Venue: Thomas De Trafford Conference Room B
Contact: Alexander Murray, Democratic and Scrutiny Officer
To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 21 July 2017.
RESOLVED: That, subject to the inclusion of Chief Superintendent Wayne Miller in the list of apologies, the Minutes of the meeting held on 21 July 2017, be agreed as a correct record and signed by the Chairman.
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.
No declarations of interest were declared by Members in respect of the business set out on the agenda.
TRANSFORMATION FUND BID - IMPLEMENTATION PLAN
To receive a presentation from the Change Director for Trafford Council and Trafford CCG.
The Board received a presentation from the Change Director Trafford Council and Trafford CCG.
Following the Transformation Fund submission, the clarification phase had been completed and all key lines of enquiry had been answered. Feedback had been positive, particularly the focus on primary care and neighbourhoods and also the level of detail and robustness of the Cost Benefit Analysis.
The integration of the CCG and Council continues with consultation to commence towards the end of October. Members considered it important that the Board was integral to the work and to ensure efforts were not duplicated.
(1) That the work to deliver the mobilisation phase of the Transformation Programme be noted and supported.
(2) That the Board notes that detailed programme plan updates will be presented to future meetings as matters progress.
To receive a report from the Interim Director for Public Health.
The Interim Director of Public Health submitted a report on proposals for the future role and structure of Trafford’s Health and Wellbeing Board.
The proposed structure provided for a thematic approach to the Boards’ work, which would allow Members to obtain a better understanding of particular issues and the Board to develop system wide actions and priorities in subject areas.
Members commented upon the position, role and reporting arrangements of the Executive Group in the proposed structure. It was proposed that the Executive Group be strategically tasked and for example, have an oversight role of integration and implementation of the Transformation Fund Bid (discussed earlier on the agenda, Minute No. 23 refers). Cross party political representation and links to the voluntary sector would be considerations in the structure and it was emphasised that this should be an integral relationship rather than supplementing related arrangements.
(1) That the proposed new structure, as set out in the report, be approved in principle, subject to further consideration of the Executive Group’s status and terms of reference.
(2) That the Working Group consider in more detail and report back on the proposed memberships of the Sub Boards and Executive Group.
(3) That the Interim Director of Public Health be requested to circulate the draft terms of reference for the Sub Boards to Health and Wellbeing Board Members.
To receive a presentation from the Director of the SHS Programme.
The Board received a presentation from Peter Blythin, Director of the Single Hospital Service Programme outlining the progress to date and the next stages in the development of a service strategy and the ultimate aim of creating a truly single hospital service.
Communication and Engagement had been at the heart of the successful merger which had been achieved through the collaboration of all constituent members. The organisation now had the scope to be one of the largest employers in Greater Manchester, plus all the ancillary services.
The Board congratulated all concerned for accomplishing a merger over a 12 month period, itself a remarkable achievement. The Auditors KPMG had also provided unqualified opinions. Testament to success was that it was business as usual on 30 September without no big change or disruption.
The Service would evaluate progress over the first year and measure how it has delivered on its service strategy.
RESOLVED: That the presentation be noted and that the Board looks forward to working and aligning with the Single Hospital Service.
To receive a report from the Head of Partnerships and Communities.
The Head of Partnerships and Communities submitted a report providing updated information on the activity of the ‘Greater Manchester Working Well Early Help’ Programme being developed between the Greater Manchester Health and Social Care Partnership and the Greater Manchester Combined Authority.
Considering GP support for the new model, the Chief Clinical Officer supported a phased approach in order to secure meaningful commitment within the timescales suggested and proposed that one or two practices be approached in the first instance.
In terms of the membership of the Project Task Group, Trafford Leisure was also proposed.
(1) That the report be noted.
(2) That the Head of Partnerships and Communities be requested to progress a pilot scheme for GP referral, in consultation with the Chief Clinical Officer.
(3) That a Trafford Leisure representative be sought for the Project Task Group.
HEALTH AND WELLBEING PRIORITIES UPDATE
To receive a presentation from the Interim Director of Public Health.
The Interim Director of Public Health presented a priorities update apprising the Board of the following actions and key areas of focus:
- Smoking and Tobacco Control: on the whole levels were reducing, however, smoking prevalence in adults in Routine and Manual groups was higher in Trafford (29%) than England or Manchester (27%).
- Alcohol: Alcohol Awareness Week 13-19 November focussing on families.
- Cancer Prevention and Early Diagnosis.
- Physical Activity: Play streets programme in development which would be a focus of the new Physical Activity Strategy and implementation plans – the Board was to have sight of an early draft strategy. The low level of physical activity in 15 year olds was considered a worry.
- Reducing impact of mental ill health.
- Work programme to re-commission Prevention, Wellness and Lifestyle services.
Responding to concerns expressed about the frequency of Mental Health Partnership Board meetings the Interim Director of Public Health confirmed that the matter was being addressed with the lead organisation.
Further Public Health Working Group meetings were to be timetabled and it was suggested that Health Impact Assessments be recommended for inclusion in Council reports.
RESOLVED: That the presentation be noted.
To receive a report from the Interim Director for Public Health.
The Interim Director of Public Health submitted a report on the role of the Health and Wellbeing Board in promoting healthy ageing in Trafford.
In order to progress the work, the appointment of a Programme Manager on an 18 month contract was proposed to plan, co-ordinate and deliver the changes required in Trafford, however, funding for the post was still to be confirmed. As GPs had been challenged to set up a provider organisation for the whole of primary care, a joint approach with links into their system was suggested as a means of securing support.
Delaying the appointment until the Ageing Well Board was established was suggested, however, funding was considered the priority with relationships and action plans being defined alongside the terms of reference and priority setting.
(1) That the report be noted.
(2) That the Interim Director of Public Health be requested to discuss with the Clinical Director of NHS Trafford Clinical Commissioning Group, the possible funding arrangements of a Programme Manager for Healthy Ageing.
TRAFFORD BETTER CARE FUND PROGRAMME 2017-19
To receive a report from the Director of All Age Commissioning.
The Director of All Age Commissioning submitted a report outlining the Better Care Fund (BCF) Programme for 2017-19 and seeking sign off of the BCF Plan by the Board in order to achieve National Condition 1.
Further to the report, the Board was advised that the current CQC Inspection may recommend areas for improvement and that the Plan had the ability to be amended to incorporate any changes. In relation to the CQC report, a new date for the meeting with Inspectors was to be arranged week commencing 4 December 2017.
Acknowledging in the previous period that nationally, most schemes had failed their targets, Members recognised that due to capacity and the absence of new money, existing schemes were to receive most investment. Concern was expressed about duplication and it was suggested that an analysis of the work undertaken and a record of those schemes that had narrowly missed the target could be of assistance. It was also noted that the Transformation Programme would be reviewing processes and the Plan in terms of adaptability.
Seeking to keep the Plan under review, Members were informed that updates would be included in the quarterly report presented to the Board
RESOLVED: That the Board signs off the Expenditure Plan for the 2017-19 Better Care Fund, with the assurance that it is an adaptive document that will evolve over the time period.
To consider the key messages from the meeting.
RESOLVED: That the Board notes the following key messages arising from the meeting:
1) Monitoring was an important aspect throughout all work streams and activities overseen by the Board.
2) Health and Wellbeing structural arrangements were to focus on delivery.