To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 6 January, 2015.

RESOLVED: That the minutes of the Health and Wellbeing Board meeting held on Tuesday 6January 2015, 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 were declared.

To receive an update from the Chief Clinical Officer, NHS Trafford Clinical Commissioning Group.

The contents of the Action Log were noted. The Chairman stated he had been invited to Chair a meeting regarding Primary Care Co-Commissioning, but advised he was unable to do this. It was suggested that the Vice-Chairman’s name be put forward.

RESOLVED: That the progress against the actions on the Action Log be noted.

To receive a report from the Chief Operating Officer, NHS Trafford Clinical Commissioning Group.

The Board received a report of the Associate Director of Commissioning, Clinical Commissioning Group providing an update of the progress of Trafford Better Care Fund and the next phase.

It was confirmed that the programme has now received full approval and progress has been made on all the individual schemes. Up to now the Clinical Commissioning Group had only been able to provide the Board with information relating to the process, but going forward the aim will be to provide more detailed information based on ongoing reports for each individual scheme. The Chairman advised that updates on these could be staggered over future meetings of the Board.

            RESOLVED: That the report be noted.

To receive a joint presentation from the Programme Manager, Children, Families & Wellbeing and the Joint Director for Adults (social care).

The Board received a joint presentation from the Programme Manager for Children, Families & Wellbeing, and the Joint Director for Adults (social care), providing an update on The Care Act.

The Joint Director for Adults (social care) answered several questions from board members. It was confirmed that the e-learning platform will remain live and will enable users to revisit previously completed units.

Public communications have already begun (some radio announcements etc.) but the real impact will be felt in April 2015. Information will be provided on frequently asked questions, and the intention is to organise visits to other organisations such as GMP to provide a presentation, and more importantly, to answer questions. Members of the public will be directed to contact local authorities and information will be accessible via organisations and leaflets. Information relating to the financial reforms will not be available until October 2015.

The Executive Member for Adult Social Services and Community Wellbeing commented that the Care Account (which excludes hotel charges) will be open as of 1 April 2016, and assessments of self-funders who come forward can commence in October 2015. The Joint Director for Adults (social care) added that it is very difficult to gauge how many self-funders there will be.

It was confirmed that Trafford would be compliant with The Care Act by 1 April 2015 and the Joint Director for Adults (social care) had personally attended the legal training.

The Chair thanked the Programme Manager, Children, Families & Wellbeing and the Joint Director for Adults (social care) for the presentation.

            RESOLVED: That the presentation be noted.

To receive a report from the Chief Operating Officer, NHS Trafford Clinical Commissioning Group.

The Board received a joint presentation from the Chief Operating Officer, NHS Trafford Clinical Commissioning Group, and representatives of Computer Sciences Corporation, giving an update on the Patient Care Co-Ordination.

Before introducing the Computer Science Corporation representatives, the Chief Operating Officer, NHS Trafford Clinical Commissioning Group gave a brief overview of the background to the Patient Care Co-ordination programme and explained the importance of co-ordinating to get the best use of community services. It was stated that moving funding into Primary and Community Care enables the focus to be kept on keeping people healthy and reducing the pressure on services by lowering the numbers of people attending hospitals.

The presentation detailed the Computer Sciences Corporation’s vision for the programme and how this will be achieved. It was stated that the programme will work as a partnership, building bridges with GPs, HealthWatch and others. Some services will commence on 1 June 2015 with the full programme launching on 1 September 2015.

The Chairman thanked the Chief Operating Officer, NHS Trafford Clinical Commissioning Group, and the Computer Sciences Corporation representatives for the worthwhile presentation, who went on to answer several questions from Board Members. The aim of the new system will be to create an integrated system across Trafford, helping to break away from the traditional sequential process of care, and developing a parallel way of working, meaning the Patient Care Co-ordination Centre will be involved throughout the patient journey, from initial GP visits through to aftercare.

It was confirmed that a strict information governance policy is in place along with data sharing agreements. There will also be clear guidance on how information will flow. It will be important to have input from outside groups like GMP and the Third Sector.

The system is the first of its kind, and it was confirmed that the system will link into social care. It was advised that there is already a robust process in place to ensure that records would follow children who move in and out of the Borough.

            RESOLVED: That the presentation be noted.

To receive a report from the Director of Public Health.

The Board received a report of the Director of Public Health on progress made in relation to the Health and Wellbeing Strategy Action Plan, highlighting the 8 priority areas.

The Director of Public Health reminded the Board of the upcoming Governance Workshop on 10 March 2015. The Chairman reminded the Board that it was important, wherever possible, for all Members to attend. Advanced apologies were received from Councillor Michael Cornes, who advised he would be unable to attend due to a prior engagement.

It was agreed that Appendix 3 of the report would be emailed to The Chairman of Healthwatch as requested.

            RESOLVED: That the report be noted.

To receive a report from the Director of Public Health.

The Board received a report of the Director of Public Health to update the Health and Well Being Board on the sexual health commissioning arrangements and local action plan following the production of the Trafford Sexual Health Needs Assessment 2014. Particular attention was brought to the Sexual Health Action Plan in Appendix 2, which was actioned as a result of the presentation considered at the previous meeting held on 6 January, 2015 (Minute No.38).

The Chairman of Public Health answered questions relation to the performance of existing providers. It was confirmed that the number of patients accessing the service is increasing. Board Members asked for an update on the performance indicators presented in the previous meeting which appeared to show a decline in the performance of providers. The Corporate Director for Children, Families and Wellbeing commented that the Action Plan is a clear one, and advised Board Members that a discussion relating to specific providers could be discussed with Board Members in a separate meeting.

RESOLVED: That the sexual health commissioning arrangements, work in progress and action plan update, be noted.

To receive a report from the Head of Partnerships & Communities.

The Board received a report from the Head of Communities & Partnerships, Trafford Council, providing an update on Locality Partnerships and the shift towards a new approach to locality working through locality planning.

The Head of Communities & Partnerships answered questions raised regarding the Asset Based Community Development, and the Third Sector representative from Bluesci reminded the Board of the importance of supporting and engaging with the significant number of small local businesses in Trafford, as well as all the people who work in the Borough.

RESOLVED:

(1)  That the Board noted the report.

(2)  That the Board gave their support to the Locality Partnerships for development of the locality plans.

To receive a joint verbal update from the Chief Clinical Officer, NHS Trafford Clinical Commissioning Group and the Executive Member, Adult Social Services and Community Wellbeing.

The Board received a joint verbal update on Devo Manc from the Chairman and the Executive Member, Adult Social Services and Community Wellbeing.

The Chairman referred to this week’s announcement for the devolution of £6billion of health and social care funding to Greater Manchester, and the signing of a Memorandum of Understanding. The Chairman stated that this sets out a roadmap for health and social care integration in the area, and is an exciting opportunity with many things to be discussed. It was confirmed that a Memorandum of Understanding within the Borough would be required.

The Executive Member, Adult Social Services and Community Wellbeing commented that this would mean decisions could now be taken from the bottom up, as opposed to the top down, a point that was agreed upon by other Board Members who believed this will enable the Borough to take control at a local level, and will allow local people to have a better understanding of the issues involved.

The Corporate Director for Families, Children and Wellbeing stated that the creation of a joint board may be required. It was noted that Trafford has prior experience of this due to our current involvement with other joint boards, and will therefore be beneficial in terms of progressing. From the local authority’s perspective it will be a chance to tackle fundamental aspects of health and social care.

It was asked whether the devolution of this funding would result in some of the money having to be used to pay deficits. The Chairman advised the £6billion is the funding we are already receiving, and does not answer the question of the £1.1billion deficit, but the devolution we will enable us to make our own decisions, ensuring the funding can be used more effectively.

            RESOLVED: That the update be noted.

To receive a report from the Chief Clinical Officer, NHS Trafford Clinical Commissioning Group.

The Board received a report of the Chairman providing an update on the work of the NHS Trafford Clinical Commissioning Group, and provided information and progress on key commissioning activities. It considered locality specific issues and referenced links to Greater Manchester and national issues where relevant.

It was confirmed that the Better Care Fund programme for Trafford has now been approved. It was also confirmed that the Trafford Community Contract had been extended by 2 years. This extension will facilitate the CCG to progress through continued working with Pennine Care NHS Foundation Trust and Trafford Council.

Work is continuing on the Healthier Together evaluation, with no further decisions to be taken this side of the General Election.

            RESOLVED: That the report be noted.

To receive a report from the Chairman of HealthWatch Trafford.

The Board received a report from the Chairman of HealthWatch, Trafford, updating them on their recent activities.

The report stated that the regular, monthly drop-ins have continued, as well as the face to face engagement with young people. There were updates on specific areas of work since the last update in January, with all reports available on the HealthWatch website.

            RESOLVED: That the report be noted.

To receive a report from the Chief Operating Officer, NHS Trafford Clinical Commissioning Group.

Please note: this item has now been reinstated for this meeting and a joint report of the Corporate Director, Children Families and Wellbeing, Trafford Council and the Director of Finance, Trafford Council is now attached.

The board received a joint report of the Corporate Director, Children, Families and Wellbeing, Trafford Council, and the Director of Finance, Trafford Council, outlining the monies allocated from the NHS to Trafford Social Care for the period of 2014/15. The report indicated where the additional monies are allocated and what the funds will be used for, the resultant increased activity and outcomes, as well as the monitoring and reporting arrangements for these monies.

The formal agreement of the Health & Wellbeing Board to this report was required to allow the release of the grant monies.

It was noted that the next update to the Board should be an early task for the financial year 2015/16, which would be an end of year report showing all data of progress.

RESOLVED: That the Health and Wellbeing Board agreed:

(1)  the allocation of the NHS Support for Social Care monies 2014/15

(2)  the outlined monitoring arrangements

To receive a report from the Chief Clinical Officer, NHS Trafford Clinical Commissioning Group.

The Board received an oral update from the Chairman regarding the upcoming meeting dates of the Health and Wellbeing Board.

Future dates were discussed, with definitive dates to be confirmed in the coming weeks. The Board was again reminded of the upcoming Health and Wellbeing Workshop on 10 March, 2015.

RESLOVED: That the discussion regarding upcoming meeting dates be noted.

The Chairman confirmed that this would be the Corporate Director for Children, Families and Wellbeing’s last meeting with the Health and Wellbeing Board, and thanked her for all of her hard work and support and wished her well for the future.