Agenda and minutes

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Items
No. Item

HWB.1

Apologies for Absence

Minutes:

Apologies for absence are noted above.

HWB.2

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 Simpson declared and interest in the NHS due to being an NHS employee in Salford.

 

Councillor Tariq declared an interest in the Health and Wellbeing Board due to being a member of Oldham’s Health and Wellbeing Board.

HWB.3

Minutes of previous meeting pdf icon PDF 259 KB

The minutes from the previous meeting held on 3 February 2022 are attached.

Minutes:

It was agreed:

 

1. The minutes of the previous meeting be approved as a correct record.

HWB.4

Matters Arising

Minutes:

There were no matters arising.

HWB.5

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 public questions.

HWB.6

Wider Determination of Population Health - Education pdf icon PDF 463 KB

Attached report on Special Educational Needs and Disability (SEND) and appendices to be presented by Isobel Booler, Director of Education and Skills. The report was presented at the Children and Young People’s Scrutiny Committee on 17th March 2022.

Additional documents:

Minutes:

Isobel Booler, Director of Education and Skills provided an overview of the Special Educational Needs and Disability (SEND) report. Bury is committed to a programme of transformation and is determined to continue its work on co-production with parents to improve both outcomes and the experiences of children, young people with SEND and their families. This mid-year report provides evidence of the progress made towards that goal.

 

Councillor Tariq, Cabinet Member for Children, Young People and Skills provided detail on the progress made on SEND provision in the Borough. He advised the Board that the Council is revising our Local Area Strategic Action Plan with governance through the Local Area SEND Board. There is a strong commitment from Bury2gether to the priorities, outcomes, and actions in the Local Area Strategic Action Plan. This was evidenced in a joint workshop held on 28 February 22 with Bury2gether. The Action Plan has now been adopted as meeting the needs of parents/carers and delivering improved outcomes for children and young people.

 

The Board sought assurances on the extent to which the data on prevalence and provision is analysed by pertinent protected characteristics. I response Isobel Booler, Director of Education and Skills advised the Board that the Joint Strategic Needs Assessment (JSNA) is currently being revised. In addition the September Report which was received by the Children and Young People Scrutiny Committee did look at them at the breakdown. The Board were further advised that Free School Meal (FSM) prevalence has increased from 16% to 22% over the last 3 years.

It was agreed:

 

1.    the Health and Wellbeing Board should receive the Children and Young People Scrutiny Updates and Minutes with regards to SEND.

2.    For the Health and Wellbeing Board to receive an update on Free School Meals prevalence and update rates when available.

 

 

HWB.7

Behaviour and Lifestyle Determinants of Health - Tobacco pdf icon PDF 669 KB

Attached report to be presented by Sarah Turton, Public Health Practitioner.  

Minutes:

Sarah Turton, Public Health Practitioner attended to provide an overview of Smoking prevalence within Bury. Smoking is the primary cause of preventable illness and premature death, harming nearly every organ of the body and dramatically reducing both quality of life and life expectancy. Smoking causes lung cancer, respiratory disease, and heart disease, as well as numerous other cancers. In England, it is estimated that in 2019-20, among adults aged 35 and over, around 506,100 NHS hospital admissions were attributable to smoking, accounting for 4% of all hospital admissions in this age group. The cost of smoking to the National Health Service in England is estimated to be £2.5 billion a year.

 

The Board were advised on the following points:

 

·         Within bury our smoking prevalence as of 2019, it was lower than both the regional and national average at 12.8%.

·         In terms of smoking during pregnancy, our smokers’ dates at the time of delivery value was 9.2%. So again, lower than the regional and national values.

·         Smoking prevalence in adults with a long term mental health condition stands at 22.1% again lower than the regional national values.

·         Smoking is responsible for half of the difference in life expectancy between rich and poor within bury.

·         It is estimated that 2/3 of adult smokers stated that they started smoking before they reach the age of 18 years old.

 

Questions on the various motivating factors for quitting smoking were discussed such as working with deprived communities to show the money they could save and offering free intervention tools. In response Sarah Turton advised the Board that previously there was schemes with parents who were looking to give up smoking and setting up saving schemes; the service was able to partly match savings or get discounts on leisure or trips.

 

18:40 - Councillor Tariq left the meeting.

18:58 – Sharon McCambridge left the meeting.

 

It was agreed:

 

1.    That the Bury Health and Wellbeing Board continue to support the ongoing work around smoking and reducing inequalities.

2.    To thank Sarah Turton for the update.

 

 

 

HWB.8

The effects of place and community on health and wellbeing - Healthwatch pdf icon PDF 438 KB

Attached report to be presented by Ruth Passman, Chair of Healthwatch.

Minutes:

Adam Webb, Chief Officer of Bury Healthwatch provided an overview of the report on Community and Person-Centred Approaches - involving people with lived experience Understanding and tackling inequalities and promoting inclusion. Healthwatch’s is role is about involving people with lived experience in the co-production design and implementation of health and social care services.

 

The Board sought assurances on Healthwatch’s ability to engage with marginalised groups. In response Adam Webb advised we understand barriers are not only faced by marginalized communities and we hear issues on a regular basis. Healthwatch conducts engagement in ways such as; park bench surgeries.

 

It was agreed:

 

1.    Ruth Passman, Chair of Healthwatch Bury and Adam Webb Chief Officer of Healthwatch Bury, be thanked for their update.

HWB.9

Health and Care - Frailty pdf icon PDF 551 KB

Attached report to be presented by Steven Senior, Consultant in Public Health.

Minutes:

Steven Senior and Samantha Merridale, the programme lead for both urgent care and frailty. attended to present an overview of the report on frailty (burden of illness, inequalities, and transformation plans).

 

The Board were advised 12% of the population of people aged 65 and over will be living with mild to moderate frailty and around 3% will be living with severe frailty. Last year we the service started a process of self-assessment to manage frailty across barriers. 

 

The Bury Frailty programme commenced in January 2022 following a process of self-assessment and a gap analysis across the whole system during 2021. The update outlined emerging key themes and objectives for how services manage those who are deemed to be frail, with a focus on reducing health inequalities associated with frailty, prevention of deterioration of their condition, and maintaining their health and independence for as long as possible.

 

Discussions took place regarding the work currently being undertaken to support people who are living with various degrees of frailty.

 

Ruth Passman left the meeting at 19:35

 

It was agreed:

 

1.   Steven Senior and Samantha Merridale be thanked for their update and report.

2.   Steven and Samantha to share the Electronic Frailty Index to

with members

 

HWB.10

Population Health System Reform - Sustainable investment in Prevention

Presentation to be presented by Lesley Jones, Director of Public Health – presentation to follow.

Minutes:

Lesley Jones Director of Public Health provided an update of the progress with the population health system reform work. This update highlights one aspect of work taking place around sustainable investment in population health and prevention.

 

It was agreed:

 

1.    Lesley Jones be thanked for her update.

HWB.11

Covid-19 Update

Lesley Jones, Director of Public Health to give a verbal update.

Minutes:

Lesley Jones, Director of Public Health provided an update on Covid cases in the Borough.

 

The Board were advised that Locally and Nationally case rates and prevalence are rising. 

 

All test centres in Bury will be closing from the 1st of April because the universal provision of free testing ends. However there will be some targeted testing available, but we've yet to receive the guidance on how this will be delivered.

HWB.12

Urgent Business

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

Minutes:

There was no urgent business.

 

Councillor Simpson, thanked all members for their input over the last municipal year to the Health and Wellbeing Board along with wishing Tyrone Roberts the best in his new job.

 

Will Blandamer thanked Tyrone for his fantastic contribution to the board. In addition Will thanked Councillor Simpson as Chair of Bury Health and Wellbeing Board for her leadership, passion, determination, commitment around health inequalities and best wishes for a peaceful new municipal year chair.