Agenda and minutes

(Note: The Chair was of the opinion that this item, although not included on the agenda for the meeting, should be considered as a matter of urgency in accordance with Section 100B(4)(b) of the Local Government Act 1972 (as amended) to allow members of the public to submit their petition).

Brigitte Lechner, on behalf of users of the Joseph Whitworth Centre, and Eileen Harris, on behalf of the Mental Health Carers Group, attended the meeting to present a petition calling on the Council and Stockport Clinical Commissioning Group to “reverse the decision to close the Joseph Whitworth Community Centre (formerly known as Wellbeing Centre) on Chestergate” on the grounds that the centre was of “enormous benefit to community groups, charities and NHS support services”.  The online petition had attracted 1168 signatures.

The petitioners expressed their concern that the closure of the facility would negatively impact the groups and individuals who used the centre as it was a highly valued place to form social and support networks that might not otherwise exist. It was of particular value to people with mental health issues because it provided a supportive and ‘safe’ space.

The Chair acknowledged the concerns of the petitioners, but clarified that the Board had not been involved in any decisions about the future of this facility. He stated that the Council had been working with the groups using the facility to find suitable alternative accommodation and invited any groups not in contact with the Council to contact him. He stated that he would receive the petition and ensure it was passed to the appropriate organisations/ individuals.

RESOLVED – That the petition relating to the Joseph Whitworth Centre be received and referred to the appropriate organisations.

To approve as a correct record and sign the Minutes of the meeting held on 10 June 2015.

The Minutes (copies of which had been circulated) of the meeting held on 10 June 2015 were approved as a correct record and signed by the Chair.

No declarations of interest were made.

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

The Chair updated the Board on the following issues:-

·         On Friday, 10 July, Greater Manchester partners, NHS England and Public Health England signed a Memorandum of Understanding that sought to give greater focus to prevention and targeted early intervention for the whole of Greater Manchester.

·         Simon Stevens, Chief Executive of NHS England had, in a number of recent statements, reiterated the importance of prevention in tackling long term challenges facing the NHS and other public sector organisations.

RESOLVED – (1) That the update be noted.

(2) That the Democratic Services Manager be requested to circulate a copy of the recent Greater Manchester Public Health Memorandum of Understanding.

To consider a report of Healthwatch Stockport.

The report sets out the findings of a Healthwatch Stockport consultation exercise on what local people want from their local health and social care services. The findings of the report would inform the development of the Joint Strategic Needs Assessment, which will in turn inform service delivery and commissioning.

The Board is invited to comment on the report.

Officer contact: Jonathan Vali, 0161 474 3201, jonathan.vali@stockport.gov.uk

Sue Caroll, Vice-Chair of Healthwatch Stockport, attended the meeting to present the organisation’s report “What would a good experience of a health or social care service look like to you? – JSNA Report” (copies of which had been circulated) that had been commissioned to provide public input into the development of the Joint Strategic Needs Assessment (JSNA). The report presented the views of the public gathered from a range of engagement activity on their ideal health care system.

The Chair acknowledged the valuable contribution Healthwatch had made and were continuing to make to the development of the JSNA.

Members commended the report and the openness and clarity of the document.

It was commented that staff at the Clinical Commissioning Group were being encouraged to read the document and reflect on how to act upon the findings in future service design and commissioning.

The Board discussed the common concern raised by the public relating to access to GPs and securing timely appointments, and how this could be addressed as part of ongoing work to enhance Primary Care. It was cautioned that simply expanding access would likely result in a corresponding increase in demand. The challenge was to improve access to a range of primary care services to improve outcomes. It was acknowledged that each respondent’s expectations about access differed. It was also commented that the re-launch of the NHS 111 Service in the Autumn may improve access but that in the short term there may be complaints arising from changing arrangements for out-of-hours care when phoning GP practices.

In relation to the JSNA, it was suggested that in light of the feedback in this report the JSNA could include a “You Asked, We Did” element, or at least a commentary on impact.

RESOLVED – That the “What would a good experience of a health or social care service look like to you? – JSNA Report” be welcomed and Healthwatch Stockport be thanked for their contribution.

To consider a report of the Deputy Director of Public Health.

This report outlines the rationale for the development of a Physical Activity strategy, summarises some of the key evidence base and gives an overview of the key objectives within which the strategy’s action plan has been developed.

The Board is asked to note and endorse the Stockport Physical Activity Strategy as a key mechanism for addressing physical inactivity within Stockport and impacting positively on the health of Stockport’s residents.

Officer contact: Russ Boaler, 0161 474 3941, russ.boaler@stockport.gov.uk

A representative of the Deputy Director of Public Health submitted a report (copies of which had been circulated) inviting the Board to consider the draft Physical Activity Strategy for 2015-18.

The Strategy was accompanied by an Action Plan that would be monitored annually, and would complement the existing Stockport Joint Health & Wellbeing Strategy and the developing Greater Manchester Physical Activity Strategy.

The Strategy was not solely concerned with encouraging people to be physical active but also to address the risks associated with being sedentary.

The following comments were made/ issues raised:-

·         It was recognised that there were limitations to the data on non-sport participation physical activity that could be collected to measure impact, particularly in relation to children and young people, but that it was important that this did not become a barrier to promoting the message and addressing this important public health challenge.

·         It was important to ensure that all frontline staff were aware of the aims of the Strategy, if not the detail, and that this would form part of the Making Every Contact Count agenda. It was also integral to the prevention agenda being pursued by partners in the health economy.

·         In relation to data on children and young people, there was a difficultly in retrieving data on physical activity, although good data was available on sports participation.

·         Links made in the Strategy between physical activity and social isolation, were welcomed, as was recognition of the need to address school travel. It was also important that the Council and NHS as the largest local employers led by example in promoting this agenda amongst its staff.

·         Consideration should be given to the accessibility to sports and leisure facilities, as increasing prices may be discouraging participation. Further signposting to facilities, such as schools, should be considered.

·         Given the significant impact physical activity can have on improving health, and the significant contribution sedentary behaviour can have on poor health, promoting this issue should be a high priority for partners.

RESOLVED – (1) That the Stockport Physical Activity Strategy 2015-18 be endorsed as a key mechanism for addressing physical inactivity within Stockport and impacting positively on the health of Stockport’s residents.

(2) That the Democratic Services Manager be requested to circulate details of the Stockport Lifestyle Survey.

To consider a report of the Director for Public Health.

Hypertension (high blood pressure) is one of the most important preventable causes of premature morbidity and mortality in the UK. It increases the risk of atrial fibrillation and is a major risk factor for stroke, myocardial infarction, heart failure, chronic kidney disease, cognitive decline and premature death. Raised blood pressure is one of the main modifiable risk factors for cardiovascular disease. Many people who have high blood pressure are not aware of it. The report summarises the outcome of a pilot project using 7 health kiosks, placed in the community, as part of a ‘know your numbers’ campaign (April – October 2014) The aim of the project was to record and code blood pressure measurements for those patients registered with Stockport GPs who had not had a blood pressure recorded in their notes in the past five years and see how many attended the kiosk during the pilot period.

The Board is invited to comment on the report.

Officer contact: Dr Vicci Owen-Smith, 07810045578, vicci.owen-smith@stockport.gov.uk

The Deputy Director of Public Health submitted a report (copies of which had been circulated) summarising the outcome of the Wellpoint Kiosk pilot undertaken in Stockport as part of the ‘Know Your Numbers’ hypertension campaign. The aim of the project was to record and code blood pressure measurements for those patients registered with Stockport GPs, particularly those who had not had a blood pressure recorded in their notes in the past five years.

Although the pilot had not resulted in the outcomes anticipated in respect of reaching target groups and because of problems with the data, the use of the kiosks had been significant and had demonstrated potential for further exploitation.

The following comments were made/ issues raised:-

·         The further deployment of the kiosk would be welcomed, but further consideration should be given to how users can be supported in using it for the first time as this appeared to be a common problem at some sites. Also, consideration should be given as to how ‘open’ the setting was as its public nature could discourage some users.

·         The use of the kiosk was in itself a more exciting activity than simply having blood pressure checked. This encouraged people to use it, but also lead to group activity where co-workers or friends used the facility or tried to compete to achieve the biggest improvements.

·         The awareness of the need for blood pressure checks should have increased and encouraged GPs to take readings where patients attended surgeries and had no data.

RESOLVED – That the report be noted.

To consider a report of the Director of Public Health.

This report presents the health and wellbeing performance indicators previously agreed by the Health and Wellbeing Board. Data is taken from the quarterly PPRRs (Portfolio Performance Resource Reports) for the Health and Wellbeing, Adult Social Care and Children and Young People portfolios wherever possible, so that these processes are aligned. The report also summaries key updates from theme leads about progress towards achieving the Health and Wellbeing Strategy we wills in section 4 of the report.

The Board is invited to:-

•        receive and note this report and the key indicators summarised within it.

•        identify any further information that the Board would like to receive as part of the outcomes framework.

Officer contact: Eleanor Banister, 0161 474 2447, eleanor.banister@stockport.gov.uk

The Deputy Director of Public Health submitted a report (copies of which had been circulated) providing the Board with data on performance during the third quarter of 2014/15 against a range of health and wellbeing indicators, and providing a commentary on trends and other issues related to the indicators.

RESOLVED – That the report be noted.

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

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

The Chair reported that the Greater Manchester Clinical Commissioning Groups’ Committees in Common (CiC) had recently met to agree the single service model for hospital care and would shortly be announcing the final groupings of hospitals.

Members commented that the hospital services currently under consideration as part of Healthier Together represented only a small part of hospital services in total, and this was also only one element of the much larger Healthier Together programme. It was suggested that the changes to arise from the decision on the status of hospitals would impact only 3% of ambulance calls.

It was stressed that Stockport Together was a much more significant programme for health and social care services in Stockport.

RESOLVED – That the report be noted.

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 – That the report be noted.