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

Apologies for absence were received from Richard Roe (Corporate Director of Place), Kate Sethwood (Public Health Consultant), Spt. Collette Rose (Greater Manchester Police),Liz Calder (Greater Manchester Mental Health), Dorothy Evans (African Caribbean Care Group), Gareth James (Deputy Place Lead for Health and Care Integration) and Carroline Siddall (Housing Strategy and Growth Manager).

To receive and if so determined, to approve as a correct record the Minutes of the meeting held on 19 January 2024.

RESOLVED: that the minutes of the meeting held on 19 January 2024, were 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.

There were no declarations of interest.

To receive an update on the progress made against the deep dive priorities for Mental Health and next steps for population mental health, wellbeing delivery, and governance in Trafford from the Public Health Consultant.

Lucy Webster and Claire Robson  (Trafford Public Health) presented a report which updated the Board on progress made against the deep dive priorities for Mental Health and next steps for population mental health and wellbeing delivery and governance in Trafford.

The Board was informed that the quality and security of work is extremely important for mental health and wellbeing, with permanent work identified as a protective factor. Fulfilling employment also offers a platform for structured routines, positive relationships, and gaining a sense of purpose and achievement, as well as providing access to an income.

The Greater Manchester Good Employment Charter (GEC) is a voluntary membership and assessment scheme that aims to raise employment standards across GM, for all organisations of any size, sector or geography and includes Real Living Wage accreditation (RLW).

In February 2022 Trafford’s Health and Wellbeing Board set a target for 60% employers represented on the Board to commit to becoming Living Wage accredited and 30% to work towards full membership of the Good Employment Charter by April 2024.

Regarding progress to date, by March 2024 a total of 5 out of 10 (50%) organisations represented on the Health and Wellbeing Board are Real Living Wage accredited (Greater  Manchester Police, Trafford Council, African Caribbean Care Group, Talk, Listen, Change and L&Q Housing).

2 out of 10 (20%) organisations represented on the Health and Wellbeing Board are Good Employment Charter accredited (Trafford Council and L&Q Housing) with a further 2 (GM Integrated Care and GM Mental Health Foundation Trust) identified as ‘supporters’ of the Good Employment.

Trafford Council’s policy team has been working across the borough to support and encourage local businesses, partners, and organisations to become accredited.

On 21^st June 2023 employers in Trafford and councillors came together at Stretford Public Hall at an event to promote the Real Living Wage.

The Sustainable Growth Strategic Partnership Event that took place on 20^th Feb 2024 focused on employment and skills and provided a further opportunity to promote the Real Living Wage and Good Employment Charter. Further events are planned for 4^th July and 8^th October 2024 with a focus on Climate, and Inequalities and Health. The Real Living Wage and Good Employment Charter will be considered as part of wider determinants lens.

The Living Wage Foundation offers advice for any organisation considering becoming Real Living Wage Accredited. The Good Employment Charter website has lots of resources to support organisations considering accreditation. Emma Moseley (Trafford Council Senior Policy Manager) is happy to talk through Trafford Council’s experience of applying and offer support to anyone considering becoming Real Living Wage Accredited.

The Chair emphasised that The Board is committed to a real living wage indeed throughout the Borough and when people are working and delivering for Trafford residents they do receive the best salary for that job.

The Next steps for population mental health and wellbeing delivery and governance in Trafford are as follows –

An All Age Mental Health Group has  ...  view the full minutes text for item 39.

To receive an update on progress of all the SMART Action Plans and achievements throughout 2023/24 from the Director of Public Health and Public Health Consultants.

The Director of Public Health presented the Health and Wellbeing Annual Report 2023-24.

This is the first Annual Report submitted to the Health and Wellbeing Board and describes achievements and challenges against the key responsibilities and priorities of the Board.

The work to improve health outcomes and reduce health inequalities in Trafford requires vision and strategic direction. To inform future direction seven recommendations have been drawn from the review process, these are set out on page 4 of the report, and subject to the approval of the Board will form the forward plan for the Board going through 2024-25.

The report shows the responsibilities of the Board and considers and identifies the priorities for the Board.

The Director of Public Health made reference to the Joint Strategic Needs Assessment (JSNA) strategy. Trafford’s HWBB aims to improve the health outcomes of people living and learning in Trafford, and to reduce the impact of health inequalities. It does this through strategy development, improving partnership working, and using our knowledge of local needs from our JSNA to improve our services. The JSNA is a statutory requirement of the HWBB. Broad in its scope, it enables us to gather, analyse and interpret data on the health and wellbeing needs of our residents and patients across a range of domains. This helps us to commission services in line with local needs. The JSNA process was significantly impacted by the pandemic and in 2023-24 public health intelligence work focused on recovery and re-establishing the team and systems.

The Director of Public Health referred to the Better Care Fund (BCF) programme and how this supports local systems to successfully deliver the integration of health and social care in a way that supports person-centred care, sustainability and better outcomes for people and carers. It represents a unique collaboration between: • The Department of Health and Social Care. • Department for Levelling Up, Housing and Communities. • NHS England. • The Local Government Association. The four partners work closely together to help local areas plan and implement integrated health and social care services across England, in line with the vision outlined in the NHS Long Term Plan. Locally, the programme spans both the NHS and local government to join up health and care services, so that people can manage their own health and wellbeing and live independently in their communities for as long as possible. The HWBB has oversight of the BCF and is accountable for its delivery. More detail the BCF its priorities and performance are set out in paragraphs 3.2.2 – 3.2.5 of the report. Reference was made to Child Deaths in Trafford, paragraph 3.3 of the report refers.  Each year the Stockport, Tameside, and Trafford (STT) Child Death Overview Panel (CDOP) publish a report, ‘Learning from Child Death Reviews’, to describe why children who lived in Stockport, Tameside and Trafford died, to learn from the circumstances as far as possible, and present recommendations for the future.

Trafford’s Public Health team provides leadership for CDOP and ensures  ...  view the full minutes text for item 40.

To consider a report on developments surrounding the refresh of the Locality Plan and the 2024/25 priorities from the Health & Social Care Programme Director.

The Programme Director Health and Care presented the Draft Priorities 2024-25 and Refresh of Locality Plan report.

The aim to refresh the Trafford Locality Plan is supplemented by the requirement to develop a set of ‘Delivery Priorities’ for 2024/25 outlined in the accompanying slides. Both programmes of work are being developed in parallel, enabling us to define the next 12 months priorities, whilst also in due course articulating the longer-term vision for our refreshed Locality Plan, incorporating a refresh of the HWWB Strategy.

The intent is to have a system owned delivery plan that clearly states our collective ambition and intention for 24/25, including priority programmes and specific commissioning intentions reflective of Trafford’s key stakeholders’ priorities.

The GM approach to planning for 2024/25 is different to that of previous annual operational plans – it has committed to developing a broad System Delivery Plan for GM rather than solely a response to the NHS guidance.

The Draft contains two elements of the requested ‘Locality Delivery Portfolio’ including our commissioning intentions and a broader set of priorities for 2024/5 identified and co-created by Trafford partners. The content has been created drawing on detail from our existing locality plan, Health and Wellbeing Strategy, the GM ICP Strategy and Joint Forward Plan, the GM Prevention Framework, GM Strategic Financial Framework, and other relevant local and GM strategies/plans.

The finer detail of each of the commissioning intentions and priorities are actively being constructed by identified lead officers and have been submitted as a partial response to NHS GM on the 16^th February.

The Trafford Locality Delivery Portfolio including Commissioning Intentions 2024-25 is attached to report.

The delivery of draft commissioning intentions and priorities are subject to available resources, transparency of system resources, including organisational and sector efficiency targets, and alignment of organisational and sector priorities.

A process of prioritisation and sequencing will need to be applied with a stringent criterion applied to ensure value for money, desired outcomes and priorities that are evidence based.

As part of the Locality Plan refresh the Health and Wellbeing Strategy will be refreshed and updated and in terms of a timeline that process should be completed by the middle of the year and that will be submitted to the Board for discussion and sign off.

The Programme Director Health and Care informed the Board that the Key Drivers had not changed and there is an ongoing task to compile the final Trafford Locality Draft Delivery Portfolio by the end of March / early April. We have set some strong foundations for agreeing the priorities for 2024-25 built on an agreed set of principles and these will be key when mobilising a prioritisation process. Due to the enormity of the detail, the detail is set out in the Appendix of the slides. The next steps and actions relating to the following are set out in detail in the Portfolio:

• Detailed Programme Plan
• Locality Delivery Portfolio – Next Steps
• Prioritisation
• Locality Plan Refresh

Regarding the prioritisation plan for 2024-25 partners  ...  view the full minutes text for item 41.

To receive an update following the inaugural meeting of the Fairer Health for Trafford Partnership from the Director of Public Health.

The Director of Public Health gave a verbal update following the inaugural meeting of the Fairer Health for Trafford Partnership.

The Board was informed that in Trafford the difference between life expectancy for men in the most affluent and deprived communities is 9.5 years and for women it is 9 years which is unfair and needs to be tackled.

The Fairer Health for Trafford Partnership (FHTP) met last week and the purpose is to think about how we can work collectively to tackle health inequalities. We do not want to duplicate Greater Manchester work so we need to look at our own work to fill in any gaps and ensure that we are working with our communities. The partnership will be needs led and identify any key gaps, they will work with the established governance to address these gaps, for example a key inequality is life expectancy for people with serious mental illness, the FHTP would work with the All Age Mental Health Group to ensure this was a focus of the Groups work programme.

The meeting of FHTP was well attended. The group talked through the needs of residents, and identify some communities of interest including  adults with serious mental illness, adults with learning disabilities and care experienced children. In terms of geography Broomwood, Partington and Old Trafford communities. The discussion moved on to what all partners are doing and there were connections being made in the meeting. MFT are working on a pilot with TFGM around MFT sites where the community is finding access to those sites difficult. We put forward Partington as DNA is a high factor for those residents.

The next steps are to think about what our priorities are and what is driving those inequalities in those priorities and address them in the layers of the system we work in.

We are also looking at prioritising data quality recording and health literacy.

The Fairer Health for Trafford Partnership is meeting in April with a workshop of priorities to identify what is tangible and what we can do immediately and long term on health inequalities.

RESOLVED: that the verbal report be noted.

To receive the submitted Q3 return from the Corporate Director for Adults and the Deputy Place Lead for Health and Care Integration.

The Corporate Director Adults and Wellbeing presented the Better Care Fund Quarter 3 Return.

The BCF sits within the Section 75 framework partnership agreement between Trafford Council and NHS GM. This report provides the national return in Q3, on cumulative data from Q1 and Q2 (1st April 2023 – 31st December 2023), which was submitted to NHSE on February 9, 2024.

This return provides confirmation of activity and expenditure to date, where BCF funded schemes include output estimates. This return also includes an update on our performance against key BCF metrics.

The full BCF return to NHS England is attached alongside this paper, but to support ease of reading, key areas have been summarised within this report. Previous submissions include our Better Care Fund Plan for 2023-2024 and supporting narrative which was submitted in July 2023, and an updated detailed capacity and demand plan, submitted as Trafford’s Quarter 1 return in October 2023.

Schemes funded by BCF Programme funding but do not have output estimates attached, are outside the remit of this return, but an update will be provided at the full end year report in Q1 2024/25.

The report focuses on the five core metrics and provided an explanatory note on current performances and if they were on track for anticipated delivery:

• Paragraph 2.2 - Unplanned Hospital Admissions for chronic ambulatory care sensitive admissions.

·       Paragraph 2.2 (i) - Percentage of people who are discharged from hospital to their normal place of residence.

·       Paragraph 2.3 - Emergency hospital admissions due to falls in people aged 65 and over directly age standardised rate per 100,000.

·       Paragraph 2.4 - Rate of permanent admissions to residential care per 100,000 population (over 65).

·       Paragraph 2.5 - Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement and rehabilitation services.

Details on each of the above measures are contained in the report.

RESOLVED: that the Board

(i) Notes the content of the finalised BCF return which provides Q1 and Q2 data, submitted in Q3; and

(ii) Notes that the next submission in relation to 23/24 BCF Programme will require a report on full year activity and expenditure, which will be required to be submitted in Q1 2024/25. It is anticipated that this will be in May 2024 however, the exact submission date has not yet been confirmed by NHSE.

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.

Motion   (Which may be amended as Members think fit):

That the public be excluded from this meeting during consideration of the remaining items on the agenda, because of the likelihood of disclosure of “exempt information” which falls within one or more descriptive category or categories of the Local Government Act 1972, Schedule 12A, as amended by The Local Government (Access to Information) (Variation) Order 2006, and specified on the agenda item or report relating to each such item respectively.