Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 6 June 2018.

The Minutes (copies of which had been circulated) of the meeting held on 6 June 2018 were approved as a correct record and signed by the Chair.

Board 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 report on any changes to membership of the Board since the last meeting.

The Chair reported on a number of changes to membership since the last meeting of the Board:-

·         the resignation of the Jane Crombleholme, Dr Ranjit Gill and Gaynor Mullins following their end of the tenure on the Stockport Clinical Commissioning Group (CCG) Governing Body

·         the appointment of Dr Cath Briggs, Dr Simon Woodworth, John Greenough and Mark Chidgey by Stockport CCG.

The Chair welcomed the new members to the Board, expressed the Board’s gratitude to the retired members for their contribution and wished them well in their future endeavours.

To achieve any announcements from the Chair on matters related to the activity of the Board.

The Chair reported that partners were continuing to develop an action plan in response to the CQC Local Area Review and that the CQC had recently undertaken a follow-up inspection at Stepping Hill Hospital.

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 Director of Public Health.

This report has been prepared at the request of the Health and Wellbeing Board to provide an update on performance, provision and key development areas in relation to sexual health in the borough.

The Board is invited to consider and note the report.

Officer contact: Dr Donna Sager, 0161-474-3928, donna.sager@stockport.gov.uk

A representative of the Director of Public Health submitted a report (copies of which had been circulated) providing an update on performance, provision and key development areas for sexual health, preventative and treatment services. The report had been prepared at the request of the Board.

The following comments were made/ issues raised:-

·         There was a discussion about the comparatively high levels of chlamydia detections in Stockport compared with other Greater Manchester areas and that this was in part reflective of higher rates testing. It was commented that there was a challenge in ensuring earlier detection/ testing and treatment. A key to improving this situation was to understanding the geographical distribution of those being tested and where prevalence to ensure that campaigns aimed at increasing awareness did not simply target those who were likely to be tested in any case and thereby simply increase the number of negative results.

·         It was commented that the percentage of repeat abortions amongst under 25s was saddening (although below the national average) and clarification was sought on what support was offered to women. In response it was stated that contraception advice was always offered to women in this situation but for those under 25 there was often a reluctance to have long acting reversible contraception (although Stockport had higher uptake in comparison to national rates).

·         Comment was made about the low rate of teenage conception in Trafford and whether anything could be adopted elsewhere. In response it was commented that rates had traditionally been low in Trafford and may reflect aspirations and ambitions amongst young people, parents and schools.

RESOLVED – That the report be noted.

To consider a report of the Director for Adult Services.

Officer contact: Barbara Mitchell, barbara.mitchell@stockport.gov.uk

With the consent of the Board this item was withdrawn.

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

Members and officers present are invited to update the Board on developments with the transformation of health and social care services in Stockport and Greater Manchester.

Sue Carroll reported that in June 2019 it was proposed that GMHSCP would be launching a series of consultations on the proposals relation to Theme 3 of the ‘Taking Charge’ GM Strategic Plan Theme 3 programme, ‘Standardising Acute and Specialised Care’.

Dr Simon Woodworth confirmed that a number of ‘Cases for Change’ were currently subject to clinical assessment and scrutiny prior to more public consideration. He highlighted some of the work in relation to breast cancer including screening, assessment and surgery.

RESOLVED – That the update be noted.

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

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

Mark Fitton, Director for Adult Social Care, gave a presentation to the Board on developments on Stockport Together and Stockport Neighbourhood Care (SNC) in particular.

The presentation covered the following issues:-

-       the aims of SNC, include reducing avoidable admissions, visits to the Emergency Department and reducing the length of stay in hospital;

-       the SNC Delivery Group Structure and Leadership Teams;

-       priorities for the Neighbourhood Teams, including those arising from the CQC Review;

-       key data on attendances, admissions and Enhanced Case Management by neighbourhood;

-       performance data for the period April to June 2018/19 and comparison for the previous year for SNC as a whole;

-       progress on key activity for Viaduct Care;

-       progress with Intermediate Tier service improvements;

-       progress with the development of Integrated Care Records.

RESOLVED - (1) That Mark Fitton be thanked for his presentation.

(2) That the Board would welcome similar presentations at future meetings as part of the regular Stockport Together update.

(3) That the Democratic Services Manager be requested to circulate a copy of the presentation.

To note the Minutes of the Sub Committee meeting held on 16 July 2018.

RESOLVED – That the Minutes of the Better Care Fund Sub-Committee held on 16 July 2018 be noted.