Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 17 January 2024.

The Minutes (copies of which had been circulated) of the meeting held on 17 January 2024 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.

No announcements were made.

To consider a report of the Director of Public Health.

The report provides the Board with a progress update on the outcomes of the ONE Stockport Active Communities Strategy – branded as Stockport Moving Together.

The Board is asked to:-

(1)  Comment on the progress outlined to date.

(2)  Note the ongoing and future opportunities to improve population and individual health outcomes through Stockport Moving Together.

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

Officer contact: Russ Boaler on 07891949016 or email: russ.boaler@stockport.gov.uk

The Director of Public Health submitted a report (copies of which had been circulated) which provided the Board with a progress update on the outcomes of the ONE Stockport Active Communities Strategy – branded as Stockport Moving Together.

The following comments were made/issues raised:-

·         The Board welcomed the excellent work that was taking place across the borough.

·         It was noted that the data referenced in the report related to 2020/21 which was during the Covid-19 pandemic where there was a notable increase in physical activity and queried whether more recent data was available to draw comparisons in the trends of physical activity.

·         In response, it was stated that the service was looking at more recent data from the active lives survey which included both a children’s and adults survey and there was evidence of a change in people's physical activity habits during the pandemic with more people exercising in nature more. It was noted that some of those improvements had been maintained following the pandemic and there were changes in behaviour around active travel, continuing to build on and embed the walking and cycling infrastructure around the borough.

·         It was commented that physical activity was an individual choice and queried the work taking place to educate the population and encourage physical activity.

·         In response, it was stated that there was ongoing work to highlight the benefits of physical activity and a key message was that physical activity did not need to involve going to a gym as a lot of peoples faced various barriers including economic and psychological in the consideration of a gym environment. It was commented that some of the work in Brinnington had broken down some of those barriers and encouraged Board Members to visit the Life Leisure facilities to understand the community work that was taking place and how those spaces were being used.

·         It was noted that Life Leisure was a vital part of the infrastructure to deliver the strategy and queried the sustainability of Life Leisure as an organisation.

·         In response, it was commented that the sustainability of Life Leisure was part of a live conversation in recognition of the difficult market around viable provision for physical activity and traditional leisure services. It was noted that the service was looking to reimagine the leisure provision to put population health outcomes first in terms of physical activity and the health benefits in terms of literacy, wellbeing and social connectedness and design the system in a fresh, holistic way giving consideration to the inequalities that exist across the borough.

·         It was noted that there were examples of Life Leisure going into care homes and supported living accommodation to support people to reduce the incidences of frailty and falls and queried whether this work was still taking place.

·         It was queried what additional work in collaboration with partner organisations such as GP practices, the NHS and Sector 3 could be considered to further the work that was taking place and communications that were being shared, using the opportunities around social prescribing.

·         In response, it was commented that primary care was a key partner due to their interactions with a large proportion of the population. In relation to social prescribing, it was noted that there was exercise on prescription and the wellbeing prescription that had been developed and piloted which the service was intending to build on and scale up in the future. It was also noted that a programme of focus across the council was making every contact count to enable front line workers to signpost residents to local provision such as social prescribing and opportunities for physical activity.

·         It was commented that Life Leisure was part of the Family Hubs that were being set up in each of the localities and representatives were in attendance at the recent launch of the new Family Hub in Heatons and Reddish.

RESOLVED – (1) That ongoing and future opportunities  ...  view the full minutes text for item 4.

To consider a report of the Associate Director of Nursing, Quality & Safeguarding.

The report presents the first combined LeDeR annual report as an Integrated Care Board (ICB) for 2022/23.This allowed for wider and more detailed thematic analysis on which to base initiatives and outcomes. The aim remains for people with a learning disability and autistic people across GM to experience good health and good care, and no longer experience health inequalities or die from preventable causes.

The Board is asked to:-

(1)  Ensure there is a robust local system governance (representing both health and local government and including people with lived experience) responsible for overseeing the delivery of the recommendations from the GM LeDeR annual report locally. There will need to be a relationship that allows information to flow between the GM Learning Disability and Autism Good Health Group and the locality in relation to the associated priorities.

(2)  Ensure there is appropriate representation from each of the localities on the GM Learning Disability and Autism Good Health group that can report back on locality progress.

Officer contact: Jemma Billing on 07775005603 or email: J.billing1@nhs.net

A representative of the Associate Director of Nursing, Quality & Safeguarding submitted a report (copies of which had been circulated) presenting the first combined LeDeR annual report as an Integrated Care Board (ICB) for 2022/23 which allowed for wider and more detailed thematic analysis on which to base initiatives and outcomes. The aim remained for people with a learning disability and autistic people across GM to experience good health and good care, and no longer experience health inequalities or die from preventable causes.

The following comments were made/issues raised:-

·         It was noted that as the first Greater Manchester combined LeDeR annual report, the learning from the Stockport locality would be taken into the Learning Disability Partnership Board.

·         The Board noted the comparative progress made in relation to health checks and commented on the work that could be completed if services understood the needs of the people affected within the locality more.

·         It was commented that the health checks and health action plans could be better linked to the Wellbeing Team and Life Leisure to utilise the wider service offer.

·         It was noted that many of the localities had appointed Care Co-ordinators for Learning Disabilities who were doing excellent work to link the system together to deliver services in a coherent way.

·         The Board commented on the importance of the Valuing People Partnership Board and the Learning Disability Partnership Board.

·         It was queried if there was any data or research in relation to people with disabilities suffering poorer outcomes following the death of a parent where the parent was also their carer.

·         In response, it was commented that there was no known data relating to people with disabilities suffering poorer outcomes following the death of a parent where the parent was also their carer. However, if there was information to suggest that this was an issue then it would be taken into consideration. It was noted that part of the health checks for learning disabilities include establishing the patient support and care in place and it was expected that if there was a gap or concerns around the sustainability of the care, the matter would be escalated to colleagues in the appropriate service.

RESOLVED – That the report be noted.

To consider a report of the Interim Chief Finance Officer (CCG) and Deputy Chief Executive (S151 Officer) (SMBC).

The report presents the Better Care Fund (BCF) Q3 template, which was submitted to the national BCF Team within the submission deadline of the 9 February 2024 and provides an update on the overall financial performance of the Better Care Fund (BCF) as at 31 December 2023 (Quarter 3).

The Board is recommended to:-

(1)  Note the BCF Q3 template submission to the BCF national team.

(2)  Note the finance performance of the BCF as at 31 December 2023 (Quarter 3).

Officer contact: Paul Graham on 07866999882 or email: paul.graham@stockport.gov.uk  

A representative of the Interim Chief Finance Officer (CCG) and Deputy Chief Executive (S151 Officer) (SMBC) submitted a report (copies of which had been circulated) presenting the Better Care Fund (BCF) Q3 template, which was submitted to the national BCF Team within the submission deadline of the 9 February 2024 and provides an update on the overall financial performance of the Better Care Fund (BCF) as at 31 December 2023 (Quarter 3).

The Board thanked officers for the report and the level of detail provided.

RESOLVED – (1) That the BCF Q3 template submission to the BCF national team be noted.

(2) That the finance performance of the BCF as at 31 December 2023 (Quarter 3) be noted.

To consider a report of the Deputy Place Based Lead.

The report provides an update on the differing roles and responsibilities between the Health and Wellbeing Board and the One Stockport Health & Care Board and why both continue to be necessary. The report was requested by the Adult Social Care & Health Scrutiny Committee and is presented to the Health & Wellbeing Board for information.

The Board is recommended to comment on and note the report.

Officer contact: Geraldine Gerrard by email: geraldine.gerrard@stockport.gov.uk

The Deputy Place Lead submitted a report (copies of which had been circulated) providing an update on the differing roles and responsibilities between the Health and Wellbeing Board and the One Stockport Health & Care Locality Board and why both continue to be necessary. The report was requested by the Adult Social Care & Health Scrutiny Committee and was presented to the Health & Wellbeing Board for information.

The following comments were made/issues raised:-

·         It was noted that the report would also be submitted for consideration by the One Stockport Health & Care Locality Board for completeness.

·         It was commented that a key question from Adult Social Care & Health Scrutiny Committee was about decision making, the new operating model and whether some of the decisions were further away from the population than previous. It was stated that, as set out in the paper, there was a new operating model in Greater Manchester and there were still changes to be made. As seen with the LeDeR Annual Report some activities were at a Greater Manchester level to get an efficiency of scale and to be able to learn across the system, however other decisions were hyperlocal such as the investment in the mental health car which was discussed at length at Scrutiny.

·         The Board noted the benefit of working at scale across Greater Manchester, however commented on the importance of keeping as much as possible at a locality level around the local population.

·         It was commented that Stockport had been successful in utilising the flexibility delegated from the Greater Manchester Integrated Care Board through the One Stockport Health & Care Locality Board.

·         It was noted that the Valuing People Partnership Board and the Learning Disability Partnership Board would have the opportunity to attend the One Stockport Health & Care Locality Board to present their work, challenges and priorities on an annual basis, if they wished to do so.

·         The Board welcomed the report and the clarity that it provided.

·         It was queried how the Board’s effectiveness was assessed and whether there would be an opportunity to hold a joint meeting between the Health and Wellbeing Board and the One Stockport Health & Care Locality Board.

RESOLVED – That the report be noted.

To consider a report of the Assistant Director - Legal and Democratic Governance.

The purpose of this report is to confirm the meeting dates of the Health & Wellbeing Board for the municipal year 2024-25.

The Board is asked to agree to the proposed meeting dates for the next municipal year.

Officer contact: Georgia Latham on 0161 474 3229 or email: georgia.latham@stockport.gov.uk

A representative of the Assistant Director - Legal & Democratic Governance (Monitoring Officer) submitted a report (copies of which had been circulated) presenting the proposed meeting dates of the Health and Wellbeing Board for the 2024/25 municipal year.

RESOLVED – That the following dates for the Health & Wellbeing Board meetings for 2024/25 municipal year be approved and circulated to Board Members:-

·         12 June 2024 at 2pm

·         4 September 2024 at 2pm

·         27 November 2024 at 2pm

·         29 January 2025 at 2pm

·         5 March 2025 at 2pm

To consider a report of the Assistant Director - Legal and Democratic Governance.

The report provides the Forward Plan of agenda items for future meetings of the Health & Wellbeing Board.

The Board is asked to consider the information in the report and put forward any agenda items for future meetings of the Health & Wellbeing Board.

Officer contact: Georgia Latham on 0161 474 3229 or email: georgia.latham@stockport.gov.uk

A representative of the Assistant Director - Legal & Democratic Governance (Monitoring Officer) submitted a report (copies of which had been circulated) providing the Forward Plan of agenda items for future meetings of the Health & Wellbeing Board.

RESOLVED – That the report be noted.