Agenda and minutes

Venue: Flixton House, Flixton Rd, Urmston Manchester M41 5GJ

Contact: Alexander Murray, Democratic and Scrutiny Officer 

Items
No. Item

1.

MEMBERSHIP OF THE COMMITTEE 2019/20 pdf icon PDF 87 KB

To note the Membership of the Board including the appointment of Chair and Vice Chair as agreed at the annual Council meeting 22 May 2019.

Minutes:

RESOLVED: That the Membership of the Board be noted.

2.

TERMS OF REFERENCE 2019/20 pdf icon PDF 65 KB

To note the Terms of Reference of the Committee for the 2019/20 municipal year as agreed at annual council 22 May 2019.

Minutes:

RESOLVED: That the Terms of Reference be noted by the Board.

3.

MINUTES pdf icon PDF 119 KB

To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 10 May 2019.

Minutes:

The Chair of the Trafford Safeguarding Board, Councillor Brophy, and the VCSE Representative from Talk Listen Change had all tendered apologies for the meeting but this had not been captured within the minutes and requested that this be amended.

 

RESOLVED: Following the above amendments that the minutes of the meeting 10 May 2019 be agreed as an accurate record.

4.

DECLARATIONS OF INTEREST

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.

5.

QUESTIONS FROM THE PUBLIC

A maximum of 15 minutes will be allocated to public questions submitted in writing to Democratic Services (democratic.services@trafford.gov.uk) by 4 p.m. on the working day prior to the meeting.  Questions must be relevant to the remit of the Board and will be submitted in the order in which they were received.

Minutes:

A question had been received from a member of the public but as it related to Adult Social Care and the Corporate Director was not in attendance it was agreed that a full written response be sent to the member of the Public and included in the minutes.

 

RESOLVED: That the Corporate Director for Adult Services provide a full written response to the Member of the public and that the question and response be included within the minutes.

6.

HEALTH AND WELLBEING BOARD 'WAYS OF WORKING'

To receive a presentation and supporting documents from the Interim Director of Public Health.

Additional documents:

Minutes:

The Interim Director of Public Health had taken the information from the last meeting and turned it into a report which had been circulated as part of the agenda. From this work it had become clear that Members felt the Board was good at stating what the issues were within Trafford but it was not good at stating what was or could be done within Trafford to improve those outcomes. The inequality in healthy life expectancy across the borough was still a major issue. The UK had seen a drop in life expectancy in 2015 which was the greatest drop on record since 1840 and was being seen amongst the country’s oldest populations.

 

The Interim Director then showed the Board the Health and Wellbeing Board plan on a page which gave an overview of the aims of the Board and its structure going forward. The number of priorities for the Board had increased from 5 to 7 with the additional 2 representing a focus upon the wider determinants of Health. The Interim Director spoke of the need for the Board to have strategies laid out so they can identify outcomes and milestones along the way to achieving long term outcomes. The Interim Director asked the Board to consider changing the structure of the partnership morning in October so that the first hour would cover the Boards business followed by a meeting with the other Boards to discuss how they could get people moving.

 

Councillor Blackburn asked what was being done to address the issue of smoking within schools. The Interim Director responded that there was a large amount of information available at schools and it was covered within PSHE classes. The Board were assured that Trafford had a low level of teenage smokers. Councillor Blackburn expressed her concern about vaping amongst young people and asked whether the figures included those using vapes.  The Interim Director agreed that vaping among young people was a concern but it was more highly regulated in the UK than in US. The smaller devices were not being made available in the UK and the data showed that the majority of the people using vapes were ex-smokers. The Interim Corporate Director of Children’s Services added that unhealthy weight was a bigger issue among children in Trafford at the moment.

 

Councillor Slater expressed her support of the proposals, especially the suggestion to bring all of the Partnership Boards together for a session on how to tackle inactivity. The Trafford Integrated Network Director was surprised by the data which showed that things were getting worse in the area and they stated that it showed how there needed to be a change in the way that services were delivered. They also noted that one of the new priorities was named climate change and asked whether it should be changed to climate emergency. The Board Members agreed that the name of the priority should be changed to Climate Emergency in keeping with the Council’s declaration.

 

The Chair of the Trafford  ...  view the full minutes text for item 6.

7.

CHILD DEATH OVERVIEW PANEL pdf icon PDF 183 KB

To receive presentation and reports form the Interim Director of Public Health.

Additional documents:

Minutes:

The Interim Director of Public Health Informed the Board that the Child Death Overview Panel (CDOP) reviewed the death of every single child who passed away within Trafford. The age ranged from those that had taken a single breath up to 18 years old. Due to the low number of occurrences Trafford were working with Stockport and Tameside in order to meet the required population size to get meaningful data. The Board were told that 50% of the deaths that the panel look at happened within the first year of life with the rest being spread out up to 18. The main cause of death was premature birth, especially when the birth weight was low.

 

The Board were informed that the CDOP was chaired by a member of the public health team and that regular reports would be delivered to the Board. The CDOP would continue to report to the Trafford Safeguarding Board to ensure that any early warnings about potential issues were identified. The Interim Director added that there was a Greater Manchester rapid response team in place that went out to all unexpected deaths. This team passed information about these tragedies onto the CDOP so that they could see whether anything could be learned to prevent further deaths. The Interim Director then explained how this information could help to identify blockages within services which were impacting upon people.

 

The Director for All Age Commissioning asked whether there were any patterns relating to the deaths of children with learning disabilities. The Interim Director responded that usually the deaths that they saw were those due to genetic and chromosomal issues that lead to a shortened life expectancy and there were not many instances of children with learning disabilities. The Council used the Learning Disabilities Mortality Review (LeDeR) process to report the deaths of children with learning disabilities. The Interim Director assured the Board that it was a very respectful process and the families and information received were all treated with the upmost care and respect. The Board then discussed how this work highlighted the importance place based working and the linking of services as something like the death of a child had wide reaching impact upon local communities.

 

RESOLVED:

1)    That the report be noted.

2)    That the Board agree the recommendations of the report.

 

8.

CIRCULATED DOCUMENTS pdf icon PDF 675 KB

To receive a number of additional documents for information.

Additional documents:

Minutes:

The Interim Director of Public Health gave a brief overview of the annual infection control report. The Board were told that after many years of dedicated service Phil Broad was retiring. The Board discussed the excellent work that Phil Broad had done in his time in Trafford and how he had helped to ensure that the area had one of the best records in the country. The Medical Director for Trafford CCG made special note of the excellent work that Phil Broad had done with GPs and in Trafford’s Care Homes. The Board wanted to thank Phil Broad for all of the work that he had done across the Borough and to wish him all the best in his future endeavours.

 

The Interim Director informed the Board that they were aiming to get flue immunisations to a level of 80% of staff for all employers and also encouraged people to get their 2 and 3 year olds immunised if possible. The Interim Corporate Director of Children’s Services asked whether the Trafford Vaccinations were Halal. The Interim Director responded that they were and the Senior Partnerships and Communities Officer informed the Board that the Community Cohesion Officer was working with the Muslim community in Trafford to address this.

 

The Interim Director informed the Board of the suicide prevention work that was ongoing within the Public Health team and the work that the clinical psychologist trainee had been doing around this issue. The Medical Director of GMMH stated that the public health team should approach Professor Nav Kapur, who worked with GMMH, so that he could review the Boards terms of reference and the way that it was set up to ensure that it met all of the national requirements. He went on to state that one of the biggest issues was people who had committed suicide and had not had any interaction with services. This was especially a big issue amongst men aged 40 – 49 and GMMH were trying to develop links through sport, for example the charity State of Mind, to tackle this. The Chair of the Trafford Safeguarding Board added that there should be more focus upon children and young people as the link between self-harm at a young age and suicide when older was increasingly being shown. She felt that there was a lot learning to be gained regarding the different issues as to why individuals were self-harming and the role that social media played in the development of young people’s ideas of self-harm and suicide.

 

Councillor Blackburn asked whether GMMH had any links within UA92 as it was scheduled to open soon. The Medical Director for GMMH responded that he was not aware of any links with UA92 as GMMH were not linked with Lancaster University. The Senior Partnerships and Communities Officer stated that she would pass on the details of the contact that Trafford had for UA92.

 

RESOLVED:

1)    That a letter be written by the Chair of the Committee to Phil Broad thanking  ...  view the full minutes text for item 8.

9.

KEY MESSAGES

To consider the key messages from the meeting.

Minutes:

The key messages to be taken from the meeting were:

 

·         The importance of taking a place based approach and linking services together.

·         That Schools had a large role in Children and Young People’s lives and should be involved in the services provided to them.

10.

URGENT BUSINESS (IF ANY)

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.

Minutes:

The Vice Chair informed the Board that the JSNA strategy Board had identified a number of priorities and wanted to check them with the Board before proceeding with their work.

 

The Interim Director of Public Health informed the Board that the Trafford Data lab had excellent data sets and requested that a link to be shared with Board Members and included within the minutes.