Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 12 August 2020.

The Minutes (copies of which had been circulated) of the meeting held on 12 August 2020 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 receive any announcements from the Chair on matters related to the activities of the Board.

The Chair welcomed everyone to the meeting and informed the Board of the following: -

·         The systems are working well in Stockport to deliver and respond to the new restrictions for the Outbreak Management Plan and working well collectively with communities to get tested.

·         The Chair also thanked everyone for working so hard to respond to the Covid-19 situation in Stockport and for responding to the new restrictions.

To consider the report of the Corporate Director, Corporate Support Services.

This report provides the Better Care Fund (BCF) Quarter 4 Monitoring Returns for 19/20 and provides an update on the finance performance of the BCF as at 31 March 2020 (Quarter 4).

The Board are recommended to approve the BCF monitoring returns and to note the finance performance.

Officer contact: Paul Graham, Strategic Financial Advisor (Adult Social Care and Health), paul.graham@stockport.gov.uk or 0161 474 4674.

Michael Cullen (Corporate Director, Corporate Support Services) submitted a report (copies of which had been circulated providing the Better Care Fund (BCF) Quarter 4 Monitoring Returns for 19/20 and provided an update on the finance performance of the BCF as at 31 March 2020 (Quarter 4).

Sue Carroll (Healthwatch) informed the Board that the papers that had been circulated was missing some text and asked that the full report be circulated to the Board. In response, it was agreed that a copy of the full report would be circulated to the Board.

RESOLVED – (1) That the report be noted.

(2) That the Better Care Fund monitoring returns be approved.

(3) That the finance performance of the Better Care Fund as at 31 March 2020 (Quarter 4) be noted.

To consider the report of the Director of Public Health

This report provides an analysis of the impact of the COVID-19 pandemic for Stockport.

The Board is recommended to consider and note the report.

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

Jennifer Connolly (Director of Public Health) submitted a report (copies of which had been circulated providing an analysis of the impact of the COVID-19 pandemic for Stockport.

Mark Fitton (Director of Operational Social Care) informed the Board that work on the winter plan had been undertaken over the last 6 weeks and arrangements were being made for the ten local authority areas to submit their winter plans to Greater Manchester. He stated that further discussions were scheduled to be held with the Urgent Mersey Care Delivery Board and that around 92 initiatives were ongoing with discussions taking place regarding the funding. He also stated that the initiatives were divided into 4 main areas in order to understand the impact and some initiatives were already being delivered including the Bramhall Manor, UTC Light, Covid Hot Clinics and Direct Bookings (NHS 111), and these would have an impact over the winter. 26 of the initiatives have been agreed and were in the process of being delivered including the clinical assessment service, enhanced mental health support, enhanced care home support service, all age mental health liaison, improving internal flows in the Trust, additional roles for Primary Care Networks, dealing with the continued health care assessment backlog, extension for the end of life service and Urgent & Mersey Care by appointment.

Adrian Belton informed the Board that the initiative ‘111 First’, had been rolled out across Manchester with implementation in Stockport due toward the end of October 2020 and it was noted that over 60% of arrivals to Accident & Emergency is not necessary, so to reduce the unwarranted demand on the service the ‘111 First’ initiative has been rolled out. In response, Sue Carroll stated that the ‘111 First’ initiative was already piloted in Blackpool and Warrington and the response has been a great help and was making a difference.

The Chair, informed the Board that a detailed report would be submitted to the next meeting being held in November 2020.

Jennifer Connolly (Director of Public Health) provided the Board with an update relating to the impact of the COVID-19 pandemic for Stockport and highlighted the following: -

·         17,600 people in Stockport have been infected with coronavirus with risk of severe impact increasing significantly for older people;

·         Some wards have had higher rates than others, but there are no hotspots identified across the borough;

·         18% of diagnosed cases have been linked to care homes with outbreaks reported in 44 care homes;

·         500 Stockport residents were admitted to hospital as a result of Covid-19 with at least 270 people being discharged back into the community;

·         There have been around 360 deaths due to Covid-19 with around 19% more deaths in 2020 than would have been expected;

·         Mortality rates in Greater Manchester and Stockport was higher than the national average;

·         11,203 people in Stockport have been advised to shield in Stockport with 5% of these aged 18 or under, 52% aged 19-65 and 43% aged 70+;

·         Some of the negative impacts on people include depression,  musculoskeletal disorders and reported levels of domestic abuse and suicide;

·         Parents of new babies and school aged children were worried about the impact of the pandemic on their children;

·         People have reported higher levels of alcohol consumption, but also lower levels of smoking; and

·         42,200 jobs have been furloughed in Stockport with 77% being in the accommodation and food services sector.

The following comments were made/issues raised: -

·         The Board congratulated the team on a well written report that was very informative and transparent and requested that the team be thanked.

·         It was commented that the context of the report had changed in the last 6 months and that it would impact the future winter months ahead.

·         Concern was expressed regarding the build-up of people awaiting treatment or suffering from medical conditions and whether the Board would be doing anything to mitigate these concerns. In response, it was noted that the public  ...  view the full minutes text for item 5.

To consider the Forward Plan of agenda items for future meetings of the Health & Wellbeing Board.

The Board is recommended to note the report.

Officer contact: Charles Yankiah, 0161 474 3206, charles.yankiah@stockport.gov.uk

A representative of the Strategic Head of Service & Monitoring Officer

(Legal & Democratic Governance) submitted a report (copies of which had been circulated) setting out planned agenda items for the Health and Wellbeing Board’s next meeting.   

RESOLVED – (1) That the report be noted. 

(2) Agreed that the following reports be included on the Forward Plan for the next meeting: -

·         “Experience of People with Learning Difficulties and Sensory Lost” – Healthwatch

·         “Winter Plan” – Mark Fitton