Agenda and minutes

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

Minutes of the meeting held on the 14^th June are attached.

Delegated decision:

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

Forward plan attached.

Adult Safeguarding and Governance – it was reported that no report had been received to outline proposals for closer workings between the Board and the Adults Safeguarding Board. A report would be submitted to the next scheduled meeting.

No questions were asked.

Stuart North Chief Operating Officer, Bury CCG and Professor Matt Makin, Medical Director, Pennine Acute NHS Trust will report at the meeting.

Matthew Makin Pennine Acute NHS Trust provided an update on the proposals for the City of Manchester Single Hospital Site (SHS). Matthew gave an overview and stated that care service provision in Manchester was fragmented with variations in the success of clinical outcomes for patients, variations in specialist opinions and the length of hospital stays across the city. Clinical care services are currently provided over three major hospital sites in Manchester (University Hospital South Manchester (UHSM); Central Manchester Foundation Trust (CMFT) and Pennine Acute Trust (PAT).

Manchester City Council Health and Wellbeing Board (MCCHWB) had appointed Sir Jonathon Michael as an Independent Review Director with a commission to produce a report on the proposed SHS. The review was set out in two phases:-

Phase 1 – Benefits Assessment (completed April 2016)

                Phase 2 – Governance and Organisational Arrangements (recommendations submitted to the Manchester City Council Health and Wellbeing Board on 8 June 2016. A copy of the report had been circulated.)

The review has recommended the creation of a new NHS Trust to encompass the three hospitals in Manchester (UHSM, CMFT and PAT). This would deliver a Local Care Organisation and enable a single commissioning function that would also support the Manchester Locality Plan. The MCCHWB agreed to request CMFT, UHSM and PAT to enter into discussions to consider the creation of a new single organisation and to provide an initial assessment on implementation requirements and timescale.

The outcome of the discussions would be reported back to the MCCHWB within 6 weeks. In addition, the review also highlighted that further discussions were required on the strategic alignment between the Manchester Single Hospital Service review and the North East sector review. This would include minimising any adverse impact from the realignment of North Manchester General Hospital on the sustainability of either the remaining clinical services provided by Pennine Acute Trust or the proposed new City wide Hospital Trust.

The Chair invited questions.

Mark Carriline made the point that the proposal appeared to be an annexation of services and asked what regard had been given to the rest of the health care services outside of the city area when the decision was made on Manchester based services?

It was reported that within the North East sector clinicians had been involved at engagement events to discuss the benefits and interdependency of Healthier Together. The view of Sir Jonathon Michael was that Manchester would gain significant benefits from the formation of a single hospital based unit.

Councillor Shori stated that that proposals could result in significant change to health service provision and asked if the reasons behind the proposals were improved outcomes for patients or just financial. The proposals may also have an impact on the services provided at Fairfield Hospital and it was important to know what was involved and the potential impact to local services in Bury.

Stuart North joined the meeting at this point and confirmed that the proposals had only been considered by the Manchester Health and  ...  view the full minutes text for item HWB.165

A copy of the NHS England Primary Care Commissioning Quarter Four Report 2015/16 was submitted.

The Chair reported that no representative of NHS England was present at the meeting to introduce the report.

Delegated decision:

That the report submitted be noted

Jon Hobday, Public Health Consultant will present at the meeting.  Papers attached.

The Tobacco Control Strategy Annual Report 2015/16 was submitted. James Corner (DAT) introduced the report and gave a presentation to highlight the progress made on the Bury Tobacco Strategy.

The report explained that smoking remains the largest preventable cause of illness and premature death within Bury.  

The Tobacco Strategy aims to reduce the prevalence of smoking year on year through:

·         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 secondhand smoke;

•      Communicating/public health campaigns.

Jon Aspinall made reference to the Fire Service working to link mental health and GP registers and the importance of data collection and data sharing between organisations to better target resources.

Ian Short invited officers to use the 43 pharmacy outlets within Bury to help raise awareness and promote the Strategy.

Mark Carriline referred to the success of peer mentoring work to raise the awareness of smoking that has taken place involving students of Bury College and Parrenthorn HS.

Councillor Walker made the point that the tobacco related figures referred to appeared to be down but his was concerned that they may have reached a plateau. He also suggested that officers could look at the prevalence of the smoking culture within eastern European communities that are resident within Bury.

The Chair referred to the work of Trading Standards and asked if underage tobacco sales were still monitored?

It was reported that underage children were still used to attempt to purchase cigarettes from shops. Fifty visits had been carried in the past 12 months.

Delegated decision:

That the Tobacco Control Strategy Annual Report 2015/16 be noted

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

The Health and Wellbeing Annual Report 2015/16 was submitted and was introduced by Heather Crozier. Attention was drawn to the new format of the report.

The Chair thanked Heather and Chloe McCann for their work during the year. Thanks were given to ex-Councillor Andrea Simpson in view of her work as Chair of the Health and Wellbeing Board up to May 2016.

Delegated decision:

That the Health and Wellbeing Annual Report 2015/16 be approved as an accurate record of the work of the Health and Wellbeing Board

Mark Carriline, Executive Director, Children and Families will report at the meeting.  Report attached.

Mark Carriline introduced the Priority One Bi-Annual Progress Report. Reference was made to the infant mortality rate referred to in the report and it was clarified that this figure was 5.2% is per 10000.

Delegated decision:

That the Priority One Bi-Annual Progress report be noted.

Barbara Barlow, Chair of Healthwatch will report at the meeting.  Report attached.

The Healthwatch Bury CIC report 2015/16 was submitted. The Chair reported that Barbara Barlow was not present at the meeting to introduce the report. If there were any questions on the report they should be passed to Barbara via Democratic Services.

Delegated decision:

That the Healthwatch Bury CIC report 2015/16 be noted.

Jon Hobday, Public Health Consultant will report at the meeting.

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 there were 160 documents now available on the web site page. An official launch date had been set for 25 August as part of the Team Bury launch. 

The link to the page will be circulated and training will be provided on its use.

Delegated decision:

The JSNA update be noted.

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

The Board discussed the preparations being made for the process of devolution. It was noted that each GM authority would have input into the devolution process and it was important for Bury to plan ahead for the long term (up to 10 years). The speed of the ongoing process was fast and maintaining relationships between partners was necessary to help ensure stability for health and social care services.

Stuart North, Chief Operating Officer Bury CCG, referred to the Devolution Fund and reported that funding arrangements for Salford CCG and Stockport CCG had already been agreed.  Both had prepared in advance and had infrastructure in place.

Pat Jones-Greenhalgh reported that Children’s and Adult services were being developed and a progress report would be made.

Councillor Shori asked if it was likely that the function of Health and Wellbeing Boards could be reviewed over the next 2/3 years in response to devolution.

Stuart North reported that Bury HWB would continue to oversee local service provision.  

Delegated Decision

That he report be updated.

Heather Crozier, the Social Development Officer will report at the meeting.

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.

Reference was made to the Eight Public Health taking place during 2016/17 and in particular the following two campaigns:

·         Breast Feeding Awareness Week – 1-7 August 2016

·         Fall Awareness Week 1-7 September 2016

The Team Bury Calendar was also available to view and any comments were invited.

The use of social media (Twitter) was widespread and provides a useful tool to provide up to the minute information. It was suggested that members could be provided with training on how to use Twitter.

The Chair indicated that he had agreed to the submission on an item of urgent business relating to the Better Care Fund Monitoring Report. The production of the Monitoring Report did not always fall within the schedule of HWB meetings.

Delegated decision:

1.   That delegated authority be given to Chair and Deputy Chair of the Health Wellbeing Board to sign off the Better Care Fund Monitoring Report in consultation with the Health and Social Care Integrated Partnership Board.

·       Children’s Safeguarding Board Minutes - (Priority 1)

·        Children’s Trust Board Minutes (Priority 1)

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

·        Adults Safeguarding Board Minutes (Priority 4)

·        Carbon Reduction Board Minutes (Priority 5)

·        Housing Strategy Programme Board Minutes (Priority 5)

Children’s Safeguarding Board Minutes

Children’s Trust Board Minutes

Bury Integrated Health and Social Care Board Minutes

Adult Safeguarding Board Minutes

Carbon Reduction Board Minutes

Housing Strategy Programme Board Minutes