PDF 95 KB

Minutes of the meeting held on 22nd September 2016 are attached.

Minutes:

Delegated decision:

 

That the minutes of the meeting held on the 22 September 2016 be approved as a correct record.

 

 

HWB.404

Matters Arising pdf icon PDF 86 KB

Forward plan attached.

Minutes:

In respect of Minute HWB.297, Barbara Barlow expressed concerns about how damning statements were allowed to be made during public question at the last meeting. Mrs Barlow suggested that members of the public should not be permitted to make long statements and should ask direct questions about specific matters for which the Board has responsibility. The Chair and Leader of the Council acknowledged that Public Question Time was for questions and not statements but stressed the importance of encouraging public participation in an open and transparent manner.

 

HWB.405

Public Question Time

Questions are invited from members of the public present at the meeting on any matters for which the Board is responsible.

 

Approximately 30 minutes will be set aside for Public Question Time, if required.

Minutes:

There were no members of the public present to ask questions under this item.

 

HWB.406

Bury Children's Safeguarding Board Annual Report pdf icon PDF 591 KB

Sharon Beattie, Chair of the Children’s Safeguarding Board will report at the meeting.  Report attached.

Minutes:

Sharon Beattie, Independent Chair of Bury Safeguarding Children’s Board, presented the Annual report of the Board for 2015/16.  It was reported that this year the Board had benefited from external scrutiny. In the autumn of 2015, the Board commissioned a Peer Review of its work, and in February, Ofsted conducted its review of the effectiveness of the Board, and judged it to be good. The detail of their findings was set out within report.

 

The report detailed the activity of the Board, which is made up of the main Board, the Business Group, and the sub groups. The report set out details of the significant amount of highly effective work by partner agencies, who work tirelessly to keep children and young people as safe as possible in Bury.

 

The report provided an analysis of how effective safeguarding is in Bury, the auditing activity and the performance data. It outlined performance against the Business Plan, and some key areas of activity, the continued implementation of findings from Serious Case Reviews, and the ongoing development of the Child Sexual Exploitation activity.

 

It was explained how the Board continues to hear the voices of children and young people. It was reported that the Board was particularly pleased to see the Lilac Standards report. This was a report by a project run by a National Voice which draws on the experience of care experienced young people to carry out assessments of how well services involve and consult with children and young people. Bury Council was awarded seven "petals", the highest possible judgment.

 

 

Delegated decision:

 

That the report be noted.

 

HWB.407

Carers Action Plan and Understanding Advocacy pdf icon PDF 110 KB

Stephanie Boyd, Planning and Development Officer will report at the meeting.  Report is attached.

Additional documents:

Minutes:

Stephanie Boyd presented a report setting out information relating to independent advocacy for adults in line with priority 3 of the Health and Wellbeing Strategy. The report included details of the Bury Adult Carers Strategy Action Plan along with a proposed Memorandum of Understanding (MoU) for Young Carers and their families.

 

In respect of the Adult Carers Strategy, it was reported that the priorities within the Plan were aligned with the following national priorities:

 

·         Identification and recognition

·         Realising and releasing potential

·         A life outside caring

·         Supporting carers to stay healthy

               

 

The action plan is an ever changing document and is monitored through the Bury Carer’s Strategy Group and regularly updated by key partners.

 

In respect of the proposed Memorandum of Understanding for Young Carers and their families, Andy Bradburn presented a report setting out the importance of joint working between Children’s Services and Adult’s Services to enable young carers and their families to receive personalised and joined up support from Bury Council and partner agencies.

 

A joint Action Plan relating to the MoU was appended to the report setting out a number of short and medium term goals.

 

During discussion of this item, Councillor Briggs expressed concern about the level of detail within the MoU action plan and made particular reference to the lack timescales and Departmental Leads.

 

Delegated decision:

 

That the Board agree in principle with the proposed Memorandum of Understanding as set out in the report and request a further report be submitted to the next meeting setting out a more detailed, populated

HWB.408

Adult Safeguarding Board Annual Report pdf icon PDF 2 MB

Amanda Symes, Adult Safeguarding Manager will report at the meeting.  Report attached.

Minutes:

Amanda Symes, Adult Safeguarding Manager, submitted a copy of the Adult Safeguarding Board Annual Report for 2015-16.

 

The report set out information and statistics in relation to the following:

 

·           Adult Safeguarding Cases

·           Deprivation of Liberty Cases

·           Applications

·           Court of Protection Cases

 

 

The main achievements and forward plans of the following organisations was also included within the Annual Report:

 

·                     Bury Safeguarding Adults Board

·                      Bury Clinical Commissioning Group

·                      Bury Council

·                      Greater Manchester Fire an d Rescue Service

·                      Greater Manchester Police

·                      Pennine Acute NHS Trust

·                      Pennine Care, Bury

·                      Six Town Housing

 

Delegated decision:

 

That the report be noted.

 

HWB.409

Better Care Fund Monitoring Report pdf icon PDF 45 KB

Pat Jones Greenhalgh, Executive Director Communities and Wellbeing will report at the meeting.  Report is attached.

Additional documents:

Minutes:

Pat Jones-Greenhalgh, Executive Director Communities and Wellbeing provided a monitoring report in respect of the Better Care Fund.

 

The Executive Director reported the following key points at Quarter 2:

 

·           As at Q2 the budget is forecasting a balanced position

·           All of the national conditions continue to be met

·           Funds have been pooled by a s75 pooled budget

·           3 out of 6 of the metrics are on track to meet target at the end of the year (Delayed Transfers of Care, Falls and Reablement)

·           1 metric out of the 6 – data is not available to assess progress (this relates to patient satisfaction - awaiting further survey results throughout the remainder of year which may impact on the average figure.

·           No improvement in performance for NELs at Q2

·           Improved performance but not on track to meet target for residential admissions.

·           There is continued work on the NE Sector Integrated Care Record

·           There are 16 PHBs in place at Q2

It was reported that information had been included within the report around new performance monitoring for the Better Care Fund which allows performance to be tracked monthly in relation to the metrics.

 

Delegated decision:

 

That the report be noted

HWB.410

Suicide Update pdf icon PDF 56 KB

Lesley Jones, Director of Public Health will report at the meeting.  Report attached.

Additional documents:

Minutes:

Lesley Jones, Director of Public Health, provided a briefing to Board Members to raise awareness of the scale of the issue of suicide in Bury.

 

Suicide is a significant cause of death in young adults, and is seen as an indicator of underlying rates of mental ill-health. The topic of suicide prevention cuts across a whole range of services and agencies. Until August 2016 Bury didn’t have either a multi-agency group or a systematic approach to addressing suicide. In August 2016 Bury Public Health facilitated the first multi-agency suicide prevention meeting, which brought together a range of organisations including the Local Authority, Police, Fire, CCG, Pennine Acute, Pennine Care, 3rd Sector Organisations, Samaritans and lay members. Since August the group has met twice more and has audited current suicide prevention activities, reviewed and analysed the available data and started the process of developing a local action plan.

 

It was reported that there has been a total of 104 suicides by residents of Bury between 2011 and 2016 - an average of 18 deaths per year. The Bury suicide rate between this period was 55 deaths per 100,000 residents. 

 

Of the registered deaths from Bury residents, over three quarters (76%) were male, while just one quarter (24%) were female. This is similar to the national average with the male suicide rate in 2013-2015 (17.6 deaths per 100,000 population) being three times higher than the female rate (5.3 deaths per 100,000 population).

 

Almost half (43%) of all suicides were by residents aged 45-64 and just under one third (29%) were by 30-44 year olds. With regard to locality,Bury East Township (63.7 deaths per 100,000) had the highest rate of suicides in Bury between the same period.  In general more suicides happened in the more deprived areas compared to the less deprived areas.

 

In response to a question from the Leader of the Council, the Director of Public Health explained that only 25% of cases were previously known to Mental Health Services. The Director of Public Health referred to the suicide audit which would provide more detailed information and stressed the importance of identify potential cases in order to intervene at an early stage. Dr Patel highlighted the importance of promoting access to support services and preventing social isolation.

 

Dave Bevitt, Representing B3SDA highlighted the potential impact of actions by the Department for Work and Pensions on vulnerable people and requested involvement with the Suicide Prevention Group.

 

Delegated Decision:

 

That the update be noted.

 

 

HWB.411

Learning Disability Strategy and Mental Health Update pdf icon PDF 55 KB

Nicola Hine, Strategic Planning and Development Officer will report at the meeting.  Report attached.

Minutes:

Nicola Hine, Strategic Planning and Development Officer, submitted an update report in relation to the work streams of learning disability and mental health.

 

With regard to Learning Disability, the report set out details of progress and developments in relation to the Strategy for Vulnerable People with a Learning Disability which was signed off by the Cabinet Member for Health and Wellbeing in September 2016.

 

In respect of Mental Health, information was provided on the ongoing review of supported housing provision and the Local Authority Mental Health Challenge which was signed up to by Full Council in April 2016.

 

Delegated decision:

 

That the update be noted.

 

HWB.412

Greater Manchester Service Specification (Autism) pdf icon PDF 45 KB

Richard Ward, Strategic Planning and Policy Officer.  Report attached.

Minutes:

 

Richard Ward submitted a report outlining the role of the Greater Manchester Autism Consortium. The Consortium is partnership of 10 Greater Manchester Local Authorities providing an autism service that covers the whole of Greater Manchester. With regard to future funding it was reported that the service will go out to tender in April 2017.

 

               

During discussion of this item, Barbara Barlow requested that information about the service be put on the Healthwatch website to signpost residents. Heather Crozier reported that details and links were available on the Bury Directory.

 

Delegated decision:

 

That the report be noted.

HWB.413

Child Death Overview Panel pdf icon PDF 57 KB

Lesley Jones, Director of Public Health will report at the meeting.  Reports attached.

Additional documents:

Minutes:

Lesley Jones, Director of Public Health, provided an update to the Board on progress from the Bury, Oldham and Rochdale Death Overview Panel. A copy of the Annual report for 2015/16 was submitted.

 

The child death review functions are compulsory for Local Safeguarding Children Boards (LSCB). The areas of Bury, Oldham and Rochdale came together to establish a local multi-agency CDOP panel and a terms of reference was agreed. The aim of CDOP is to collate and analyse information about each child death with a view to identifying any matters of concern affecting the safety and welfare of children in the area and any wider public health or safety concerns arising from a particular death or pattern of deaths.

 

Each year a CDOP annual report is produced which provides a breakdown of all the information linked to the deaths along with a supportive narrative. This allows each Local children Safeguarding Board to reflect on the findings and ensure any required actions to help address relevant issues are taken forward.

 

In Bury, Oldham and Rochdale (BOR) in 2015/16, a total of 60 child deaths were notified and 74 cases were closed (17 of these closed cases were in Bury).  This is a slight reduction in the total number of cases closed in 2014/15 (81) but numbers remain unchanged for Bury and Rochdale in isolation.  It was reported that at 3.28 per 10,000 population, Bury’s notification rate of child deaths was lower than BOR (3.95 per 10,000) and Greater Manchester (GM) as a whole (3.96 per 10,000). The report provided a breakdown of closed cases in respect of age, gender and ethnicity.

 

Delegated decision:

 

That the report be noted.

 

HWB.414

Priority Three Living Well with a Long Term Condition pdf icon PDF 334 KB

Pat Jones Greenhalgh, Executive Director of Communities and Wellbeing will report at the meeting.  Report attached.

Minutes:

Pat Jones-Greenhalgh, Executive Director for Communities and Wellbeing Representatives submitted a report providing a summary of the work undertaken by the Bury Integrated health and Social Care Partnership who oversee the delivery of Priority 3 – Living Well with a Long Term Condition or as a carer. A high level info graphic was appended to the report outlining progress against actions and outcomes.

 

Delegated decision:

 

That the contents of the report be noted.

 

HWB.415

Communication and Marketing Report pdf icon PDF 67 KB

The Social Development manager will report at the meeting.  Report attached.

Minutes:

Chloe McCann, Assistant Improvement Advisor, submitted report setting out details of a recently held “Making the Strategy Come Alive” and informed Members of the upcoming away day training to be held on 6 January 2017. The Chair, Councillor Holt, placed on record his thanks to all staff involved in the successful Strategy event.

 

HWB.416

Urgent Business

Any other business which by reason of special circumstances the Chair agrees may be considered as a matter of urgency.

Minutes:

There was no urgent business reported

HWB.417

Sub group minutes **For information pdf icon PDF 129 KB

Children’s Trust Board Minutes (Priority 1)

Health and Social Care Integration Board (Priorities 2, 3, and 4)

Housing Strategy Programme Board (Priority 5)

 

Additional documents:

Minutes:

Children’s Trust Board Minutes (30.6.2016)

Bury Integrated Health and Social Care Board Minutes (24.11.2016)

Housing Strategy Programme Board Minutes (02.11.2016)