Agenda and draft minutes

Agenda and draft minutes

Health and Wellbeing Board - Wednesday, 2nd November, 2022 10.00 am

Venue: Council Antechamber, Level 2, Town Hall Extension

Contact: Andrew Woods 

Note: The meeting can be viewed using this Vimeo link: https://vimeo.com/761452473 

Media

Items
No. Item

20.

Appointment of Chair

Minutes:

The Committee Support Officer informed members that the Chair had sent apologies for the meeting and asked for nominations for a Chair for the meeting.  Councillor T Robinson was nominated by a Board member, this was seconded and agreed by the Board.

 

Decision

 

To appoint Councillor T Robinson as Chair for the meeting.

 

21.

Minutes pdf icon PDF 71 KB

To approve as a correct record the minutes of the meeting held on 6 July 2022.

Minutes:

Decision

 

To approve the minutes of the meeting held on 6 July 2022 as a correct record.

 

22.

Reset of the role of the Health and Wellbeing Board pdf icon PDF 74 KB

The report of the Director of Public Health is enclosed.

Additional documents:

Minutes:

The Board considered the report of the Director of Public Health that set out how the Board would operate under the revised Integrated Care System arrangements from January 2023, noting that it had previously been agreed to revisit the role and function of the Board once the new Greater Manchester (GM) NHS Integrated Care System was established.

 

The Chair stated that all partners listed in Appendix 2 of the report to be written to inform them of the arrangements from 2023, noting that the proposal would be to convene three times per year and to have nominated deputies from each statutory representative.

 

The Chair also recommended that an update report be submitted for consideration at the January 2023 meeting.

 

Decision

 

1.  The Board agree the revised arrangements set out at section three of report and the appendices and specifically:

 

a.  Approve the use of the Our Manchester Strategy Outcomes as the Board reporting Framework.

b.  Approve the revised terms of reference and membership.

c.   Move to three meetings each municipal year.

d.  Review the terms of reference and membership annually.

 

2.    To submit an update report to the January 2022 meeting of the board.

 

23.

Manchester Public Health Annual Report pdf icon PDF 69 KB

The report of the Director of Public Health and enclosed.

Additional documents:

Minutes:

The Board considered the report of the Director of Public Health that described that as part of the statutory role of the Director of Public Health there was a requirement to produce an annual report on the health and wellbeing of the local population, highlighting key issues.

 

The Board noted that the report could either be a broad overview of a wide range of public health programmes or may have a focus on a particular theme. This year the focus continued to be on the City’s response to Covid-19, capturing our response during the second year of the pandemic. This report was a successor to the 2021 Annual Report, The Manchester Difference. The two are designed to be viewed together as a complete reflection on the most acute stages of the pandemic and the beginning of our efforts to recover, from January 2020 to August 2022.

 

In introducing his report, the Director of Public Health paid tribute to all those professionals and volunteers across the city who had responded collectively to the pandemic, with particular reference given to the nurses at the Central Coordination Hub.

 

The Assistant Director of Public Health provided an outline of the work on the Annual Report and the importance of the document as a record for the city and the input of the people involved.

 

The Executive Member for Healthy Manchester and Adult Social Care welcomed the report and stated that the report was excellent both in term of content, style and substance. He stated that this was an important document in terms of a historical record of the Manchester response to the pandemic. He also welcomed the person-centred approach to the document and how this captured personal testimonies that highlighted the Manchester spirit. He further recognised the importance of this document and the learning to inform any response to a potential future pandemic. He stated that the report was testament to the stated ambition for the city to address health inequalities. He referred to the quote in the report that ‘The Manchester message had to be a bold, brave and trusted voice’ and stated that the report demonstrated that it had been.

 

Decision

 

To note the report.

 

24.

Manchester Healthy Weight Declaration pdf icon PDF 81 KB

The report of the Director of Public Health is enclosed.

Additional documents:

Minutes:

The Board considered the report of the Director of Public Health that described that the Healthy Weight Declaration had been developed by Food Active! a healthy weight programme delivered by the Health Equities Group, commissioned by Local Authority Public Health and NHS Teams. It is a strategic, system-wide commitment made across all council departments to reduce unhealthy weight in local communities, protect the health and wellbeing of staff and residents and make an economic impact on health and social care and the local economy.

 

The declaration presented the opportunity for local authorities to lead local action and promote healthy weight and overall good health and well-being in communities. It had been adopted by a number of local authorities across the country, including several in the North-West. Manchester had developed a local declaration that would support and promote city-wide activity under the four strands of the Healthy Weight Strategy. It would instigate a communications plan that would see the declaration promoted across stakeholder venues in the city (e.g., GP surgeries, sports centres, school canteens, green spaces), giving leverage for the engagement of a broad range of partners under our whole-system approach while recognising the economic challenges that families face with the cost of living. 

 

The Board welcomed the report and supported the Healthy Weight Declaration. Members noted that this would require difficult conversations to be had with residents, especially in the context of the cost-of-living crisis. Members recognised the importance of prevention work, and work with young people and children undertaken in neighbourhoods to address obesity. Members noted the significant consequences that obesity had on a person’s health outcomes, and this was the reason why these difficult conversations were so important.

 

The Board were advised that the findings of the National Child Measurement Programme would highlight the impact of the pandemic on obesity rates in children. The Board were informed of a range of programmes around the topic of healthy eating and food preparation that had been delivered in Wythenshawe, noting this was one example of projects delivered locally however the ambition was to scale these up. The Board were also advised of the work of the Manchester Food Board, Chaired by Councillor Rawlins, Executive Member for Environment and Transport, adding that this work had been reported to the Health Scrutiny Committee.

 

Decision

 

The Board approve the Healthy Weight Declaration.

 

25.

Gambling Related Harms pdf icon PDF 494 KB

The report of the Director of Public Health is enclosed.

Additional documents:

Minutes:

The Board considered the report of the Director of Public Health provided an update on the national, regional, and local context of Gambling Related Harms. This included a summary of the key findings from the Public Health England (PHE) Gambling-related harms evidence review and the recently published Greater Manchester (GM) Strategic Needs Assessment on Gambling Related Harms.

 

The report provided an overview of some of the activities that had been taking place to support the strategic development of the gambling related harms programme both locally and sub-regionally.

 

The report was seeking approval for the development of a local gambling related harms plan which would be aligned to the priorities set out in the GM ‘Preventing and Reducing Gambling Related Harms Programme’. It would aim to respond to the findings from GM Strategic Needs Assessment and prioritise the delivery of key activities over the next 12 months.

 

The Board in welcoming the report acknowledged the appropriate tone of the communications campaign. The Board further welcomed the acknowledgement that for every individual person directly affected by their own gambling, an average of six others were indirectly affected, noting that gambling affected the most vulnerable and those experiencing deprivation. The Board noted that gambling, particularly that associated with sports had become increasingly normalised in society. The Board discussed that the prevalence of gambling was increasing in the cost of living crisis, commenting that often people regarded gambling as a route out of poverty.

 

The Chair stated that he welcomed the report and commented that it was very accessible. He requested that this report and the accompanying presentation be circulated to all partners and key stakeholders. The Director of Public Health advised that this would be arranged following the meeting.

 

Decision

 

The Board:

 

1. Acknowledge the Greater Manchester Strategic Needs Assessment on Gambling Harms.

 

2. Support the development of a local Gambling Related Harms plan in line with the GM Preventing and Reducing Gambling Harms Programme priorities.

 

3. Identify leads within their respective organisations and/or services to contribute to the development and/or delivery of the local Gambling Related Harms Plan.

 

26.

Cost of Living Crisis pdf icon PDF 55 KB

The report of the Interim Deputy Place Based Lead (Manchester) is enclosed.

Additional documents:

Minutes:

The Board considered the report of the Interim Deputy Place Based Lead (Manchester) that described that a Cost of Living (Health and Social Care) Task Group, chaired by the Interim Deputy Place Based Lead, had been established to coordinate the health and social care response to the cost of living crisis in Manchester.

 

The report described that as its first task, the Group had undertaken a piece of work to collate information from key health and social care organisations with a view to arriving at a collective understanding of the range of activities being undertaken in response to the crisis. In doing so, the Group had identified six common themes where collective action was being taken, with further activity planned. Additional focus has been placed on the priority wards where enhanced activity was most likely to be needed to mitigate against the impacts of the crisis.

 

Katy Calvin-Thomas, Manchester Local Care Organisation advised the Board that issues related to the cost of living crisis were being identified and escalated through the Integrated Neighbourhood Teams. She advised that for those residents who were identified as requiring additional assistance funding was available to provide equipment to enable people to remain living safely in their home.

 

The Board acknowledged that the cost of living crisis was impacting on all residents, recognising that this included staff and appropriate consideration needed to be given as to how best support staff. The Board noted that the cost of living crisis would impact people’s mental health and commented further that schools needed to be supported to ensure that no child went without a meal.

 

The Chair commented that the established partnership approach in Manchester would be essential to supporting residents in the city, adding that this issue would be prolonged. He further requested that information of the cost of living crisis helpline and the work undertaken by Angela Harrington, Director of Inclusive Economy in response to the crisis be circulated to all partners and key stakeholders. The Director of Public Health advised that this would be arranged following the meeting.

 

Decision

 

The Board note the report and committed to ensure their respective organisations continue to support this work.

 

27.

Children's Board Annual Report 2021-2022 pdf icon PDF 57 KB

The report of the Strategic Director of Children and Education Services is enclosed.

Additional documents:

Minutes:

The Board considered the report of the Strategic Director of Children and Education Services that described that The Children’s Board provided overall leadership for the shaping and delivering the vision for children, young people and their families, which is ‘Our Manchester – building a safe, happy, healthy and successful future for children and young people’. The Annual Report 2021 – 2022 provided an overview of the work undertaken by the Board and highlighted the strategic context in which the Board operated, and the progress made against key metrics in the outcomes framework.

 

The Strategic Director of Children and Education Services stated that Our Year had enabled significant engagement with young people at a locality level. He said that the brilliance, resilience and determination of young people in the city had shone through, adding that this gave him great confidence in the future. He said that the branding of Our Year had increased awareness and accessibility for young people, adding that this could be achieved with little cost. He said that making spaces and buildings available to support this activity had been very positive and he further made reference to the support offered by local businesses.

 

In response to a question on what can be done through the Board relating to children’s related health, following on from Our Year, the Strategic Director referred to early years and the limited engagement, interaction and social development of children born during the period of the pandemic. Practitioners are seeing a larger gap in some children’s school readiness and learning than seen before the pandemic. The response of the Board and the Public Health team will be to work towards closing the gap.

 

The Strategic Director of Children and Education Services called for Ambassadors from all partners to continue this work by ensuring that the voices of young people were heard, listened to and responded to. Further this voice should inform all planning and decision making. He further made reference to the recent motion passed by Council to ‘Supporting Our Children and protecting Care Leavers’ that called for the inclusion of “young people in care” and “care experienced young people” as an additional characteristic in the Council's Equality Impact Assessments, stating that this was very significant.

 

The Chair stated that Our Year had been a political and strategic priority for the Council, and he paid tribute to the Strategic Director of Children and Education Services and the Executive Member for Early Years, Children and Young People for their dedication and commitment to the young people of the city. The Board was informed that through discussions with other authorities, Our Year has been recognised in other cities and its purpose has resonated widely with colleagues.

 

Decision

 

The Board:

 

1. Note the report and recognise the progress that has been made during the reporting period and priorities identified.

 

2. Recognise the strategic importance of the Children’s Board and continue to provide the necessary governance.

 

28.

Better Care Fund (BCF) return pdf icon PDF 77 KB

The report of the Senior Planning and Policy Manager, NHS GM Integrated Care is enclosed.

Additional documents:

Minutes:

The Board considered the report of the Senior Planning and Policy Manager, NHS GM Integrated Care that described that NHS England had requested that a BCF return was completed for Manchester which demonstrated the plan to successfully deliver integrated health and social care.

 

The plan focused on the requirement to reduce long length of stay in acute settings and to provide support for people to remain in the community by having effective discharge pathways and social care provision.

 

NHS England requested that the plan was approved by the Health and Wellbeing Board retrospectively as the plan needed to be submitted to NHS England by 26 September 2022.

 

The Board welcomed the report and the approach described. The Chair stated that this approach would support the continued integration of health and social care to best support the residents of Manchester and improve health outcomes.

 

Decision

 

The Board:

 

1. Approve the Better Care Fund return.

 

2. Approve the narrative return in support of the Better Care Fund plan.

 

3. Approve the capacity and demand template.