Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 24 May 2017.

The Minutes (copies of which had been circulated) of the meeting held on 24 May 2017 were approved as a correct record and signed by the Chair.

Councillors and officers to declare any interests which they have in any of the items on the agenda for the meeting.

Councillors 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 Corporate Director for People.

The Board is invited to consider and endorse the draft Stockport Adult Autism Strategy for 2017-2020.

Officer contact: Karen Kime, 0161474 3450, karen.kime@stockport.gov.uk

Karen Kime, Policy Manager at Stockport Council, attended the meeting to present the draft Stockport Adult Autism Strategy for 2017-2020 (copies of which had been circulated) and seeking the Board’s endorsement.

The Strategy had been co-produced with service users and their carers, and with Healthwatch Stockport, to make it as comprehensive and robust as possible. Although the Strategy was primarily aimed at adults, it covered age 14 upward to ensure consistency with service provision and to move toward the aspiration of an all-age Strategy.

It was highlighted that despite positive engagement there remained a significant challenge of there not being a diagnostic pathway for autism in Stockport, making Stockport the only borough in Greater Manchester without one.

The following comments were made/ issues raised:-

·         Concerns about the lack of a diagnostic pathway were echoed by Board members.

·         Was there sufficient reference within the Strategy to carers given the importance of the relationship between carers and professionals in supporting those with autism, in particularly the need to ensure that information about those with caring responsibilities was adequately captured? In response the need for additional work to ensure all partners, particularly health partners, were doing all they could to ensure their registration process were robust was acknowledged. It was also commented that carers had been involved in the development of the Strategy itself and therefore their views featured throughout the document.

·         There was little reference to social media in the Strategy, which was surprising given the scope for engagement. In response it was stated that there was a common assumption that those with autism were avid social media users, but there was a large share of the cohort who were not active users. Nevertheless the opportunities presented by social media were acknowledged.

RESOLVED – (1) That the Stockport Adult Autism Strategy 2017-2020 be endorsed.

(2) That the Chief Operating Officer of Stockport Clinical Commissioning Group (CCG) be requested to provide an update to the Board on the development of an autism diagnostic pathway and the designation of a Clinical Lead within the CCG.

To consider a report of the Corporate Director for People.

The Board is invited to consider and approve proposals for the use of the Improved Better Care Fund.

Officer contact: Sally Wilson, 0161 218 1648, sally.wilson@stockport.gov.uk

A representative of the Corporate Director for People submitted a report (copies of which had been circulated) outlining proposals for the use of the improved Better Care Fund (iBCF). The report provided details of the grant, the criteria being used locally to assess investment schemes, the context in which those decisions were being made and the proposed financial envelope to be invested in specified areas.  The report also included the BCF Planning Template submission to the Department of Health.

Members welcomed the extra funding but expressed disappointment that this was non-recurrent resource.

RESOLVED – That the Improved Better Care Fund proposals and Better Care Fund 2017-19 Planning Template be approved.

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

The House of Commons Communities and Local Government Committee, chaired by Clive Betts (Labour MP for Sheffield South East) published its report on Public Parks at the end of January 2017.

The inquiry asked three questions:

• Why do parks matter?
• What challenges are facing the parks sector?
• How we can secure a sustainable future for parks?

More than half of the UK population uses parks on a regular basis. The Committee’s starting point was that parks are self-evidently “treasured assets”, valued for leisure, relaxation and exercise, as well as contributions to community cohesion, physical and mental health and wellbeing, biodiversity, climate change mitigation, and local economic growth.

Those managing parks face considerable challenges including responding to the different and sometimes clashing needs of local communities, competing for investment with other services and ensuring that the benefits of parks and green spaces are available to the most deprived communities.

Communities have a big role to play in the future of parks, whether through friends, volunteers, or other community groups. However, this voluntary support is not enough and innovation in management models and funding sources is also needed.

The Committee was not persuaded that provision and maintenance of parks should be a statutory duty. Instead, it recommends that the Minister responsible publishes guidance to local authorities that they should work collaboratively with Health and Wellbeing Boards to prepare and publish joint parks and green space strategies.

It also makes a number of recommendations to co-ordinate leadership of parks management at a national level. It welcomes plans to form a cross-departmental group to co-ordinate this and pull together policies and funding options to deliver a sustainable future for our parks and green spaces.

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

The Chair reported that the House of Commons Communities and Local Government Committee published a report on public parks and open spaces in January 2017. As part of the findings the Inquiry had recommended that Ministers publish guidance to local authorities encouraging them to work collaboratively with Health & Wellbeing Boards to prepare and publish joint parks and green space strategies.

In response to this, the Chair confirmed that he had spoken to the Council’s Cabinet Member for Communities & Housing about this matter and that a small working group would be formed to look into these recommendations and report back to the Board as appropriate.

It was also reported that the Children & Families Scrutiny Committee would be undertaking a Review of open space provision and facilities for 14-19 year olds.

RESOLVED – That the report be noted.

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 Chair invited partners present to update the Board on developments with the transformation of health and social care services in Greater Manchester.

Andrew Webb reported that the Greater Manchester Transformation Fund had now entered a new phase and would be allocating resources to targeted areas of need, such as mental health. There was a need for partners locally to update the Locality Plan to ensure that it was aligned with Transformation Fund requirements.

Jane Crombleholme highlighted the recent publication of the Greater Manchester Health & Social Care Strategic Partnership Annual Report that set out key achievements of partners in Greater Manchester in the last year.

Donna Sager highlighted the recent Health & Wellbeing Board stakeholder event at which Jane Pilkington, Deputy Director of GM Population Health, had made a presentation about the Greater Manchester Population Health Plan. Partners in GM had expressed an interest in Stockport’s health champion initiative and whether this could be adopted in other parts of the conurbation.

RESOLVED – That the update be noted.

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

Members and officers presented are invited to update the Board on developments with the Stockport Together Programme.

The Chair invited partners present to update the Board on Stockport Together.

Andrew Webb emphasised the range of activity since the last meeting, including:-

·         the detailed draft Business Cases for the new models of care had been agreed in principal, with a range of caveats and would be subject to final adoption later in the year;

·         providers had now created an integrated leadership team, including the appointment of an interim Managing Director;

·         ‘Stockport Neighbourhood Care’ had been created as an embryonic Multi-Speciality Community Provider (MSCP);

·         a number of senior positions had been appointed to;

·         an implementation plan for the next 18 months had been developed, and this had identified the key inter-dependencies in the programme;

·         an alliance agreement between providers had been developed that would allow them to operate as if a single organisation, and was currently  proceeding through each organisations governance arrangements;

·         work continued to resolve commissioning and contracting challenges;

·         the provider procurement process had resumed, and Government guidance had now been published that would support that process;

·         detailed development work was underway for a Neighbourhood Led Accountable Care Trust;

·         partners were acting more effectively as if a single organisation in dealing with performance issues in the acute sector and, while challenges remained the situation was improving;

·         the resources used to address Emergency Department performance issues had impacted on the capacity to deliver the neighbourhood model which had progressed been slower than planned, although this was to be addressed;

·         subject to approval from the Council, the CCG and the Council as commissioners would begin stakeholder consultation on the Stockport Together programme.

Donna Sager provided the following additional update:-

·         Viaduct Health had now appointed an interim CEO;

·         as part of the shift in attention back to developing the neighbourhood approach there was work ongoing to explore how to improve GP clinical systems to reduce pressure and make it easier for patients to get appointments;

·         Neighbourhood Team recruitment was underway but was challenging;

·         ensuring sufficient physical space for locality based services was also proving challenging as many GP practices had limited capacity to host services.

Assurances were sought that following the efforts made by partners to address pressures on the local health and care economy that the programme was now ‘on track’. In response it was stated that from this point in the year the economy was now in a good position, including improved performance in ED. It was emphasised that while sustaining any further improvements would be challenging, the ‘system’ was now much improved and in a stronger position than it was a year earlier.

It was also commented that the Clinical Commissioning Group remained concerned about performance at the Hospital and that Winter was likely to be very challenging. An example was provided of senior clinicians at the hospital not being aware of services available outside of ED that would negate the need for admission. In response it was acknowledged that the Four Hour Admission Standard would not be achieved for this year overall, but that performance regularly exceeded this standard.

Clarification was sought on what effect the delays in moving toward delivery through Neighbourhood teams would have on the budget. In response it was stated that the current budget had built-in headroom for the double running of services, and further resources would be available through the iBCF. Current projections were that without corrective action the Pooled Budget would be £650k overspent at year end, but that action would be taken and this represented a small fraction of the total budget pool. It was further commented that the Transformation Fund resources used to support the implementation of the new models of care were released in tranches upon completion of particular actions, but the challenge was that the resources were often needed to achieve the actions to generate the savings needed to redistribute existing resources.

In relation to recruitment, it was commented that Stockport was looking to recruit from  ...  view the full minutes text for item 8.

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 – (1) That the report be noted.

(2) That the Democratic Services Manager requested to include an item on the next agenda in relation to performance in the health and social care economy and specifically Delayed Transferred of Care, 4 hour admission standard and patient flow through Stepping Hill Hospital.