Agenda and minutes

Agenda and minutes

Health and Wellbeing Board - Wednesday, 26th January, 2022 10.00 am

Venue: Council Chamber, Level 2, Town Hall Extension. View directions

Contact: Andrew Woods 

Media

Items
No. Item

1.

Appointment of Chair

Minutes:

Councillor Midgley was nominated to Chair the meeting. This was seconded and approved by the Board. 

 

Decision

 

Councillor Midgley was appointed Chair for the meeting.

2.

Minutes pdf icon PDF 138 KB

To approve as a correct record the minutes of the meeting held on 3 November 2021.

Minutes:

Decision

 

To approve the minutes of the meeting held on 3 November 2021 as a correct record.

3.

COVID-19 - Update pdf icon PDF 103 KB

The Director of Public Health and the Medical Director, Manchester Health and Care Commissioning, will provide an update.

Minutes:

The Board considered the report and presentation of the Director of Public Health that provided an update on the latest COVID-19 data and progress on the implementation of the Manchester Vaccination Programme.

 

In response to comments from Board members the Director of Public Health advised that despite the lifting of the national plan B measures, local schools and Universities were being supported to maintain the wearing of face masks in communal areas as a measure to reduce infection rates. He described that both himself and the Director of Education had written to all Head Teachers in Manchester to offer support and guidance on this issue. The Executive Member for Children and Schools Services informed the Board that the feedback from schools was very positive and had welcomed this continued support.  

 

In response to a comment raised regarding the national advice given regarding the symptoms to be aware of for the variants, noting that this was generic advice with no differentiation between the variants, the Director of Public Health stated this had been raised nationally as a concern. He said that this had been acknowledged locally and local bespoke advice and information had been issued but noted the comment from the Board.

 

The Director of Public Health responded to a question relating the issue of the removal of free Lateral Flow Tests (LFT) by stating that this was an equalities issue and stated that Manchester continued to make the case for free LFTs, adding that there was a need for an effective, equitable national testing policy.

 

The Chair on behalf of the Board paid tribute to all staff involved in the vaccination programme and the directed approach to address equity in the programme to protect as many residents as possible. The Chair also paid tribute to the teams working in Adult Social Care who were working to safely discharge patients from hospital settings into alternative, appropriate and safe care pathways.

 

The Board reiterated the importance of the COVID-19 vaccination and encouraged all who had not come forward to receive the jab to do so.

 

Decision

 

To note the report and presentation.

4.

Better Outcomes Better Lives pdf icon PDF 375 KB

The report of the Executive Director of Adult Social Services is enclosed.

Minutes:

The Board considered the report of the Executive Director of Adult Social Services that provided an update on the delivery of Better Outcomes, Better Lives, the adult social care transformation programme. Noting that this was a long-term programme of practice-led change, which aimed to enable the people of Manchester to achieve better outcomes with the result of less dependence on formal care.

 

The report provided an introduction and background, describing that Better Outcomes Better Lives was the Manchester Local Care Organisation’s programme to transform the way that we deliver adult social care so that it meets the needs of our most vulnerable residents and makes best use of the resources that we have. The programme is key to delivering the savings set out in the 2021/2022 budget agreed by the Council in March 2021. 

 

The report described that that the programme was structured around six key workstreams, noting that four of the workstreams had started in January 2021.  The report further described what would feel different for residents who received our adult social care services in the future; what would feel different for families and carers; and what would feel different for staff.

 

The Board were provided with an overview of the programme that were accompanied by case studies to illustrate what these changes meant in practice.

 

The Board welcomed and endorsed the approach described, in particular the assurance provided that activities and progress would be reported and regularly reviewed by the MLCO Accountability Board. The Board further noted and welcomed the assurance given that this approach also informed the work and planning of the MLCO. The Chair stated that she had taken the opportunity to meet with the teams and had received very positive feedback from the staff. The Executive Director of Adult Social Services welcomed the positive feedback from the Board and assured those present that this would be relayed to the staff and practitioners working across the teams.

 

Decision

 

To note the report.

5.

Integrated Care System arrangements and Manchester Locality Plan Refresh pdf icon PDF 425 KB

The report of the Deputy Leader (with responsibility for Health and Care), Manchester City Council & Vice Chair, Manchester Health and Care Commissioning is enclosed

Additional documents:

Minutes:

The Board considered the report of the Deputy Leader (with responsibility for Health and Care), Manchester City Council and the Vice Chair, Manchester Health and Care Commissioning that provided an update on the establishment of a Greater Manchester Integrated Care System/Integrated Care Board and Manchester Locality Board. The report further provided an update on the refreshed Manchester Locality Plan, noting that the refreshed Locality Plan for Manchester, which recommits to the strategic intent to improve the health and care outcomes for the people of Manchester and recognised the significant change in context following the COVID-19 pandemic.

 

The report described that subject to legislation passing through parliament, Integrated Care Systems (ICS) would be established in England from 1 July 2022. This change was originally planned for 1 April 2022 but had been delayed allowing sufficient time for the legislative process to conclude. The report described the four aims of the ICS and the national core building blocks of an ICS.

 

In Greater Manchester this would mean a shift from the Greater Manchester Health & Social Care Partnership (GMHSCP) arrangements to a new Greater Manchester ICS and ICB. Work is underway to prepare for this shift, determining the future role and governance of the GM ICS and ICB and the 10 localities in the new structure. Noting that Manchester’s Local Authorities and NHS leaders had both contributed to the development of the GM ICS and ICB arrangements and had worked to develop locality arrangements for the City of Manchester.

 

The Board noted that Sir Richard Leese had been appointed Chair designate of the Greater Manchester ICB along with two non-executive directors. The Chief Executive Officer recruitment was currently in progress, with a planned interview date in February, and recruitment to the Chief Finance Officer, Medical Director and Chief Nurse roles had also commenced.

 

The Board endorsed the work reported to date, noting the challenges presented by the pandemic and welcomed the priority given to post pandemic recovery across all settings and continued commitment to address health inequalities.

 

Decision

 

The Board note the report and support the refreshed Locality Plan.

6.

Child Death Overview Panel (CDOP) Annual Report pdf icon PDF 140 KB

The report of the Barry Gillespie, Consultant in Public Health, Chair of the Manchester Child Death Overview Panel is enclosed.

Additional documents:

Minutes:

The Board considered the report of the Consultant in Public Health, Chair of the Manchester Child Death Overview Panel that described that the Manchester Child Death Overview Panel (CDOP) was a subgroup of the Manchester Safeguarding Partnership (MSP) and reviewed the deaths of children aged 0-17 years of age (excluding stillbirths and legal terminations of pregnancy) that were normally resident in the area of Manchester City. 

 

The report described that in line with the Child Death Review: Statutory and Operational Guidance (England) published October 2018, the CDOP had a statutory requirement to produce a local annual report which provided a summary of the key learning and emerging trends arising with the aim of preventing future child deaths. 

 

The report provided a description of the Child Death Review Process, in term of both national and local arrangements, noting that national line of accountability had transferred from the Department for Education (DfE) to the Department of Health and Social Care (DHSC). 

 

The Director of Public Health paid tribute to the staff working within the Manchester Child Death Overview Panel, adding that the arrangements in Manchester were regarded nationally as an exemplar model. In response to a comment from a Board member who discussed the need to support families and align strategies, he stated that the approach and findings of the Manchester Child Death Overview Panel were regularly reviewed and refreshed to ensure they aligned with wider policies, such as Early Years and Early Help.

 

Decision

 

The Board note the report.