To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 7March 2023.

RESOLVED: That the minutes of the meeting held on 7^th March 2023 be approved as a correct 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 consider a report of the Commissioning Officer for Children's Clinical Commissioning.

The Specialist Commissioner – Children’s Clinical Commissioning introduced the report and asked Board Members to note the Local Transformation Plan (LTP).  The LTP has been published every year since 2015 and shows how local services will invest in children’s services.  The LTP sets out delivery against outcomes.  In October 2020 the Council received key lines of enquiry to audit.  Board Members were informed that the CCG were previously responsible for producing a LTP and there were several options to move the document forward:-

Option 1 – not produce a plan but feed into the Greater Manchester Plan (will feed into the GM Plan anyway)

Option 2 – adopt the same model as Salford Council

Option 3 – Develop an annual summary to include strategic priorities and plans for mental health services

The preference was to produce something similar to what Salford have on their directory which will give a holistic overview of how the Council will develop children’s services.  Once this has been produced the aim is to move more to what Manchester Council have.

Board Members were informed that a review had made five key outcomes and a multi-agency group had been established to take them forward.

Healthwatch commented that the census data was from 2011 and things could be different now, Healthwatch have a report on mental health.

It was agreed that the report by Healthwatch should be included on Trafford’s directory and work should be done to ensure a standardised offer across Greater Manchester.

          RESOLVED: Agreed to progress with site.

To consider a verbal report of the Programme Director for Health and Care.

The Health and Social Care Programme Director introduced the report and asked Board Members to note the content of the draft strategy and the recent amendments following engagement with the Trafford Locality Board.

The Board were informed that the strategy was more explicit now regarding resourcing.  It was a strategy that would address health need disparity.

A public facing version would be available soon and progress measures were not currently included due to feeding into work being done across Greater Manchester.

The Board were informed that the strategy would be finalised on 24^th March and attention would then move towards a joint forward plan.

The Deputy Place Lead for Health and Care Integration commented that it was still a lengthy document, however he welcomed a public facing version.  He felt that there was a need to be brave as a wider team and a robust delivery plan was needed.

HealthWatch felt that it fitted in with their work plan and local work but were concerned that Trafford and Greater Manchester were facing challenges regarding inequality.  It was felt that climate change needed to be reflected in the plan as it will have bigger changes.

The Corporate Director Adults and Wellbeing commented that influencing the joint forward plan was critical and Councillor Slater felt the Board’s work was a driving factor and it was important to get the plan right for the future.

RESOLVED: That the content of draft strategy and the recent amendments following engagement with the Trafford Locality Board be noted.

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

The Health and Social Care Programme Director introduced the report and advised that it built on previous conversations that the Board had had.  The report included suggestions for future arrangements, covered governance arrangements and asked for support.

Duties and guidance for locality boards and health and wellbeing boards were included and 2.4 of the report listed areas of responsibility for the Board. 

The Board needs to consider the ICB strategy and the ICB’s annual reports and this will assist in a detailed work plan being produced for the next year.

The Board was informed that the Terms of Reference needed revisiting and a new set produced for the next municipal year.

There was a need for the locality board and the Health and Wellbeing Board to work closely together and ways in which we work together both formally and informally.

It was felt that the Board should act as an influencer supported by Governance Services and there should be a schedule of six meetings per year.

Membership should be reviewed and strengthened   It was felt that a representative from the GP Board was needed on the Board to ensure the work plan was deliverable.

Co-chair arrangements were suggested, and that Councillor Slater has a co-role on the ICP Board.

The Director of Public Health advised that five key areas had been focused on to make the biggest difference and that it fitted well with the Greater Manchester work being done.  The strategy was in line so didn’t need reviewing at this stage.  This was an opportunity to look at the actions and assist with problem solving.  Support with the next stage was needed.

The Corporate Director Adults and Wellbeing welcomed the objectives and felt they focused on genuine prevention.

The Deputy Place Lead for Health and Care Integration commented that each group has similar membership.  The Director of Public Health advised that four people were starting this but asked for the Board’s support to engage with them to produce the work programme.

HealthWatch felt that communication was a key factor. 

The Director of Public Health felt engagement was also a key factor and work with external sectors had improved.  The Director Education Standards, Quality and Performance felt that schools were a huge asset as they were powerful partners.

          RESOLVED –

(1)  That the continuation of the existing chairing arrangements be supported.

(2)  That the existing HWBB membership be reconfirmed and additional representation from the listed sectors in the report be agreed.

(3)  That the draft Annual Work Plan for 2023/2024 and reporting arrangements be agreed.

(4)  Agreed that connectivity of the HWBB to other forums/groups be strengthened and to explore the sub-governance of the HWBB as outlined in the report.

(5)  Agreed that the HWBB Terms of Reference be refreshed.

(6)  That the support arrangements for the HWBB be noted.

To receive a presentation and note a report from the Head of Leisure.

The Head of Leisure introduced the report and asked Board Members to note the grant agreement with the DLUHC to access the grant award from the Levelling Up Fund and that the outcomes of the RIBA Stage 2 report for Partington Leisure Centre would be presented to the Executive prior to a planning application being submitted in 2024.

The Council has been allocated grant funding from the Levelling Up Fund to support the delivery of the redevelopment of Partington Sports Village.

The Board were informed that an activity corridor had been looked at to connect activity with green space and the outside area had been looked as well as the leisure centre.  The leisure centre would have a full refurbishment to create a flexible space.

There was a need to look at how people engage with it and look at the need/demand for use of the space.  Work taking place with the Youth Centre to try and get a BMX track for young people.  Cross Lane changing rooms would have a full refurbishment.

It was noted that some residents have a long walk to the leisure centre and there was a need for lines of sight to be connected.  Families are not aware of what is there and signage is required.

Support from different agencies and need to ensure not duplicating things.  We want to compliment what’s there already and support Trafford Leisure to get information out in the community.

Councillor Slater commented that the plan looks excellent, makes it accessible to all but there’s a need to communicate with people in the area so they know what’s there.

Councillor Carter welcomed the development and was happy that officers were mindful of what was already there when developing the proposal.

HealthWatch commented that there was an announcement regarding Manchester money and could that be accessed to assist the project.  People can’t afford leisure in the current economic climate if they’re struggling to eat – could concessions be looked at?

The Chief Executive advised that it was a single settlement for Greater Manchester, it often comes down to silos and the Council would have to bid for them.  The focus for this money is around housing and economic growth.

The Board were informed that 40+ stakeholders had worked on the bid and the structure gives everyone a voice.

There was a need to look at how sports hubs/voluntary sector are developed.

Officers would feed into the broader stakeholder group and then get dates agreed for meetings moving forward

          RESOLVED –

(1)  That the grant agreement with the DLUHC to access grant award from the Levelling Up Fund to support the delivery of the programme of works be noted.

(2)  That the outcomes of the RIBA Stage 2 report for Partington Leisure Centre will be presented to the Executive prior to submitting a planning application in 2024 be noted.

To receive a presentation from the Consultant in Public Health.

The Board received a presentation from the Policy Officer on the Employment Charter and Real Living Wage Accreditation.

The Board were informed that as of January 2023 320 directly employed staff had been given an uplift.  There was a three year procurement plan to meet the national minimum wage and Greater Manchester were committed to becoming a real living wage city.

Residents in Trafford were generally paid more than the living wage but not all jobs were paying that rate.

The Board were informed that the Council was a supporter of the Greater Manchester Employment Charter and were awaiting accreditation.

There was a commitment around secure work and health and wellbeing and a plan to support organisations in regard to this.

HealthWatch commented that women are paid less than men in some instances.  The Director of Public Health commented that variations in workplaces is stark.

The accreditation was welcomed.  It was noted that it was critical health and social roles were paying minimum wage and that issues within childcare were arising as providers can’t recruit people and are therefore closing.

          RESOLVED: That the presentation be noted.

To consider a verbal report of the Deputy Place Lead for Health and Care Integration for the Trafford Locality and the Corporate Director of Adults and Wellbeing.

The Deputy Place Lead for Health and Care Integration provided the Board with a verbal report on the Integrated Care Board’s Section 75 agreement.

Officers were working on a better care fund for 2023/24 which would include delegations to the ICB and better care fund.  Some elements would not be delegated to the locality board.

The Corporate Director Adults and Wellbeing informed the Board that the agreement allows the Council to work across Health and Social Care.  The Board and decision making was critical to the agreement.

RESOLVED: It was agreed that the Section 75 agreement be circulated to Board Members to allow questions/comments and then delegation would be given to the Chair in consultation with officers.

To consider a report of the Corporate Director for Adults and Wellbeing.

The Board were informed that the Executive had considered the s75 partnership agreement on 13^th March and it had been brought to the Board for noting.

The Board were informed the aim was to use 2023/24 to develop an operating model which would set out a clear three-year vision for the Local Care Organisation.

          RESOLVED –

(1)  That the proposal to undertake a detailed holistic review of s75 arrangements during 2023/24 with a view to a further new s75 agreement for 2024/25 which would align with the development of a Trafford Local Care Organisation target operating model setting out a clear three-year vision for the LCO be noted.

(2)  That the renewal of the section 75 is a key enabling and strategic tool to develop closer working arrangement through 2023/24 and beyond be noted.

To consider a report of the Executive Member for Helath, Wellbeing, and Equalities.

[NOTE: Reasons for this item being added as an item of Urgent Business will be provided at the meeting]

The Director of Public Health informed the Board that a letter had been received from the ICB seeking views on the steps that the Greater Manchester ICB had taken in implementing the Joint Local Health and Wellbeing Strategy and if there was anything additional the ICB could do to support the implementation of the strategy.

A response was required by 7^th April 2023.

RESOLVED: It was agreed that any comments be emailed to the Director of Public Health by 31^st March and a response would be sent on 6^th April answering the questions in the letter.