Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 2 March 2022.

The Minutes (copies of which had been circulated) of the meeting held on 2 March 2022 were approved as a correct record and signed by the Chair.

To appoint a Vice Chair for the period until the next Annual Council Meeting.

RESOLVED – That consideration of this item be deferred to a future meeting of the Board.

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

No announcements were made.

To consider a report of the Chief Executive.

The purpose of this report is to consider the future role and function of the Health and Wellbeing Board in light of both the new Locality Board arrangements and also guidance from government, which was issued in July 2022. This information was considered by the ICS Health and Care Executive at the meeting held on 11th August, 2022.

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

A representative of the Chief Executive submitted a report (copies of which had been circulated) which requested that the Board considered the future role and function of the Health and Wellbeing Board in light of both the new Locality Board arrangements and also guidance from government, which was issued in July 2022.

The following comments were made/issues raised: -

·         Welcomed the report and inclusion of the previous development work that had taken place.

·         It was queried who the Health & Wellbeing Board ICB representative would likely be. In response it was confirmed that the Director Health, Quality and Improvement / Deputy Place Lead, NHS Greater Manchester Integrated Care, would likely be the ICB representative on the Board.

·         It was queried whether meeting four times in each municipal year would be sufficient.

·         In response it was commented that the necessary regularity of the meetings was impacted by the way in which the Board agreed to operate between meetings and the expectation of the meetings. It was noted that at previous development sessions there had been a discussion around the way in which the Health & Wellbeing Board would operate in the future including outlining priorities and outcomes which would then be focussed on between meetings in order to provide a substantial update evidencing the engagement and work that had taken place. However, it was noted that the business-as-usual element of the meeting might be challenged by reducing the meeting cycle to four times per year.

·         That there were opportunities to circulate briefings, updates and reports to Members outside of meetings for information.

·         It was suggested that the agenda templates are updated in line with the new branding to reflect the recent changes.

·         It was noted that the review of the Health & Wellbeing Board terms of reference would be ongoing whilst the Integrated Care System arrangements developed and government guidance emerged over the coming months.

RESOLVED – (1) That the report be noted.

(2) That a review of arrangements, including role, function and membership takes place as Integrated Care System arrangements develop over the next 12 months.

To consider a report of the Director of Strategy.

The report provides an overview of key data and insight in the borough to inform the Health and Wellbeing Board priorities and forward plan for the year.

The Board is requested to consider and note the report.

Officer contact: Kathryn Rees on 07989208640 or email: kathryn.rees@stockport.gov.uk  

(NOTE: The Chair was of the opinion that this item, although not included on the agenda, should be considered as a matter of urgency in accordance with Section 100B(4)(b) of the Local Government Act 1972 as the information contained within the report was pertinent to informing the Health & Wellbeing Board priorities and forward plan for the current municipal year)

The Director of Strategy submitted a report (copies of which had been circulated) which provided an overview of key data and insight in the borough to inform the Health and Wellbeing Board priorities and forward plan for the year.

The following comments were made/issues raised: -

·         Thanked colleagues for a comprehensive report outlining the key issues and progress of ongoing work.

·         Recognised that there was no single biggest invention to drive improvements in the challenges outlined and it would require a multifaceted, collaborative approach.

·         Commented on the importance of organisational responsibility and contributions of Stockport’s anchor institutions to address some of the key issues outlined for staff and the wider community. 

·         That there was a review of the People Plan taking place which could be an opportunity for Stockport NHS Foundation Trust and the Council to learn and share best practice.

·         It was noted that the data provides an opportunity to inform the Health and Wellbeing Board priorities and future items for consideration moving forwards.

RESOLVED – (1) That the report be noted.

(2) That supported self-care, cost of living work and social prescribing be recommended as future agenda items for the Health & Wellbeing Board’s work programme for the 2022/23 municipal year.

To consider a report of the Director of Public Health.

The report covers two years (2019-2021) and includes information at the notification stage from 79 death notifications, and at the conclusion of the investigation (case closure) stage from 67 children’s deaths. The main report presents eight recommendations. The death of any child is a tragedy, and this supplementary report is our attempt to ensure and demonstrate that we learn from each death. It will therefore summarise the work currently ongoing in Stockport that responds to the report’s recommendations.

The Board is requested to note the main and supplementary report, and endorse and prioritise the recommendations and actions within.          

Officer contact: Jennifer Connolly on 0161 474 2442 or email: Jennifer.connolly@stockport.gov.uk

The Director of Public Health submitted a report (copies of which had been circulated) which covered two years (2019-2021) and included information at the notification stage from 79 death notifications, and at the conclusion of the investigation (case closure) stage from 67 children’s deaths. The main report presented eight recommendations and summarised the work currently ongoing in Stockport that responds to the report’s recommendations.

The following comments were made/issues raised: -

·         That the performance reports considered at Children & Families Scrutiny Committee report the number of mothers smoking during pregnancy and requested that a summary of the Child Death Overview Panel Annual Report is submitted for consideration by Children & Families Scrutiny Committee.

·         Commented on the importance of the recommendations relating to smoking, weight management and co-sleeping outlined in the report.

·         Queried the age range of children that were most at risk of co-sleeping.

·         In response it was stated that co-sleeping was an issue that was predominantly associated to younger children and babies, and they were the area of focus. Whilst there was no quantitative evidence to support this rationale, the feedback from health visitors was that parents understood the risks associated with co-sleeping and whilst parents still practiced co-sleeping, health professionals had to respect their choice as long as they were aware of the risks. However, there was a sense that there could be more risk awareness communication work with other carers such as grandparents to reduce this risk further.

·         That the hidden nature associated with a number of the child deaths was a challenge to how this can be addressed.

RESOLVED – (1) That the report be noted.

(2) That the recommendations as outlined in the report be endorsed.

To consider a joint report of the Director of Adult Services and Director of Public Health.

The report outlines the new service provision in Stockport, highlighting any changes, challenges and opportunities.

The Board is requested to note the contents of the report and provide comments/feedback.

Officer contact: Jennifer Connolly on 0161 474 2442 or email: Jennifer.connolly@stockport.gov.uk or Vincent Fraga on 0161 474 4401 or email: vincent.fraga@stockport.gov.uk

The Director of Adult Services and Director of Public Health submitted a report (copies of which had been circulated) which outlined the new service provision in Stockport, highlighting any changes, challenges and opportunities.

The following comments were made/issues raised: -

·         Welcomed the report and new service provision in Stockport.

·         Raised concerns in relation to the wait time for late teenagers awaiting a diagnosis for complex mental health needs which could be up to five years and the impact that this was having on the individual and their families. It was queried if there were any plans to support this work.

·         In response it was commented that part of the work which was being strengthened included connecting the services available that would be able to provide support in the meantime. In physical health there was also some work around while you wait which included signposting individuals to services and would result in some learning that could be translated to mental health.

·         That there was some ongoing work with Mosaic services and Pennine Care around the support that can be given to families for the up to 26 year old population.

·         That the Your Support option where the waiting list is less than two weeks might be beneficial to families and individuals on waiting lists for diagnosis’.

RESOLVED – (1) That the report be noted.