Agenda and minutes

Venue: Committee Room 2 and 3, Trafford Town Hall, Talbot Road, Stretford, M32 0TH.. View directions

Contact: Fabiola Fuschi  Governance Officer

Items
No. Item

31.

ATTENDANCES

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

Minutes:

Apologies for absence were received from Councillors Akinola, Lloyd, D. Western and Heather Fairfield.

32.

DECLARATIONS OF INTEREST

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.

Minutes:

Councillors Dr. Carr, Hartley and Taylor declared a general interest in so far as any matter related to their employment.

33.

URGENT BUSINESS (IF ANY)

Any other item or items (not likely to disclose "exempt information") 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.

 

 

Minutes:

There were no items of urgent business received.

34.

QUESTIONS FROM THE PUBLIC

A maximum of 15 minutes will be allocated to public questions submitted in writing to Democratic Services (democratic.services@trafford.gov.uk) by 4pm 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

 

 

Minutes:

There were no public questions received.

35.

MINUTES pdf icon PDF 221 KB

To receive and, if so determined, to agree as a correct record the minutes of the meeting held on 26th September 2019

 

Minutes:

RESOLVED that the minutes of the Health Scrutiny Committee meeting held on 26th September 2019 be approved as a correct record.

36.

Improving Physical Activity in Trafford pdf icon PDF 1 MB

Minutes:

The Committee gave consideration to a report of the Director of Public Health on local programmes to promote physical activity. The report also outlined the current data concerning the level of physical activity in Trafford, the new Chief Medical Officer’s guidelines and the initiatives to ensure that less active groups were targeted and supported.

 

The Executive Member for Health, Wellbeing and Equalities, the Public Health Consultant, the Sports Relationship Managers were in attendance to present the information and address the enquiries of the Committee. Members were informed that the majority of residents in Trafford were active. The key areas of focus for commissioners were inactive or fairly active people. There were some variations in different groups as older people, people with disabilities, people living in deprived areas and people from black and minority ethnic groups were less active. Levels of inactivity were higher in western areas of Trafford. In these complex instances, officers used a whole system approach which aimed to encourage the uptake of physical activity and deliver sustainable change, working collaboratively with many partners such as the NHS, community and voluntary groups, Trafford Leisure but also with families and their social networks. Changes to housing and transport policies would modify the physical environment and boost walking and cycling.

 

Following the invitation of the Chair of the Committee, the Chief Executive Age UK was in attendance to inform of the activities undertaken by the charity and explained that there was compelling evidence that physical activity was beneficial for older people to prevent many illnesses and other difficulties associated with older age.  However, data showed that 59% of over 75 year olds were inactive. The Chief Executive outlined the Age UK’s offer in Trafford: weekly coffee mornings, postural stability classes and men’s activity groups such as indoor bowling and ping pong. Those affected by cognitive impairment benefitted significantly from the classes. The classes represented for all those attending, an opportunity for social interaction, to prevent and/or fight social isolation and depression. There were 110 volunteers and 535 75s year olds and over that took part in these activities.

 

The Chair of the Committee also welcome to this evening’s meeting the G.P. whose practice in Sale led the way in encouraging and supporting  patients to be physically active, to prevent many diseases and boost mental health. The G.P. explained that physical and mental health were interchangeable. The practice had started a walking group for patients three years ago. The activity had been linked with volunteers and 11 walks had developed in 13 G.P. practices in Trafford. The practice was also a Park Run practice and, as such, promoted Park Runs. The G.P. concluded that physical activity was at the heart of everything as it linked to themes very important to the community such as clean air and transport.

 

The Sports Relationship Managers informed the Committee that their main area of focus was to take actions to eliminate inequalities that acted as barriers to access physical activity. Currently, there was a local  ...  view the full minutes text for item 36.

37.

Uptake of Childhood Vaccinations pdf icon PDF 713 KB

Minutes:

The Committee gave consideration to a report of the Director of Public Health on the uptake of childhood vaccination across Trafford, with a particular focus on MMR (measles, mumps and rubella) viruses.  The Committee had requested the information because of recent reports of a progressive decline across the nation in the uptake of the MMR vaccines.

 

The author of the report accompanied by the Portfolio Holder for Health, Wellbeing and Equalities and the Consultant in Public Health attended the meeting to present the information and address the enquiries of the Committee.

 

Officers explained that measles was a very contagious and dangerous disease. Vaccinations were highly effective but nationally vaccine update had declined since 2013/2014. In Trafford, MMR vaccinations had not reached the target of 95% population coverage. Officers explained that, in order to prevent a local outbreak, the Council had adopted a multi-agency approach working with General Practices, Greater Manchester Screening and Immunisation Team as well as with the community to raise awareness on the importance of the vaccination.

 

Members sought clarification on the causes of low coverage for MMR vaccination in Trafford. Officers explained that this depended on the type of vaccination which took place in two stages and the difficulty in tracking patients who moved frequently from an area to another. The Committee was reassured that work was ongoing with the Clinical Commissioning Group to ensure that patient lists were accurate. The Committee also enquired about communication concerning the availability of a different type of MMR vaccine to meet the needs of some faith groups as well as more general information regarding the effectiveness of vaccinations and, in connection with this, the importance of their timeliness. Officers concurred with this view and explained that work was ongoing with general practitioners to ensure that children with underlying health conditions were prioritised for flu vaccinations when delays in the supply of the vaccines occurred. When enquired about the reasons for the low uptake in MMR vaccination, Officers explained that it was difficult to establish. However, work was ongoing at Greater Manchester level which focussed on families and nurseries to promote MMR and flu vaccinations; health visitors represented a great resource to address families’ concerns. Officers added that, in newly arrived populations, the uptake of the vaccine was significantly higher, possibly because of a better understanding of the impact of measles. Officers added that Public Health sessions were delivered to faith and community groups; they added that support for other members of the community would help to divulge the message of vaccination.

 

RESOLVED:

1.    That the content of the report be noted;

2.    That a progress report be presented at the meeting of the Committee in March 2020 to inform of –

a.    Actions being taken to promote the message about alternative MMR vaccine to meet the needs of some faith groups;

b.    Reasons for poor uptake of MMR vaccines in some general practices in the Borough;

c.    Update on community work being developed to promote immunisation;

d.    Package of  ...  view the full minutes text for item 37.

38.

Altrincham Health and Wellbeing Hub Update pdf icon PDF 113 KB

Minutes:

The Committee considered a progress report of the Accountable Officer for NHS Trafford and Clinical Commissioning Group on the negotiations to secure appropriate tenants for the Altrincham Health and Wellbeing Hub.

 

The Accountable Officers was in attendance to present the information and address the enquiries of the Committee.

 

Two medical general practices, serving a total of 25,000 residents, had moved into the hub. From next week, the Integrated Health and Social Care Team for the south locality would be located on the second floor of the building. Negotiations were taking place between NHS Property Services and an appropriate commercial organisation to occupy the third floor. Discussions were ongoing between NHS Property Services and commercial organisations for the remaining part of the ground floor.

 

Members sought assurance on the suitability of potential new tenants to carry out their business consistently with the health and social care message. Officers explained that there were two leases in the building and NHS Property Services managed directly the lease concerning the parts of the building for commercial use. Members queried whether there had been any feedback from users about access and parking. Officers explained that the transition had gone smoothly and general feedback form residents and users was positive.  

 

RESOLVED:

1.    That the content of the progress report be noted;

2.    That a further update be provided at the meeting of the Committee in March 2020.

39.

Trafford Together Locality Plan for Sustainability and Reform - incorporating the NHS Long Term Plan pdf icon PDF 228 KB

Minutes:

The Committee considered a report of the Director of Integrated Health and Social Care Strategy on the transformation of health and social care in the next five years. The document incorporated the NHS Long Term plan and was also part of the public service reform agenda to have shared resources, aspirations and outcomes across public services. The plan would be submitted to the Executive on Monday and subsequently to the Greater Manchester Combined Authority and to the Clinical Commissioning Group (CCG) Board in early December.

 

The author of the report accompanied by the Accountable Officer for NHS Trafford and CCG) and the Trafford Integrated Network Director attended the meeting to present the information and addressed the enquiries of the Committee.

 

Members sought clarification on the main purpose of the plan. Officers explained that this was the integration of health and social care services to spend public money effectively, focussing on prevention and a long term strategy to work with people in their communities. The plan would be the blueprint for Trafford’s health and social care commissioning strategy, which also informed the work with providers and Trafford’s partnership priorities for health and wellbeing. Members noted that Trafford faced a real challenge as its residents often accessed secondary and tertiary health services outside the Borough. Officers explained that work was ongoing to strengthen the links with providers outside Trafford to ensure access to speciality care; however, at the same time, Trafford would maintain oversight of the patient’s care to ensure positive outcomes. Joint assessments between different local authorities were already taking place in those instances when a patient received speciality care outside of his/her local authority. The Committee enquired about inequalities and how these would be addressed in the new plan, use of the digital platform and how communities had been involved in shaping the document. Officers agreed to provide an update on these points at the meeting of the Committee in March 2020.

 

RESOLVED :

1.    That the content of the report be noted;

2.    A progress report be brought to this Committee in March 2020 to update on the following aspects of the locality plan:

a.    Tackling inequalities;

b.    Digital platform;

c.    Engagement with the community

 

 

40.

Trafford Community Services Transfer Update pdf icon PDF 248 KB

Minutes:

The Committee gave consideration to a report of the Director of Integrated Health and Social Care Strategy on Trafford Community Services Transfer from Pennine Care NHS Trust to Manchester Hospitals Foundation Trust and a new Section 75 Partnership Agreement with adult social care to reform the Trafford Local Care Organisation.

 

The author of the report accompanied by the Accountable Officer for NHS Trafford and CCG and the Trafford Integrated Network Director attended the meeting to present the information and addressed the enquiries of the Committee.

 

Officers informed that the transfer of 600 members of staff had taken place on 1st October 2019. The community health services that had transferred and adult social care services through a new partnership agreement were now known as Trafford Local Care Organisation whose operating model was based in Trafford’s four neighbourhoods. A Community Services Transformation Board was established to drive forward the work needed to achieve the aspirations outlined in the Trafford Together Locality Plan.

 

Members sought and received clarification on the service performance indicators of the new provider, the outcome of the consultation with members of staff and service users, training for practitioners. Officers explained that the transfer took place in a way that ensured that patients could see no difference between the previous and the new provider.

 

RESOLVED

1.    That the report be noted;

2.    A progress report be presented at the meeting of the Committee in March 2020.

41.

Health Scrutiny Work Programme 2019/20 pdf icon PDF 308 KB

Minutes:

The Committee considered the work plan for the current municipal year. The Chair informed the members that the first meeting of the Task and Finish Group which focussed on mental health took place last week; the group had decided to review the actions the Council was taking to support residents and communities to overcome the stigma associated with mental health. 

 

The following members expressed an interest in being part of the second Task and Finish Group which focussed on Failing GP Practices: Councillors Hartley, Akinola, Thomas and Dr. Carr. This Task and Finish Group would be led by the Vice-Chair of the Committee, Councillor Taylor.

 

RESOLVED that the update on the work of the Committee for the current municipal year be noted.

42.

EXCLUSION RESOLUTION (REMAINING ITEMS)

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.