To receive and if so determined, to approve as a correct record the Minutes of the meeting held on the 26 September 2023.

RESOLVED: That the minutes of the meeting held on the 26^th September 2023 be approved as an accurate record.

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.

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 within the remit of the Committee or be relevant to items appearing on the agenda and will be submitted in the order in which they were received.

No questions were received.

To receive a report from the Director of Public Health.

The Director for Public health introduced the report and asked Board Members to note the ways identified to help deliver change within the Council. The report detailed that the most effective way to deliver change was by manipulating systems to make the healthy choice the easy choice. The report covered three main elements of transport, food, and energy efficiency which all produced of large amounts of carbon emissions and were all tightly linked to people’s health directly or through the wider determinants of health. The Director of Public Health asked the Board to note the goal of having walkable green neighbourhoods where people want to live and who are healthier by doing so.

The Boards attention was then drawn to the obesity figures and how part of the problem was the stigma attached to being obese, which was due to people seeing being overweight as an individual choice. The Director of Public Health noted that the will power of the population had not reduced and yet the level of obesity had increased. The Board were asked to note the information on page 16 of the report which showed people perceived education as the one of the key interventions even though it was the least effective ways to tackle obesity.

The Director of Public Health then drew the Boards attention to the transport section and spoke about the narrative that having more active transport meant being against cars, whereas the reduction of congestion increased productivity and efficiency of car usage.

Following the introduction, the Place Based Lead for Trafford noted that it would be the Director of Public Health’s last annual report and thanked her for all the work she had done over the years for Trafford. The Place Based Lead for Trafford welcomed the report and noted that it aligned directly with the Council’s priorities. 

Councillor Whetton welcomed the report and hoped that the messages would be successfully communicated to help tackle the stigma associated with obesity. Councillor Whetton noted the comments about cheap food not being nutritionally balanced and added that it also did not tend to last as long.

The Chair noted the comments made about the lack of diversity of food available within food banks and how it would negatively impact people whose health was already at risk.

RESOLVED: That the report be noted and the recommendations be approved.

To consider the attached report.

Specialist Commissioner for All Age Mental Health went through a presentation which summarised the strategy. Board members were asked to note the plan on a page and the Specialist Commissioner for All Age Mental Health highlighted the key elements of the strategy. The Board were then shown a slide detailing the Parent Carer Standards and the presentation concluded with the next steps in delivering the strategy. After the presentation the Specialist Commissioner for All Age Mental Health asked the Board to approve the strategy

The Chair thanked the Specialist Commissioner for All Age Mental Health and the team for their work in developing the strategy and noted the importance of the strategy in providing support for carers.

The Corporate Director of Children’s Services gave a brief overview of the work that had gone into developing the strategy and ensuring it linked with partner organisations, including schools, effectively.

The Corporate Director of Adults and Wellbeing emphasised the importance of keeping the progress moving at pace and ensuring the strategy delivered the change that was needed.

RESOLVED: 

1)    That the presentation be noted.

2)    That the GM Parent Carer Standards be noted.

3)    That the Trafford Carers, Family & Friends Strategy be approved.

To consider a presentation from the Head of Leisure.

The Head of Leisure informed the Board that the Trafford Moving Strategy was the core of all the work that their team did. There were 7 communities identified within the Strategy and each had its own community plan, which was aligned with the neighbourhood plans and the work of the multidisciplinary teams within the communities.  The goal was for leisure centres to engage the local communities, meet health needs, and become community hubs. The Board were also asked to note the need to look at the wider activity within communities. This included determining whether residents were able to travel around their community in an active way. 

The Health and Social Care Programme Director welcomed the report and noted the importance of linking all the ongoing work across the Council together and to ensure it was ingrained within the neighbourhood model.

The Head of Leisure asked for clarification on the role of the Board in helping Trafford Moving Strategy. The Chair responded that responsibilities of the Board covered a large amount of the work the Council and its partners did which aligned with the strategy. By bringing the strategy to the Board it ensured that there was synergy across Council departments and Health Partners.

The Place Based Lead for Trafford welcomed the report and noted the importance of building an active culture within communities and how it was key for the strategy to involved with schools and colleges across the borough.  The Head of Leisure added that in addition to the capital available the strategy also looked at the services and skills available within communities to deliver the strategy. 

The Director of Public Health noted how well the strategy linked with the work and outcomes of the Board’s deep dive activity and hoped that the two programmes of work would be linked together going forwards.

The Head of Leisure informed the Board that the Council had been successful with their levelling up bid so the capital funding was available. The focus had shifted to looking at how to engage the community to deliver the work.

Councillor Whetton informed the Board that a report on the work of the Urgent Care Needs Assessment within Partington had come to the Health Scrutiny Committee and that the Strategy should look to link into that work.

RESOLVED: That the presentation be noted.

To consider a report from the Director of Public Health and Programme Director Health and Care.

The Director of Public Health introduced the item. The Board were informed that the review had identified that while the Board was doing a lot of work it was not leading to impacts within the population’s health. The Local Government Association had performed an independent assessment of the Board as part of the review and they had highlighted the need to monitor progress and for the Board to hold themselves and their partners accountable.

The Health and Social Care Programme Director then described the process of the review and the engagement sessions that had been held with partners. Information had been provided to all who attended the sessions in advance to ensure they were focused upon on what could bring around health improvements for the people of Trafford. The information that had been shared with attendees was available to all Board Members and that

The documents submitted within the agenda pack included 14 high level actions that the Board were asked to consider and agree. The deep dive had covered five areas and was originally to cover mental health as well, but this was to be picked up separately. Board Members were asked to note that going forward the Board would conduct regular reviews to measure the amount of change attained. In the new structure, if agreed, each Health and Wellbeing Board meeting would focus upon one of the deep dive areas with the final meeting of the year reviewing across all five areas during the year. To deliver this structure, the Board would be required to meet six times per year, instead of four.

The Director of Public Health asked Board Members to note the role of the Board to maintain the relationships of the Council and its partners while not duplicating the work of the Locality Board.

The Chair noted the huge amount of work that had been done and welcomed the approach of monitoring and holding to account to ensure the Board delivered change.

The Corporate Director of Children’s Services noted that substance abuse fell under the Safer Trafford Partnership and asked whether that was the best place for it. The Health and Social Care Programme Director responded that there were still a number of conversations to be had before the final governance structure was agreed and appreciated all feedback.

The Place Based Lead for Trafford welcomed the good headlines, but the focus now had to be upon delivery. The Place Based Lead for Trafford noted that there was a lack of planners on the board and the need to ensure the Board consisted of the right people and had the right connections to deliver the work.

RESOLVED:

1)    That the report be noted.

2)    That the proposed actions to form a part of the 23/24 HWBB Work Plan be supported except for action 9 which is to be reviewed following feedback from the Corporate Director of Children’s Services.

3)    That the reporting arrangements suggested within the report be agreed.

4)    That the greater system connectivity of  ...  view the full minutes text for item 49.

To receive a report of the Executive Member for Health, Wellbeing, and Equalities.

The Health and Social Care Programme Director introduced the strategy and the work that had gone into its development, which had been coproduced with partners. The Board were asked note that it was a 5-year Strategy and it needed to be approved on the 24^{th of} March. The Strategy would be supported by a five-year delivery plan which in turn would be supported by an annual delivery plan.

The Corporate Director of Adults and Wellbeing noted how funding was used and how it needed to be re-imagined to ensure preventative services received the money they needed to bring about the savings they had the potential to deliver.

The Director of Public Health noted the link in the way of thinking about prevention to the work of the Clean Air Plan and tackling climate change, where action taken now would avoid large costs in the future. The Chair noted the issue around language used to discuss those topics as it was easy for the narrative to be controlled by others who focused short term negative outcomes rather than longer term benefits. The Corporate Director of Children’s Services added about the importance of using evidence and research to help in shape the narrative.

The Health and Social Care Programme Director informed the Board that the strategy did contain elements about managing the public perspectives and those elements would be developed further over the course of delivering the strategy.

The Deputy Place Lead for Health and Care Integration for the Trafford Locality noted the importance of localities having the voice at the GM level to be able to move some of the monies from acute to preventative services to deliver change that would make health Services sustainable.

RESOLVED: That the draft strategy be noted.

To receive a verbal update from Deputy Place Lead for Health and Care Integration, Trafford Locality.

The Deputy Place Lead for Health and Care Integration for the Trafford Locality informed the Board that Trafford partners had been meeting over the last 3 – 4 months and there would be a series of significant documents coming to the board in the next month before going to the ICB and ICS. The Board were asked to note that within the governance structure there would be an ICB Committee, a Section 75 Committee, a partnership forum, and locality Board. Work was ongoing to look at the role of Health and wellbeing Board as a statutory Board which sat alongside the Locality Board. As both Boards had a share of the governance within the structure it was important to ensure that they were complementary and strengthened each and did not duplicate work.

Board Members were given the opportunity to comment or ask questions, but none were raised.

RESOLVED: That the update be noted.

To note the attached agreed Section 75 Agreement 2022/23, to approve the Annex to the agreement (a), and note the monitoring report (b) from the Corporate Director of Adults and Wellbeing and Deputy Place Lead for Health and Care Integration, Trafford Locality.

The Corporate Director of Adults and Wellbeing introduced the item and the full Section 75 agreement before drawing the Boards attention to the Annex of the agreement which related to the £2.168M of additional funding for Trafford. The Corporate Director informed the Board how the funding was to be used within Trafford.

The Deputy Place Lead for Health and Care Integration for the Trafford Locality then clarified the governance arrangements for the Section 75 agreements from the NHS perspective.

The Corporate Director of Children’s Services informed the Board that work was ongoing to determine what the additional funding meant in real terms for each of the services.

RESOLVED: 

1)    That the section 75 annex be approved.

2)    That the Section 75 Agreement be noted.

3)    That the section 75 monitoring update be noted.

To consider a report of the Commissioning Officer for Children's Clinical Commissioning.

The Chair informed the Board that the item was to be deferred to the next meeting of the Board.

To discuss and agree dates for meetings over the remainder of the 2022/23 municipal year.

Board Members agreed that the next meteing would be on the 17^th March 2023 and that an additional meeting would be scheduled for mid-late May 2023.

RESOLVED:

1)    That the next meeting of the Board be agreed as 17^th March 2023.

2)    That an additional meeting be scheduled for mid to late May 2023.