To approve as a correct record the Minutes of the Annual Meeting of the Council held on 28 May 2015 for signature by the Mayor as Chairman.

That the Minutes of the Annual Meeting of the Council held on 28 May 2015, be approved as a correct record and signed by the Chairman.

To receive any announcements from the Mayor, Leader of the Council, Members of the Executive, Chairmen of Scrutiny Committees and the Head of Paid Service.

(a)        Her Majesty the Queen’s Birthday Honours

The Council joined with the Mayor in congratulating those who reside or have a close connection with Trafford who were named in Her Majesty the Queen's Birthday Honours List, namely:

Dr. Laura Rachel Cohen of Altrincham awarded the citation of Member of the Most Excellent Order of the British Empire (MBE) for services to the Ceramics Industry;

Mrs. Catherine Rae Johnson of Urmston awarded the MBE for services to Homeless Young Lesbian, Gay, Bisexual and Transgendered People;

Ms Angela Jean Lawrence of Stretford awarded the MBE for services to Tackling Gang and Youth Violence;

Mrs. Sandra Lindsay of Sale awarded the MBE for services to Business and Young People;

Dr. Erinma Ochu of Old Trafford awarded the MBE for services to public engagement in Science, Engineering and Technology;

Mr. Nigel Owen Tansley of Stretford awarded the MBE for services to the Fire and Rescue Service.

Mr. Mark Isaac Adlestone of Altrincham of awarded the citation of Officer of the Most Excellent Order of the British Empire (OBE) for services to business and charity in the north of England;

Mr. James Anderson of Altrincham awarded the OBE for services to cricket; and

Mr. Gregory Hawkins of Urmston awarded the citation of Medallist of the Order of the British Empire (BEM) for services to rugby in the North West.

The Mayor commended them all for their achievements and richly deserved recognition.

(b)        Her Majesty the Queen’s Award for Voluntary Service

The Mayor was pleased to report that two local Community Groups were the recipients of the Queen’s Award for Voluntary Service.

BlueSCI, based at several Community Wellbeing Centres in Trafford, had been recognised for Supporting local people and their families to achieve their goals and improve their mental health and wellbeing.

Altrincham and District Schools' Music Festival Association received the award for providing young children an opportunity to perform musical, choral speaking and folk dance in a non-competitive festival.

The Council joined with the Mayor in congratulating both the groups for all their hard work and contribution.

(c)        Healthier Together Proposals – University Hospital of South Manchester (UHSM)

Councillor Lloyd, Chairman of Health Scrutiny Committee referred to the Committees in Common’s announcement that day not to award Specialist Hospital Status to UHSM and announced that it was her intention to call an urgent meeting of Health Scrutiny Committee and invite representatives from Trafford Clinical Commissioning Group, Central Manchester Foundation Trust and UHSM to discuss the implications for Trafford.

This is an opportunity for Members of Council to ask the Mayor, Members of the Executive or the Chairman of any Committee or Sub-Committee a question on notice under Procedure Rule 10.2.

The Mayor reported that no questions had been received under Procedure Rule 10.2.

To consider a report of the Executive Member for Finance and the Director of Legal and Democratic Services.

Note: Since the report is recommending changes to the Council’s Constitution, in accordance with procedure rules, the report has been considered by Scrutiny Committee: 17 June 2015; Standards Committee: 24 June 2015; and the Executive: 29 June 2015 before recommendation to the Council.

The Executive Member for Finance and the Director of Legal and Democratic Services submitted a report setting out the background to the harmonisation of the Contract Procedure Rules (CPRs) for Stockport, Trafford and Rochdale (STaR) and highlighting the main changes to the Council’s existing CPRs.

The proposed CPRs were approved by the STaR Joint Committee on 22 April 2015 and with a recommendation that they be incorporated into the Council’s Constitution. The Executive Member confirmed that they had been considered and recommended to the Council by Scrutiny Committee on 17 June 2015; Standards Committee on 24 June 2015; and the Executive on 29 June 2015.

RESOLVED –

(1)        That the contents of the report and the proposed CPRs be noted.

(2)        That the establishment of a working group to review and recommend new Directorate financial schemes of delegation be noted.

(3)        That the revised CPR’s be incorporated in the Council’s Constitution and the Director of Legal and Democratic Services be authorised to make all necessary amendments to the Constitution.

To consider a report of the Acting Director of Human Resources.

The Acting Director of Human Resources submitted a report outlining the requirement for the Council to amend its Standing Orders in order to give effect to new arrangements for disciplining and dismissing its statutory officers. The report also proposed a timeline for the development and approval of an underpinning procedure.

RESOLVED –

(1)        That the changes to the Council’s Constitution required under the Local Authorities (Standing Orders) (England) (Amendment) Regulations 2015, be approved.

(2)        That the Director of Legal and Democratic Services be authorised to make any consequential amendments to the Constitution.

(3)        That the timeline for developing a revised disciplinary process for the Council’s statutory officers, as set out in Appendix 1 to the report, be noted.

To consider a joint report of the Executive Member for Finance and the

Director of Finance, which has been recommended to the Council by the Executive on 29 June 2015 and the Accounts and Audit Committee on 30 June 2015.

The Executive Member for Finance and the Director of Finance submitted a joint report reviewing treasury activities for the past financial year, in accordance with the Chartered Institute of Public Finance and Accountancy (CIPFA) Code of Practice as adopted by the Council.

The report had also been considered by the Executive on 29 June 2015 and the Accounts and Audit Committee on 30 June 2015.

RESOLVED: That the Council notes:

(i)     the Treasury Management activities undertaken in 2014/15;

(ii)    that no prudential limits were breached during 2014/15; and

(iii)    that both the CIPFA Code of Practice on Treasury Management and CIPFA Prudential Code for Capital Finance were fully complied with.

To consider a joint report of the Executive Member for Finance and the

Director of Finance, which has been recommended to the Council by the Executive on 29 June 2015 and the Accounts and Audit Committee on 30 June 2015.

The Executive Member for Finance and the Director of Finance submitted a joint report proposing a new investment instrument be added to those currently permitted to be used, as outlined in the Council’s Treasury Management Strategy approved 18 February 2015.

The report had been recommended to Council by the Executive on 29 June 2015 and the Accounts and Audit Committee on 30 June 2015.

The recommendations set out in the report were put to the vote and declared carried.

RESOLVED –

(1)        That the Local Authorities Property Investment fund be included in the current Investment strategy.

(2)        That the maximum duration funds can be placed in an investment instrument be extended from 3 years to 10 years, however, this extension only applies to monies placed in this fund.

(3)        That the maximum level of funds to be placed into this fund be set at £10 million.

(4)        That the Prudential indicator for Upper limit for sums invested over 364 days be amended from £60 million 2015/16, £60 million 2016/17 and £50 million 2017/18 to £70 million 2015/16, £70 million 2016/17 and £60 million 2017/18 and a new category be incorporated under the existing Investment criteria, as detailed at Appendix A to the report.

To receive the Annual Scrutiny Report from the Chairmen of the Scrutiny Committee and the Health Scrutiny Committee.

The Chairmen of Scrutiny Committee and Health Scrutiny Committee submitted a report presenting the Annual Scrutiny Report to Council detailing the previous year’s work and both Committees work programmes for the year ahead.

The Chairmen were appreciative of the input of Members and officers into the various reviews and the Leader of the Council placed on record the Executive’s thanks for the work undertaken by Scrutiny and Health Scrutiny.

RESOLVED: That the report be noted.

To consider a report of the 2014/15 Chairman and Vice-Chairman of the Accounts and Audit Committee.

The Chairman and Vice-Chairman of the Accounts and Audit Committee for 2014/15 submitted a report summarising the work undertaken by the Committee during the year and its impact. The report also provided assurance to the Council on the fulfilment of the Committee’s responsibilities.

The 2014/15 Chairman, Councillor Whetton, commended the Director of Finance and his officers for the Council’s financial performance. The Opposition Spokesperson of the Committee, Councillor Ross, also recognised the efforts of the Director of Finance and his team, including the Audit and Assurance Service, during a particularly challenging year and thanked the outgoing Chairman for arranging an additional meeting to focus on the budget monitoring issue that had emerged.

RESOLVED: That the report be noted.

To consider a report of the Chief Executive.

The Chief Executive submitted a report presenting the recommendations of the Independent Remuneration Panel that had been convened in accordance with the Local Authorities (Members’ Allowances) (England) Regulations 2003. The Panel had been requested to consider the remuneration for the new Lead Member and Shadow Lead Member roles for the Integration of Health and Social Care which were established at the Annual Meeting on the 28 May 2015. 

RESOLVED –

(1)        That the recommendations of the Panel, as set out below, be approved:

i.      That the Scheme of Members’ Allowances for Trafford Council be amended to include a Special Responsibility Allowance of £7,789 for the Lead Member for the Integration of Health and Social Care and £1,590 for the Shadow Lead Member.

ii.      That the allowances be backdated to the date of appointment of 28 May 2015. 

(2)        That the Director of Legal and Democratic Services be authorised to revise Part 6 of the Constitution: Members Allowances Scheme, as a consequence of this decision.

(Note: The Mayor allowed consideration of this matter as an item of urgent business since each Greater Manchester Authority had been requested to consider the proposal without undue delay. The Deputy Mayor, Councillor Lloyd declared a personal interest in the item through her marriage to the Interim Mayor of Greater Manchester and remained in the meeting.)

The Leader of the Council submitted a report advising of a request for the Greater Manchester Combined Authority (GMCA) to become a full member of the Association of Greater Manchester Authorities (AGMA).

RESOLVED: That the Council approves an application by GMCA to become a full member of AGMA, in accordance with Clause 18 of the AGMA Constitution.

This Council acknowledges the hard and dedicated work routinely undertaken by the Children's Services Directorate which has resulted in the following OFSTED evaluations:-

·             Children's Safeguarding Services judged joint highest in the country, with 'Good with Outstanding Features'.

·             Services for Care Leavers judged as 'Outstanding' (the first Outstanding rating in the country).

·             Leadership and management of these services judged as 'Outstanding', the only local authority in the North West to receive this rating.

·             Children's Services supporting Children in Need of Protection, services for Looked After Children, and Adoption services judged as 'Good'.

·             Effectiveness of Trafford's Safeguarding Children Board judged as 'Good' (highest across Greater Manchester and in top 28% nationally).

·             Strong recognition of the positive impact of Trafford's unique integrated service for children and families.

Following closely on the highest national scoring for Trafford's Youth Offending Service (the first Local Authority to achieve a 4* rating in three inspected criteria), the Council can be justifiably proud of its Children's Services and the efforts of all to ensure that every child and young person in Trafford gets off to the best start in life.

It was moved and seconded that:

“This Council acknowledges the hard and dedicated work routinely undertaken by the Children's Services Directorate which has resulted in the following OFSTED evaluations:-

·              Children's Safeguarding Services judged joint highest in the country, with 'Good with Outstanding Features'.

·              Services for Care Leavers judged as 'Outstanding' (the first Outstanding rating in the country).

·              Leadership and management of these services judged as 'Outstanding', the only local authority in the North West to receive this rating.

·              Children's Services supporting Children in Need of Protection, services for Looked After Children, and Adoption services judged as 'Good'.

·              Effectiveness of Trafford's Safeguarding Children Board judged as 'Good' (highest across Greater Manchester and in top 28% nationally).

·              Strong recognition of the positive impact of Trafford's unique integrated service for children and families.

Following closely on the highest national scoring for Trafford's Youth Offending Service (the first Local Authority to achieve a 4* rating in three inspected criteria), the Council can be justifiably proud of its Children's Services and the efforts of all to ensure that every child and young person in Trafford gets off to the best start in life.”

Following speeches in support, the Motion was unanimously agreed.

RESOLVED: That this Council acknowledges the hard and dedicated work routinely undertaken by the Children's Services Directorate which has resulted in the following OFSTED evaluations:-

·              Children's Safeguarding Services judged joint highest in the country, with 'Good with Outstanding Features'.

·              Services for Care Leavers judged as 'Outstanding' (the first Outstanding rating in the country).

·              Leadership and management of these services judged as 'Outstanding', the only local authority in the North West to receive this rating.

·              Children's Services supporting Children in Need of Protection, services for Looked After Children, and Adoption services judged as 'Good'.

·              Effectiveness of Trafford's Safeguarding Children Board judged as 'Good' (highest across Greater Manchester and in top 28% nationally).

·              Strong recognition of the positive impact of Trafford's unique integrated service for children and families.

Following closely on the highest national scoring for Trafford's Youth Offending Service (the first Local Authority to achieve a 4* rating in three inspected criteria), the Council can be justifiably proud of its Children's Services and the efforts of all to ensure that every child and young person in Trafford gets off to the best start in life.

This Council welcomes the Government’s ground-breaking decision in February to devolve healthcare to Greater Manchester (“GM”) and, as a result, the announcement (amongst other proposals) of plans to introduce 7 day GP access across the whole of GM.

The Council notes the decision of the Committees in Common (“CiC”) on 17 June (as a part of the ‘Healthier Together’ proposals) to commission 4 rather than 5 hospitals in Greater Manchester that will specialise in general surgery and emergency medicine for patients with life threatening conditions. It also notes (i) that Salford Royal, Central Manchester University Hospitals NHS FT (“CMFT”) and Royal Oldham have already been earmarked as specialist providers in this regard; and (ii) that a new partnership working arrangement has been entered into between University Hospital of South Manchester NHS Foundation Trust (UHSM) and CMFT.

Doubt now remains in relation to future service provision at UHSM, albeit it is understood that a further decision of the CiC is due on 15^th July (the date of tonight’s Council meeting) in this regard.

It is vital that residents continue to have close access to emergency, high-risk services and this Council is concerned that this continues for everyone who lives in Trafford.

This Council therefore calls upon NHS commissioners to:

1. fully explain how changes under Healthier Together will benefit Trafford residents; and

2. to meaningfully engage with Trafford Council and Health Scrutiny in this regard.

This Council in return pledges to consider, debate and respond to the Healthier Together proposals in a constructive and collaborative manner reflecting considered, evidence based decision making in the new devolved health and social care environment.

(Note 1: Councillor Williams advised the Council of an alteration to the Motion for which he had given notice and proceeded with the altered Motion with the consent of the meeting.

Note 2: Councillor D. Western declared a personal interest in this item due to her employment at University Hospital of South Manchester and remained in the meeting during consideration of the matter.)

It was moved and seconded that:

“This Council welcomes the Government’s ground-breaking decision in February to devolve healthcare to Greater Manchester (“GM”) and, as a result, the announcement (amongst other proposals) of plans to introduce 7 day GP access across the whole of GM.

The Council notes the decision of the Committees in Common (“CiC”) on 17 June (as a part of the ‘Healthier Together’ proposals) to commission 4 rather than 5 hospitals in Greater Manchester that will specialise in general surgery and emergency medicine for patients with life threatening conditions. It also notes (i) that Salford Royal, Central Manchester University Hospitals NHS Foundation Trust (“CMFT”) and Royal Oldham have already been earmarked as specialist providers in this regard; and (ii) that a new partnership working arrangement has been entered into between University Hospital of South Manchester NHS Foundation Trust (UHSM) and CMFT.

It is vital that residents continue to have close access to emergency, high-risk services and this Council is concerned that this continues for everyone who lives in Trafford.

Following the decision of the CiC today not to designate UHSM as the lead provider for the fourth single service, this Council notes that commissioners have advised the Leader and Executive Member for Adult Social Care and Community Wellbeing that:

i.      the decision will only impact on adult patients who require high risk (emergency) general surgery;

ii.      that intensive care support for specialised or tertiary services such as cardiac surgery will continue;

iii.     that UHSM will still be able to look after high risk adult patients in emergency medicine; and

iv.     that UHSM’s position as a teaching hospital with 18 specialities including (amongst others) heart and lung, burns and plastics and vascular surgery will continue.

In the light of today’s decision, this Council calls upon NHS commissioners to:

i.      Confirm the assurances outlined above;

ii.      fully explain how changes under Healthier Together will benefit Trafford residents who require high risk emergency surgery; and

iii.     to engage with Trafford Council and Health Scrutiny in this regard.

This Council in return pledges to consider, debate and respond to the Healthier Together decision in a constructive and collaborative manner reflecting considered, evidence based decision making in the new devolved health and social care environment.”

It was moved and seconded as an amendment that paragraph 4 be replaced with the following:

“Council acknowledges the decision of the CiC today not to designate UHSM as the lead provider for the fourth single service. Council is extremely disappointed by this decision and opposes it as not in the best interests of Trafford Residents. However, this Council notes that commissioners have advised  ...  view the full minutes text for item 29.

This Council notes the positive and strong working relationship that continues between Trafford Community Leisure Trust (TCLT) and the Council in regards to the continuation of leisure provision in Trafford.

In April, TCLT and the Council released a joint statement announcing the end of the contract between the two organisations.  However, to ensure a seamless transition for staff and residents whilst work was undertaken on future next steps, a six-month extension was agreed.

The Council notes the next steps in this regard:

·             The 6-month extension to the contract with TCLT will come to a natural end on 30 September 2015;

·             That work is underway to secure the provision of leisure facilities within the borough from September 2015, including the transfer-in of the operation to the Council in a seamless and transparent manner which will protect staff and services;

·             It continues to be business as usual at all TCLT facilities in Trafford now and until a new provider is found;

·             The Council reiterates the comments made in the April statement that ‘Sport is a huge part of Trafford’s heritage and features heavily in everyday lives therefore it is a key priority for the Council, as we continue to work closely with the Trafford Partnership and its Sports & Physical Activity Partnership, to ensure that Trafford develops a modern and fit-for-purpose leisure provision that meets current and future demands of residents.’

The Council agrees to work collectively with all partners to support the continued provision of leisure facilities across the borough and is committed to achieving a sustainable and high quality service.

(Note: The following Members of the Council declared a personal interest in this item, for the reasons stated below and remained in the meeting during consideration of the matter:

Councillor Adshead - a Trafford Community Leisure Trust Pass Holder;

Councillor Coupe - a Council appointed representative on Trafford Community Leisure Trust;

Councillor Taylor - a Trafford Community Leisure Trust Pass Holder; and

Councillor Whetton - a Council appointed representative on Trafford Community Leisure Trust.)

It was moved and seconded that:

“This Council notes the positive and strong working relationship that continues between Trafford Community Leisure Trust (TCLT) and the Council in regards to the continuation of leisure provision in Trafford.

In April, TCLT and the Council released a joint statement announcing the end of the contract between the two organisations.  However, to ensure a seamless transition for staff and residents whilst work was undertaken on future next steps, a six-month extension was agreed.

The Council notes the next steps in this regard:

·             The 6-month extension to the contract with TCLT will come to a natural end on 30 September 2015;

·             That work is underway to secure the provision of leisure facilities within the borough from September 2015, including the transfer-in of the operation to the Council in a seamless and transparent manner which will protect staff and services;

·             It continues to be business as usual at all TCLT facilities in Trafford now and until a new provider is found;

·             The Council reiterates the comments made in the April statement that ‘Sport is a huge part of Trafford’s heritage and features heavily in everyday lives therefore it is a key priority for the Council, as we continue to work closely with the Trafford Partnership and its Sports and Physical Activity Partnership, to ensure that Trafford develops a modern and fit-for-purpose leisure provision that meets current and future demands of residents.’

The Council agrees to work collectively with all partners to support the continued provision of leisure facilities across the borough and is committed to achieving a sustainable and high quality service.”

Following a debate on the matter, the Motion was put to the vote and declared.

RESOLVED: That this Council notes the positive and strong working relationship that continues between Trafford Community Leisure Trust (TCLT) and the Council in regards to the continuation of leisure provision in Trafford.

In April, TCLT and the Council released a joint statement announcing the end of the contract between the two organisations.  However, to ensure a seamless transition for staff and residents whilst work was undertaken on future next steps, a six-month extension was agreed.

The Council notes the next steps in this regard:

·             The 6-month extension to the contract with TCLT will come to a natural end on 30 September 2015;

·             That work is underway to secure the provision of leisure facilities within the borough from September 2015, including the transfer-in of the operation to the Council in a seamless and transparent manner which will protect staff and services;

·             It continues to be  ...  view the full minutes text for item 30.

On 5 June 2015, the Government announced further spending cuts for the current financial year.

£200 million is set to be taken from Local Authority Public Health grants. Trafford has already had to make cuts of £850,000 to this budget as part of the last budget setting exercise.

Trafford Council has a Health and Wellbeing Strategy in place “that is based upon the principles of prevention and early intervention”. The priority outcomes being:

Every child has the best start in life.

A reduced gap in life expectancy.

Improved mental health and wellbeing.

The foreword of the strategy states “the only way we can achieve our vision is by improving the efficiency and effectiveness of our services, diverting more resources into prevention.”

To stand by this vision and commitment this Council must invest to save and in the longer term reduce the demand on the NHS and social care.

This Council calls upon the Government to reconsider this short sighted approach to the proposed cuts to the public health budget when in reality greater investment is needed in early intervention and prevention and to stand by its previous commitments as set out in the local government finance settlement in March 2015.

It was moved and seconded that:

“On 5 June 2015, the Government announced further spending cuts for the current financial year.

£200 million is set to be taken from Local Authority Public Health grants. Trafford has already had to make cuts of £850,000 to this budget as part of the last budget setting exercise.

Trafford Council has a Health and Wellbeing Strategy in place “that is based upon the principles of prevention and early intervention”. The priority outcomes being:

Every child has the best start in life.

A reduced gap in life expectancy.

Improved mental health and wellbeing.

The foreword of the strategy states “the only way we can achieve our vision is by improving the efficiency and effectiveness of our services, diverting more resources into prevention.”

To stand by this vision and commitment this Council must invest to save and in the longer term reduce the demand on the NHS and social care.

This Council calls upon the Government to reconsider this short sighted approach to the proposed cuts to the public health budget when in reality greater investment is needed in early intervention and prevention and to stand by its previous commitments as set out in the local government finance settlement in March 2015.”

Following a debate on the matter, the Motion was put to the vote and declared lost.

Trafford Council,

i.             Recognises the importance of local action in coordinating and commissioning  accessible and effective HIV testing to reach the undiagnosed and reduce late HIV diagnosis

ii.           Recognises that Trafford’s HIV prevalence is 1.9 diagnosed per 1000 residents, just short of being categorised as high (over 2 diagnosed per 1,000 residents). Council therefore commits to strengthening its own provision of HIV testing services through working with local NHS partners, HIV charities and patient groups

iii.          Recognises that late HIV diagnosis is a Public Health Outcomes Indicator in the Public Health Outcomes Framework

iv.         Recognises the volume and quality of public health and local government guidelines and performance indicators designed to support local authority implementation and monitoring of appropriate and effective testing guidelines.

The Council further notes,

i.             That an estimated 100,000 people were living in England with HIV in 2012; 22% were unaware of their status

ii.           That there is an impact of late diagnosis on individual health, public health and health budgets. Late diagnosis increases the likelihood of the need for complex and expensive treatment and the risk of onward transmission to others. 47% of people diagnosed with HIV in 2012 were diagnosed late (with a CD4 count <350mm3)

iii.          That if diagnosed early, put on a clear treatment pathway and guaranteed access to antiretroviral therapy (ART), people living with HIV can expect to have a near-normal life expectancy and live healthy and active lives.

Recognising the weight of evidence in favour of expanding local HIV testing services, Trafford Council:

 i.                Resolves to:

·             Act to halve the proportion of people diagnosed late with HIV (CD4 count <350mm3) in Trafford by 2020

·             Act to halve the proportion of people living with undiagnosed HIV Trafford by 2020

ii.                Further resolves to:

·             Ensure that rates of late diagnosed HIV are included as an indicator in its Joint Strategic Needs Assessment (JSNA)

·             Ask the Director of Public Health to provide a report outlining what needs to be done locally in commissioning and provision of services in order to halve late diagnosed and undiagnosed HIV by 2020

·             Become a supporter of the Halve It Coalition by contacting the Halve It secretariat (info@halveit.org.uk) informing them of this resolution and by agreeing to be listed as a Halve It coalition supporter.

It was moved and seconded that:

“Trafford Council,

i.             Recognises the importance of local action in coordinating and commissioning  accessible and effective HIV testing to reach the undiagnosed and reduce late HIV diagnosis

ii.            Recognises that Trafford’s HIV prevalence is 1.9 diagnosed per 1000 residents, just short of being categorised as high (over 2 diagnosed per 1,000 residents). Council therefore commits to strengthening its own provision of HIV testing services through working with local NHS partners, HIV charities and patient groups

iii.          Recognises that late HIV diagnosis is a Public Health Outcomes Indicator in the Public Health Outcomes Framework

iv.          Recognises the volume and quality of public health and local government guidelines and performance indicators designed to support local authority implementation and monitoring of appropriate and effective testing guidelines.

The Council further notes,

i.             That an estimated 100,000 people were living in England with HIV in 2012; 22% were unaware of their status

ii.            That there is an impact of late diagnosis on individual health, public health and health budgets. Late diagnosis increases the likelihood of the need for complex and expensive treatment and the risk of onward transmission to others. 47% of people diagnosed with HIV in 2012 were diagnosed late (with a CD4 count <350mm3)

iii.          That if diagnosed early, put on a clear treatment pathway and guaranteed access to antiretroviral therapy (ART), people living with HIV can expect to have a near-normal life expectancy and live healthy and active lives.

Recognising the weight of evidence in favour of expanding local HIV testing services, Trafford Council:

i.             Resolves to:

·         Act to halve the proportion of people diagnosed late with HIV (CD4 count <350mm3) in Trafford by 2020

·         Act to halve the proportion of people living with undiagnosed HIV Trafford by 2020

ii.            Further resolves to:

·         Ensure that rates of late diagnosed HIV are included as an indicator in its Joint Strategic Needs Assessment (JSNA)

·         Ask the Director of Public Health to provide a report outlining what needs to be done locally in commissioning and provision of services in order to halve late diagnosed and undiagnosed HIV by 2020

·         Become a supporter of the Halve It Coalition by contacting the Halve It secretariat (info@halveit.org.uk) informing them of this resolution and by agreeing to be listed as a Halve It coalition supporter.”

It was moved and seconded as an amendment that following the deletion of ‘Recognising the weight of evidence in favour of expanding local HIV testing services’ the final section of the Motion be amended to read:

“Trafford Council:

i.      Resolves, in conjunction with partners, to:

·         Continue to act to seek to halve the proportion of people diagnosed late with HIV (CD4 count <350mm3) in Trafford by 2020

·         Seek to halve the proportion of people living with undiagnosed HIV Trafford by 2020

ii.      Further resolves to:

·         Ask the Director of Public Health to provide a report to a future meeting of Trafford’s Health and Wellbeing Board outlining what could be done locally in commissioning and provision  ...  view the full minutes text for item 32.

This Council recognises that clean and modern public transport is a vital component of a prosperous local economy and vital to a clean environment. It notes that bus travel remains the dominant public transport provision. However, Council also recognises that the lack of integration of bus services in Greater Manchester has hindered the provision compared to other major world renowned cities including London.

This Council therefore welcomes the proposed new responsibilities granted to the incoming elected mayor for franchising bus services across Greater Manchester.

In making this welcome, Council holds that there is potential for growing the bus provision across Trafford and affirms its commitment to work with transport authorities and operators to make this a reality. Council recognises however that there is deficiency of bus infrastructure in Trafford, particularly in our town centres, and it continues to be ambitious in seeking to improve these interchanges as opportunities arise.

It was moved and seconded that:

“This Council recognises that clean and modern public transport is a vital component of a prosperous local economy and vital to a clean environment. It notes that bus travel remains the dominant public transport provision. However, Council also recognises that the lack of integration of bus services in Greater Manchester has hindered the provision compared to other major world renowned cities including London.

This Council therefore welcomes the proposed new responsibilities granted to the incoming elected mayor for franchising bus services across Greater Manchester.

In making this welcome, Council holds that there is potential for growing the bus provision across Trafford and affirms its commitment to work with transport authorities and operators to make this a reality. Council recognises however that there is deficiency of bus infrastructure in Trafford, particularly in our town centres, and it continues to be ambitious in seeking to improve these interchanges as opportunities arise.”

Following speeches in support, the Motion was unanimously agreed.

RESOLVED: That this Council recognises that clean and modern public transport is a vital component of a prosperous local economy and vital to a clean environment. It notes that bus travel remains the dominant public transport provision. However, Council also recognises that the lack of integration of bus services in Greater Manchester has hindered the provision compared to other major world renowned cities including London.

This Council therefore welcomes the proposed new responsibilities granted to the incoming elected mayor for franchising bus services across Greater Manchester.

In making this welcome, Council holds that there is potential for growing the bus provision across Trafford and affirms its commitment to work with transport authorities and operators to make this a reality. Council recognises however that there is deficiency of bus infrastructure in Trafford, particularly in our town centres, and it continues to be ambitious in seeking to improve these interchanges as opportunities arise.