Agenda and minutes

Health and Wellbeing Board
Wednesday, 28th March, 2018 6.00 pm

Venue: Bury Town Hall

Contact: Julie Gallagher  Democratic Services

Items
No. Item

HWB.446

Apologies for Absence

Minutes:

Leader of the Council, Councillor Rishi Shori

Interim Director of Children’s Services, Karen Dolton

Keith Walker; Pennine Care NHS Foundation Trust

Jon Aspinall (GMFRS)

 

HWB.447

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:

Councillor A Simpson declared a personal interest in respect of all items to be considered due to her appointment as Lord Peter Smith assistant at the Greater Manchester Health and Social Care Partnership Board.

 

HWB.448

Minutes of previous meeting pdf icon PDF 69 KB

Minutes from the meeting held on the 14th February 2018 are attached.

Minutes:

The minutes of the meeting held on the 14th February 2018 be approved as a correct record.

 

HWB.449

Matters Arising pdf icon PDF 60 KB

Forward plan attached.

Minutes:

The Principal Democratic Service Officer reported that a letter will be drafted in respect of item HWB.385 Asylum Matters to the Greater Manchester Health and Social Care Partnership Board.

 

HWB.450

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 questions from members of the public present at the meeting.

 

HWB.451

Autism Strategy pdf icon PDF 94 KB

Jacqui Waite, Bury MBC will report at the meeting.  Report attached.

Additional documents:

Minutes:

That The Strategic Policy and Planning Officer report that an updated Bury adult autism strategy has been produced in conjunction with the Autism Get Together Group and The Autism Services Development Group.

This updated strategy will ensure that initial groundwork undertaken will be extended to ensure adults with autism in Bury are able to live, study, work and enjoy Bury in the same way as everyone else.

Key priorities for the new strategy will include

1.   Enabling people with autism to really be included as part of the community.

 

2.   To promote innovative local ideas, services or projects particularly for lower level support.

 

Work has already started and includes, Autism Friendly Bury and Autism Get Together and a focus on how advice and information services can be more joined up.

 

Those present were invited to ask questions and the following issues were raised:

 

Responding to a Member’s question, the Strategic Policy and Planning Officer reported that each Local Authority and CCG pay into a central Greater Manchester fund as part of a long standing agreement.  This money is used to assist within the priorities as identified in the Strategy.

 

The Strategic Policy and Planning Officer reported that she has developed an Autism e-learning module, the module can be shared with the voluntary sector for their use and has already been used by the Job Centre and One Recovery.

 

In response to a Member’s question, the Strategic Policy and Planning Officer reported that work is underway to support the existing established Autism Charities, in particular the charities that offer “buddies” support and assist with social isolation.

 

It was agreed:

 

The Strategic Policy and Planning Officer be thanked for her attendance.

 

HWB.452

Health Protection Annual Report pdf icon PDF 89 KB

Lorraine Chamberlin and Anne Whittington will report at the meeting.  Presentation and report attached.

Additional documents:

Minutes:

Lorraine Chamberlin Head of Health and Environmental Protection

A Whittington, Public Health Register attended the meeting to provide members with an overview of the health protection annual report.

 

The Head of Health and Environmental Protection reported that this is the first Health and Environmental Protection Annual Report for Bury and aims to provide a means of assurance for the Council in relation to its Health and Environmental Protection Duties. The report covers work being undertaken to safeguard the people of Bury from the hazards presented by communicable diseases and the environment. 

 

Recommendations for action:

 

  • Bury has not yet achieved the cervical screening 80% uptake target. We will continue to work with PHE and Bury CCG to increase uptake.
  • We need to develop a better understanding of our local TB prevalence and ensure prevention and treatment are optimised.
  • There have been issues with data collection for HIV diagnosis in women and this needs further exploration.
  • Environmental quality issues around fly tipping, accumulations and nuisance continue to dominate the reactive workload and a new Environmental Quality strategy is to be implemented.
  • Food hygiene inspections are increasingly being carried out by consultants as a result of job cuts within environmental health - there was a drop in total interventions in 2016 which has come to the attention of the Food Standards Agency for monitoring in 2017/18.  We will continue to monitor and manage the situation as effectively as possible within available resources.

 

Those present were invited to ask questions and the following issues were raised:

 

Members discussed the use of outside consultants, to conduct food hygiene inspections.  The Head of Health & Environmental Protection reported that the Food Standards Agency is currently reviewing how hygiene ratings are undertaken.  It is envisaged that the new system will expect a greater focus on the business owner and a more targeted approach to high risk business.  The use of consultants is common practice across Greater Manchester and the consultants would only be used to inspect the low risk premises.

 

Responding to a question from the Chair, The Head of Health & Environmental Protection reported that the priority with regards to infection and prevention control audits has been Care Home with a view to inspect GP surgeries at a later date.  If problems arise with failure to comply within a Care Homes, staff would work with partner agencies including the Care Quality Commission, Infection Control Nurses, Commissioning staff and environmental health enforcement officers to address the issues raised.

 

Bury CCG’s Chief Operating Officer reported that the infection control rates are in the top 15% within Greater Manchester.  The Pennine Acute Trust representative reported that there were no reports of MRSA within the Trust and flu vaccinations update rates were one of the best in the northwest.

 

It was agreed:

 

The Head of Health and Environmental Protection and the Public Health Register be thanked for their attendance.

 

HWB.453

Greater Manchester Early Health Model pdf icon PDF 97 KB

Tracey Flynn Unit Manager - Economic Development and European Policy will report at the meeting.  Report attached.

 

Minutes:

It was agreed:

 

The Greater Manchester Early Help Model would be deferred for consideration till the next meeting of the Health and Wellbeing Board

 

HWB.454

Greater Manchester Health and Social Care Partnership Update pdf icon PDF 620 KB

Warren Heppolette Executive Lead, Strategy & System Development Greater Manchester Health & Social Care Partnership, will report at the meeting.

 

Minutes:

Warren Heppolette, the Executive Lead, Strategy & System Development Greater Manchester attended the meeting to provide an update on the work at the Greater Manchester Health and Social Care Partnership Board.  The presentation contained information with regards to:          `

·         Devolution timeline

·         Transformation themes

·         Improving the health of Bury/GM Residents

·         Transforming community based care

·         Local Care Organisations

·         Enabling Better Care

 

The Executive Lead, Strategy & System Development acknowledged that there still remains a number of challenges in respect of the Devolution agenda; including the pace and scale of transformation whilst delivering services in a complex environment (operational and financial challenges).  The development of locality models will be vital to delivery of the locality plans/transformation agenda. 

 

The Executive Lead, Strategy & System Development reported that managing the expectations of national bodies and regulators will remain an issue going forward.

 

Those present were invited to ask questions and the following issues were raised:

 

Responding to a Member’s question, the Executive Lead reported that it is envisaged that the locality plans will be implemented at scale across each of the ten Boroughs.  However there remains a lot to do in a short space of time

 

In response to a Member’s question the Executive Lead reported that there were issues with managing expectations across a range of stakeholders, including the public, NHS England, NHS Improvement.

 

The Interim Executive Director Communities and Wellbeing reported that the GM devolution agenda will result in whole system reform.

 

It was agreed:

 

The Executive Lead, Strategy & System Development be thanked for his attendance.

 

HWB.455

Transformation Board Governance Arrangements pdf icon PDF 70 KB

Stuart North, Chief Operating Officer will report at the meeting.  Terms of Reference attached.

Additional documents:

Minutes:

The Chief Operating Officer Bury CCG presented the revised Transformation Board Terms of Reference for approval. 

 

Responding to a Member’s question, the Interim Executive Director Communities and Wellbeing reported that it is envisaged that the Board would be operational for 18 months to two years.  Part of the transformation agenda will include the establishment of governance arrangements for the Local Care Organisation and the Once Commissioning Organisation.

 

A governance assurance task and finish group has been established jointly chaired by the Council’s monitoring officer and a CCG representative to review governance.

 

It was agreed:

 

The Transformation Board Terms of Reference be agreed subject to a review by the Health and Wellbeing Board in three months.

 

HWB.456

Urgent Business

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

HWB.457

Sub Group Minutes for Information pdf icon PDF 180 KB

Additional documents:

Minutes:

The following minutes were included for information:

         

Children’s Trust; Housing Strategy Board; Adult Safeguarding Board; Climate Change Board.