To note attendances, including officers, and any apologies for absence.

Apologies for absence were received from Councillor Miss L. Blackburn, Councillor M. Young and Ann Day.

To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 15th January, 2013.

The minutes of the Shadow Health and Wellbeing Board held on 15 January 2013 were agreed as a correct record.

To receive a report from the AGMA Executive.

The Corporate Director for Children, Families and Wellbeing presented a report which detailed the Association of Greater Manchester Authorities’ (AGMA) priorities for health and social care reform across the conurbation. 

It was noted that the Council’s Executive welcomed the priorities and that the Integrated Care Redesign Board (ICRB) would also consider the information detailed in the report. 

RESOLVED:

(1)  That the Board endorse the approach and recommendations outlined in the report and commit to working locally with partners to provide a local perspective and context to the proposals;

(2)  That the Chairman of the Health and Wellbeing Board write to the AGMA lead officer confirming this commitment;

(3)  That the letter from the Chairman be circulated to Board members or presented at the next meeting.  

To receive an oral update from Dr. Nigel Guest.

The Chief Clinical Officer of Trafford CCG gave an oral update on the work of the organisation since the Board last met. 

He advised that the CCG had received authorisation from the Department of Health and that colleagues were monitoring the performance of Commissioning Support Services to ensure value for money.  It was noted that the Community Services procurement exercise had completed and that Pennine Care were the main provider in the Borough.  Additionally, it was reported that work was progressing in relation to the ICRB. 

Reference was also made to the referral by the Joint Scrutiny Committee to the Secretary of State for Health in relation to the New Health Deal for Trafford and that a dialogue with Strategic Programme Board members should be retained after the outcome was known. 

In discussion, it was raised that future reports from the CCG should be included with the agenda papers for the Board. 

RESOLVED –

(1)  That the report be noted;

(2)  That future reports from the CCG be circulated with agenda. 

To receive an update from the Director of Public Health.

The Director of Public Health presented an update on the transition of public health functions, assets, liabilities and staff from NHS Trafford to the Local Authority on 1 April 2013.  The report detailed the successful nature of the transfer and the integration of public health within the wider organisation.

RESOLVED – That progress on the transfer of public health staff to Trafford Council on 1 April 2013 be noted. 

To consider a report from the Director of Public Health.

The Board considered a report from the Director of Public Health which documented the progress in finalising the Joint Health and Wellbeing Strategy (JHWS). It was noted that the Strategy had been subject to an extensive period of consultation with relevant stakeholders and was to be launched at the Trafford Partnership conference in April 2013. 

The Board discussed the launch at the Partnership Conference and were concerned that the necessary agreement of the Board, the Council’s Executive and the CCG was required before any such launch took place.  In response, it was noted that the launch would be informal and that the final agreement of the Strategy by the Board, the Council’s Executive and the CCG would be made prior to its formal launch.

In order to support the delivery of the Strategy, the associated action plan was discussed and it was agreed to use the template which emphasised the ‘new things we plan to do’.  As a result of this, the action plan was to be redrafted by the Joint Commissioning Managers Group and was to include a small number of key actions for each priority area.  It was also agreed that it was important to direct resources to those priorities which would achieve the largest impact. 

The Board considered the emotional health and wellbeing of young people and efforts were made to establish the commissioning responsibilities of NHS England, the CCG and the Local Authority.  It was agreed that work to clarify responsibilities would be undertaken and that this information would be presented to Board members.

RESOLVED -

(1)  That the progress on the preparation of the JHWS 2013-16 be noted;

(2)  That the development of the JHWS action plans for the identified priority areas be noted;

(3)  That the JHWS be agreed by the Health and Wellbeing Board and the CCG Board prior to its formal launch;

(4)  That work to establish commissioning responsibilities in relation to the emotional health and wellbeing of children and young people be carried out  and that this information be presented to Board members in the most appropriate way.

To receive an update report.

The Board considered an update report relating on the progress of Healthwatch following its transition from Local Involvement Networks (LINks) on 1 April 2013. 

It was noted that the Chairman of Trafford Healthwatch had been appointed and that the Board was in place albeit with a small number of vacancies.  Any further appointments to the Board would be made by Healthwatch and not the Local Authority as the commissioner of the service.  Additionally, the organisation would be based from Trafford Housing Trust’s offices in Sale.   

RESOLVED – That the update be noted. 

The Partnerships Officer provided an update to the Board on the work of the Trafford Partnership and locality working.

The Board were reminded of the outcomes of their away day in March and that a similar session was to be organised in May.  This was to explore the issues relating to poverty and welfare reform and the attendance of representatives from the CCG were sought.

The Board were also informed that recruitment of Community Ambassadors to the Locality Boards had been completed and there was a good level of representation from those who had a keen interest in health and wellbeing issues.  A training session on Locality Partnerships had been organised and representatives from the CCG had been sought.

With reference to the issue of welfare reform, it was raised that as part of Integrated Care, GP’s would be able to confidently signpost patients to sources of welfare advice.  

RESOLVED – That the update be noted. 

To note the attached report.

The Board received the minutes of the Greater Manchester Health and Wellbeing Board held on 15 February 2013. It was suggested that there was an apparent disconnect between the work of the Board at Greater Manchester level and the work undertaken locally.  Furthermore, it was raised that improvements could be made to the style of the meetings to ensure they are conducive to effective discussion. 

RESOLVED – That the minutes of the Greater Manchester Health and Wellbeing Board held on 15 February 2013 be noted.

To consider the key messages from the meeting.

The Chairman of the Board summarised the key themes from the meeting as follows:

(1)  That work be progressed to ensure the JHWS is completed and that necessary agreements on its content are finalised by the Board and the CCG prior to its formal launch;

(2)  That the Chairman of the Board writes to AGMA to endorse the approach taken in relation to health and social care reform in Greater Manchester. 

The next meeting of the Health and Wellbeing Board is to be held in Committee Rooms 2 and 3 at Trafford Town Hall on 6 June 2013, 6.30pm.