To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 15^th September 2023.

RESOLVED: That the minutes of the meeting on the 15^th September 2023 be agreed as an accurate record and signed by the Chair.

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.

Councillor Brophy declared an interest in relation to to employment by Manchester Foundation Trust (MFT).

Councillor Eckersley declared an interest in relation to his domicillary care business which operates outside of the borough.

RESOLVED: That the declarations of interest be noted.

To receive the BCF Quarterly report from Corporate Director for Adults and Wellbeing and NHS GM Deputy Place Lead for Health and Care Integration.

The Corporate Director for Adults and Wellbeing introduced the report on the Better Care Fund (BCF) and informed the Board of the process leading up to the latest update and that the quarter 2 submission had been submitted within the deadline. The update included the key metrics and an appraisal of progress since the Q1 submission. The Corporate Director for Adults and Wellbeing referred Board Members to item 2 in the report which was the five-core metrics and explained that a number of elements that were to be introduced within the first metric. This included examples such as hospital at home by Manchester Foundation Trust, which, the Board were made aware had been delayed due to the need to have crisis response service in place before rolling it out.

For the second metric the Corporate Director for Adults and Wellbeing informed the Board that while discharges for people from hospital to their normal place of residence had underperformed in Q1, these issues had been addressed and were expected to meet targets going forward. The Board were informed of the rapid MDT pilot programme which would have a full roll out following the successful trial.

Metric three looked at emergency hospital admissions from falls, and the Corporate Director for Adults and Wellbeing informed the Board that they had reported on track within this metric. The Corporate Director spoke about the Keep on Keep up (KOKU) app, developed by Manchester University, which aimed to reduce falls, and that Ascot House Care Home in the Borough had signed up to take part in the trial.

The Corporate Director for Adults and Wellbeing informed the Board that the Council was off target on metric four as the focus had been on ensuring the other metrics had been met. However, the Board were informed that there were plans in place to get this metric on track.

With regard to metric five, Corporate Director for Adults and Wellbeing informed the Board, that despite being slightly behind, the Council was broadly on track, with a comprehensive set offering in place in Trafford, made up of a combination of services.

Following the update Members were given the opportunity to ask questions but none were raised.

Councillor Slater thanked the Corporate Director for Adults and Wellbeing for his helpful update and moved the recommendations which were approved.

RESOLVED: That the recommendations of the report be approved.

The attached presentation covers three items listed as a, b, and c below.

Several officers introduced the presentation that had been circulated with the agenda. The Board were made aware that the Public Health Consultant NHS GM was present to take the Board through the Greater Manchester Integrated Care Partnership programme of Fairer Health for All, the Public Health Consultant MFT to speak on Manchester Foundation Trust’s approach to Tackling Health Inequalities, and the Director of Public Health to go through the local Council approach. The Board were informed that the presentation was slightly different to the one that had been circulated.

The Public Health Consultant NHS GM began talking through the Fairer Health for All section. The presentation provided a summary of the programme and Board were told about the process gone through to structure the programmes approach. The Public Health Consultant NHS GM provided the principles of the programme and gave an in-depth description of what they were, what they meant, and what they were to achieve. The Board were then shown a slide on the social model for health and the Public Health Consultant NHS GM outlined what this was and what this would mean for people in Trafford.

The Public Health Consultant NHS GM then moved onto an overview of the strategy’s missions which showed the six strategies that all linked into the programme. Towards the end of the presentation the Public Health Consultant shared with the Board the achievements that are hoped would come from these missions. This included ensuring children and young people having a good start in life and helping people, families and communities to feel more confident in managing their own health, as well as several more.

Finally, the Board was made aware of the tools that would be utilised in order to deliver the programme. These were the Health and Care Intelligence Hub and the Fairer Health for All Academy, which aimed to look at the utilisation of data and intelligence and learning and developing skills.

The presentation continued led by the Public Health Consultant MFT around the Manchester Foundation Trust’s programme at tackling health inequalities and opened with the drivers behind health inequalities. These were listed as socioeconomic factors, physical environment, health behaviours, and health care.

The Public Health Consultant MFT described the framework in place for tackling health inequalities which broke down the work into three elements, and were developed at an MFT away day in February 2023.

Following this, the Public Health Consultant MFT went through the key themes in the Health Inequalities Plan.

The first was around embedding equity into services. This utiliesed data, intelligence, technology and communications to make sure the information was accurate and shared in a way that the target audience could understand it.

The Second of these key themes was integrating care around communities. The Public Health Consultant MFT informed the Board that this was about taking a local approach, having focused resident engagement and co-design.

The Public Health Consultant MFT shared that the third theme was around looking at the wider determinant / root causes  ...  view the full minutes text for item 25.

To consider a report from the Public Health Programme Manager.

The Public Health Programme Manager, Jayne Hynes introduced the item and delivered a presentation to the Board. She opened with an update on the figures and rates of overweight people in Trafford and spoke about the fact that it is a complex system of factors that cause excess weight. The prevalence of excess weight in adults in Trafford is at 61.7%, with children at 17.8%.

The Board were presented with a slide which showed what the public thought were most effective interventions for dealing with excess weight and compared this to the actual effectiveness of interventions. The Public Health Programme Manager highlighted to the Board that the evidence shows that the most effective ways of dealing with excess weight, are the ones the public thinks are least effective.

The Public Health Programme Manager discussed the Council’s advertising policy, the effectiveness of advertising and why it was important to have a solid policy as this was the first recommendation. A regional and National context around actions taken to address advertising was also shared. Following this, she informed the Board of the progress to date that had been made when it came to advertising and dealing with excess weight.

The second recommendation was to look at the local planning policy, with the aim of influencing the planning policy and decisions that impact on food and transport, to ensure that people in the most disadvantaged neighbourhoods can access affordable, health and sustainable food.  Following this, progress to date was shared, and involved looking to ensure that there are sufficient leavers available to impact a change. The final point to this recommendation shared the next steps to support it.

The Public Health Programme Manager spoke of the aim to ensure that food standards are met in schools across Trafford. The progress to date was shared which involved a rapid evidence review on school food an health, as well as engagement with colleagues from Blackpool Council on the food standard agency pilot they were participating in. The next steps were also shared.

The final aim was shared, which was to develop a policy statement on vending machines which was to involve a review on healthy vending and establish how best to develop local policies. The four next steps were shared, which involved the complete evidence review on vending.

It was concluded that each of the priorities were medium to long term priorities, that aimed to have a population level impact on health outcomes and inequalities. Any questions were to be sent to the Public Health Programme Manager via email, where she would respond.

The Chair thanked the member for the report and asked if the recommendations were approved.

RESOLVED: That the recommendations be approved.

To consider a report from the Public Health Programme Manager and the Public Health Consultant.

The Public Health Commissioning Manager gave a brief overview of the presentation that had been circulated with the updated agenda. The presentation covered the four aims of the Government towards their smoking policy, which were;

1)    Create a smokefree generation.

2)    Supporting people to quit smoking.

3)    Curb the rise in youth vaping.

4)    Strengthen enforcement activity.

The Public Health Commissioning Manager informed the Board of what these aims were to mean for Trafford, initial ideas for grant funding that had been received, that will be able to support these plans, as well as those ideas that were currently in development and future plans that Trafford had. The Board were made aware that public health had looked closely to ensure that funding was best being utilised for Trafford residents. The Public Health Commissioning Manager also informed the Board that they were taking a targeted approach which looked specifically at the groups with the highest smoking prevalence. 

The Public Health Commissioning Manager alerted the Board to a live National Consultation open at the time, which looked at the different areas present in the Government’s announcement, with Trafford opening contact with several parties across the borough to receive their feedback, which could be inputted to the consultation.

The Public Health Commissioning Manager concluded by asking Board members to agree to Public Health’s targeted approach to how they spend the grant funding, and asked the Board to provide any feedback they may have to herself after the meeting.

The Chair asked Board members to agree the next steps of the report.

RESOLVED: That the Board agree the next steps of the report.

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

The Health and Social Care Programme Director introduced the item and provided a short update on the refresh of the Trafford Locality plan. He informed the Board of how he felt it was the right time for the refresh given the other plans which were in development, to ensure that it was joined up across the board and alongside other projects.

The Health and Social Care Programme Director asked the Board for commitment to be involved in the development of the locality plan in its present form, and its move towards a five-year locality plan with longer term aspirations. He expressed his desire for Board members to have the opportunity to engage with the plan, and the establishment of a small strategy group, with representation from key members and partners present at this meeting. The Health and Social Care Programme Director welcomed people to contact him if they would like to become involved with the group.

The Chair moved the recommendations, and they were approved.

RESOLVED: That the recommendations be approved.

To consider a report from the Policy Officer.

Due to time, the Senior Policy Officer stated that the slides had been circulated so could be read through if Board members required further information. The Senior Policy Officer went through the slides briefly, which included an update on the three year process the Council went through to achieve accreditation, where the Council was up to with implementing the real living wage since the Council received accreditation, an update on where the other Councils across Greater Manchester were up to, and that the Council was proud to have achieved accreditation already.

Cllr Eckersley stated that he welcomed the real living wage being implemented and asked how the Council ensured that commissioned services were implementing the accreditation. The Senior Policy Officer responded that it was part of the Council’s contract that they ensure that any contractors and sub-contractors that the Council work with, are aware that they should be paying the real living wage and this sits within the procurement process.

The Chair moved the recommendations.

RESOLVED: That the recommendations be noted.