Agenda and draft minutes

Health and Wellbeing Board
Thursday, 27th September, 2018 6.00 pm

Venue: Bury Town Hall

Contact: Julie Gallagher  Democratic Services

Items
No. Item

HWB.180

Apologies for Absence

Minutes:

Stuart North; Chief Operating Officer, Bury Clinical   Commissioning Group

Steve Taylor; Pennine Acute NHS Trust Chair

Bury Clinical Commissioning Group, Dr Jeff Schryer

Interim Director of Children, Young People and Culture, Karen Dolton

Cabinet Member for Children and Families, Councillor Sharon Briggs

Dan Lythgoe, Pennine Care NHS Trust

 

HWB.181

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.  Councillor Simpson is also employed by the NHS.

 

Councillor R Shori declared a personal interest in respect of all items to be considered due to his appointment to the GM Children’s Board and his partner works for the NHS.

 

HWB.182

Minutes of previous meeting pdf icon PDF 68 KB

Minutes from the meeting held on 13th June 2018 are attached.

Minutes:

The minutes of the meeting held on the 13th June 2018 be approved as a correct record.

 

HWB.183

Matters Arising pdf icon PDF 73 KB

Forward plan is attached.

Minutes:

Responding to a question from Councillor Roy Walker with regards to the recent IT failure at the Trust; Dr Shouna McCallum, Medical Director, reported that there was an initial localised incident at Fairfield Hospital.  A second fault was then detected at North Manchester hospital as a result the Trust lost all its IT capability.  Some operations were postponed and the Trust relied on paper records; patient safety was not compromised during this time.  IT infrastructure is number one on the Trust’s risk register, the business continuity plans will also be reviewed.

 

HWB.184

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.185

Transformation Update pdf icon PDF 318 KB

·         Locality plan update

·         Transformation programme update

·         Locality Care Alliance update

·         One Commissioning Organisation update

Minutes:

Philip Thomas, Programme Director (Devolution) attended the meeting to provide members with an update in respect of work being undertaken to transform health and social care in the Borough.

 

The presentation provided member’s with an overview of the Locality Plan, the Locality Care Alliance, the One Commissioning Organisation and each of the transformation programmes, including:

·         Enabling local people

·         Giving every child the best start in life

·         Keeping Bury well

·         Transforming mental health

·         Transforming emergency care

·         Transforming primary, community and social care

 

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

 

Paul Cooke, Strategic Lead, Schools, Colleges and Academies responding to a members question reported that work is underway to reduce the numbers of Looked after Children.  The Strategic Lead informed the meeting that early intervention and early identification support would be provided to address issues as they emerge.  Encouraging greater intelligence sharing and investing in lower cost preventive measures will assist in the delivery of this priority.

 

Members discussed the role of pharmacies within the Borough in delivering the Transformation agenda.  The Director of Public Health reported that more investment is needed to create additional capacity.  Some work is already underway via the development of Healthy Living Pharmacies.

 

Dr Shona McCallum, Medical Director, responding to a question from the Chair with regards to the triage arrangements at Fairfield General Hospital reported that additional capacity is provided to triage patients at A&E at Fairfield General Hospital by GPs.

 

It was agreed:

 

1.   The Transformation Programme Board will oversee the implementation of the Locality Plan, the Transformation Programme Board will be accountable to the Health and Wellbeing Board.

2.   A Transformation Programme Board Chairs’ report will be a standing agenda item.

3.   The Board’s forward plan will be amended to include a focus at each meeting on a transformation programme; transforming emergency care will be considered at the next meeting due to be held on the 22nd November.

4.   Dr Shona McCallum, Medical Director, would provide further information at the next Board meeting with regards to the A&E triage arrangements including performance data and readmission rates.

 

Further to the published agenda the Chair agreed that the agenda would be re-arranged and the Greater Manchester Health Population Plan would be considered next.

 

HWB.186

Seasonal Flu Update pdf icon PDF 134 KB

Julie Parker, Lead Health Protection Nurse and Lesley Jones, Director of Public Health will report at the meeting.  Report attached.

Minutes:

Julie Parker, Lead Health Protection Nurse attended the meeting to provide members with a Seasonal Flu 2017/18 uptake.  The presentation contained the following information:

 

A vaccine against seasonal influenza is available to people in Bury in certain at risk groups: -

·         children aged 2 to 11 years old (nasal spray)

·         people aged 6 months to 65 years with certain medical conditions including diabetes, respiratory disease and morbidly obese;

·         pregnant women;

·         those aged 65 years or over;

·         residents of long-stay care homes or other long-stay care facilities;

·         carers;

·         In addition vaccination is now recommended for frontline health and social care workers

 

The Lead Health Protection Nurse reported despite not reaching targets for some cohorts in 2017/18 flu season, 60,395 vaccinations were delivered in Bury

  • 40,511 administered in a GP surgery,
  • 16,599 nasal vaccines given by Intrahealth schools programme
  • 2942 provided in a pharmacy
  • 343 given in another healthcare setting

 

The Lead Health Protection Nurse asked that Board members raise awareness of the need to increase the number of carers who are registered with GP’s.  The Lead Health Protection nurse made members aware that there may be uptake issues arising from the phased supply of the adjuvanted vaccine for the over 65’s.

 

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

 

Responding to a member’s query in respect of vaccinations take up rates for pregnant women, the Lead Health Protection Nurse reported that this is a new programme, all new programmes take time to embed.  The Director of Public Health reported that work is underway with midwives to encourage and embed the programme.

                                   

It was agreed:

 

·         That Board members would consider the contents of the report with respect to their own organisation’s possible contribution to improving the uptake of Flu vaccination in the following cohorts: 2-3 years olds, pregnant women, 6 months to 65 years old at risk. Encourage Health and Social care workers across all organisations in the Bury area to have the vaccination

  • Encourage partnership working between GPs and their local pharmacies to ensure that their patients are vaccinated in a timely manner

 

HWB.187

Infection, Prevention Control Policy pdf icon PDF 53 KB

Julie Parker, Lead Health Protection Nurse and Lesley Jones, Director of Public Health will report at the meeting.  Report attached.

 

Minutes:

HWB.187   INFECTION, PREVENTION CONTROL POLICY (IPC)

 

The Infection Prevention and Control Policy has been reviewed and updated from the last version published in 2012, in line with Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.  The policy aims to provide information about the principles of IPC and to describe good IPC practice for staff in adult care services, primarily those working in Care Homes or Domiciliary Care.

The policy also aims to provide guidance on meeting the 10 criteria from Part 2 of The Health and Social Care Act (HSCA) 2008: code of practice on the prevention and control of infections and related guidance (updated 2015), and support adult social care providers to meet the requirements.

 

It was agreed:

 

Health and Wellbeing Board notes the content of the policy and endorses its publication.

         

(Lesley Jones, Director of Public Health left the meeting)

 

HWB.188

Groundwork Update Ambition for Ageing Update pdf icon PDF 59 KB

Vicki Devonport, Executive Director, Groundwork will report at the meeting.  Report attached.

Additional documents:

Minutes:

Vicki Devonport, Executive Director, Groundwork and Julie Bentley, Project Officer, Groundwork attended the meeting to provide an update on the Groundwork Ambition for Ageing project (AfA).

 

The AfA Programme in Bury helps to ensure older people play an active role within their community, tackling the impact of social isolation while reducing the likelihood of people experiencing a crisis and if and when they do.  As well as reducing the impact of this through the AfA Bury investments and attracting additional funding into Bury.

 

In addition, Groundwork has been successful in its application to deliver the Bury Social Eating Programme which will run from September 2018 - March 2020. 

 

·         Combatting loneliness in Bury

 

Following on from the work being undertaken as part of the AfA project, the Chair informed the meeting of the development of the loneliness strategy and action plan.

 

It was agreed:

1.   Vicki Devonport, Executive Director, Groundwork and Julie Bentley, Project Officer, Groundwork be thanked for their attendance and commended for the work undertaken on behalf of Groundwork

2.   The Board endorses the Loneliness Strategy and Action Plan

3.   The Board supports the formation of a task and finish group and make recommendations for membership.

4.   The Board to endorse, support and help promote the workshop planned for November 2018.

5.   The Board to identify potential funding streams that may be used to support this work.

 

(Councillor Rishi Shori left the meeting)

 

HWB.189

Substance Misuse Position Paper pdf icon PDF 57 KB

A report from Jon Hobday, Public Health Consultant is attached.

Minutes:

Job Hobday, Public Health Consultant provided members with a substance misuse update.  An accompanying report had been circulated to members in advance of the meeting and provided details of the most recent contract negotiations.

 

In 2013 Bury council went out to tender for the local adult substance misuse service. One Recovery Bury won the contract through a competitive tendering process. As a result they were awarded a 3 +1 year contract that commenced in February 2014.  The contract entered into the first plus 1 on 05/02/17 and was extended for 12 months on 05/02/18.

 

In 2014 Bury council went out to tender for a young peoples and families substance misuse service. This tender was won by Early Break who provide the service for young people up to the age of 18 years. This was originally a 2 year contract which commenced on 1st October 2014 and finished 30th September 2016. The contract has since been extended twice and most recently extending until 31st March 2019 (to bring it in line with the adult substance misuse service).

In March 2017 a position statement was produced for the young people’s and families substance misuse in Bury. This provided an overview of the usage of the young people’s substance misuse service during 2014/2015 and 2015/2016 and highlighted factors that may impact future demand.

 

The commissioning of the new drug and alcohol service provides an opportunity to align the national and GM strategy and the all age approach. This should in turn help to provide a clear strategic focus across both children and adults.

 

It was agreed:

 

That the Board would endorse and support the decision to commission an all age service (option 1) and an appropriate and effective service specification will be developed to ensure all elements of the life course approach are addressed appropriately.

 

HWB.190

Combined BCF and IBCF Monitoring report pdf icon PDF 225 KB

Phil Thomas, Programme Director (Devolution) will report at the meeting.  Presentation attached.

Minutes:

Phil Thomas, Programme Director (Devolution) attended the meeting to provide members with updated performance information for the better care fund and improved better care fund.  The presentation provided information in respect of the BCF metrics which include:

       Non-elective admissions - reduction in non-elective admissions

       Permanent admissions - rate of permanent admissions to residential care per 100,000 population (65+)

       Effectiveness of reablement - proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement / rehabilitation services

       Delayed transfers of care (DToC) - delayed transfers of care (delayed days) from hospital

 

As well as the IBCF the local metrics related to areas of spend

       DToC for reason 'awaiting package of care’

       DToC for reason 'awaiting residential home’

       Time taken to grant DOLS application

 

Responding to a question from the Chair with regards to the future sustainability of the Better Care Fund and Improved Better Care Fund, the Programme Director (Devolution) reported that there is no guarantee that the money will continue beyond March 2019. 

 

It was agreed:

 

The Health and Wellbeing Board will continue to receive quarterly Better Care Fund and Improved Better Care Fund performance updates.

 

HWB.191

GM Health Population Plan Update pdf icon PDF 588 KB

The Director of Public Health will report at the meeting.  Report attached.

Minutes:

Lesley Jones, Director of Public Health provided members with an update with regards to activities being undertaken at Greater Manchester in respect of the priorities set out in the Greater Manchester Population Health Plan.  The population health plan sets out the collective ambition for delivering a radical upgrade in population health.  Particular areas of interest for Bury include:

 

·         The implementation of the early years delivery model and the 8 stage new delivery assessment pathway

·         NHS mandatory health checks

·         Food, nutrition and healthy weight

 

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

 

Members expressed concerns with regards to the raising rates of obesity within the Borough and in particular amongst younger children.  The Director of Public Health reported that there are some good small scale schemes however greater investment is needed to “scale up” this support.  Behaviour change as well as changes to the food environment is needed to reduce the rising levels of obesity.

 

It was agreed:

 

The Director or Pubic Health be thanked for her update; quarterly updates in respect of work being undertaken locally in delivering the GM Health population plan will be considered at future meetings.

 

HWB.192

Urgent Business pdf icon PDF 72 KB

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

Additional documents:

Minutes:

Councillor Simpson Chair of the Health and Wellbeing Board reported that following the development of a carer’s charter for Greater Manchester, the Board are asked to ratify the charter.

 

The Board are also to be made aware of the GM Exemplar Framework & Good Practice Models document.

 

It was agreed:

 

a)   The Board to endorse and agree to sign up to the GM Carers Charter

b)   The Board to help promote the carers consultation

c)   The Board to acknowledge awareness of the Exemplar Framework & Good Practice document

HWB. 192   NOTE OF THANKS

 

On behalf of the Committee, the Chair thanked Stuart North, Chief Operating Officer for his contribution and wished him well for the future.