To receive and if so determined, to approve as a correct record the Minutes of the meetings held on 17 March 2016 and 21 March 2016.

RESOLVED: That the Minutes of the meetings held on 17 March 2016, and 21 March 2016, be approved as a correct record and signed by the Chairman.

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.

Interest was declared by Councillor Joanne Harding who is a Senior Manager at Self Help Services, a mental health crisis service which is commissioned in Trafford. Councillor Harding is also on the Board of Trustees for Trafford Carers.

Interest was declared by Councillor Mrs Judith Lloyd, who is a Trustee of Trafford Domestic Abuse Services.

To receive a verbal update of the Chief Clinical Officer, NHS Trafford Clinical Commissioning Group.

The Board received a verbal report of the Chief Operating Officer, NHS Trafford Clinical Commissioning Group providing an update on the Locality Plan and Greater Manchester Devolution.

Following the Board’s approval of the Trafford Locality Plan at the meeting on 21 March 2016, the Plan was then submitted to the GM Devolution Team. The feedback indicated that the Plan was strong on innovation, but required improvement around implementation and financial robustness. Work would begin on these aspects immediately, and consultancy support would be provided by the GM Devolution Team to assist at no extra cost to Trafford. Members discussed the potential funding reductions for vanguard sites, and the Board noted the importance of the Trafford Care Coordination Centre (TCCC) in relation to the Locality Plan.

GM Devolution came into effect on 1^st April 2016, with work on governance arrangements ongoing. The Board were advised that the Trafford Joint Commissioning Board were now meeting on a regular basis, and Members requested that the Health and Wellbeing Board be provided with a structure diagram detailing how different Boards were connected to allow them to understand how decisions were made.

            RESOLVED: That the verbal update be noted.

To consider a report of the Better Care Fund Programme.

The Board received a report providing an update on the progress of the Better Care Fund (BCF) for Trafford in 2015/16, as well as providing an overview of the planning process and content of the plan for 2016/17. Once complete, the new plan would need to be approved by the Health and Wellbeing Board.

It was agreed that a performance dashboard summary report relating to the BCF programme would be provided at future meetings, and a full reflection report on the 2015/16 BCF programme would be brought to the next meeting.

It was confirmed that Trafford Council and Pennine Care NHS Foundation Trust had recently entered a Strategic Partnership Agreement for Integrated All Age Community Health and Social Care Services. Pennine would now take lead responsibility for the day to day provision of children's services, while retaining their adult services responsibilities. Both organisations would continue to be responsible for their individual statutory obligations.

            RESOLVED: That the report be noted.

To consider a report of the Interim Director of All Age Commissioning.

The Board received a report of the Director of All Age Commissioning. The report offered the Board the opportunity to comment on the All Age Learning Disabilities Strategy, which aimed to develop an integrated all age approach with a shared commitment of creating independence and improving resilience.

It was noted that a large part of the adult social care budget was spent on the adult learning disability population, and one aim of the strategy would be to manage this spending more effectively. A reassessment of 77 adults with learning disabilities identified a number of principles for developing an approach to supporting people with learning disabilities which would improve outcomes within the available budget.

The Trafford Care Commissioning Group and other Board members welcomed the new strategy.

RESOLVED: That the All Age Learning Disability Strategy be approved.

To consider a report of the Director of Public Health.

The Board received a report of the Director of Public Health providing the final version of the Public Health Annual Report for 2015 for their approval before its publication online.

Board members discussed adult education, child poverty and physical inactivity, and it was noted that a strategy around dementia would need to be developed. Members agreed that the Health & Wellbeing Board should be used as a vehicle to support reducing physical inactivity and improve health in general within Trafford. It was suggested that all partners should come together, possibly in a working group, to work on these issues.

RESOLVED: That the Public Health Annual Report for 2015 be approved for publication online.

To consider a presentation of the Director of Public Health and the Sport & Physical Activity Relationship Manager.

The Board received a presentation of the Director of Public Health and the Sport & Physical Activity Relationship Manager providing Trafford’s vision for reducing physical inactivity. The presentation provided the Board with Trafford’s current position and advised of the next steps to be taken; to target the 28% of people that are physically inactive, and to create a vision that kept the message simple, united partner effort, and influenced delivery.

The Board discussed the importance of communicating the message effectively, as well as ensuring that key members of the Health and Wellbeing Board come together to drive the strategy forward. Discussions also took place around how children’s physical inactivity could be reduced.

RESOLVED: That the Health & Wellbeing Board supports the vision laid out in the presentation to reduce physical inactivity within Trafford.

To receive a report of the Head of Communities & Partnerships.

The Board received a report of the Head of Partnerships and Communities providing an update on the Domestic Abuse work streams and the new Governance arrangements for Domestic Abuse.

Members were advised of the significant investment made at GM level to help combat domestic abuse. It was noted that Trafford now had sixteen volunteers, all of which had been vetted, risk assessed, and received the necessary training to assist domestic abuse victims and signpost them to relevant services. The Superintendent representing Greater Manchester Police explained how risks relating to domestic abuse reports were categorised.

            RESOLVED: That the report be noted.

To receive the following performance dashboard reports for information:

The Board received the Health and Wellbeing performance dashboard reports for information.

RESOLVED: That the Health and Wellbeing performance dashboard reports be noted.

To receive a report of the Director of Public Health.

The Board received a report of the Director of Public Health providing an update on the refresh of the Trafford Pharmaceutical Needs Assessment (PNA). The Board were reminded that the PNA was a statutory requirement, and work was underway to complete the new PNA by the 1^st April 2017 deadline. A target date for completion was set for January 2017.

Board members discussed the government’s proposed reductions in funding for pharmacy provision, and it was noted that this topic would be revisited at a future meeting.

            RESOLVED: That the report be noted.

As per the annual rotation of the Health and Wellbeing Board’s Chairmanship, it was confirmed that a Trafford Council representative would become Chairman for the 2016/17 municipal year, with an NHS Trafford Clinical Commissioning Group representative becoming Vice-Chairman.