Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 12 March 2014.

The Minutes (copies of which had been circulated) of the meeting held on 12 March 2014 were approved as a correct record.

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 that the Greater Manchester Interim Health & Wellbeing Board was taking greater oversight of the transformation agenda and that the relationship with NHS England was improving due to the recent appointment of a senior member of the area team as lead for health and social care integration.

The Chair also reported that in mid-June he would attending an Integration Summit organised by the Local Government Chronicle and the Health Service Journal.

To consider an update on Healthier Together.

Attached is a report considered by the Greater Manchester Clinical Commissioning Group Committees in Common setting out the business case for the transformation of Health and Social Care in Greater Manchester.

Contact: Ranjit Gill / Gaynor Mullins, 0161 426 9900

A report of the Clinical Commissioning Group Committees in Common was submitted (copies of which had been circulated) setting out the Business Case for the transformation of the Health and Social Care across Greater Manchester through the Healthier Together programme. The Business Case set out the case for change; described a future model of care and how this had been developed; detailed the pre-consultation engagement that had been undertaken prior to developing the model of care; and setting out the case for starting a public consultation.

The Chair of Stockport Clinical Commissioning Group highlighted that the development of the Healthier Together programme, emphasising that it was clinician-led and focussed on ensuring quality outcomes, primarily to remove avoidable variation in outcomes in hospital care across Greater Manchester.

The following comments were made/ issues raised:-

·         It was important to remember that changes in primary care were needed to ensure the success of this programme. In the current business case insufficient reference was made to this important area of work.

·         Although ‘social care’ was not included in the scope of Healthier Together (HT), it was referenced in the programme’s vision. Further consideration was needed to identify and make the most of opportunities HT may provide to support and enhance the work on health & social care integration.

·         The development of quality standards through the development of HT was welcomed, as was their link with both social care and public health.

·         It was important to recognise the role of improving mental wellbeing in improving physical health and reducing hospital admissions. While this may not be the focus of the HT programme, it was important that this remained part of the thinking when developing proposals for change.

·         There were significant pressures on hospital finances and it was inevitable that change would have to happen.

·         Many members of the board and officers of the organisations represented were involved in a range of activities connected to HT and were seeking to ensure it responded to the needs of residents.

RESOLVED – (1) That the report be noted.

(2) That the Board welcomes the vision set out in the Healthier Together pre-consultation business case but believes that further reference should be made to the changes needed to health & social care and primary care to support the aims of Healthier Together.

This item has been placed on the agenda at the request of the Chair of Stockport Clinical Commissioning Group.

RESOLVED – That consideration of this item be deferred.

To consider a report of the Director of Public Health.

The report provides an update on progress for the Joint Strategic Needs Assessment (JSNA) and Pharmaceutical Needs Assessment (PNA) programmes for 2014/15. The Board previously considered an update in November 2013, and since then the proposals endorsed by the Board have been implemented and planning for the 2014/15 work programmes has been completed by the JSNA project leads group and the PNA project group. The report summarises these plans and seeks to provide an opportunity to discuss the proposals and to receive assurance that the work planned will meet the Board’s objectives.

The Board is invited to:-

·      endorse the recommendation to publish the supplementary statement to the Pharmaceutical Needs Assessment (PNA) and for the purposes of the PNA to treat Stockport as a single locality;

·      approve the recommendation to present analysis for the JSNA at the CCG locality and priority area level wherever appropriate;

·      discuss the work plans for the JSNA and comment on and approve the proposed data collection and products.

Officer contact: Eleanor Banister, Tel: 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) providing an update to the Board on the development of the Joint Strategic Needs Assessment (JSNA) and the Pharmaceutical Needs Assessment (PNA) for 2014/15, including summaries of the project plans for both Assessments.

Members welcomed the progress being made.

The following comments were made/ issues:

·         The last JSNA was subject to extensive public consultation which was a strength of the process. Consideration should be given to including information in the Council’s Review.

·         Consideration should be given to including data around accommodation and looked after children placed in Stockport by other local authorities. It may also be beneficial to consider issues to have arisen from the various transformation projects to determine emerging needs.

·         The role of HealthWatch in the JSNA was welcomed and pointed to the strength of process.

RESOLVED – (1) That the report be noted.

(2) That the proposal to publish the supplementary statement to the Pharmaceutical Needs Assessment and to treat Stockport as a single locality for the purpose of the Assessment be endorsed.

(3) That the proposal to present analysis for the JSNA at the Clinical Commissioning Group locality and priority area level wherever appropriate be approved.

(4) That the Director of Public Health be requested to submit a report to the September board meeting detailing the proposed Pharmaceutical Needs Assessment consultation.

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

The purpose of this report is to provide the Board with the Public Health 2014-15 Business Plan on a page. 

The Board is invited to receive the Public Health Business ‘Plan on a Page’ for 2014-15.

Officer contact: Donna Sager; 0161 474 3928; donna.sager@stockport.gov.uk    

The Deputy Director of Public Health submitted a report (copies of which had been circulated) summarising the Public Health 2014-15 Business plan ‘on a page’.

The following comments were made/ issues raised:-

·         Some programmes were being intensified or expedited in order to improve the impact on more expensive health and social care interventions. This was being done through an evidence-based process. It was stressed that this was not at the expense of longer term preventative programmes which would continue.

·         It was important that when using evidence-based processes that professionals exploited all the available evidence rather than having too narrow a focus on traditional health journals.

·         The Public Health Service was working with the Stockport NHS Foundation Trust to embed public health work within the hospital environment.

RESOLVED – That the report be noted.

To consider a report of the Service Director (Adult Social Care)

The report sets out the projects currently in development and to be delivered as part of the Council’s wider preventative programme during 2014/15.  Most of these projects specifically target service user groups who might in the future seek support from Adult Social Care, with a view to proactively managing or delaying preventable demand.

The Board is invited to note the report.

Sarah Newsam, 0161 016 9204, sarah.newsam@stockport.gov.uk

A representative of the Service Director for Adult Social Care submitted a report (copies of which had been circulated) summarising key projects being developed and delivered by Adult Social Care to prevent avoidable demand and to support the health & social care integration programme. All the projects included in the report were being delivered through partnership with other agencies.

The following comments were made/ issues raised:-

·         Efforts to reduce falls were welcomed, as they were a concern for a number of agencies. Adult Social Care providing strategic leadership was also welcomed as was the proposal to involve a greater range of agencies and third sector organisations.

·         There were also projects underway to create greater community capacity and volunteer resources.

·         Isolation was another area of particular needs as the effects could be extremely debilitating. Community based solutions were best placed to address these issues.

RESOLVED – That the report be noted.

To consider a report of the Director of Public Health.

The report provides an update on the Health Inequality Programme which is a major contributor to the Health Inequality ‘We Wills’ in the Health and Wellbeing Strategy. This programme is funded from the Public Health Grant  which aims to reduce the difference in Life Expectancy and Healthy Life Expectancy  between the  most affluent and disadvantaged localities in Stockport.

The Board is asked to note and comment on progress.

Officer contact: Sarah Clarke, Tel: 0161 474 2456, sarah.e.clarke@stockport.gov.uk   

A representative of the Director of Public Health submitted a report (copies of which had been circulated) providing an update on the Health Inequality Programme that aimed to reduce the difference in life expectancy and healthy life expectancy between the most and least affluent communities in Stockport.  This Programme was a major contribution to the efforts to achieve the health inequality ‘We Wills’ in the Joint Health & Wellbeing Strategy.

The Programme, funded by public health investment was being delivered across the four Neighbourhood Management areas and to seven smaller Priority 2 Neighbourhoods, and had three mains components:-

·         raising communities expectations about health and increasing screen and early diagnosis;

·         empowering communities and supporting development of increased community resilience;

·         improving mental wellbeing.

The Programme would be tailored to meet the specific needs of each locality and there were a range of interventions and activities that would be delivered to meet the objectives.

The following comments were made/ issues raised:-

·         There were a range of measures in place to monitor the programme, both in terms of output and outcome. It was also hoped to see increased up take in other public health services such as lifestyle services.

·         By working through the Neighbourhood Management arrangements it was hoped that some of the wider factors affecting health could be addressed.

·         The work with smaller communities and Priority 2 areas was welcomed. The variability in approach was also important as each community had different and specific needs. Sharing of best practice should be encouraged as well as bringing together different providers of similar services.

·         The Re:dish project, particularly the work with schools, was welcomed.

RESOLVED – That the report be noted.

To receive an update on the key elements of the Care Act 2014.

The Service Director (Adult Social Care) updated the Board on the Care Act 2014 which had recently been given Royal Assent. The key elements included:-

·         a legal commitment on levels of support and care;

·         standard assessment criteria

·         legal underpinning for adult safeguarding

The Act was likely to have financial implications and require changes to local practice. A project plan was being developed in advance of the new requirements coming into force, but further guidance was expected soon.

It was commented that there needed to be a clear and coherent message from local partners about the implications of these changes for local people.

RESOLVED – That the update be noted.

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

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.