To note the Membership of the Board as agreed at Annual Council 24May 2017.

REOLVED: That the membership of the Board be agreed for the 2017/18 municipal year.

For representatives of Trafford CCG and Trafford Council to nominate candidates for Chairman and Vice-Chairman of the Committee respectively for the Municipal year 2017/18, to be agreed by the Board.

Prior to the meeting the representatives of Trafford Council and Trafford CCG had met and decided that Trafford Council would retain the Chairmanship of the Board. Trafford Council nominated Councillor Lamb for Chairman and the Board members agreed unanimously. Trafford CCG nominated Matthew Colledge for the position of Vice-Chairman and the Board members agreed unanimously.

RESOLVED:

1)    That Trafford Council retain Chairmanship of the Board for the 2017/18 municipal year.

2)    That Councillor Lamb be formally appointed as Chairman of the Board for the 2017/18 municipal year.

3)    That Matthew Colledge be formally appointed as Vice-Chairman of the Board for the 2017/18.

To note the Terms of Reference of the Board for the 2017/18 municipal year as agreed by Annual Council 24 May 2017.

RESOLVED: That the Terms of Reference of the Board be agreed for the 2017/18 municipal year.

To receive and, if so determined, to approve as a correct record the Minutes of the meeting held on 21 April 2017, to be signed by the Chairman.

RESOLVED: That the minutes of the meeting held 21 April 2017 be agreed as an accurate 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.

RESOLVED: That the following declarations of interest were declared and noted by the Board;

·         Councillor Lloyd in relation to her position on the Board of Trafford Domestic Abuse Service.

To receive a presentation from the Change Director for Trafford Council and Trafford CCG.

The Interim Accountable Officer, Trafford CCG (IAO) delivered a presentation to the Board on the Trafford Transformation Fund bid update and next steps. The presentation detailed the Trafford vision and map for the delivery of health and social care services across the borough. The presentation contained details of the various pieces of work which would form part of the Transformation of services across Trafford including; the new model of primary care, the care complex and the integration of health and social care. The integration of health and social care was to be a key element of the Transformation plan and the IAO informed the board of the six work streams that would deliver it.

The presentation concluded with a breakdown of the £31.4 million of Transformation funds requested, the strategic governance for the programme, the Transformation Programme Structure and the GM approvals process. The final slide asked the Board to sign off the Transformation bid and for board members to suggest where they would have the greatest influence, to help the design and support delivery of the programme.

After the presentation the Corporate Director of Children, Families and Wellbeing (CDCFW) informed Board members that a piece of work was to be conducted at a GM level to understand the role that Health and Wellbeing Boards were to play in the transformation process of local authorities across GM. Board members then discussed various aspects of the programme including; funding for physical activity and prevention services, the role of one Trafford response and the one Trafford Partnership, consultation of the public, and taking a holistic approach to health and social care.

Following the discussions the Board agreed the Transformation bid and the CDCFW told Board members that the outcome of the bid would be known by the time of their next meeting. As such, the full timetable, including a timeline for consultation, and plan for the Transformation programme were to be brought to the next meeting of the Board.

RESOLVED:

1)    That the Transformation bid be signed off by the Board.

2)    That the full timetable and plan for the Transformation programme be on the agenda for the next meeting of the Board.

To receive a report from the Interim Director of Public Health.

The Interim Director Public Health (IDPH) delivered the Public Health Annual report to the Board. The IDPH explained that the annual report had a different focus each year and this year the focus was on young people. The report opened with an overview of childhood health within Trafford before looking at a number of key factors in improving children’s health in the borough going forward. The IDPH drew Board Members’ attention to the importance of making staff aware of the impacts of Adverse Childhood Experience (ACE), the attainment gap between children who received free school meals and those that didn’t, and the levels of childhood obesity across Trafford.

A Board Member stated that national figures showed that 1 in 8 children suffered from mental health problems which increased to 1 in 4 for adults, whether there was a reason for the discrepancy, and asked whether preventative work with young people would reduce these figures. The IDPH responded that she felt that mental health issues in children might be under diagnosed, especially amongst teenagers, and that the number would be closer to 1 in 4 as children got older. Work with young people around mental health was extremely important in order to reduce the impact of poor mental health. The Chairman of HealthWatch Trafford then asked how the recommendations laid out within the report would be delivered.  IDPH said that the Board would have a large role to play in ensuring the delivery of the recommendations of the report through partnership working and by holding those with tasks to fulfil to account.

RESOLVED: That the report be noted.

To discuss the attached report from the Interim Director of Public Health.

The IDPH gave a brief overview of the report and update against the 5 public health priorities that had been circulated with the agenda prior to the meeting. The IDPH then outlined her view on what the Board should be focused upon going forward. The report recommended that a sub group be established to look at the future role of the Board in detail and to bring their findings back to the next meeting of the Board in October.

The Board members discussed the role of the board in respect to health priorities, commissioning activity and how it was important that the board should drive activity. Following their discussions the Board agreed the recommendation to form a sub group which would report back to the Board at the meeting in October.

RESOLVED: That a subgroup of the Board be established to discuss the future role and remit of the Board, including proposals for any changes in membership or reporting structures, and that this group reports back at the October meeting.

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

The IDPH went through the outcomes frame work that had been distributed with the agenda and the statistics for Trafford. The framework included comparisons with a number of similar Councils from across the country and analysis of performance and performance over time. The IDPH explained that the analysis of performance against a peer group would enable further analysis of possible changes that Trafford could implement in order to achieve improvements in line with the top performing Councils within their peer group.

The Board Members discussed the performance indicators that had been chosen and how this approach could evolve over time. The CDCFW noted that there were a couple of areas for concern for Trafford but also that Trafford excelled in other areas and that the majority of the trends in Trafford were positive. Members asked who the peer group for the council was made up of and were told that it was statistical neighbours of Councils such as Stockport MBC and City of York Council.

RESOLVED: That the update be noted.

To receive a presentation from the Chairman of the Trafford Sports and Physical Activity Partnership.

The Sports Relationship Manager (SRM) gave a presentation to the Board on the Physical Activity Vision. The Board were informed that the vision had been drafted over the last year ongoing for the last three years and had brought together a vast number of partners from across the borough. The strategy was under development, looking at the levels of activity within Trafford and would seek to try to support and tie into the work that was being done by the Trafford Transformation and GM plans. The SRM highlighted to the Board  the work that had been done between Trafford Leisure and GPs which had led to 649 referrals being made 64% of which had resulted in individuals receiving the £20 reward fee.

The presentation showed that within Trafford 43% of adults “do walking” at least five times per week and that Trafford now had 24 walking champions. The presentation ended looking at the 43000 people that are classed as inactive within Trafford and the ways in which the Vision 2031 programme was aiming to engage the inactive population in making life changes. The Chairman of the Sports and Physical Activity Partnership (CSPAP) noted that the success of the partnership and the improvements that had been seen across the borough were in large part due to the buy in of the Council.

Board members discussed the issues surrounding activity amongst young people. One Member raised the issue around the change of activities becoming competitive when children reach the age of 10 and the importance of keeping activity fun. Another Member noted the impact of increasing awareness of the many schemes and activities that are on offer in the borough.

RESOLVED: That the update be noted.

To receive a report from the Infection Control Lead for Pennine NHS Foundation Trust.

The Infection Control Lead gave a presentation to the Board supporting the annual report that had been distributed with the agenda. The presentation gave an overview of the work that the infection control team do within Trafford and the performance of the borough regarding levels of infection. The ICL informed the Board that there had been no cases of MRSA assigned to the CCG in the previous year, that the borough was meeting all targets for reducing levels of C Difficile infection, and that Trafford is seen as having the gold standard in terms of infection control. The ICL requested that infection control be on a future agenda with a longer time slot so that the work of the team could be covered in more detail.

Board members asked a number of questions relating to the work of the infection control team in relation to prevention and community work. The ICL stated that whilst the team do some work within the community they were always looking to increase the level of awareness regarding reducing infection risks. The CSPAP stated that he would ask the Chief Executive of the Partnership about having a presentation by infection control at one of their meetings. 

RESOLVED:

1)    That the report be noted.

2)    That the ICL be invited back to a later meeting.

3)    That the CSPAP ask the Chief Executive of the Physical Activity Partnership about infection control presenting at a meeting.

To receive a report of the Children Safeguarding Board, Adult Safeguarding Board and Safer Trafford Partnership (Protecting Vulnerable People group).

The CDCFW gave a brief summary of the report that had been distributed to the Board on the proposed amalgamation of Trafford’s safeguarding boards. The Clinical Director, Trafford CCG (CD) explained that it had been a slow and cautious evolution from the standard approach into the new joint functioning board. It was expressed that process had been so cautious in order to ensure that all functionality of the separate boards was maintained throughout the change.

A Board Member asked whether there was a risk that the joint board would be over loaded. The CD responded that as there was such a large crossover between the two boards that the efficiencies achieved through reduction of duplication would negate a lot of the additional work load from having a single board. In response to another question the CD informed the Board that a review of the joint safeguarding board would be conducted in 6 months’ time.

RESOLVED: That the report be noted.

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

The Head of Partnerships and Communities (HPC) gave a brief summary of the report that the Board had received with the agenda. The HPC explained the public service reform programme to the Board and detailed the trial that had been running within Stretford. The Board were informed that a number of blockages had been identified by the trial which would prevent the upscaling of the model to be conducted successfully. The next steps in this work were to tackle those blockages. The HCP invited Board members to visit the trial in Stretford in order to see for themselves how it worked.

RESOLVED:

1)    That the report be noted.

2)    That Board members be encouraged to take up the offer to visit the trial in Stretford.

To receive a presentation from the Head of Partnerships & Communities.

The HPC gave a brief presentation to the Board on the work and early help programme. The presentation detailed the Health impact of being unemployed, the whole population approach of the programme across GM, the programmes objectives, the considerations for Trafford and the priorities for Trafford. The HCP informed the Board that a further update on the programme would be brought to a later meeting once the Trafford position was clear.

RESOLVED:

1)    That the update be noted.

2)    That a further update come to the Board once the Trafford position is clear.

To receive a verbal report from the Interim Director of Public Health.

The IDPH informed the Board that following the agreement of a Chairman’s action at the previous meeting the final changes had been made to the Pharmaceutical Needs Assessment and it was available on the intranet.

RESOLVED: That the update be noted.

To receive a report from the Regional Adoption Agency (Adoption Counts).

The CDCFW gave a brief overview of the report on the regional adoptions agency. The Board were told that Trafford had entered into a partnership with a number of other Councils to form a single adoption agency. The Board were assured that although the targets that had been set for the new agency may have seemed large Stockport Council, who were leading the agency, had already achieved many of these targets in their own area. Councillor Whetton stated that an annual report on the performance of the new agency would come to the Board in July 2018.

RESOLVED:

1)    That the report be noted.

2)    That the annual report of the regional adoption agency comes to the Board in July 2018.

To consider the key messages from the meeting.

The two key messages for board members were to consider the following;

1)    The Trafford Transformation bid its wider impact and related collaboration.

2)    Adverse Childhood Events (ACEs) and the recommendations from the Public Health Annual Report.

3)    The one Trafford Response & Partnership engagement.

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.

The CDCFW informed the Board that the national government had announced additional adult social care funding of £1m per year for 2 years for Trafford. On condition of that funding the CQC were to perform reviews on 12 areas which had very poor performance in relation to delayed transfers of care including Trafford and Manchester. Trafford were to be notified by the CQC 3 weeks in advance of the review which would take a week to conduct.

The Board were made aware that there was a financial risk relating to this as if the CQC review found that targets had not been met or progress had not been made then the additional funding was to be taken away retrospectively.

RESOLVED: That the update be noted.

Motion   (Which may be amended as Members think fit):

That the public be excluded from this meeting during consideration of the remaining items on the agenda, because of the likelihood of disclosure of “exempt information” which falls within one or more descriptive category or categories of the Local Government Act 1972, Schedule 12A, as amended by The Local Government (Access to Information) (Variation) Order 2006, and specified on the agenda item or report relating to each such item respectively.