Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 5 June 2013.

The Minutes (copies of which had been circulated) of the meeting held on 5 June 2013 were approved as a correct record and signed by the Chair.

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.

The Chair reported on the National Institute for Clinical Excellence (NICE) Annual Meeting and public engagement event that had taken place earlier in the day. A ‘Q & A’ session had been held and the Chair had asked about recent reports about the efficacy of the Liverpool Care Pathway. There had also been discussions about the production of guidelines on basic care.

To consider a presentation from Eleanor Hill, Public Health Specialist.

The presentation will cover developments in national policy and updates on progress towards achieving the ‘we wills’ contained in the Joint Health & Wellbeing Strategy. The presentation will also provide an update on the Pathways Project and the development of People Powered Care.

Dr Eleanor Hill (Public Health Specialist), Stockport Council, attended the meeting and made a presentation on the activity, successes and challenges relating to Chapter 3 ‘Mental Wellbeing’ of the Joint Health & Wellbeing Strategy.

The presentation provided a snap-shot of levels of mental wellbeing in Stockport as well as highlighting activity taking place that was linked to the key elements of Chapter 3.

The following comments were made/ issues raised:-

·         A key element of mental wellbeing was ensuring people were able to access information so they could make informed choices.

·         Changing the mind-set of health professionals to think in terms of mental wellbeing, rather than just about treating mental illness was important. Training was provided to those working in health care, and increased emphasis was being placed on the taking opportunities to discuss mental wellbeing during every contact a patient/ resident may have.

·         Social isolation and loneliness were central to a person’s mental wellbeing. Recent data suggested that 25% of young people not in education, employment of training rarely left their home.

RESOLVED – (1) That Eleanor Hill be thanked for her attendance and presentation.

(2) That, in response to the update on the work to achieve the aims of Chapter 3 of the Joint Health & Wellbeing Strategy, the Board:

·         continued to place a high priority on mental wellbeing as a cross-cutting theme that underpins achievement of other outcomes;

·         supported the development of an offer around population mental wellbeing at sufficient scale to meet the need;

·         endorsed the approach of working with partners through Service Level Agreement; and

·         supported continued allocation of resource to the population mental wellbeing programme.

To consider a presentation from Nick Dixon, Joint Commissioning Lead for Mental Health, Stockport Council

The presentation will highlight Stockport’s role in providing evidence towards the case for People Powered Health, a new approach to enabling the health and social care system to manage the growing demands of long term conditions within the current, challenging economic context, The presentation will include a short film.

Nick Dixon (Mental Health Commissioning Lead), Stockport Council, with Shirley Dean and Doreen Roberts (All Together Positive) attended the meeting and made a presentation on ‘People Powered Health’, an approach pioneered in Stockport to provide user-led support to those recovering from and living with mental health problems.

The presentation focussed on the following:

·         Mental Health Pathways Project (NESTA project)

·         The benefits of People Powered Health in providing a blueprint for service redesign

·         Barriers and opportunities to expansion of the pathway

A short video summarising the work was shown (http://play.buto.tv/Jjbrv).

Shirley Dean (Chair, All Together Positive) also discussed the work of her organisation in providing co-produced peer support.

The following comments were made:-

·         The positive experiences of those involved in People Powered Health (PPH) was to be welcomed.

·         The PPH model could be applied to a range of services. Feedback had been positive, and it was challenging a number of the preconceptions of those involved in delivering social care. Along with Personalised Budgets, PPH was also proving positive for staff who felt their work was returning to a more ‘traditional’ model of social care through talking to people and helping them to get better.

·         There were challenges to the PPH for commissioners and for contractors, and these needed to be thought through carefully. Scaling up smaller projects for the whole of the borough would also be a challenge.

RESOLVED – (1) That Nick Dixon, Shirley Dean and Doreen Roberts be thanked for their attendance and presentation.

(2) That the development of People Powered Health be endorsed.

To consider a report of the Director of Public Health.

The report sets out the background and statistics for mental wellbeing in Stockport and outlines the key support provided to residents.

Officer contact: Elysabeth Williams/ Eleanor Hill, 0161 474 2462 / 2458, elysabeth.williams@stockport.gov.uk / eleanor.hill@stockport.gov.uk

A briefing report was submitted (copies of which had been circulated) that provided background information to the development of a focus on mental wellbeing in Stockport. The report detailed some of the services available to the public and to support professionals.

RESOLVED – That the report be noted.

To consider a report of the Health and Wellbeing Scrutiny Committee.

The report has been submitted at the request of this Board at its last meeting and is provided for information.

A copy of the final report of the Health Scrutiny Committee Review ‘No Health Without Mental Health: the Stockport Way’ was submitted (copies of which had been circulated) that detailed the findings and recommendations made by the Committee following its review of mental health services in Stockport. The report also addressed some of the concerns of other public bodies about the impact of mental ill-health on public services.

RESOLVED – That the report be noted.

To consider an update in relation to Greater Manchester discussion on health and social care integration following consideration by AGMA Executive on 28 June 2013.

Gaynor Mullins (Chief Operating Officer), Stockport Clinical Commissioning and Terry Dafter (Service Director (Adult Social Care)) provided a brief update on the development of integrated health and social care provision in Stockport.

Work was continuing to develop a model, based on the Stockport One model, and would be structured around 4 locality integrated teams, working with a pooled budget and a shared data set. There remained some logistical and practical issues, particularly around workforce deployment, accommodation etc., but these were the subject of continued work.

Michael Cullen (Strategic Accountant), Stockport Council provided a further update on the recent announcements made in the Chancellor’s Budget Statement  and Comprehensive Spending Reviews relating to possible additional funding for health and social care integration. It was estimated that for Stockport this could be in the region of £20m, although much of this was resources partners already had and may already have committed. It was unclear what conditions would be attached to this money, but it was likely to include some outcome based assessment.

RESOLVED – That the updates be noted.

To consider a report of the Chief Operating Officer (CCG) and the Service Director (Adult Social Care)

The report outlines the joint response of the Clinical Commissioning Group and the Council to the Winterbourne View Concordat and the and wider developments and improvements in services for those with Learning Disabilities in Stockport. The report also addresses the letter from Norman Lamb MP considered at the last meeting.

The Health & Wellbeing Board is invited to:

·         note the report and comment on the action plan;

·         support the establishment of the LD Joint Strategic Management Group;

·         underwrite the Stocktake response

·         agree to ‘sign off’ the Learning Disability SAF submission at the Board in September.

Contact: Gina Evans (CCG) / Mark Warren (Council); 0161 426 5516 / 0161 474 5364; ginaevans@nhs.net  / mark.warren@stockport.gov.uk

A report of the Winterbourne View Task and Finish Group was submitted (copies of which had been circulated) updating the Board on work taking place locally to address recommendations made by the Department of Health following an investigation into failings at the Winterbourne View Private Hospital for people with learning disabilities (LD). The report also contained an action plan that had been developed in conjunction with partners and stakeholders. In Stockport, work had been undertaken between the Council and Clinical Commissioning Group to assess all out-of-borough placements for those with LD.

The following comments were made/ issues raised:-

·         Stockport was well ahead of the national guidance in terms of joint commissioning as the LD service was part of the pooled budget arrangements.

·         Further consideration needed to be given to the relationship of any new management group with existing bodies and partnership arrangements.

·         The work as part of the Disabilities Review would seek to reduce as far as possible the need for placements outside of the borough.

RESOLVED – That

·         the report and Action Plan in relation to the Winterbourne View recommendations and other guidance be noted;

·         the establishment of the Learning Disability Joint Strategic Management Group be supported;

·         the stock take response as set out in the report be endorsed;

·         the Learning Disability SAF submission be submitted to a future Board for endorsement prior to submission, and

·         the Board would wish to receive regular updates on progress in returning service users to borough-based placements.

This item has been placed on the agenda at the request of the Chair.

Dr. Vicci Owen-Smith presented a brief update in relation to the recent publication by Public Health England of their priorities for 2013/14.

The Board were assured that these priorities were already included in the Public Health Business Plan for the year ahead.

RESOLVED – (1) That the report be noted.

(2) That the Democratic Services Manager be requested to circulate copies of the Public Health England Priorities for 2013/14 to members of the Board.

To consider a verbal update from the Corporate Director for People.

The update being provided is in lieu of a report which will be submitted to the next meeting following conclusion of the review.

Andrew Webb (Corporate Director for People) Stockport Council, updated the Board on the review of services for those with disabilities, known as ‘Making Choices, Having Control’. The review would seek to develop a single service from birth to adulthood, and a single service for settled adults.

Uncertainty remained in relation to future requirements that may be contained in the Children and Families Bill.

RESOLVED – That the update be noted.

The report sets out a proposed plan of agenda items for the Board’s meeting for the upcoming Municipal Year.

The Board is invited to note the report.

Officer contact: Jonathan Vali/  Gill Walters, 0161 474 3201/ 07800 618299, jonathan.vali@stockport.gov.uk / gill.walters@stockport.gov.uk

The Chair 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.

To consider a letter form Helen Edwards (Director General for Localism) Department for Communities and Local Government and Jon Rouse (Director General for Social Care, Local Government and Care Partnerships) Department of Health.

The letter provides further detail on the Spending Review announcements made on 26 June 2013 in relation to additional resources to support integration of health and social care.

The item has been placed on the agenda at the request of the Chair.

The Chair submitted a copy of a recent joint letter from the Departments of Communities and Local Government and of Health (copies of which had been circulated) on the £3.8billion announced to support health and social care integration.

RESOLVED – That the letter be noted.