Agenda and minutes

To approve as a correct record and sign the Minutes of the meeting held on 25 September 2019.

The Minutes (copies of which had been circulated) of the meeting held on 25 September 2019 were approved as a correct record and signed by the Chair.

Board members and officers to declare any interests which they have in any of the items on the agenda for the meeting.

Board members 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.

Mr Jonathan Vali

The Chair reported that this would be the last meeting of the Board attended by Jonathan Vali, the Board Secretary as he was shortly to be leaving the employment of the Council. On behalf of the Board, the Chair thanked Mr Vali for his support over a number of years and wished him well in his future endeavours.

To consider a report of the Chief Accountable Officer, Stockport CCG

The purpose of the report is to seek agreement from the Stockport Health and Wellbeing Board for the CAMHs Transformation Plan as developed by the Stockport Integrated CAMHs Partnership, and to note the refreshed intent to further strength joint/integrated commissioning for children’s services.

The Health and Wellbeing Board is recommended to:

·         Review and endorse the CAMHS Transformation Plan.

·         Note that an update regarding the outcomes expected from strengthened joint/integrated commissioning for children’s services, specifically SEND and CAMHS, be bought back to the Board in 4/5 months.

The Accountable Officer of Stockport Clinical Commissioning Group submitted a report (copies of which had been circulated) inviting the Board to consider the Children and Adolescent Mental Health Services (CAMHS) Transformation Plan for the Board’s consideration. The Plan, developed by the Integrated CAMHS Partnership, sought to further build on work already underway joint and integrated commissioning for children’s services.

Board members discussed the importance of prevention and early intervention, and particularly the Mentally Healthy Schools initiative. Concerns were expressed about the pace of the roll-out, and scope for incentivising schools to participate. Comment was made that this initiative linked well with the Stockport Family priorities and the ambitions around the Brinnington and Werneth pilot.

It was also commented that given the growing challenge around children and young people’s mental health, it was important to take preventative steps, and schools were often a good starting point.

RESOLVED – (1) That the CAMHS Transformation Plan be endorsed

(2) That the intention to submit a further report to the Board on the outcomes from strengthened joint/ integrated commissioning for children’s services, specifically SEND and CAHMS, be noted.

To consider a joint report of the Interim Director of Population Health and the Programme Manager, GM Health & Social Care Partnership

Greater Manchester Common Standards for Population Health are designed to support localities to achieve the best health gain for their population, and to reduce unwanted variation in population health outcomes across Greater Manchester (GM).

There is no compulsion for localities to adopt and implement GM Common Standards for Population Health. However, the attached document (GM Common Standards Pack) aims to provide localities with an evidence-based tool to enable population health / public health practitioners to review current local activity and identify any gaps in evidence. This first publication includes standards for the following 7 population health themes and additional standards will follow in due course:

•           Mental Health and Wellbeing

•           Oral Health

•           Sexual and reproductive health

•           Drug and Alcohol service standards

•           Physical activity

•           Health Protection

•           Tobacco Control

The first publication of GM Common Standards for Population Health has been endorsed by Greater Manchester Directors of Public Health Group with agreement that they be shared with local Health and Wellbeing Boards.

The Health and Wellbeing Board is asked to review the GM Population Health Common Standards Pack and provide feedback.

Officer contact: Will Blandamer, 0161-474-2464, will.blandamer@stockport.gov.uk

Mark Brown, Programme Manager from the Greater Manchester Health & Social Care Partnership, attended the meeting and made a presentation to the Board on the development of common standards for population health in Greater Manchester (copies of which had been circulated), developed in conjunction with the local authority directors of public health, and designed to reduce unwarranted variation in population health outcomes across the conurbation.

The first tranche of standards covered the following areas:-

­   Mental Health & Wellbeing

­   Oral Health

­   Sexual and reproductive health

­   Drug and alcohol service standards

­   Physical activity

­   Health protection

­   Tobacco control

The following comments were made/ issues raised:-

·         Stockport had made significant strides in addressing some longstanding areas of poor health outcomes but there remained persistent challenges in relation to alcohol related admissions. Further work was needed to reinvigorate efforts in this area, including greater work with industry on the model developed for tobacco control.

·         Compliance with standards could mask deeper inequalities, particularly in a polarised borough such as Stockport, and there was a key role for the JSNA in ensuring such inequalities were highlighted and could be addressed. The differences between Neighbourhood Areas in Stockport, and their varied needs, was emphasised.

·         Ensuring primary care was part of the development and implementation of these standards was key to their success, particularly as primary care delivered a significant amount of service in some of these areas, such as sexual health.

·         It was important to ensure robust measures to determine impact of this work, and to be able to share good practice across Greater Manchester. Recent evaluation of the new models of care had highlighted shortcomings in the quality of data that made measuring impact problematic. It was important to ensure these standards and their measures were embedded within each organisations own performance frameworks and that there was robust information governance process and infrastructure that allowed for timely data collection and analysis.

·         While the importance of common standards was acknowledged, it was important to ensure these were reflective of local needs and circumstances, and reflected the particular population and challenges for each borough, for example the older population of Stockport. There was a danger that a common approach could have negative unintended consequences if not adapted to suit local need.

RESOLVED – (1) That Mark Brown be thanked for his attendance and presentation.

(2) That the Greater Manchester Population Health Common Standards be welcomed.

(3) That the Board give further consideration at a future meeting to the use of these common standards and data within the context of the Board’s Joint Health and Wellbeing Strategy and the strategic plans of each partner organisation.

To consider a joint report of the Chief Finance Officer, Stockport CCG and the Interim Director for Population Health, Stockport Council.

The September Board endorsed an approach to the refresh of the locality plan for health and care, and committed all partners at the Board to contribute fully and in partnership to the development of the locality plan refresh. This locality plan refresh narrative has been developed through the locality plan group with representatives of all key stakeholders, and is deliberately high level, intending to reset and restate our high level commitments to the reform and transformation of the health and care system in the borough in order to secure a clinically and financially stable system for the people of Stockport

The Health and Well Being Board is asked to;

1.    receive and endorse the Locality Plan for submission to the GM Health and Care Partnership Team

2.    mandate the development of a shared programme of work to take forward the key elements of the locality plan, including presentation as appropriate to future health and wellbeing board meetings.

Officer contact: Will Blandamer, 0161-474-2464, will.blandamer@stockport.gov.uk

A joint report of the Chief Finance Officer (Stockport Clinical Commissioning Group) and the interim Director of Population Health (Stockport Council) was submitted (copies of which had been circulated) seeking the Board’s endorsement of the refreshed locality plan for health and care following the Board’s agreement at the last meeting to the strategic approach for the plan’s development. The high level plan sought to reset and restate the commitment of partners to reform and transformation of the health and care system in Stockport in order to secure a clinically and financially stable system for the population. The plan had been developed collaboratively with representatives of all key stakeholders.

Board members welcomed the document as a high level statement of partners’ commitment to reform and transformation and thanked those involved in its preparation, particularly for its clarity.

Comment was made that there needed to be greater emphasis in the document to the commitment of partners to a people centred approach to service delivery, and for supporting and empowering people to help and care for their own wellbeing.

The importance of housing to a person’s wellbeing and health was also highlighted and consideration should be given to providing greater emphasis within the refreshed plan, particularly in light of the positive engagement with Stockport Homes and other registered social landlords.

Further comment was made about the need to be clearer in the plan narrative around the collective approach to budgeting, to ensure a more strategic description of the budget situation.

It was also reported that Healthwatch had supported and endorsed the draft plan.

The Chair suggested that in light of issues raised in relation to housing, the Board might consider holding a special event with relevant stakeholder to discuss issues relation to housing, health and wellbeing.

RESOLVED – (1) That, subject to further consideration of the comments made by members of the Board, the refreshed Stockport Locality Plan be endorsed for submission to Greater Manchester Health and Care Partnership.

(2)That the development of a shared programme of work to take forward key elements of the Locality Plan, including presentation as appropriate to future Board Meetings, be agreed.

(3) That the Deputy Chief Executive be requested to make arrangements for a stakeholder engagement event to take place in January/February 2020 focussed on housing and health.

To consider a report of the Stockport Safeguarding Children Board.

This report sets out information about the work of Stockport Safeguarding Children Board (SSCB), how the SSCB has conducted its business during 2018-19, what has been achieved, and the SSAB’s relationship with other partnerships.

The Board is invited to comment on the report.

Officer contact: Nuala O’Rourke, 0161 474 5659, nuala.orourke@stockport.gov.uk

Nuala O’Rourke, Head of Safeguarding and Learning (Stockport Council) attended the meeting to present the Stockport Safeguarding Children Annual Report for 2018/19, which summarised the work of the Safeguarding Board and how it had conducted its business during 2018/19, what had been achieved, and the Board’s relationship with other partnerships.

A number of key initiatives and issues were highlighted to the Board, demonstrating the breadth of activity of the Board, including initiatives around

­   Safe sleep and the need to reduce the number of infant deaths due to co-sleeping

­   Ongoing work around transition from children’s’ to adult services

­   Young persons’ domestic violence advocate

­   Ongoing provision of safeguarding training to partners

The linkages with the work of the Safeguarding Adults Board was emphasised, particularly in taking a broader approach to identifying vulnerabilities and addressing needs within the wider family context.

RESOLVED – That the Safeguarding Children’s Annual Report 2018/19 be noted and Nuala O’Rourke be thanked for her attendance and presentation.

To consider a report of the Stockport Adult Safeguarding Board.

This report sets out information about the work of Stockport Safeguarding Adults Board (SSAB), how the SSAB has conducted its business during 2018-19, what has been achieved, and the SSAB’s relationship with other partnerships.

The Board is invited to comment on the report.

Officer contact: Nuala O’Rourke, 0161 474 5659, nuala.orourke@stockport.gov.uk

Nuala O’Rourke, Head of Safeguarding and Learning (Stockport Council) attended the meeting to present the Stockport Safeguarding Adults Annual Report for 2018/19, which summarised the work of the Safeguarding Board and how it had conducted its business during 2018/19, what had been achieved, and the Board’s relationship with other partnerships.

A number of key initiatives and issues were highlighted to the Board, demonstrating the breadth of activity of the Board, including initiatives around

­   Three safeguarding adult reviews and an increasing emphasis on identifying and addressing elder abuse

­   Ongoing provision of safeguarding training to partners

The linkages with the work of the Safeguarding Children Board was emphasised, particularly in taking a broader approach to identifying vulnerabilities and addressing needs within the wider family context.

Board members expressed concerns about the potential impact of the introduction of Liberty Protection Safeguards to replace Deprivation of Liberty Safeguards, particularly the readiness of partners and providers for the changing demands and in the absence of clear guidance from the Department of Health and Social Care.

RESOLVED – (1) That the Safeguarding Adults Annual Report 2018/19 be noted and Nuala O’Rourke be thanked for her attendance and presentation.

(2) That the Director for Adult Social Care be requested to submit a report to the next meeting on preparations for the introductions of Liberty Protection Safeguards.

To consider a report of the Chief Finance Officer, Stockport CCG and Borough Treasurer, Stockport Council.

The Board is invited to approve the Quarter 2 Better Care Fund Submission.

Officer contact: Paul Graham, 0161 474 4674, paul.graham@stockport.gov.uk

A joint report of the Chief Finance Officer (Stockport Clinical Commissioning Group) and the Borough Treasurer (Stockport Council) setting out the Better Care Fund Quarter 2 2019/ 20 submission. In light of the late issuing of the 2019/20 Better Care Fund Planning Template, there was a requirement for the submission of limited data relating the Improved Better Care Fund only.

RESOLVED – That the Better Care Fund Quarter 2 2019/ 20 submission be approved.