Agenda and minutes

Councillor Simpson declared a personal interest in all matters under consideration as an employee of the NHS.

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

The minutes of the meeting held on 21^st October 2019 are attached.

Matters Arising: Letter regarding Minimum Unit Price is attached.

1.   The minutes of the meeting held on the 21^st October 2019 be approved as a correct record.

2.   The letter on MUP to exchange Bury Metropolitan Borough Council to the Borough of Bury prior to submission.

Wendy Meston, Consultant in Public Health, Rochdale Borough Council will report at the meeting. Report attached.

Wendy Meston, Consultant in Public Health, Rochdale Borough Council introduced the Child Death Overview Panel’s Annual Report. The report includes data from closed cases from April 2018 to 31 March 2019. The purpose of the Bury, Rochdale and Oldham Child Death Overview Panel is to undertake a review of all child death up to the age of 18 years, normally resident in Bury, Oldham and Rochdale, irrespective of the place of their death.

There was a total of 204 closed cases in 2018/19 with 217 notified deaths. The large majority of child deaths in GM occurred in the first year of life; 42% of closed cases occurred within the first 28 days and 60% in the first 12 months. Smoking was still the most common modifiable factor (24) followed by obesity (19). Access to health care or poor care management was the third largest modifiable factor (11) followed closely by substance (10).

Following presentation of this item a Member raised questions around consanguinity. Wendy Meston, Consultant in Public Health assured the Health and Wellbeing Board that whilst this can result in an increased risk of child death’s, services have been put in place, dedicated to providing preconception advice. It was requested that pre-relationship advice may be more effective and processes should be put in place to help the public understand this message. 

During discussion of this item, question were raised around costs of staff time and resources to deliver services the report discussed. It was clarified that the services are already commissioned and no additional funding or responsibilities are require to continue.

In response to concerns raised around age ranges covered (0-18) and a request to consider providing services from 0-25. It was clarified that national guidance dictates the age range covered however, the SEND Code of Practice does cover children and young people up to the age of 25. The importance of flexibility in services was discussed and the Board requested that this be considered in the delivery of support.

It was agreed:

1.   A follow-up report is to be produced on the recommendations outlined in the report.

2.   That the Health and Wellbeing Board approve the contents of the report.

Chris Woodhouse Executive Officer Bury Council will report at the meeting.

Margaret O’Dwyer, Director of Commissioning & Business Delivery/Deputy Chief Officer and Lesley Jones, Director of Public Health, provided members with an update of work being undertaken with regards to the Locality Plan. This was supplemented by a presentation, which proposed a 10 year long term plan and covered areas of progress and aspiration. The presentation outlined where we are now and our ambition for the future. The purpose of the current refresh is to inform Greater Manchester Health and Social Care Partnership.

Due to reporting restrictions it was requested that the Health and Wellbeing Board sign up to the themes and essence of what was presented. The report was presented as work in progress.

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

Responding to a Member’s question Chris Woodhouse, Executive Officer reported that the recent consultation on Traffic and Transport will be inclusive in the Locality Plan. 

It was agreed:

1.   The report will be circulated to the Health and Wellbeing Board by Friday 22^nd November.

2.   Delegated sign off of the final plan is to be given to the Chair of Health and Wellbeing Board.

Dr Jeff Schryer will report at the meeting. Report attached

Dr Jeff Schryer, Chair Bury Clinical Commissioning Group, presented Bury System Board Terms of Reference. The Health and Wellbeing Board were advised that the Bury System Board replaced the Health and Social Care Transformation Board. The agreed goal of the Bury Systems Board is to improve the life chances for the Bury population, by maximising the use of the ‘Bury Pound’.

The key issues for the Health and Wellbeing Board to consider are:

-      The Terms of Reference reflect the existing governance arrangements in place

-      The Terms of Reference will be reviewed again in November 2020 in line with OCO/LCO governance structures.

Following presentation of this item a Member requested the Bury Systems Board considers a representative from the Voluntary, Community and Faith Sector.

It was agreed:

Note: Councillor Walker abstained from the vote.

1.   That membership is looked at to consider representation from the Voluntary, Community and Faith Sector

2.   That the Health and Wellbeing board approve the revised Terms of Reference for the Bury System Board

Nicky Parker, Programme Manager Urgent Care Review will provide members with a verbal update.

Nicky Parker, Programme Manager, Urgent Care Review provided a verbal update on urgent care an important service for the most vulnerable people in the Borough. Members were advised that the services that have been redesigned so far are extended working hours for GP’s, GP Quality Scheme, expansion of the Green Car Scheme and development of a local integrated service.

                 Areas pointed out for improvement under the review of urgent care is to improve four hour wait at the hospital, reduce admissions to hospital, make efficiencies and savings in services, redesign and simplify services. The aim of the review is to empower and support people to access the correct services.

The current schedule for the review is as follows:

§  Now– Shape what services may look like and gather further information on urgent care in the Borough.

§  December – Determine the pieces of work required to deliver the review

§  January – Develop a new model and engage in a public consultation February/March – Design the reviewed service

§  April – Begin Implementation.

The members raised concerns in respect of on the day accessibility and how to manage demand and an ageing workforce. After discussions it was confirmed that steps are being taken to support individuals to choose the correct service to access depending on their needs. Dr Schryer, CCG Chair advised Members that the Primary Care Access Team are doing some audit work to check when the next appointments are and what their waiting times are. It was stated that there appears to be a miss match between public perception and accessibility. Furthermore it was clarified that the Primary Care Workforce Strategy is seeking to support staff to pass on knowledge and train them to best support the needs of the Borough.

                 It was agreed:

1.   That the update be noted. 

2.   The item to continue as a standing item

Julie Gonda, Interim Director for Communities and Wellbeing will report at the meeting. Report attached.

Julie Gonda, Interim Executive Director Communities and Wellbeing informed the meeting a scoping paper has been developed to take forward the Bury System Intermediate Care review and rebalance. A core aim of the review is to establish integrated discharge services and a communication and engagement plan.

It was agreed:

·         That the Health and Wellbeing Board notes the content of the report.

Julie Gonda, Interim Director for Communities and Wellbeing will report at the meeting. Report attached.

Julie Gonda, Interim Executive Director Communities and Wellbeing informed the meeting a scoping paper has been developed to take forward the Bury Learning Disability Respite Review. The aim of the project is to undertake a review and redesign of services in Bury for people with a Learning Disability. This is with a view to commissioning an equitable and sustainable borough wide Learning Disability respite provision that meets the needs of service users.

The review aims to:

-      Ensure that it meets the needs of service users in terms of capacity, performance and quality

-      Identify areas for development and improvements to benefit service users and enhance their experiences and inform future commissioning

-      To commission an equitable and sustainable service

-      Improve outcomes for Service Users and their family where possible

-      Achieve financial savings

It was agreed:

That the Health and Wellbeing Board notes the content of the report.