Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 19 January 2022.

The Minutes (copies of which had been circulated) of the meeting held on 19 January 2022 were approved as a correct record and signed by the Chair.

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.

The Chair welcomed everyone to the meeting and on behalf of the Board:-

·      Offered support and best wishes to colleagues, residents of the borough and the people of Ukraine who were being impacted by the ongoing war. It was noted that the Town Hall had been lit up on 25 February 2022 to show the council’s solidarity with the people of Ukraine. It was advised that there was a number of collection points across the borough for those who would like to donate.

·      Noted the change in the COVID guidance as we moved into Stockport Living Safely with COVID. It was advised that the council was working with colleagues across the system to continue with safety communications including the continuation of the vaccine delivery.

·      It was noted that Andrea Green and Catherine Monroe were stepping down as members of the Board and it was requested that the best thanks and best wishes for the future be placed on record, for the work undertaken and support provided by Andrea Green and Catherine Monroe.

Councillor Tom McGee informed the Board that the Chair, Councillor Jude Wells, would be retiring on 5 May 2022 and on behalf of the Board thanked Councillor Jude Wells for her commitment, dedication and support during her time of office and wishes her well in her future endeavours.

To consider a report of the Cabinet Member for Adult Care & Health.

The report provides an update on the items considered at the meeting of the Shadow Locality Board held on 1 February 2022.

The Board is requested to note the report.

Officer contact: Andrea Green, a.green15@nhs.net

A representative of the Cabinet Member for Adult Care & Health submitted a report (copies of which had been circulated) which provided an update of the Integrated Care System Shadow Board.

The following comments were made/issues raised: -

·      It was noted that an update report relating to the Integrated Care System had been considered by the Corporate, Resource Management & Governance Scrutiny Committee on 1 March 2022 and that members of the Committee had commented on the challenges of partnership working and coordinated services and importance of shared vision for the benefit of residents.

·      Requested a list of attendees of the five work streams. In response it was agreed that the information would be obtained and circulated amongst Members of the Board.

·      It was noted that an engagement exercise was due to commence this month to engage with residents to understand their views on the structures of the Integrated Care System and develop communications around the implications for the individual.

RESOLVED – That the report be noted.

To consider a report of the Director of Public Health.

The report presents the developing strategy and the key findings from the engagement work so far, and invites the Health and Wellbeing Board to contribute to the further development of this vital work area.

The Board is requested to:-

·      Note and comment on the outline strategy and engagement work;

·      Contribute, and support staff to contribute, to developing the strategy and actions over the coming months; and

·      Contribute to developing ICS / Locality Board structures which will be capable of delivering the strategy.

Officer contact: Judith Strobl, Judith.Strobl@stockport.gov.uk and Simon Armour, simon.armour@stockport.gov.uk  

A representative of the Director of Public Health submitted a report (copies of which had been circulated) which presented the developing strategy and the key findings from the engagement work so far, and invited the Health and Wellbeing Board to contribute to the further development of this vital work area.

The following comments were made/issues raised:-

·      Welcomed the accessibility of the Stockport All-Age Mental Health & Wellbeing Strategy and it was commented that the strategy was clear and comprehensive.

·      Recognised that the strategy was tailored to address mental health problems and prevention across the borough as a whole. However, it was noted that the council’s sickness absence statistics had increased marginally prior to Christmas due to absences relating to broad mental health concerns and commented on the importance of the council and its partnership organisations leading by example through promoting wellbeing and evidencing the benefits.

·      It was commented that education providers, as one of the large public employers, had not been included in terms of consultation and engagement of the strategy. In response, it was stated that the service was working with schools to support the mental health and wellbeing of both children and staff.

·      It was noted that the strategy had been co-designed through partnership working and presented an opportunity to develop the neighbourhood model from the bottom up with residents to make the most of the community assets across the borough.

·      Welcomed the focus on the all-age thrive model and prevention of mental ill health and emotional wellbeing within the strategy.

RESOLVED - That the outline strategy and engagement work be noted.

To consider a report of the Director of Public Health.

The report provides the Board with a final update on the refreshed ONE Stockport Active Communities Strategy following the initial presentation to the Board in November 2021.

The Board is requested to:-

·      Comment on the strategy principles, implementation priorities, success criteria and wider outcomes;

·      Note and endorse the continuation of a whole systems methodology for the ONE Stockport Active Communities Strategy 2022-2030.

Officer contact: Russ Boaler, russ.boaler@stockport.gov.uk

A representative of the Director of Public Health submitted a report (copies of which had been circulated) which provided the final update on the refreshed ONE Stockport Active Communities Strategy following the initial presentation to the Board in November 2021

The following comments were made/issues raised:-

·         Welcomed the accessibility of the strategy to empower residents to be more active throughout their normal day. In response, it was stated that the strategy distinguished between being active and doing activity and that the communications plan was vital to delivering messaging around supporting people to be active by reducing their sedentary behaviour to mitigate risk factors to their health, then if an individual wanted to do activity by going through a gym for example this could be added.

·         It was commented that people were much more likely to be active if they felt supportive and welcomed the focus on enabling residents.

·         Recognised the link between activity and mental health and wellbeing, and the responsibility of the large public employers to support the strategy starting with setting an example through their approach to staff.

·         Whether opportunities were being explored to work with other initiatives such as smoking cessation to help an individual improve their overall health. In response, it was advised that a whole system approach would be key to delivery as opposed to in isolation. An example of this partnership work was the project with Age UK which focussed on isolation, the service was now exploring ways to develop this project to include activity.

·         Recognised the ambition targets outlined within the strategy and welcomed the timescale that had been set for these to be achieved.

·         Highlighted the messaging during the initial lockdown which encouraged one hour worth of exercise per day which had created a misconception amongst children and adults. The strategy demonstrated a shift towards being more active and instead, exercising every hour.

·         The importance of a whole system, whole family approach for the strategy to produce tangible outcomes.

·         Whether the strategy could be a rolling programme. In response, it was stated that the implementation plan was the live part of the strategy and the action research plan would review progress against the priorities on an annual basis and ensure continued development.

RESOLVED – That the report be noted and the continuation of a whole systems methodology for the ONE Stockport Active Communities Strategy 2022-2030 be endorsed.

To consider a report of the Executive Nurse and Deputy Accountable Officer Stockport CCG.

The report provides an update on the emerging ICS context for Stockport in relation to our role and functions for

•     Quality assurance (QA)

•     Quality oversight and (QO) 

•     Quality improvement (QI)

The Board is requested to note the discussions that are taking place.

Officer contact: Anita Rolfe, anitarolfe@nhs.net

The Executive Nurse and Deputy Accountable Officer, Stockport CCG, submitted a report (copies of which had been circulated) which provided an update on the emerging ICS context for Stockport in relation to our role and functions for Quality assurance (QA), Quality oversight and (QO) and Quality improvement (QI).

The following comments were made/issues raised:-

·         Suggested revising the wording of the Strategic Place Response under the Neighbourhood Level to commit the services to action population health approaches, prevention and wider determinants of health.

·         Welcomed the approach being taken in considering quality assurance, quality oversight and quality improvement and suggested that more collaborative work could be done to develop the overall methodology in relation to quality improvement.

·         Highted the ongoing work of the patient safety group irrespective of place or location to improve the services for local people, including their work creating an environment of psychological safety and a culture for individuals to raise issues.

·         It was noted that the piece of work enabled organisations to develop best practice through the Integrated Care System to ensure a whole system quality assurance regime.

RESOLVED – That the report be noted.

To consider a report of Report of the Director of Integrated Commissioning – NHS Stockport CCG.

The report presents the Delivery Plan for the first year of the ONE Health and Care Plan; focusing on the key system key deliverables for 2022/23.

The Board is requested to endorse the Delivery Plan 2022/23.

Officer contact: Melissa Maguinness, Melissa.maguinness@nhs.net

The Director of Integrated Commissioning, NHS Stockport CCG, submitted a report (copies of which had been circulated) which presented the Delivery Plan for the first year of the ONE Health and Care Plan, focusing on the key system key deliverables for 2022/23.

The following comments were made/issues raised: -

·      Welcomed the focus on health inequalities within the Delivery Plan and recognised the opportunity that the plan presented to identify the barriers to health equality.

·      Welcomed the detail that the plan in relation to the key deliverables and opportunity to measure progress against the actions and measures.

·      It was noted that the outcomes in relation to the ambitions of the plan may take generations to produce, however it was important to manage expectations and monitor changes to ensure that the system was moving in the right direction.

·      Raised concerns in relation to the child friendly borough, obesity and the action to increase physical activity. It was commented that obesity was a complex issue with wider determinants which required a holistic, multifaceted approach with the development of a broader strategy.

·      It was suggested that young carers be considered as an area of focus. In response, it was stated that there was an ongoing piece of work to identify young carers across the borough and ensure that specific support was in place to meet the individual needs of the child to enable them to stay in school.

RESOLVED – That the Delivery Plan 2022/23 be endorsed.

To consider a report of the Chief Executive.

The report confirms the meeting dates of the Health and Wellbeing Board for the municipal year 2022-23. The report also highlights feedback from the development session, which considered the future role of the Board in the context of the Integrated Care System and which was held with Board Members on 19th January.

The Board is requested to:-

·      Agree to the proposed meeting dates for the next municipal year;

·      Consider and comment on the feedback from the Health and Wellbeing Board development session;

·      Propose a review of the Board’s Terms of Reference and development of forward plan, to reflect the feedback in the June meeting. This would include a deep dive into data and intelligence to set the board priorities;

·      Agree the development of a Health and Wellbeing Board member role profile, to ensure effective working in terms of priorities, disseminating key messages and learning. This would be agreed with board members in the June meeting; and

·      Agree the development of a core narrative for the purpose and function of the Health and Wellbeing Board that can be shared publicly.

Officer contact: Kathryn Rees, kathryn.rees@stockport.gov.uk

A representative of the Chief Executive submitted a report (copies of which had been circulated) which confirmed the meeting dates of the Health and Wellbeing Board for the municipal year 2022-23. The report also highlighted feedback from the development session held on 19 January 2022, which considered the future role of the Board in the context of the Integrated Care System.

The following comments were made/issues raised: -

·      It was suggested that the proposed ambassador/champion role of Health & Wellbeing Board members could be tested in relation to the agenda items considered at the meeting today.

·      It was suggested that the core membership of the Board needed to be representative at a strategic level with an opportunity for wider engagement dependant on the items that were under consideration.  

·      Welcomed the inclusion of the feedback from the development session within the report and how this translated to the future role of the Board.

·      Whether it would be possible to adopt a similar business/discussion model for future meetings of the Board as was used during the development session.

·      Commented on the importance of clarity around the role of Health & Wellbeing Board and effective communications to translate reports into communities.

·      Suggested that real life experiences be incorporated into future meetings and items to provide accountability.

RESOLVED – (1) That the following dates for the Board meetings for 2022/23 be approved and circulated to Board members: -

·         15 June 2022

·         7 September 2022

·         23 November 2022

·         18 January 2023

·         1 March 2023

(2) That a review of the Board’s Terms of Reference be undertaken and Forward Plan be developed for the 2022/23 municipal year.

(3) That a Health and Wellbeing Board member role profile, to ensure effective working in terms of priorities, disseminating key messages and learning, be developed and submitted to the June meeting of the Board.

(4) That a core narrative for the purpose and function of the Health and Wellbeing Board be developed.