Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 31 January 2012.

The Minutes (copies of which had been circulated) of the meeting held on 31 January 2012 were approved as a correct record and signed by the Chair.

No declarations of interest were made.

There were no call-in items to consider.

To consider a report of the Corporate Director for People.

The Draft Joint Health and Wellbeing Strategy has been developed in response to the Health and Social Care Bill which will make it a statutory requirement for each Health and Wellbeing Board to develop such as Strategy to set the strategic vision and priorities that will inform the commissioning of Health Services in a locality. The Strategy, informed by the Joint Strategic Needs Assessment, has six priority areas:-

·                Alcohol

·                Healthy ageing and quality of life for older people with complex needs, including end of life care

·                Identifying who is at risk of early ill-health or dependency and minimising these risks through appropriate services and support

·                Early intervention with children and families

·                Physical activity / healthy weight

·                Mental wellbeing

The Scrutiny Committee is invited to comment on the Draft Strategy.

Officer contact: Sarah Newsam, 07891 949204, sarah.newsam@stockport.gov.uk

A representative of the Corporate Director for People submitted a report (copies of which had been circulated) providing the Committee with an update in respect to the draft Joint Health and Wellbeing Strategy which had been developed in response to the Health and Social Care Bill which introduced a statutory requirement for each Health and Wellbeing Board to develop such a strategy, setting out a strategic vision and priorities which would inform the commissioning of Health Services in a locality.

The following comments were made/issues raised:-

·         The approved Strategy will provide an overarching framework for all the commissioning plans for the NHS, Social Care, Public Health and other services in Stockport.

·         The draft Strategy was informed by the Joint Strategic Needs Assessment which had six priority areas –(i) Alcohol (ii) Healthy ageing and quality of life for older people with complex needs including end of life care (iii) Identifying who are at risk of early ill health or dependency and minimising these risks through appropriate services and support (iv) Early intervention with children and families (v) Physical activity/healthy weight and (vi) Mental Wellbeing.

·         The draft Strategy was an expression of the high level challenges facing the borough in the long term. It was hoped that the strategy would be in place by July 2012.

·         Dealing with alcohol misuse was recognised as a major priority. Councillors identified elderly, isolated males as a group who should not be overlooked and that reference should be made to this group in the Strategy.

·         Reference should be made to what is being done to address Smoking within the Strategy.

·         Councillors agreed that whilst it was extremely important to identify key priorities with the Strategy, it was just as important to clearly identify who or which organisations would take responsibility and take action to address them.

·         Efforts have been made to involve members of the public to develop the strategy in Stockport and to encourage people to think about ways in which we can improve health and prevent ill health.

RESOLVED – (1) That the report be noted and subject to consideration being given to the comments of the Scrutiny Committee, the draft Strategy be approved.

(2) That the Corporate Director for People be requested to liaise with the Chair of the Scrutiny Committee should there be any substantial changes to the draft Strategy prior to its consideration by the Executive.

The Scrutiny Committee will receive an update on the requirements of the Department of Health for the creation of local HealthWatch organisations and the work underway in Stockport.

Officer contact: Sarah Newsam, 07891 949204, sarah.newsam@stockport.gov.uk

A representative of the Corporate Director for People submitted a report (copies of which had been circulated) providing an update on the requirement from the Department of Health through the Health and Social Care Bill 2011 for the creation of local Healthwatch organisations and the work currently being undertaken in Stockport to deliver on this requirement.

The following comments were made/issues raised:-

·         The recent information circulated by the Department of Health was welcomed as previously, the policy position in respect to Healthwatch had been unclear.

·         It was suggested that the real test as to whether Healthwatch was to be a success would very much depend on public awareness of its existence and how they can benefit.

·         Local communities had a significant part to play in helping Healthwatch to integrate in local areas.

·         The impact on the Patient Liaison and Advice Service (PALS)

RESOLVED – That the report be noted and the Corporate Director for People be requested to submit an update to a future meeting.

A representative of the Clinical Commissioning Group will attend the meeting to discuss the development of their strategic plan.

Gaynor Mullins, Interim Managing Director, NHS Stockport submitted a report (copies of which had been circulated) providing an update on the formulation of the Clinical Commissioning Group Strategic Plan. The Plan identified six key strategic themes being (i) Unscheduled Care (ii) Long Term Conditions & Complex Older People (iii) Demand Management & Clinical Cost Effectiveness (iv) Quality (v) Staying Healthy and (vi) Reform. The plan further identified objectives and outcomes in respect to each theme.

The following comments were made/issues raised:-

·         The willingness of the Clinical Commission Group to engage was welcomed.

·         Steps being taken to reduce the number of cases of C Difficile.

·         It was suggested that the Scrutiny Committee may wish to hear a presentation at a future meeting on Community Based Budgeting.

RESOLVED – (1) That the report be noted and Gaynor Mullins be thanked for her attendance and presentation.

(2) That the Corporate Director for People be requested to make arrangements for a presentation to a future Scrutiny Committee meeting in respect to Community Based Budgeting.

To consider a report of the Service Director (Schools/ School Improvement)

The report details proposals to enhance the Health Schools status to promote universal health improvement for all children and young people as well as providing additional targeted support to those in challenging circumstances.

The Scrutiny Committee is recommended to note the report and ask questions/ make comments.

Officer contact: Tanya Cross, 0161 218 1766, Tanya.cross@stockport.gov.uk

A representative of the Service Director (Schools/School Improvement) submitted a report (copies of which had been circulated) providing a summary of Enhanced Healthy Schools which was a new approach supporting the link between good health, behaviour and achievement through a whole school approach. The new approach offered close support and guidance to those schools who chose to participate and aimed to equip children and young people with the skills and knowledge to make informed health and life choices in order to reach their full potential.

The following comments were made/issues raised:-

·         It was hoped that the development of an Enhanced Healthy Schools toolkit for use by schools and school clusters would encourage those schools who were yet to participate to do so.

·         The approach would ensure that schools put in place the most appropriate activities, interventions and services to meet the needs of their children and young people.

·         Councillors welcomed the fact that 78% of the boroughs primary schools had signed up to the programme.

RESOLVED – That the report be noted

To consider a report of the Corporate Directors for People and Place

The report provides a detailed overview of performance which relates to the Health Scrutiny Committee.

The information is provided in the form of the Quarter 3 2011/12 Portfolio Performance and Resources Reports for the Adults and Health, Children & Young People and Leisure Portfolios.

The Scrutiny Committee is recommended to:-

(1)  Review the current levels of performance;

(2) Highlight key areas of, and responsibility for, taking forward corrective action to address any existing or forecast performance issues;

(3) Identify how areas of strong performance and good practice can be shared in other services.

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

The Executive Councillors (Adults and Health) and a representative of the Corporate Director for People submitted a report (copies of which had been circulated) providing a detailed overview of performance issues which were of interest to the Health Scrutiny Committee. The report invited the Committee to consider current levels of performance, to identify any key areas where corrective action needed to be taken and to identify areas of strong performance and good practice which could be shared with other service areas.

The following comments were made/ issues raised:-

·         The support offered by the Council to those people who have personalised budgets.

·         The problems associated with targeting and providing support to those people with unrecorded accommodation status.

·         Refurbishment at Graylaw House was now complete and the new hub was now open.

·         The detail contained within the report was excellent and future reports should focus even more specifically on Health related issues.

·         It would be useful to have statistics at a ward level of those people with personalised budgets.

RESOLVED – That the report be noted.

The Executive Councillor (Adults & Health), representatives of the Council, NHS Stockport and other stakeholders to provide a verbal update to the Committee on NHS Reform as appropriate.

The Executive Councillor (Adults & Health), a representative of the Corporate Director for People and the Director of Public Health attended the meeting and provided the Scrutiny Committee with an update on progress toward implementing NHS reform.

RESOLVED – That the report be noted.

To consider a report of the Democratic Services Manager

The Scrutiny Committee is recommended to note the resume of the meeting of the Shadow Health and Wellbeing Board held on 18 January 2012.

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) requesting the Scrutiny Committee to give consideration to the proceedings of the last meeting of the Shadow Health and Wellbeing Board held on 18 January 2012.

RESOLVED – That the report be noted.

A representative of the Democratic Services Manager submitted a report (copies of which had been circulated) setting out planned agenda items for the Scrutiny Committee’s next two meetings and any Forward Plan items that fell within its remit.

RESOLVED – That the report be noted.