Agenda and minutes

Agenda and minutes

Health and Wellbeing Board - Wednesday, 28th August, 2019 10.00 am

Venue: Council Antechamber, Level 2, Town Hall Extension, Manchester, M60 2LA

Contact: Andrew Woods 

Media

Items
No. Item

24.

Appointment of a Chair

Additional documents:

Minutes:

In the absence of Councillor Leese, a nomination was sought for the chair of the meeting.

 

Decision

 

That Councillor Craig is appointed as chair of the meeting.

25.

Minutes pdf icon PDF 226 KB

To approve as a correct record the minutes of the meeting held on 3 July 2019.

Additional documents:

Minutes:

The minutes of the meeting held of 3 July 2019 were submitted for approval.

 

Councillor Craig and Councillor Bridges advised that their apologies for the meeting had not been recorded and asked that the minutes be amended to reflect this.

 

Dr Ruth Bromley advised that Dr Claire Lake represented MHCC Board and not South Manchester Board as recorded in the minutes and asked that this too be amended

 

Decision

 

The minutes of the meeting were approved as a correct record subject to the above amendments.

26.

Transformation Accountability Board – Priority Themes pdf icon PDF 198 KB

Report of Executive Director of Strategy, Manchester Health and Care Commissioning is attached.

Additional documents:

Minutes:

The Board considered a report from the Executive Director of Strategy, MHCC.  The report was introduced by the Director of Strategy (MHCC), Julie Taylor, who provided an overview of the review undertaken by the Transformation Accountability Board (TAB) on the progress in the delivery of the Manchester Locality Plan (MLP).

 

It was reported that the TAB had concluded that more senior leadership focus was required on a number of key priorities and to address this, the format of TAB meetings had been refreshed to enable a clear focus on key priorities, actions and risks associated with the seven priority themes of the MLP. It was explained that each Priority Theme would now be sponsored by a Chief Executive/Accountable Officer and led by an Executive Director Lead.  In addition, work had also been undertaken to identify a set of hihg level performance indicators that would provide a more quantitative view of the impact of the transformation programme

 

The Chair invited comments and questions from Board Members.

 

Board Members were in support of this new approach and the only query raised was to seek reassurance that in determining the seven priority themes, the TAB had not overlooked or omitted anything.

 

The  Director of Strategy (MHCC) reassured the Board that there had been nothing overlooked or omitted from the seven priority themes identified and there had been a great deal of consensus on what these themes should be.  What the review had helped with was identifying other programmes that would benefit from a higher level of focus and leadership, with reference around the population health agenda and prevention and health inequalities.

 

The Chair advised the Board that subject to the Board supporting the new arrangements, it would change some of the reporting to future meetings, resulting in thematic reporting around the system rather than just organisations presenting reports on their progress.

 

Decisions

 

The Board

 

(1)       notes the report;

(2)       supports the new approach to be taken in the delivery of the Manchester Locality Plan (MLP)

 

27.

Primary Care Networks – Implications for Manchester pdf icon PDF 463 KB

Report of Medical Director, Manchester Health and Care Commissioning and Chief Medical Officer, Manchester Local Care Organisation is attached.

Additional documents:

Minutes:

The Board considered a report from the Medical Director, Manchester Health and Care Commissioning and Chief Medical Officer, Manchester Local Care Organisation and a presentation which was introduced by the Medical Director (MHCC), Dr Manisha Kumar and the Chief Medical Officer (MLCO), Dr Sohail Munshi, who informed the Board of the introduction of Primary Care Networks (PCNs), and outlined progress on their establishment in Manchester, as well as wider implications for the City.

 

In particular, the report focused on how PCNs would fit into the development of integrated place-based care in neighbourhoods, and the Manchester Local Care Organisation (MLCO).  It was reported that Manchester’s focus in terms of the integration of health and social care at a local place-based level had been through the neighbourhood arrangements.  In the context of Bringing Services Together, MLCO was working with a range of partners in neighbourhoods to enhance the approach to integrating health and social care and addressing the wider determinants of health.  In this context, it was recognised that PCNs and neighbourhoods were not identical, but had very similar aims and in most cases, similar geographies.

 

It was noted that PCN’s had been established with challenging timescales.  The national guidance had only come out in January 2019, but they had been assisted locally by the fact that Manchester had a number of the building blocks in place to ensure the relatively smooth and effective implementation. Whilst there was general agreement in Manchester that the 12 Neighbourhoods should act where possible as the basis of Manchester’s PCNs, it should be noted that the guidance reinforced the view that PCNs should develop ‘bottom up’ from the Practices themselves. It was also explained that broadly, neighbourhoods were focusing on the integration of health and social care, whilst PCNs were focusing on Primary Care service delivery, and how they deliver their requirements under the PCN Directed Enhanced Service (DES).It was explained that there were and would be growing links between PCNs and neighbourhoods, and the ambition was to align where possible. It was also recognised that not all PCNs would move forward at the same pace, and some may wish to approach delivery of their PCN DES requirements in different ways.

 

The Chair invited questions from Board Members.

 

A Board Member queried how would MHCC overcome the challenge of the different contractual obligations of the PCN and the priorities of the neighbourhood marrying together whilst achieving the asks of the neighbourhood.

 

Dr Kumar advised that as the guidance and proposed framework was national and not tailored towards Manchester, there was some scope within the system whereby if Manchester was fulfilling the vision of Networks integrated into communities and place based care, the delivery of this would be, to some degree, down to Manchester.  It was also reported that with strong supporting leadership to the 14 Networks, it was hoped that there would be appropriate system support available. Dr Munshi advised that it was envisaged that by ensuring that the Clinical Director and Neighbourhood  ...  view the full minutes text for item 27.

28.

Draft Manchester Pharmacy Needs Assessment 2020-2023 pdf icon PDF 142 KB

Report of Director of Public Health/Population Health and the Consultant in Public Health is attached.

Additional documents:

Minutes:

The Board received a report from the Director of Population Health/Public Health and Consultant in Public Health.  The report was introduced by the Consultant in Public Health, Barry Gillespie, who provided an overview of the work undertaken by the Pharmaceutical Needs Assessment (PNA) Steering Group on the development of the next PNA for 2020/23 on behalf of the Board.

 

It was reported that regulations stated that the Board must undertake a minimum 60 day  consultation on the content of the PNA. It was therefore proposed that that the consultation period for the Manchester PNA ran from Monday 2 September until Friday 1 November 2019.

 

The Chair invited comments and questions from Board Members.

 

Councillor S Murphy proposed that in terms of the consultation, it needed to invite people to make responses to the proposals rather than assume that there would not be any responses that changed the content of the document as currently drafted.  The Consultant in Public Health acknowledged this point and agreed to take this on board before issuing the document for consultation.

 

A Board Member asked that as part of the consultation, consideration be given to the challenge of delivering prescriptions to patients who were often house bound late in the day. The Consultant in Public Health acknowledged this point and agreed to take this on board as part of the consultation.

 

Decisions

 

The Board:-

 

(1)       Agrees to the consultation starting on 2 September 2019; and

(2)       Agrees to receive the final version of the PNA at its meeting in January 2020.

 

 

29.

Draft Manchester Public Health Annual Report 2019 pdf icon PDF 109 KB

Report of Director of Public Health/Population Health and the Consultant in Public Health is attached.

Additional documents:

Minutes:

The Board received a report from the Director of Public Health/Population Health and Consultant in Public Health.  The report was introduced by the Consultant in Public Health, Sarah Doran, who provided an overview of Manchester’s Public Health Annual Report 2019.  It was explained that the report could either be a broad overview of a wide range of public health programmes and activities or have a focus on a particular theme.  The 2019 report had a focus on the first 1,000 days of a child’s life, from conception through to the age of 2 years old.

 

It was explained that evidence had identified how the first 1000 days were critical to child development and that if a child’s development fell behind the norm during the first years of life, it was more likely to fall even further behind in subsequent years than to catch up with those who had had a better start.  The report went on to outline five recommendations that were intended to improve the health outcomes in the first 1000 days and throughout a child’s life.

 

Board Members were advised that progress was already being made against some of the recommendations.

 

The Chair invited comments and questions from Board Members

 

Councillor Bridges commented that the report was well written and presented in a good style.  He suggested that there was a need to be conscious of the challenges within the system and that these could be more made clearer within the report.  He also commented on the challenges of integration across multiple systems and governance structures.

 

Decisions

 

The Board

 

(1)          Notes the final draft of the report; and

(2)          Supports the recommendations listed in the final section of the report.

 

 

 

 

30.

Prevention Green Paper Consultation pdf icon PDF 245 KB

Report of Director of Public Health/Population Health and Consultants in Public Health is attached.

Additional documents:

Minutes:

The Board received a report from the Director of Public Health/Population Health and Consultant in Public Health.  The report provided a brief overview of the Prevention Green Paper, issued for consultation on 23 July 2019.

 

The Association of Directors of Public Health (ADPH) had given a cautious welcome to the publication of the Green Paper.  The ADPH had acknowledged that there was a small window of opportunity to influence the prevention policy of the current Government and were encouraging every Local Authority area to provide a detailed response to the consultation

 

Board Members were encouraged to discuss the Green Paper in their respective meetings, forums and networks and send any responses to the Director of Public Health/Director of Population Health (DPH) who would then collate all of the responses and the Manchester submission to the Government would be signed off by the Chair of the Health and Wellbeing Board in advance of 14 October consultation.

 

The Chair recommended that a response should be sent from the Director of Public Health on behalf of the Board and also from individual organisations represented on the Health and Wellbeing Board

 

Decision

 

The Board agrees that a response should be sent from the Director of Public Health on behalf of the Board and also from individual organisations represented on the Health and Wellbeing Board.