Venue: Flixton House, Urmston, Manchester, M41 5GJ
Contact: Alexander Murray, Governance Officer
To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 18 October 2020.
RESOLVED: That the minutes of the meeting held 18 October 2020 be agreed as an accurate record and signed by the Chair.
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 were made at the meeting.
A maximum of 15 minutes will be allocated to public questions submitted in writing to Democratic Services (firstname.lastname@example.org) by 4 p.m. on the working day prior to the meeting. Questions must be relevant to the remit of the Board and will be submitted in the order in which they were received.
A question had been received from a resident regarding the number of trees in the North of the borough and how the Council decided where and when to plant new trees. The resident had already received a response which had been circulated as part of the agenda. The question and response were read out at the meeting by the Chair. The Executive Member for Children’s services requested that a more complete response to the questions be sent to the resident explaining the Councils approach to planting trees in greater detail. The Executive Member for Adult Services noted that the residents question identified a number of issues relating to the wider determinants of health within Trafford. The Executive Member added that as the wider determinants of health linked into the priorities of the Board this should be captured within the response.
The Chair agreed to be involved in putting together a more in depth response to the resident.
1) That the question and response be noted.
2) That the Chair write a more detailed response to the resident.
To receive a report from the Director of Public Health.
The Director of Public Health gave a brief overview of the make-up of the Child Death Overview Panel (CDOP), how it functioned, and the purpose of the panel. Trafford’s Panel was held in partnership with other Councils to have a large enough population to be able to identify trends from the data gathered. ER explained that there was a very low number and out of those around 50% were due to uncontrollable factors. The Director of Public Health informed the Board that the report would also to go to the Trafford Safeguarding Board.
A Member of the Board noted that Stockport had a lower level of child deaths despite having more children in care and they asked whether the differences had been looked into. The Director for Public Health responded that the child death rate was higher mainly in premature children within Trafford and it appeared as though the reasons were linked general poor health outcomes such as the mothers BMI.
The Executive Member for Adult’s Services noted that there were some recommendations addressed to the Health and Wellbeing Board and they wanted to know what the Board were doing to address these recommendations. The Executive Member for Children’s services added that she would like to have a better understanding of the connection between Trafford services and indicators, such as healthy weight, to provide assurance as to whether Trafford was investing their resources in the right areas, especially in relation to preventative services.
In response to the Councillors questions the Board went through the areas where Health and Wellbeing Boards were recommended to take action and provided an update on the Trafford position. The Director of Public Health informed the Board that Trafford did very well in the reduction of smoking while pregnant. The Chief Executive of Wythenshawe, Trafford, Withington, and Altrincham added that MFT were very committed to tackling smoking with the Board of MFT looking at removing the remaining smoking shelters from their sites, MFT treated vaping the same as smoking across their sites. The cure programme had been proven to work very well and MFT were in the process of rolling the programme out wider. All MFT inpatients were screened as to whether they smoked and those that did were supported to quit. The Executive Member for Adult’s Services told the Board that she could arrange for someone from the Cure Programme to attend a future meeting to describe the work that they do.
The Managing Director Health of Trafford LCO informed the Board noted that health visitors were mentioned within the recommendations and offered to provide an update to the Board for the next meeting.
The Chair requested that a report come to the Board on the work that was being done to reduce smoking and encourage healthy weight within Trafford.
Councillor Brophy spoke about child deaths often being an indicator that something may be wrong within the system. However there was a question around how many near misses had happened prior to each death. The ... view the full minutes text for item 20.
To receiev a report from the Director of Public Health.
The Director of Public Health introduced the report. The Board were told that the Health and Wellbeing Strategy had seven priorities and healthy weight was one of them. In addition Health and Wellbeing was one of the Council’s Corporate Priorities especially in terms of reducing health inequalities. Obesity represented one of the main health inequalities in the area with the level of deprivation closely linked to the levels of obesity within both adults and children. While exercising was linked to healthy weight it was not able to make up for a poor diet.
The Healthy Weight Declaration had been designed to help local authorities demonstrate their commitment to promote healthy weight and improve the health and wellbeing of their communities. The declaration included fourteen standard commitments and each local authority was then able to add on any additional commitments relevant to their area. The version presented to the Board contained the standard fourteen commitments which included; to ensure food and drink provided at public events include healthy provisions, supporting food retailers to deliver this offer, and to advocate plans with partners to address the causes and impacts of obesity. The Board was asked to agree to progress the singing of the declaration and to identify a champion to support the declaration being signed by the Council.
The Vice Chair was in favour of the declaration and believed that the Board should support the declaration. It was noted that the declaration was designed for local authorities but the Vice Chair felt that the Board should ask all partners to sign up. The Director of Integrated Health and Social Care Strategy agreed that all partners should sign up to the declaration and asked whether it was for the Board to hold partners accountable to ensure that they delivered against the declaration.
The Director of Public Health pointed out that the report did mention taking a partnership approach and outlined how assurance could be provided. The Executive Member for Children’s Services stated that the Board needed to make sure that the declaration led to improvement. The Director of Public Health informed the Board that the Public Health Programme Manager was working on the Council’s healthy weight strategy which would link to the declaration.
The Director of Integrated Health and Social Care Strategy added that for an effective partnership approach the Board needed to provide leadership. This could be done by presenting the declaration and supporting documents to partners stating that this has been signed up to by the Health and Wellbeing Board and the Board would be overseeing its delivery.
The Chief Executive of Wythenshawe, Trafford, Withington, and Altrincham stated that a discussion was required around how this would be done in partnership. The declaration could be provided to partners in its current form but they may not be able to sign up to it as many of the commitments were only relevant to local authorities.
The Corporate Director for Children’s Services noted that a lot of partners who were important in delivering ... view the full minutes text for item 21.
To receive a presentation form the Director of Integrated Health and Social Care Strategy.
The Director of Integrated Health and Social Care Strategy introduced the locality plan presentation to the Board. The purpose of the update was to ask how the Board wanted to be involved with and receive updates about the plan. The Board were asked to draw their attention to Appendix one within the report which detailed the system accountability and connectivity and showed the different elements of the programme, the Boards and groups that were responsible for the different elements, and how it was proposed for the Health and Wellbeing Board to sit at the top of that structure.
The Director of Integrated Health and Social Care Strategy then moved back to the slides and what the Local Care Alliance had agreed to in relation to the Locality Plan, which included a delivery schedule, ways of working, and Board expectations. Trafford were looking to use a similar approach to the one Wigan had taken by utilising a joined up approach so that all people within the system knew what the Wigan vision was and the role they were to play in the delivery of the Locality Plan.
The work around prevention and social value had progressed well with it being discovered that there was a lot of work ongoing within the borough that provided social value. This meant that the work was now focused upon capturing and recognising work that was already ongoing which delivered social value. Both MFT and GMMH had excellent models for capturing work that delivered social value and Trafford would look to imitate their success.
Neighbourhood plans had been developed and would be circulated soon. The neighbourhood plans covered how each area would move forward and linked into the overarching plan. Work was ongoing on the creation of a more digestible version of the plan which reduced the plan down to four pages.
Around £500m was spent annually on health and social care within Trafford. A Strategic Finance Board, which would be independently chaired, was being created to look at using that money in the best way in order to bring about the best outcomes. The digital offer also played a key role in the locality plan and partners needed to work together to deliver the digital offer to ensure that it was interlinked.
Board Members discussed the role that the Board should play and how it would link to the Joint Commissioning Board (JCB) and the locality plan. The Director of Integrated Health and Social Care Strategy stated that the JCB was working with partners to develop delivery plans which would then be fed that into the Joint leadership Team of the Council and Trafford CCG. The Corporate Director of Adults Services felt that the Health and Wellbeing Board should set the strategy and the JCB look to delivery. The Director of Integrated Health and Social Care Strategy added that for the Board have that role then changes to the Membership of the Board would be needed.
1) That the report be noted and recommendations ... view the full minutes text for item 22.
For Board Members to split up into small groups to work on the following topics relating to prevention:
· What is understood by ‘prevention’ in your organisation?
· What actions are currently underway?
· What do we need to commit to collectively?
· What outcomes are we aiming for and how will we measure progress towards them?
The Director of Public Health put the slides that had been circulated to Board Members in advance on the Board and gave a brief overview of the slides. The slides covered the ambition for public health in Trafford, how prevention fitted into the plans of Trafford and Greater Manchester, social prescribing, and the key asks for partners.
The Board Members were then split into groups to discuss what the Health and Wellbeing Board needed to do to support prevention within Trafford. After the groups had discussed and written down their thoughts the Director of Public Health collected their feedback, which was to be used to create a plan for the Board. The Executive Member for Adults Services informed the Board that the Local Government Association offered support for Council’s on prevention which was detailed in their Public health, prevention and health improvement prospectus 2019/20.
RESOLVED: That feedback from the workshop is to feed into a prevention support plan for the Board.