To receive and if so determined, to approve as a correct record the Minutes of the meeting held on Tuesday 1st July, 2014.

RESOLVED: That the minutes of the Health and Wellbeing Board meeting held on Tuesday 1^st July 2014 be approved as a correct record.

Members to give notice of any interest and the nature of that interest relating to any item on the agenda in accordance with the adopted Code of Conduct.

No interests were declared.

To receive an update from the Chairman.

The Chairman gave a brief summary of the progress on the Action Log following the Board’s last meeting held on 1^st July 2014.

RESOLVED: That the content of the Action Log be noted.

To receive a report from the Deputy Director of Children, Families and Wellbeing and the Associate Director of Commissioning, Trafford Clinical Commissioning Group.

A presentation was given to the Board by the Corporate Director for Children, Families and Wellbeing of Trafford Council and Julie Crossley, the Associate Director of Commissioning for Trafford Clinical Commissioning Group, which set out an overview of the Better Care Fund and the plans to use a single, pooled budget to support partnership between health and social care services at a local level, which would be submitted on 19^th September 2014. The work would be organised through three project areas: Redesigning Frail and Older People’s Services, Redesigning End of Life Care in Trafford, and the integration of health and social care and the development of an early help hub. The scope and objectives of each project were identified and information was given on governance arrangements and the potential impact of the projects’ successful implementation.

The Corporate Director responded to questions relating to third sector involvement, the continuation of a falls service and how homecare can be improved. The Director of Finance for NHS England (Greater Manchester) emphasised that as the projects were commissioned using existing funds, the funding of initiatives was dependent upon the delivery of the savings identified from reducing admissions.

The Chairman thanked the Corporate Director and the Associate Director of Commissioning for the update, and acknowledged the challenging circumstances and the significant amount of work involved. As there was still some work to be concluded before finalising the planning template, the Board agreed to delegate authority to the Chairman and Vice-Chairman to sign off the plans on behalf of the Board, and to meet the 19^th September deadline.

RESOLVED:

i)             That the report is received; and

ii)            That the Board delegates authority to the Chairman and Vice-Chairman to approve the Board’s support for the final Better Care Fund planning template for submission to NHS England.

To receive a report from the Corporate Director of Children, Families and Wellbeing.

The report from the Corporate Director for Children, Families and Wellbeing was deferred for consideration at a future meeting.

To receive a presentation from the Chief Operating Officer of the NHS Trafford Clinical Commissioning Group.

The Associate Director of Commissioning for the Trafford Clinical Commissioning Group delivered a presentation which outlined the Trafford Operational Resilience and Capacity Plan 2014/15. The plan made provision for the allocation of £1.4m to support health and social care resilience through the winter period, with a particular focus on protecting against a potential shortage in the availability of beds to help ease the transition to the integration of services.

RESOLVED: That the presentation be noted.

To receive a report from the Director of Public Health for Trafford Council.

A report was presented by Dr Lisa Davies, Consultant in Public Health, which set out the Trafford Council Public Health and NHS Trafford CCG Work Plan for 2014/15. The work plan detailed a joint programme of activity between Trafford Council and the CCG targeted at meeting the strategic high level priorities for improving the health of the population of Trafford, in compliance with internal audit and external NHS England assurance requirements. The plan was divided in to four areas which reflect the domains of Public Health: Health Improvement, Health Protection, Health Care Quality and Heath Inequalities.

Board Members had an opportunity to ask questions in relation to the report and a discussion followed concerning the transfer of public health commissioning for 0-5 year olds from NHS England to local authorities in October 2015, and the continuation of user forums for mothers-to-be and breastfeeding.

RESOLVED: That the Board endorses the report.

To receive a report from the Chair of the Trafford Safeguarding Children Board.

The Chairman of the Trafford Safeguarding Children Board (TSCB), Bob Postlethwaite, presented the TSCB’s Annual Report for 2013/14 and Business Plan for 2014/15. The Annual Report set out the Learning and Improvement Framework shared by local organisations who work with children and families, gave an overview of the lessons learned in the last year, and identified on-going safeguarding issues including poverty, homelessness and drug and alcohol misuse. The Business Plan was based around 4 Themes and 5 Priorities, and some of the key challenges to these Priorities were noted.

In response to questions from Board Members the Chairman of TSCB explained that a statistical comparison with other councils with similar demographics would be possible, and that although this data had not been available when the report was produced, the figures would be passed on when they become available.

The Corporate Director for Children, Families and Wellbeing suggested that the Health and Wellbeing Board addressed the ‘Challenges and Questions’ identified under Priority 1 of the Annual Report and submitted a response.

RESOLVED:

i)             That the TSCB Annual Report 2013/14 be noted;

ii)            That the Board receives an update report in approximately 6 months’ time regarding progress made against the Business Plan; and

iii)           That a statistical comparison with other council areas which have similar demographics is submitted to the Board when this information becomes available.

To receive an update from the Associate Director of Commissioning and the Associate Director of Corporate Services and Organisational Development of the NHS Trafford Clinical Commissioning Group.

The Chairman gave an update on the Healthier Together consultation, reminding the Board of the consultation events planned for 22^nd and 24^th September and emphasising the importance of encouraging as many people as possible to respond to the consultation before it closes.

Board Members raised a number of issues in regard to the consultation including the complexity of the consultation process, difficulties some people had in accessing the consultation documents, a lack of co-ordination between the Healthier Together consultation and other concurrent consultations taking place, and the low number of responses to the consultation received so far.

RESOLVED: That the update be noted.

To receive an update report from the Chairman.

The Chairman gave an update, as Chief Clinical Officer of the Clinical Commissioning Group (CCG), on the work of the CCG since the Board’s last meeting in July 2014. It was explained that much had been covered in the Board’s discussion of Item 5 and Item 10 and further details were given in respect of the CCG’s work in enhancing access to primary care, care commissioning and the Shrewsbury Street development.

RESOLVED: That the update be noted.

To receive an update from the Chair of HealthWatch Trafford.

The Chairman of Healthwatch Trafford presented a report which detailed the organisation’s activity since the Board’s last meeting. A discussion followed concerning links between the Walk-in Centre and Urgent Care Centre at Trafford General Hospital, and patient access to specialist care for Parkinson’s disease.

RESOLVED: That the update be noted.

To receive an update from the Partnership Officer.

The Partnership Officer gave an update on the Trafford Partnership’s recent activity and submitted an information report on voluntary sector grants to the Board.

RESOLVED: That the update and information report be noted.

To consider the key messages from the meeting.

On behalf of the Board the Chairman acknowledged that a significant amount of work had been going on to improve health and social care in Trafford and emphasised the importance of continuing to improve integration between organisations and services.

Any other item or items which by reason of special circumstances (to be specified) the Chairman of the meeting is of the opinion should be considered at this meeting as a matter of urgency.

No items were submitted to the Board for urgent consideration.