Agenda and minutes

Leader of the Council, Councillor Rishi Shori

Cabinet Member for Children and Families, Councillor Sharon Briggs

Interim Executive Director Communities and Wellbeing, Julie Gonda

Mike Russell, Chief Inspector GMP

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.

Forward plan is attached.

Minutes of the meeting held on the 28^th March are attached.

It was agreed:

The minutes of the meeting held on the 28^th March 2018 be approved as a correct record.

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

Steve Taylor, Pennine Acute NHS Trust will report at the meeting.

Steve Taylor, Chief Officer and Tyrone Roberts, Director of Nursingattended the meeting to provide members with an update in respect of Bury and Rochdale’s organisational journey from the Care Quality Commission rating of requires improvement to good.  The presentation contained information in respect of the following areas:

·         Improvement Plan

·         New governance structure

·         Fragile services, investing in people

·         FGH attendances, Ambulance arrivals, 12 hour trolley waits, 4 hour breaches and performance

·         Accident and Emergency

·         Serious Incident report

The Chief Officer reported that A&E attendances have risen by 8.1% during January and February 2018, this equates to an additional 799 patients.  Four hour breaches have significantly reduced from 2112 to 1577 compared to the 12 months previously.

The Chief Officer and the Director of Nursing reported that the key factors in the improvements witnessed are as a result of the changes to the site management arrangements and the empowerment of staff.

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

Responding to a Board Member’s question; the Chief Officer reported that there are problems with the estate at North Manchester General Hospital.  The CQC inspection findings and the good practice will be shared within the organisation to ensure that there is standardisation and consistency in service provision.

In response to a Member’s question, the Chief Officer reported that there are still problem areas within the Trust.  With regards to IT infrastructure the Trust acknowledges that this is an area that needs addressing and work is underway with partners at Salford to do that.  Responding to concerns raised in respect of outpatient services, the Director of Nursing acknowledged that there have been pressure points in certain specialities and outpatients will be an area for focus in the forthcoming year.   

The CCG Chief Operating Officer reported that the hospital had chosen to concentrate on three key areas, including a change in culture and empowerment of staff; the learning and the good practice from this approach will be shared with partners.   

It was agreed:

Members of the Health and Wellbeing Board would like to place on record there congratulations and support for all the staff on the Fairfield General Hospital site that have contributed to the improved Care Quality Commission rating.

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

Jon Hobday, the Public Health Consultant attended the meeting to provide members with and update on the Greater Manchester wide population outcomes framework and dashboard.  The Public Health Consultant provided members with an overview of the website and key indicators.  An accompanying report had been circulated to Members prior to the meeting which contained information in respect of the following areas:

The purpose of the population health plan is the reduction of unwanted and unwarranted variation in standards, improvement in population health outcomes, more consistent adoption of evidence based practice, and the enhanced use of benchmarking data. 

The GM population health outcomes framework and Tableau based dashboard, will be utilised as part of an integrated single assurance framework and will be used as the basis for the development of population key lines of enquiry.

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

Responding to a question from the Chair, The Public Health Consultant reported that it is envisaged that the information contained within the dashboard will act as a catalyst for further consider at a Borough level.  It is then up to each area to delve into the data and potentially address via proportionate resources.

In response to a Member’s question, the Public Health Consultant reported that the data is comparable and will compare like with like.  The information held on the dashboard will be updated automatically.

It was agreed:

Democratic Services will circulate to Board Members, the link to the Greater Manchester wide population outcomes framework and dashboard.

Dr Jeff Schryer, Chair Bury Clinical Commissioning Group will report at the meeting.  Report attached.

Philip Thomas, Programme Director (Devolution) attended the meeting to provide members with an update in respect of work being undertaken at the Transformation Board.  An accompanying report was circulated in advance of the meeting which contained information in respect of the following areas:

·         Locality Plan Year End Review

·         Transformation Programme

·         Creation of Locality Care Alliance

·         Creation of a One Commissioning Organisation

·         Programme Management Office

Members discussed the need for the HWB to be more informed of the work being undertaken in respect of the transformation monies as well as the role of the Transformation Board.

It was agreed:

A further transformation board report will be considered at the next meeting of the Board.  Members request that the report contains information in respect of a breakdown of the transformation projects and the allocation of the transformation monies.

Karen Dolton, Interim Executive Director Children and Families will report at the meeting.  Report attached.

Karen Dolton, Interim Executive Director Children and Families presented a report to the Board which contained details of the steps taken by the Local Authority, partners, stakeholders and parents to address the areas of weakness identified in the joint area CQC and Ofsted inspection.  

Key priority areas of work have been identified for the next quarter, these will include; fresh impetus around the “local offer”.  A multi-disciplinary team approach with health colleagues to review the more complex cases as well as lessons learnt. 

The Interim Executive Director reported that a great deal of work has been undertaken with schools to ensure that schools take ownership of inclusion and develop a graduated support model that supports young people to stay in mainstream education and reduces the number of exclusions and the demand for out of borough placements.  Further work includes the planned recruitment of inclusion managers to work with the schools.

Responsibility for overseeing the SEND reforms and holding the SEND system to account sits with the SEND partnership Board which reports to the Strategic leadership team and the Health and Wellbeing Board.

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

Responding to a Member’s question, the Interim Executive Director reported that to encourage greater inclusion within schools 20 places have been decommissioned from the secondary Pupil Referral Unit (from a total of 60) as well as the decommissioning entirely of the primary pupil referral unit. 

With regards to the role of the Local Authority in relation to schools, the Interim Executive Director reported that the LA has no direct control over schools however they would seek to use their influence.  The Local Authority has a responsibility to ensure that a child receives an education.

It was agreed:

That the HWB notes:

1.   The progress with the SEND written statement of action and the outputs of the work streams; and

2.   Ensure their organisations’ continued participation in the work streams and ownership of the actions.      

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

Stuart North, Chief Operating Officer, Bury CCG presented for information the Group’s Annual Report.  The report provides details of the performance overview and analysis, corporate governance report and staff remuneration and financial performance.

It was agreed:

The report be noted.

Mike Russell, Chief Inspector Partnerships will provide members with a verbal update at the meeting.

It was agreed:

That this item will be deferred for consideration at the next meeting of the Health and Wellbeing Board.

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

Job Hobday provided members with a JSNA update.  An accompanying report had been circulated to members in advance of the meeting and provided details of the most recent work that has been included on the JSNA website, including; pharmacy needs assessment; Oral health data and information, dental health profiles and updates and survey of adults carers summary.

The Public Health Consultant reported that as well as a full refresh/update of the existing documents contained within the work plan, changes to the website are proposed.

Members discussed using the information on the JSNA as well as the information from the GM population health outcomes dashboard to commission services.  The Public Health Consultant reported that the JSNA can be used to store softer qualitative data as well as quantitative data.

It was agreed:

The Public Health Consultant be thanked for his attendance.

Stuart North, Chief Operating Officer Bury CCG will provide a verbal update at the meeting.

The CCG Chief Operating Officer reported that the Greater Manchester area has been chosen as a Locality Health Care record Exemplar and in doing so has been awarded additional funding of 7.5 million pounds to further develop the integration of health and social care records.  

The meeting was informed that the next meeting of the Health and Wellbeing Board would be cancelled.

It was agreed:

The next meeting of the Health and Wellbeing Board will now take place on Thursday 27^th September 2018.

Councillor Andrea Simpson

Chair