Report of GP Board Member, MHCC and Director of Population Health, MHCC is enclosed.

The Board considered the joint report that provided an update on the following areas of activity, Zero Carbon Framework (2020-38); Air Quality and Respiratory Disease. The report also provided an update on the recommendations of the Manchester Public Health Annual Report 2018 on Air Quality.

The Board welcomed Jonny Sadler, Programme Director, Manchester Climate Change Agency who described that in November 2018, Manchester City Council had adopted new climate change targets for the city, based on work by Manchester Climate Change Agency and the Tyndall Centre for Climate Change Research at the University of Manchester. The targets commit Manchester to limit its CO₂ emissions to 15 million tonnes during the period 2018-2100, our ‘carbon budget’ (recognising that the city currently emits 2 million tonnes per year); rapidly reduce CO₂ emissions, by an average of at least 13% year-on-year and; and become a zero carbon city by 2038 at the latest.

Mr Sadler said that he recognised and welcomed the stated commitments and ambitions of all Partners to achieve these challenging targets, however challenged them to do more. He said the NHS needed to consider their direct emissions from buildings and the ‘hidden’ emissions generated and provided examples of these.

The Board then heard from Claire Igoe at MFT, Martina McLaughlin from MHCC and

Naomi Makin from the Greater Manchester Mental Health NHS Foundation Trust who

described the actions and initiates delivered and planned for their respective sites to

engage with staff around the issue of climate change.

Dr Murugesan Raja described that emissions aswell as contributing to global climate change, carbon-based activities in Manchester also exacerbate the city’s air quality and associated respiratory problems. He stated that action was needed to address the risks to Manchester residents from the changing climate, such as extreme heat; heavy rainfall and potential flooding and other local risks due to climate change.

Dr Murugesan Raja informed the Board that MHCC continued to focus on respiratory disease as one of the key long term conditions to address poor health outcomes in Manchester.      He advised that it was recognised that in order to address respiratory inequalities a system wide approach to change was required. He said that MHCC were therefore working in partnership with primary care, community care, secondary care, patient engagement and RightCare to address this.

Dr Murugesan Raja informed the Board that MHCC had developed a set of Manchester wide standards, based on the Greater Manchester Standards for primary care that would focus on Chronic Obstructive Pulmonary Disease (COPD) patient reviews; review of COPD patients following an exacerbation; asthma reviews in adults; asthma reviews in children; COPD Virtual Clinic for 2019/20 and pharmacotherapy for smoking cessation 2019/20.

The Director of Population Health informed the Board of the updates to the recommendations of the Manchester Public Health Annual Report 2018 on Air Quality as detailed within the report.

The Board discussed the challenge presented to becoming a zero carbon city by 2038 at the latest. Members of the Board discussed the need for an improved public transport infastructure and the need to engage with SME’s (Small and medium-sized enterprises) in relation to reducing their carbon emissions.

A Member of the Board commented that the voluntary and community sector (VCS) predominatlley used rented accomodation which limited the influence they had over the physical building and the associated emmisssions. The Board member suggested that consideration needed to be given as to how partners could collectively use thier estates to support VCS partners.

A Member of the Board commented that all Partners should use all communications channels and opprtuities to promote the importance of climate change and celebrate positive news stories and promote good practice.

The Chair commented that it was important to recognise that many residents in Manchester experienced challenges and climate change may not be a priority consideration for them, however the health service was ideally placed to engage with residents, in a relevant and meaningful way to influence individual behaviour change.

Decision

To note the report.