Agenda and minutes

To elect a Chair of the Health & Wellbeing Board for the period until the next Annual Council Meeting.

RESOLVED – That Councillor Tom McGee be elected Chair of the Board for the period until the next Annual Council Meeting.

To appoint a Vice-Chair of the Health & Wellbeing Board for the period until the next Annual Council Meeting.

RESOLVED – That Jane Crombleholme be appointed Vice-Chair of the Area Committee for the period until the next Annual Council Meeting.

To approve as a correct record and sign the Minutes of the meeting held on 18 May 2016.

The Minutes (copies of which had been circulated) of the meeting held on 18 May 2016 were approved as a correct record and signed by the Chair.

Members of the Board and officers are invited to declare any interests which they have in any of the items on the agenda for the meeting.

Board Members and officers were invited to declare any interests they had in any of the items on the agenda for the meeting.

No declarations of interest were made.

To achieve any announcements from the Chair on matters related to the activity of the Board.

No announcements were made.

To consider a report of the Deputy Director of Public Health.

Following the publication of the Stockport Health and Wellbeing Board’s refresh of the Joint Strategic Needs Assessment, (http://www.stockportjsna.org.uk/) there is a need for the Board to review and refresh the Stockport Joint Health and Wellbeing Strategy. The report:-

·         describes briefly the statutory requirements for a Joint Health and Wellbeing Strategy.

·         reviews the previous Stockport Joint Health and Wellbeing Strategy 2012-2015including notable achievements delivered but also identifying how the relevance of the strategy changed over its life cycle. 

·         sets out proposals for developing a refreshed Joint Health and Wellbeing Strategy 2016-2019 and an ongoing process to ensure that the Strategy continues to reflect local priorities and significant programmes of work throughout the period of its existence.

The Board is recommended to:-

·         agree that the Stockport JHWS should be refreshed in 2016.

·         consider the proposals for the suggested working group to deliver the refreshed JHWS and make any suggestions for changes or additions as required.

·         consider whether there is a need for additional public consultation.

·         discuss the proposals for the focus and content of the refreshed JHWS, and consider whether these will meet the needs of the Board and add value to the existing programmes of work.

Officer contact Eleanor Banister: 0161 474 2447, eleanor.banister@stockport.gov.uk

A representative of the Deputy Director of Public Health submitted a report (copies of which had been circulated) inviting the Board to consider proposals for the process to be followed for the reviewing and refreshing of the Stockport Joint Health & Wellbeing Strategy.

The current Strategy had been adopted 3 years ago and did not take account of the a number of significant developments, including Stockport Together, Stockport Family and Greater Manchester devolution. The Board had also recently adopted the Joint Strategic Needs Assessment (JSNA).

Members welcomed the suggested process, including the membership of the working group, proposed light-touch consultation, and the new strategy being reviewed annually.

RESOLVED – That:-

·           agreement be given to refreshing the Stockport Joint Health & Wellbeing Strategy (JHWS) in 2016;

·           the suggested working group to deliver the refreshed JHWS as set out in the report be agreed;

·           that the proposed consultation arrangements as set out in the report be agreed.

At the request of the Board, this is a standing item on the agenda.

Members and officers presented are invited to update the Board on developments with the transformation of health and social care services in Stockport and Greater Manchester.

The Corporate Director for People, Stockport Council updated the Board on developments with Greater Manchester Health & Social Care Transformation and with local integration projects. The update included the following:-

·         The recent Greater Manchester Health & Social Care Strategic Partnership Board meeting had considered updates from localities on their integration work, including one from Stockport. There were many similarities in the activity being undertaken, although Stockport differed in a significant respect from the others in that it sought to deliver more services in the community, rather than being hospital centric.

·         All partners in Greater Manchester had now signed up to the GM Strategic Plan.

·         Decisions had not yet been taken on the distribution of the GM Transformation Fund, including Stockport’s bid for the second year of funding to support the Vanguard project. Decisions were expected in July, but £1m of bridging funding had been provided. The investment proposal had been amended to phase the work over two years which was hoped would make the work more sustainable.

·         Work was underway to refresh the Locality Plan, including an assessment of the effectiveness of the new models of care and the investment being made.

·         Locally, the new S75 Pooled budget between Council and CCG had been agreed and a Memorandum of Understanding had been agreed by providers as part of the establishment of a shadow provider entity. Work was ongoing to develop options for the new provider form.

Questions were raised about accountability with the new integrated arrangements. The Chair suggested that this be revisited during the next agenda item.

Concerns were expressed about the clarity of work taking place at a GM level and whether all partners were as aware of these developments as they needed to be. In response it was stated that Devolution needed to be seen as a permanent feature, but also as a process of long term change.

Members discussed recent announcements about the potential merger of three of the City of Manchester based acute health Trusts, and the possible drain this might have on resources and other more fundamental transformation activity. It was commented that the documentation so far produced provided no indication of any likely efficiencies, improvements in outcomes, or how the costs of this reconfiguration would be met.

RESOLVED – (1) That the update be noted.

(2) That in relation to possible hospital reconfigurations in Manchester, this Board:-

·         would be supportive on the assumption that any efficiencies accrued from them were available to whole health system in Greater Manchester, not just those organisations involved, and that the impact on outcomes was evident

·         would be unhappy if any costs for that reconfiguration would fall outside of the Clinical Commissioning Groups involved, and would therefore support the Manchester health system to resource reconfiguration in its entirely.

This item has been placed on the agenda at the request of Councillor Tom McGee.

A representative of the Democratic Services Manager reported that this item had been placed on the agenda at the request of Councillor McGee.

The Chair commented that the Board had not been ‘reviewed’ since it was established, but the landscape had changed significantly, particularly around Stockport Together and ‘Devo Manc’. The Board as established had suited the uncertainty of the time, but suggested that it was timely to review.

The following comments were made/ issues raised:-

·         Concerns were expressed about the influence of the Board on the devolution agenda (compare to the role of the Manchester Board)

·         Had the Board delivered enough, beyond what it must do? More clarity was needed about what the Board could and should do.

·         There needed to be greater linkages between the activity at GM and the local population and this Board should be that conduit.

·         There was a confusing relationship with the Scrutiny Committee and often a duplication of work.

·         Further thought should be given to the Board having Executive powers.

·         The Board provided democratic accountability.

·         There was scope for this Board to take a greater role in providing accountability and leadership with Stockport Together.

Specifically in relation to membership and meeting arrangements:-

·         A number of comments were made about the need to include providers in the membership, although caution was sounded about how far this should extend.

·         Previously aired concerns about conflicts of interest/ propriety were overcome with the clear separation between this Board and the Integrated Commissioning Board.

·         Less frequent meetings were supported, but greater oversight should be given to more substantial pieces of work.

·         There was support for webcasting future meetings.

RESOLVED – (1) That the Democratic Services Manager be requested to make arrangements for interested members to discuss further the future role, remit and membership of the Board.

(2) That the Democratic Services Manager be requested to make arrangements for future meetings to be webcast.

The Board are invited to approve the following dates for future meetings:-

·         Wednesday, 24 August 2016

·         Wednesday, 23 November 2016

·         Wednesday, 22 February 2017

·         Wednesday, 24 May 2017

RESOLVED – (1) That the following dates for future meetings be agreed:-

·         Wednesday, 23 November 2016

·         Wednesday, 22 February 2017

·         Wednesday, 24 May 2017

(2) That the Democratic Services Manager, in consultation with the Chair, be requested to arrange a date for the August 2016 Board Meeting.

To consider the Forward Plan of agenda items for future meetings of the Health & Wellbeing Board.

Officer contact: Jonathan Vali, 0161 474 3201, jonathan.vali@stockport.gov.uk

A representative of the Democratic Services Manager submitted a report (copies of which had been circulated) setting out a forward plan of agenda items for future meetings of the Board.

RESOLVED – That the report be noted.