Agenda and draft minutes

Venue: Virtual

Contact: Alexander Murray, Governance Officer 

Items
No. Item

15.

MINUTES pdf icon PDF 230 KB

To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 14 August 2020.

Minutes:

RESOLVED: That the minutes of the meeting held 14 August 2020 be agreed as an accurate record.

16.

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.

Minutes:

No additional declarations were made.

17.

QUESTIONS FROM THE PUBLIC

A maximum of 15 minutes will be allocated to public questions submitted in writing to Democratic Services (democratic.services@trafford.gov.uk) 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.

Minutes:

No questions were received.

18.

COVID 19 OUTBREAK PLAN pdf icon PDF 300 KB

To receive a report and presentation from the director of Public Health.

Additional documents:

Minutes:

The Director of Public Health presented the COVID 19 figures across Trafford. Trafford had high levels of testing and 12.5% of tests were coming back positive. Feedback received showed that the majority of people who were receiving tests said that they had symptoms. All of Trafford’s figures were well above the England average but the positive aspect was that there were low rates among school aged children. The highest rates of infection were amongst 18 and 19 year olds and the most worrying aspect was that there had been a rise in cases among the over 60 population, who were of the highest risk from COVID 19. The second highest rates of infection were among 45 – 64 population and then the 34 – 44 population. Spread among these ages groups was concerning as they were more likely to come into contact with the older population.

 

Although many cases had been linked to schools it was believed that these were due to community transmissions and it appeared as though there was very little spread within schools.  There had been some outbreaks in care homes but it appeared that the measures taken to protect care home residents were working could change.  The main message was the importance of self-isolation if you have been contact with someone who had COVID 19.

 

The public health team had divided their work into sections which was reflected within the plan. Trafford had increased the levels of testing available, the local test and trace system was working and supporting the national system, and the team had been working closely with care homes and businesses to make them COVID safe. There had also been an increased focus on community engagement to find out what people were struggling with to ensure there was adequate messaging and support available. Following the introduction Board Members were given the opportunity to ask questions.

 

Councillor Blackburn noted that if one child tested positive then their whole bubble was sent home but their siblings were still able to go to school and asked the Director of Public Health to explain that approach. The Director of Public Health explained that in early years if a pupil or teacher tested positive then the whole bubble was sent home. In secondary schools it was just the close contacts who had to isolate. The practice was one step of separation between anyone who had been infected and those who were required to isolate. So if a child or teacher tested positive anyone who had direct contact needed to isolate but the siblings of those who had been in contact with the infected person would not need to isolate.

 

Councillor Blackburn noted that a testing facility was to be set up at the Soccer Dome in Trafford Park and asked what publicity and signage was in place. The Director of Public Health responded that publicity and signage was due to be set up as soon as the facility was running.

 

The Vice Chair raised concerns about the health  ...  view the full minutes text for item 18.

19.

LOCAL CARE ALLIANCE: HEALTH AND SOCIAL CARE RECOVERY AND REFORM pdf icon PDF 1 MB

Additional documents:

Minutes:

The Corporate Director of Adult Services went through the presentation which had been circulated with the agenda and covered Items 8a, 8b, 8c, and item 11. The programme for recovery and reform for health and social care services was up and running and aligned with the Trafford Locality Plan. The programme was split into four key projects. The first was living well in my community which had been developed and delivered well with the voluntary sector throughout the pandemic. The key work streams were the development of place based working, the creation of a partnership wide information and advice offer, the reduction of inequalities, and to create a strong sustainable voluntary sector in Trafford. The Board were shown a set of actions which were to be completed as part of the project by the end of December 2020.

 

The Health & Social Care Programme Director informed the Board that there were four Strategic Design Groups, one for each of the four key projects.  There were around eighteen different partners involved within the Living Well in My Community Strategic Design Group. A partnership approach was being to the creation of the priorities for each group with co-production being utilised where possible. The presentation showed the defined set of priorities for each of the strategic design groups, the joint chairs of the groups, and a roadmap for the next twelve weeks of work. The Health & Social Care Programme Director explained that the programme took a whole system approach with the wider determinants of health, sustainability, and prevention all being consider by the Strategic Design Groups. The Corporate Director of Adults Services added that there was a very detailed Communications and Engagement Strategy that had been developed to support this programme of work which ensured that people’s views were being captured. There was also a performance framework that sat behind the programme to monitor the impact it was having and to ensure it was meeting the desired outcomes. 

 

The Health & Social Care Programme Director then moved the slides on to the point that provided detail around the communications and engagement plan and the performance framework. The full Communications and engagement strategy had been circulated to the Board and the slides provided a short overview. The strategy had been designed to function as the sole communications strategy for the COVID 19 response and for the development of the service for the future.  The slides contained the core components of the strategy such as partnership working and governance. Each component had a commitment such as to always work collaboratively and consider the wider determinants of health, and ensuring that key forums are kept up to date regarding communication and engagement.  All of the commitments had been developed by the programme steering group which had representation from around nineteen partner organisations. The slides also included the system connectivity structure for the strategy which showed how all the Boards, Groups, and Organisations across the Trafford system linked into the strategy. The communications strategy detailed the mediums and methods  ...  view the full minutes text for item 19.

20.

CDOP REPORT pdf icon PDF 547 KB

To receive a report from the Consultant in Public Health.

Additional documents:

Minutes:

The Director of Public Health introduced the report and explained that the Child Death Overview Panel (CDOP) reviewed the death of any child or young person between birth and eighteen years old. CDOPs had been in place for the last decade and a wealth of data had been gathered during that time. The aim was to capture any learning that could be taken from a child’s death to improve practice, to identify any patterns, and to identify preventative measures.  With terminal illnesses the information is not about preventing death but to improve how services support children and their families. The report requested that the Health and Wellbeing Board support a change in Trafford’s approach to managing the recording and sharing of the information available to the CDOP.  The changes included the appointment of an Independent Chair for the Panel and to set up the ECDOP System.

 

Following the introduction the Chair of the Trafford Strategic Safeguarding Partnership asked whether she would be able to meet and discuss the changes with the Director of Public Health to ensure that they aligned with the work of the Trafford Strategic Safeguarding Board. The Director of Public Health responded that she would be happy to meet after the meeting and assured the Chair of the Trafford Strategic Safeguarding Partnership that the new arrangements would improve the relationship between the Partnership and the Panel.

 

The Changes were then moved by the Chair and agreed by the Board.

 

RESOLVED:

1)    That the report be noted.

2)    That the changes listed within the report be agreed by the Board.

3)    That the Chair of the Trafford Strategic Safeguarding Partnership and the Director of Public Health are to meet to discuss the changes to the CDOP and how it linked to the Trafford Strategic Safeguarding Partnership.

 

21.

UPDATE ON THE STRATEGIC OBJECTIVES AND CURRENT OUTCOMES FOR THE HEALTH AND WELLBEING BOARD pdf icon PDF 460 KB

To receive a presentation from the Director of Public Health.

Minutes:

The Director of Public Health introduced the presentation which had been circulated with the agenda. During the pandemic the main focus of the Board had been on tackling the issues created by COVID 19 but now was the time to begin to look at the recovery following the pandemic and what the Board’s priorities would be. Prior to the pandemic the Board had been focused on reducing inequalities in healthy life expectancy across the borough and the presentation provided the latest data available. The Director of Public Health then introduced the Public Health Intelligence Analyst who had been working on Trafford’s data sets.

 

The Public Health Intelligence Analyst then went through the slides. The Healthy life expectancy was increasing for both men and women and was among the highest nationally, although work needed to be done with Trafford CCG to measure the difference between different areas of the Borough. Trafford had seen a reduction in the number of smokers and there had been a large reduction in smoking among routine and manual workers. For alcohol related hospitalisation and premature mortality rates due to liver disease Trafford were worse than the national average and the worst out of their statistical neighbours. Between 2015 and 2018 Trafford had started to see a reduction in premature mortality for liver disease. 

 

Trafford performed well against the national average for the prevalence of overweight and obesity. Trafford was statistically similar to the national average for physical inactivity in 2018/19 and Trafford had seen reductions since 2015. Prevalence of obesity amongst year six children showed that those in the most deprived quintile were twice as likely to be obese as children in the least obese quintile. In the reception years those in the most deprived quintile were still twice as likely to be obese as those in the least deprived quintile.

 

Trafford performed very well in terms of cervical screening both nationally and against statistical neighbours. Trafford mortality rates for preventable cancers had been steadily declining since 2001. Trafford had a lower rate of suicide than the national average and also performed well against their statistical neighbours. However, people with severe mental health issues in Trafford were five times more likely to die prematurely than the general population. The rate of employment for people in contact with a secondary mental health service had dropped from 71% in 2015/16 to 67.7% in 2017/18.

 

The Director of Public Health noted the improvement in the reduction in smoking was great news and now had to do some work to in due the reason for those reductions and to see how COVID had impacted those figures. There was increased concern around alcohol abuse and levels of inactivity given the impact of COVID. The improvement around rates of cervical screening was positive news as this was something that the public health team had been working on with colleagues from Trafford CCG and it appeared as though the work was having an impact. The inequalities information was still of great concern and  ...  view the full minutes text for item 21.