To approve as a correct record the minutes of the meeting held on 4 September 2024 .

Decision

To approve the minutes of the Health Scrutiny Committee meeting held on 4 September 2024 as a correct record.

Report of the Director of Public Health

This report provides an overview of progress made from October 2023 to October 2024 on the Making Manchester Fairer Action Plan.

The Committee considered the report of the Director of Public Health that provided an overview of progress made from October 2023 to October 2024 on the Making Manchester Fairer Action Plan.

Key points and themes in the report included:

·       Providing an introduction and background, noting that Making Manchester Fairer (MMF) was Manchester City Council’s five-year action plan with a longer-term ambition to address health inequalities in the city, focusing on the social determinants of health;

·       Information on the establishment of a MMF Community Forum to strengthen the contribution of local people with lived experience to the programme governance;

·       The development of a coherent approach to workforce development, with a focus on what was needed to achieve health equity that aligned with Manchester City Council’s workforce plans;

·       Developing and implementing a Work and Health Kickstarter focused on North Manchester with patients of Manchester Foundation Trust (MFT) with Musculo-Skeletal conditions (MSK) identified as needing employability support were referred for assessment by the Growth Company before being referred onto one of several employability programmes; and

·       The development of an approach for engaging with businesses and philanthropists, encouraging and supporting them to partner with neighbourhood and community-based services and organisations;

·       Implementing an approach for Manchester City Council to formally adopt the Socio-Economic Duty and integrate it into its policy development and decision-making processes, demonstrating the council’s commitment to social justice and contributing to a more equitable city;

·       Supporting the delivery of a comprehensive and immersive education programme on Race and Health Equity;

·       Information on the review in order to refresh the MMF Action Plan thematic objectives, ensuring that we were making the most of opportunities to tackle inequalities and addressing emerging challenges; and

·       Discussion of the next steps for the MMF Action Plan.

The Committee heard from a number of invited guests who spoke on the case studies of the three MMF themes that had been provided in the report. The individual representatives described their specific project and associated initiatives designed to respond to the needs of residents and tackle the wider determinants of health. They also described the positive outcomes for residents. The Chair thanked all for their important contributions and recognised the significant positive impacts all were having on the lives of Manchester residents.

Some of the key points that arose from the Committee’s discussions were:

·       Noting the work described in relation to ‘Theme 1: Giving children and young people the best start in life’ and asking if a strong relationship had been established with local schools to support this work;

·       Welcoming the LGBTQ+ Extra Care Housing Scheme and asking if staff working in such schemes received additional training to respond to the needs of those residents;

·       The importance of embedding MMF principles in the workforce culture and practices of all organisations who engaged with residents;

·       Housing developments needed to consider delivering appropriate accommodation for those older residents who wished to right size;

·       The need to deliver affordable housing for the residents of Manchester;

·       The need to share  ...  view the full minutes text for item 37.

Report of the Direcor of Public Health

This report provides an update to the committee on the Adverse Childhood Experiences (ACEs) and Trauma Responsive Programme.

The Committee considered the report of the Director of Public Health that provided an update on the Adverse Childhood Experiences (ACEs) and Trauma Responsive Programme. The report also included case studies demonstrating the impact that adopting a trauma informed approach and being a trauma responsive organisation has had in the Health Visiting Service and the Street Engagement Hub

Key points and themes in the report included:

·       Providing an introduction and background;

·       Information relating to the approach and objectives of the Manchester ACEs and Trauma Responsive Programme;

·       Delivery of the programme objectives across a range of activities;

·       Consideration of the impacts of adopting trauma informed and trauma responsive approaches; and

·       Next steps and priorities for the next 12 months.

Some of the key points that arose from the Committee’s discussions were:

·       Welcoming the report and the inclusion of the case studies;

·       Recognising that the work described underpinned and supported the ambitions of MMF;

·       Stating that Covid and the impact of this needed to be recognised as an ACE;

·       The need to acknowledge the impact of world events and the resulting trauma experienced by individuals;

·       Noting the importance of staff training;

·       Noting the important role that Councillors had, by virtue of their engagement with local residents and the need for all Councillors to be trauma informed and trained; and

·       Further information was sought in relation to staff working with people seeking sanctuary.

The Committee heard from Anulika Ifezue, Clinical Lead Trainer, Perinatal and Infant Mental Health Lead and Specialist Health Visitor, Manchester University NHS Foundation Trust and Lizzie Hughes, Integrated Neighbourhood Lead (Cheetham and Crumpsall), Manchester Local Care Organisation who spoke to the case studies that had been provided in the report. They described their specific project and initiatives and the positive outcomes for residents.

The Programme Lead: ACEs & Trauma Informed Practice said that the report articulated that significant work had been done to hear and reflect the voice of lived experience. He said that the report also reflected responses to discussions held at previous Committee meetings when this subject had been considered and made reference to the focus on trauma with older people building on the production of the ‘Dark, Chaste and Beautiful’ workshops and piloting a trauma informed approach with at least two care homes.

The Programme Lead: ACEs & Trauma Informed Practice said that to date training had been delivered to approximately 7000 staff in both statutory services and the voluntary sector. He said that an e-learning module would be produced to make training more accessible so as to reach more council staff in the coming year. In order to encourage participation work was also ongoing with colleagues in HROD to ensure this training was embedded in the Health and Wellbeing offer that Directorates were accessing. In addition to this to ensure that staff who experienced trauma, both personally and/or vicariously were supported with appropriate levels of supervision and accessible trauma specific interventions. He noted the comments made regarding training and support for Members and said  ...  view the full minutes text for item 38.

Report of the Governance and Scrutiny Support Unit

The monthly report includes the recommendations monitor, relevant key decisions, the Committee’s work programme and items for information. The report also contains additional information including details of those organisations that have been inspected by the Care Quality Commission.

The report of the Governance and Scrutiny Support Unit which contained key decisions within the Committee’s remit and responses to previous recommendations was submitted for comment. Members were also invited to agree the Committee’s future work programme.

Decision

The Committee notes the report and agrees the work programme.