Issue - meetings

To consider a report of the Head of Population Health Transformation, GMHSCP.

The Framework and Dashboard have been developed following GMHSCP agreement to a set of proposals to facilitate the creation of a unified population health system, to support the delivery of the GM Population Health Plan at pace and scale - http://www.gmhsc.org.uk/assets/08-Public-Health-System-Reform-Full-Report-Exec-Summary-FINAL-v2.pdf.  This included a commitment to the reduction of unwanted and unwarranted variation in standards, improvement in population health outcomes, more consistent adoption of evidence based practice, and the enhanced use of benchmarking data.  The Framework also seeks to reconcile the ambitions of Taking Charge and the GM Strategy.

The GM Population Health Outcomes Framework has been developed through a process of engagement and co-design with key stakeholders from across the Health and Social Care system and the wider Public Service.  The framework has been reviewed and endorsed by GMHSCP Performance and Delivery Board on 14 March 2018. The framework and associated datasets have been built into an interactive, tableau based dashboard which will be tested during the 2017/18 Q4 Assurance Cycle in April and May 2018. The link to this dashboard is https://public.tableau.com/profile/dashboard6270#!/

Officer contact: Mark Brown, GMHSCP, mark.brown7@nhs.net

Mark Brown, Programme Manager at the Greater Manchester Health and Social Care Partnership, attended the meeting and gave a presentation on the development of the Greater Manchester Outcomes Framework and Dashboard that would support the delivery of the GM Population Health Plan and help reduce unwarranted variation in standards across GM while helping to improve outcomes and facilitate the adoption of evidence based good practice. A briefing note had also been submitted as background information (copies of which had been circulated).

The presentation covered the following areas:-

-        the ambitions of the GM Population Health Plan and how this linked in with other key strategies such as ‘Taking Charge’ and the Greater Manchester Strategy;

-        the Health Outcomes contained within the Framework;

-        common standards to help inform commissioners and those delivering public health functions;

-        ensuring excellence in GM through an evidence-based improvement programme, co-designed with key stakeholders building on existing best practice but encouraging innovation and creativity;

-        examples of how the Dashboard provided easily accessible information on key indicators.

The following comments were made/ issues raised:-

·           There was significant synergy between the Greater Manchester priorities and those of this Board, although the notable exception was Oral Health where localities had limited ability to influence.

·           The local Joint Health & Wellbeing Strategy had been informed by the population health strategy and efforts were ongoing to ensure there was alignment with GM standards.

·           Clarification was sought on what public consultation was being undertaking about the common core standards. In response it was stated that the GMHSCP was aware of the need for public engagement and consideration was being given to how this could be progressed.

·           While the outcomes were important to judge the success of activity, it was important to ask what difference the public would notice following these actions. It was important that commissioners were cognisant of these issues and were ensuring these outcomes were embedded within contracts.

·           There was a challenge for the Board to decide on what data it wished to see receive, how to make best use of that data and how other governance mechanism could be sighted on this information.

RESOLVED – (1) That Mark Brown be thanked for his attendance and presentation.

(2) That the Director of Public Health be requested to submit a report to a future meeting on the Board’s strategic priorities and how the GM Population and Outcomes Framework could complement the work of the Neighbourhood Teams.

To consider a report of the Head of Population Health Transformation, GMHSCP.

The Framework and Dashboard have been developed following GMHSCP agreement to a set of proposals to facilitate the creation of a unified population health system, to support the delivery of the GM Population Health Plan at pace and scale - http://www.gmhsc.org.uk/assets/08-Public-Health-System-Reform-Full-Report-Exec-Summary-FINAL-v2.pdf.  This included a commitment to the reduction of unwanted and unwarranted variation in standards, improvement in population health outcomes, more consistent adoption of evidence based practice, and the enhanced use of benchmarking data.  The Framework also seeks to reconcile the ambitions of Taking Charge and the GM Strategy.

The GM Population Health Outcomes Framework has been developed through a process of engagement and co-design with key stakeholders from across the Health and Social Care system and the wider Public Service.  The framework has been reviewed and endorsed by GMHSCP Performance and Delivery Board on 14 March 2018. The framework and associated datasets have been built into an interactive, tableau based dashboard which will be tested during the 2017/18 Q4 Assurance Cycle in April and May 2018. The link to this dashboard is https://public.tableau.com/profile/dashboard6270#!/

Officer contact: Mark Brown, GMHSCP, mark.brown7@nhs.net

A copy of a briefing note on the development of a Greater Manchester wide public health outcome framework was submitted (copies of which had been circulated) for consideration and comment by the Board.

The Chair reported that due to the delayed start of the meeting the representatives of the Greater Manchester Population Health Team had been unable to attend the meeting. He suggested that consideration of the item be deferred to the next meeting.

The Deputy Director of Public Health outlined the role of the Stockport public health team in supporting the development of the framework. Assurance was given that the ambitious outcomes for Stockport were consistent with those of the local Health & Wellbeing Strategy.

 The following comments were made / issues raised:-

·         The work taking place across Greater Manchester was welcomed, as were targets tailored to Stockport as there was a danger that Stockport was overlooked given the different health profile of the borough.

·         There was a known correlation between life expectancy and educational qualifications. Given the challenges of life expectancy in Greater Manchester it was surprising there was no reference to improving educational attainment as an outcome. In response it was stated that Stockport outperformed most other Greater Manchester authorities in this respect but there was always scope for improvement. The Council's Healthy Ageing Strategy would seek to identify how services can contribute to healthy ageing for all ageing. 

·         Unplanned pregnancies could have an impact on health, and educational, outcomes for young children. What more could be done in Greater Manchester to reduce the rate, given the sensitivities of the issue? What was the availability of appropriate contraception in Greater Manchester? Concerns were expressed about the impact of the national trend for the reduction in sexual health services.

RESOLVED - (1) That consideration of the Greater Manchester Outcomes Framework be deferred to the next meeting.

(2) That the Deputy Director of Public Health be requested to submit a report to a future meeting on Sexual Health Services, including information about accessibility of contraception and terminations.