To note attendances, including officers, and any apologies for absence.

PRESENT:

Councillor Dr. K. Barclay (Executive Member for Community Health and Wellbeing) (In the Chair),

Councillor Mrs. J. Baugh (Shadow Executive Member, Community Health and Wellbeing),

Councillor Miss L. Blackburn (Executive Member for Supporting Children and Families),

A. Day (Chair, Healthwatch Trafford),

Dr. N. Guest (Chief Clinical Officer – Designate, NHS Trafford CCG),

G. Lawrence (Chief Operating Officer, NHS Trafford CCG),

M. Roe (Acting Chief Executive, Pennine Care NHS Trust),

A. Razzaq (Director of Public Health),

S. Webster (Bluesci),

Councillor M. Young (Executive Member, Adult Social Services).

Also present:

W. Heppolette (Director of Operations and Delivery, NHS England) (attending on behalf of Claire Yarwood),

A. Latham (Chief Officer, HealthWatch Trafford),

J. Pearce (Director Service Development - Children, Family & Education) (on behalf of D. Brownlee)

B. Postlethwaite (Chair of Children’s Safeguarding Board)

In attendance:

I. Khan (Partnerships Officer),

R. Worsley (Democratic Services Officer).

APOLOGIES

Apologies for absence were received fromD. Brownlee (Corporate Director, Children, Families and Wellbeing), B. Humphrey (Chief Executive, Greater Manchester West Mental Health Foundation NHS Trust), Dr. A. Vegh (Chief Executive, University Hospital South Manchester NHS Trust), C. Yarwood (Director of Finance, NHS England).

To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 1^st October, 2013.

RESOLVED: That the minutes of the Health and Wellbeing Board held on 1^st October 2013 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 interests declared.

a)    To receive a presentation from the Chair of the Children’s Safeguarding Board and the Corporate Director Children, Families and Wellbeing.

b)    To receive a Memorandum of Understanding between the Health and Wellbeing Board, the Children’s Trust board and the Children’s Safeguarding Board.

a)            Presentation from the Chair of the Children’s Safeguarding Board

The Chair of Children’s Safeguarding Board provided a presentation on the Children’s Safeguarding Board (CSB) and introduced the Annual Report for 2012/13 and the Business Plan for 2013/14. He outlined the roles and responsibilities of the Children’s Safeguarding Board in protecting children and young people and highlighted the linkages between the CSB and the Health and Wellbeing Board.

RESOLVED: That the presentation and report be noted.

b)    Memorandum of Understanding between the Health and Wellbeing Board, the Children’s Trust Board and the Children’s Safeguarding Board

Members also received a report of the Corporate Director, Children Families and Wellbeing which set out the expectations of the relationship and working arrangements between Trafford Children’s Trust Board (CTB), Trafford Health and Wellbeing Board (HWB), and Trafford Local Safeguarding Children Board (TSCB), covering their respective roles and functions, arrangements for challenge, overview and scrutiny, and performance management. The report indicated that the Chair of the CTB, the Chairman of the HWB, the Chair of the TSCB and Corporate Director, Children Families and Wellbeing had formally agreed to the arrangements set out in the document.

Board Members were advised that the arrangements would be subject to review in three years (from the date of initial agreement) unless there was significant change in the central government advice about the Boards or any of the Boards felt the arrangements were not working satisfactorily.

RESOLVED: That the Memorandum of Understanding between the Health and Wellbeing Board, the Children’s Trust Board and the Children’s Safeguarding Board be agreed.

To consider a report of the Corporate Director Children, Families and Wellbeing.

The Deputy Director, Children, Families and Wellbeing submitted a report which provided details of the health and social care Integration Transformation Fund (ITF). The report explained that the June 2013 Spending Round had announced a fund of £3.8 billion nationally to ensure closer integration of health and social care services from 2015/16. The Local Government Association and NHS England then published a joint statement in August 2013 about this funding, known as the health and social care Integration Transformation Fund (ITF), outlining how the fund could work and the next steps to be taken.

RESOLVED: That the Health and Wellbeing Board approve the report.

To consider a report of the Partnerships Officer.

The Board received an update from the Partnership Officer regarding extending membership of the Board to Greater Manchester Police and it was anticipated that a Police representative would join the Board in February 2014.

RESOLVED: That the update be noted.

To consider a report of the Deputy Corporate Director Children, Families and Wellbeing, Director of Service Development, Adult and Community Services.

Further to previous updates, the Board received a report of the Executive Member for Community Health and Wellbeing outlining the latest position concerning the Winterbourne View Stocktake Action Plan.

Members were reminded that Trafford had undertaken a self-assessment stocktake exercise in June 2013 for NHS England to benchmark its position leading up to the resettlement of individuals identified as part of the Winterbourne Review. The stocktake was designed to enable local areas to assess their progress against commitments in the Winterbourne View Concordat, share good practice and identify development needs. The Review report, published jointly by the Local Government Association and NHS England, was an analysis that covered all 152 Health and Wellbeing Board areas.  Trafford has since been identified as an area of best practice in relation to Choice and Control by the Local Government Association (LGA), NHS England and the Department of Health and a case study from Trafford will feature in the report in relation to how local authorities have responded to Winterbourne.

Attached to the report was an action plan update showing progress against the ‘Amber’ areas for action (as part of a Red, Amber, Green rating system on progress) which had improved from 10 Amber areas in October 2013 to 1 Amber area in December 2013.

RESOLVED: That the good progress in relation to the areas of the Winterbourne View Stocktake be noted and the efforts of individuals involved be acknowledged.

To consider a report of the Deputy Corporate Director Children, Families and Wellbeing, Director of Service Development, Adult and Community Services.

Members considered a report concerning a self-assessment exercise in respect of the National Autism Strategy; a strategy aimed at improving the lives of adults with Autism. The report explained that this would be the second national self-assessment exercise of the Adult Autism Strategy entitled “Fulfilling and Rewarding Lives” and that local authorities would be playing a key role in implementing the recommendations of the Strategy and the statutory guidance that supported it.

Members were advised that the purpose of the self-assessment was:

§     To assist Local Authorities and their partners to assess progress in implementing the 2010 Adult Autism Strategy;

§     To see how much progress had been made since the baseline survey, as at February 2012;

§     To provide evidence of examples of good progress made as well as acknowledging remaining challenges.

It was noted that the on-line assessment had been completed in September 2013 and that the national strategy was being reviewed and it was anticipated that the revised version would be published in March 2014.

RESOLVED:

(1)                          That the National Autism Strategy Self-Assessment Exercise and the contents of the report be noted.

(2)                          That an electronic link to the document be made available to Members via email.

To consider a report of the Director of Public Health.

The Director of Public Health presented a report which sought endorsement of the Local Government Declaration on Tobacco Control. The report highlighted the facts that smoking was the single greatest cause of premature death and disease in Trafford, the single largest factor in health inequalities and a major driver of poverty. It stated that the move of public health to local government presented an opportunity for local authorities to lead local action to tackle smoking and to ensure that the tobacco industry was not able to influence local tobacco control policy. Members had a long debate regarding smoking and the degrees of success in relation to cessation campaigns and work being undertaken with children and young people, and there was a general consensus that there needed to be more innovative ways to deter people from  smoking.

                        RESOLVED:

(1)                          That the Health and Wellbeing Board approve the report.

(2)                          The Health and Wellbeing Board endorse the Local Government Declaration on Tobacco Control as set out in Appendix 1 of the report.

(3)                          That the Director of Public Health be requested to co-ordinate all information and interventions regarding cessation campaigns, including work with schools, and report back to a future meeting of the Board.

(4)                          Noted that the Director of Public Health would be attending an event in London to mark the Council becoming a signatory to the Local Government Declaration on Tobacco Control.

To consider a report of the Deputy Corporate Director Children, Families and Wellbeing, Director of Service Development, Adult and Community Services.

The Deputy Corporate Director of Children, Families and Wellbeing provided an update on the development of the Joint Health and Wellbeing Action Plan Framework and presented a final version for sign-off. The report also gave details of progress on the Health and Wellbeing Communications and Engagement Plan, including the current position and recommendations. It was noted that there would be a workshop in January 2014 to facilitate organisations represented on the Health and Wellbeing Board to work together to drive through the objectives in the action plan.

                                    RESOLVED:

(1)                          That the Health and Wellbeing Board approve the progress of the Action Plan Framework and provide reassurance that key priorities reflected in the action plan are being progressed via the new Health and Wellbeing Programme Delivery Board.

(2)                          That officers ensure that key priorities reflected in the action plan framework are developed in a timely manner.

(3)                          That the Health and Wellbeing Board noted the updated Joint Communications and Engagement Plan Summary document.

(4)                          That the Deputy Corporate Director, Children, Families and Wellbeing, Linda Harper, be requested to provide an update at each meeting of the Board and that the Board be given access to the live document.

To receive for information a report of the Chief Clinical Officer – Designate, NHS Trafford Clinical Commissioning Group.

The Board considered a report of the Chief Clinical Officer Designate, NHS Trafford Clinical Commissioning Group, which provided an update on the work of the NHS Trafford Clinical Commissioning Group and progress on key commissioning activities. The report highlighted locality specific issues and links to Greater Manchester and national issues where relevant. Board Members raised a number of questions in respect of items in the report which were responded to by officers. A particular issue was raised regarding childhood asthma and some potential causal factors such as schools near busy roads.

                        RESOLVED:

(1)                          That the update report be noted.

(2)                          That the Director of Public Health and the Director Service Development - Children, Family & Education liaise to analyse existing data, if possible, to see if there are any possible linkages between the prevalence of asthma in children and the proximity of schools to areas of poor air quality, and report back to a future meeting.

To receive for information a report of the Chair of HealthWatch Trafford.

The Chair of HealthWatch Trafford submitted a report which set out the recent activity of HealthWatch Trafford since the last meeting of the Health and Wellbeing Board in October 2013. Board Members were advised that Chief Officer, Andrew Latham, had now been appointed and, that as part of the business plan, there would be increased promotional work to raise public awareness of HealthWatch Trafford.

RESOLVED:

(1)                          That the HealthWatch update be noted.

(2)                          That all councillors receive an electronic copy of the HealthWatch newsletter which is currently being distributed to libraries, GP practices and Trafford hospitals.

To consider the key messages from the meeting.

The Board summarised the key messages from the meeting which it wanted to convey to the general public.

RESOLVED: That the following key messages be agreed:

§   The Board welcomed the report on the Children’s Trust and the Children’s Safeguarding Board.

§   The Board endorsed the Local Government Declaration on Tobacco Control.

Any other item or items which by reason of special circumstances (to be specified) the Chairman of the meeting is of the opinion should be considered at this meeting as a matter of urgency.

(Note: The Chairman allowed consideration of the following item as urgent business as it had not been possible to include the item on the agenda and the matter required a decision prior to the next meeting of the Board in February 2014.)

Social Funding

Board Members were advised that information regarding a report on Social Funding would be circulated to them for information, and agreement was sought from the Board to delegate approval of this item to the Corporate Director of Children, Families and Wellbeing, in consultation with the Chairman and Vice-Chairman of the Board.

RESOLVED: That approval of the report on Social Funding be delegated to Corporate Director of Children, Families and Wellbeing, in consultation with the Chairman and Vice-Chairman of the Board.