Agenda and draft minutes

Councillor Andrea Simpson, Chair and Cabinet Member for Health and Wellbeing declared a personal interest in all items under discussion as an employee of Salford Clinical Commissioning Group.

Minutes of the meeting held on the 14^th June 2017 are attached.

Delegated decision:

         That the minutes of the meeting held on the 14^th June 2017 be approved as a correct record.

·         Update on the bid for the Transformation Monies

·         Update on the Team Bury Workshop

·         Update on PNA consultation

Forward plan is attached.

·         Update on the bid for Transformation Monies -The Interim Executive Director Communities and Wellbeing reported that a meeting had taken place between Jon Rouse, representatives from the GM Health and Social Care Partnership and Local Authority and CCG officers.  The meetings were very positive, additional information and clarification in relation to the anticipated benefits in respect of the proposals, including time frames were requested.  It is envisaged that the transformation money will be signed off in August 2017.

·         Update on the Team Bury Workshop - Chris Woodhouse, Improvement Advisor reported that a Team Bury workshop event had taken place.  The focus of the workshop was; how to increase the communication between the HWB, the Community Safety partnership and The Bury Business Leadership Group; the development of shared common outcomes including the single outcomes framework.  The Terms of Reference for the Team Bury Group will be refreshed and considered at a future meeting of the HWB.

·         Update on the Pharmaceutical Needs Assessment (PNA) Consultation - The pre-consultation phase has now been completed and GM Shared services are in the process of compiling the data.  The draft PNA will be presented at the September Board meeting prior to the commencement of formal consultation.

There were no questions from those members of the public present at the meeting.

Karen Whitehead, Strategic Lead (Children/Families Health Issues) will report at the meeting.

Karen Whitehead, Strategic Lead attended the meeting to provide members with an update in respect of priority one of the Health and Wellbeing Strategy – Starting Well.

Members considered the performance data in respect of priority one starting well.  The Performance data included information in respect of smoking in pregnancy, breast feeding rates and school readiness.

In response to Member’s question, the Director of Public Health reported that they are aware of gaps in the data and this will be addressed.  Data and performance analysis will form part of the HWB member development day scheduled to take place on the 1^st September 2017.

The Strategic Lead reported that a joint CQC and Ofsted inspection of the Local Authority and health partners Special Educational Needs services had recently been undertaken.  The inspection team met with focus groups, parents and health partners.  A letter following the inspection will be published shortly and will contain a number of recommendations.  It is expected that the recommendations will focus on a more coherent and strategic approach to the provision of SEND services with an emphasis on partnership working.

          It was agreed

The Performance data link would be circulated to all members of the HWB

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

Jon Hobday, Public Health Consultant attended the meeting, to raise awareness of the scale of the issue of suicide in Bury.  An action plan has been developed and was circulated to Members in advance of the meeting.  The Action Plan provides an update for members on the work being undertaken in respect of suicide prevention.

The Public Health Consultant reported that suicide is a significant cause of death in young adults and is seen as an indicator of underlying rates of mental health ill-health.  There has been a total of 104 suicides by residents of Bury between 2011 and 2016.  76% were male, 43% off all suicides were by residents aged 45-64 and Bury East Township had the highest rates of suicides.

In August 2016 Bury Public Health facilitated the first multi-agency suicide prevention meeting.   Since August the Group has met on four separate occasions  and has audited suicide prevention activities, reviewed and analysed the available data, linked in with the Gm suicide prevention executive and had developed and agreed a multi-agency local action plan.

It was agreed:

1.   The Public Health Consultant would clarify the information in respect of the most up to date suicide figures and circulate the information to members of the Board

2.   The Health and Wellbeing Board endorse the multi-agency action plan.

3.   The Health and Wellbeing Board endorse the ongoing work of the suicide prevention group.

Amy Lepiorz, Deputy Director of Primary Care, Bury CCG will report at the meeting.  Report attached.

Amy Lepiorz, Deputy Director of Primary Care, Bury CCG attended the meeting to update members on the roll out of Wifi within General Practice.

NHS WiFi provides a secure, stable, and reliable WiFi capability, consistent across all NHS settings. It will allow patients and the public to download health apps, browse the internet and access health and care information. As part of this programme of work NHS Bury CCG applied to be an early adopter and successfully implemented a free WiFi solution for clinicians, staff and patients in April 2017.

Adoption of Online Services has increased since the WiFi went live, patients are now able to order prescriptions and book appointments at a time suitable to them.  As part of the scheme each GP has introduced a Digital Champion.  The benefits for staff have included; staff work seamlessly in any Bury practice; clinicians can download patient information via the Vision Anywhere App to provide safer care on home visits; releases capacity and enables new ways of working.

Members discussed issues in relation to publicity with regards to the introduction of the programme, third party information sharing, agile working and signposting information.

The Social Development Manager reported that the Council is working with its partners in the CCG as part of the neighbourhood engagement framework to co-ordinate their IT infrastructure.

The Deputy Director reported that the CCG has invested in an Ipad for each Practice and reported that there has been no negative feedback from staff involved in the project.

          It was agreed:

The Deputy Director of Primary Care be thanked for her attendance.

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

Dave Boulger, Programme Director (Devolution) attended the meeting to provide members with an update in respect of the Locality Plan in particular the mobilisation work been undertaken.  The full version of the locality plan has been completed and circulated and a shorter public facing version is under development.

The Locality Plan will be mobilised via four workstreams:

Information Management Technology and Business Intelligence, this work will be led by Dr John Hampson; Workforce & OD, Lead Officer, Tracy Murphy; Communication and Engagement, Lead Officer Heather Crozier; Estates and Physical Assets lead officer Alex Holland.

The initial focus for each of the four work streams will be the development of a Digital Strategy underpinned by a Business Case for the GM Digital Transformation Fund as well as a workforce strategy and an Organisational Development Plan.  With regards to communication and engagement, there will be established a shared System Identity as well as a Public Facing Locality Plan.

The Programme Director reported that with regards to estates and physical Assets there will be:

-          Neighbourhood Asset Review;

-          Reassessment of capacity/occupancy levels in Public Sector buildings;

-          Refreshing the Capital Investment Pipeline;

-          Commencing Project Initiation in relation to some specific proposals tied to the locality plan, including the One Commissioning Organisation, Neighbourhood Working; Fairfield Hospital Masterplan.

In response to a Member’s question in respect of co-location with partners other than those from health; Stuart Richardson reported that this is being considered.  Neighbourhood working will be one of the mobilisation tools for co-working.

A verbal update from Chris Woodhouse, Corporate Improvement Advisor will be given at the meeting.

The Improvement Advisor reported that work is underway to review how the Health and Wellbeing Board interacts with the Greater Manchester devolution agenda, in particular the GM Health and Social Care Partnership Board and other GM Boards/Committees.

The purpose of the work is to map the different meetings currently taking place across Greater Manchester and agree a format for reporting back in to the HWB.

It was agreed:

1.   The Improvement Advisor would circulate to Board Members a template form for completion in respect of Board Members attendance at Greater Manchester meeting.

2.   Once completed, a follow up report will be considered at the Board in respect of a format for feeding in/reporting back with regards to work being undertaken at a Greater Manchester level

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

The Social Development Manager presented the Health and Wellbeing Annual Report for approval.  The report contains an overview of the Health and Wellbeing Board from the period April 2016 to March 2017 and reflects the key achievements, challenges and activities.

It was agreed:

The Board approves the Health and Wellbeing Board with a recommendation that the report be considered at the next scheduled meeting of Full Council scheduled to take place on 13^th September 2017. 

The Interim Executive Director of Communities and Wellbeing will report at the meeting.  A report will be sent to follow.

The Interim Executive Director of Communities and Wellbeing attended the meeting to inform Board members of the additional funding proposals for social care.  The Executive Director reported that the Improved Better Care Fund (IBCF) Grant is a Department for Communities and Local Government (DCLG) grant paid to Bury Council.

The Interim Executive Director of Communities and Wellbeing reported he Government has made it clear that part of this funding is intended to enable local authorities to quickly provided stability and extra capacity into the local care systems. Local authorities are therefore able to spend the grant (including to commission care) as soon as plans for spending the grant have been locally agreed with the local CCG. The CCG locally are actively involved in agreeing the Better Care Fund plan.

Areas where the IBCF resource will focus:

1. Support growing demand (in complexity and service user numbers) for local authority funded care and support.

2. Building resilience & capacity within the social care workforce

3. Support a new model of domiciliary care delivery focussing on flexibility and a person centred approach.

4. The Duty of Market Management for Social care, including consideration of fee levels

In response to a Member’s question, the Interim Executive Director reported that a more detailed report in respect of the money spent will be considered at a future meeting of the Health and Wellbeing Board.

It was agreed:

1.   That the Bury Health and Wellbeing Board agrees in principle to Bury councils planned spending intentions regarding the Improved Better Care Fund.

2.   A further more detailed reported in respect of the Additional Funding for Social Care will be considered at a future meeting of the Health and Wellbeing Board

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

The Chief Officer, Healthwatch attended the meeting to present the Healthwatch Annual Report.  The Report provides an overview of the work undertaken by Healthwatch during 2016/17.

It was agreed:

          The content of the report be noted.

There was no urgent business reported.

The following minutes are attached for information:

·         Children’s Trust Board

·         Bury Safeguarding Adult’s Board

·         Carbon Reduction Board

·         Housing Strategy Programme Board

The following minutes were included for information:

·         Children’s Trust Board

·         Bury Safeguarding Adult’s Board

·         Carbon Reduction Board

·         Housing Strategy Programme Board