The Chair referred to a correction in the minutes relating to the title of Rebecca

Livesey - CEO Manchester Active and the inclusion of Karen Dyson (Voluntary and Community Sector representative) to the list of those present at the meeting.

Decision

To agree as a correct record, the minutes of the meeting of the Health and Wellbeing Board held on 20 March 2019, subject to the above changes.

The Board received a report from the Director of Workforce and Organisation

Development, MHCC and the Director of Population, Health and Wellbeing. The report provided and overview of progress in the delivery of a locality based approach to improving workplace health and wellbeing systems and outcomes for the combined health and social care workforce within the city.

The Director of Population, Health and Wellbeing introduced the report.

The Director of Workforce and Organisation Development, MHCC also addressed the board on the work that has taken place since the presentation of the first report in July 2017. Reference was made to the report appendix which provided progress and next steps on the 2017 Baseline Assessment report recommendations.

The Work and Skills Lead officer (MCC) reported that an assessment tool had been developed for use by employers and was ideal for integrated health and social care working. This approach had been agreed and supported by a wide number of individual organisations.

The Chair invited questions from the Board

A board member commented that the wellbeing of GP’s should also be considered and asked if there had been an outreach to independent organisations in view of the shortage of GP’s and the strain on the current service.

It was reported that GP’s could refer themselves or be referred to the Manchester Fit for Work service and the Working Well Early Help Service, as employees to support and enable them to stay in work and avoid long term illness. It was reported that extending the Employer Assistance Programme would be considered, as a possible option, across MHCC and the City Council.

Councillor Craig referred to issue of mental health and mental wellbeing across all employment sectors within the city and sought assurance that information learned from this area is helping to inform the mental health commissioning strategy. Officers were asked if recommendation 5 of the report could be reconsidered and looked at in a broader context than just employee assistance programmes to provide a wider and more generalised access to mental health services and enhancement of services

already commissioned.

It was reported that programmes currently exist across Manchester in conjunction with other GM Colleagues, this will include the commissioning of a specialist employment service in partnership with the GMCA and the GM Health and Care Partnership. Also, tools put in place by employers were helping with collective learning to help and support employees with mental health conditions and develop support to help unemployed residents.

A member referred to the health issues of staff and the initiatives that already exist that provide social value.

It was reported that the organisations are already taking part and offer activities to employees to help support employee health and the recruitment.

Further information would be included in the next update report to the Board.

The Chair stated that the work referred to in the report is important and indicates that there is an ambition to expand the work to both the population and the workforce and currently the organisations involved include over 30000 people. The Health and Wellbeing Board has looked at the relationship between work and health with the view that being in work is good for health as opposed to being out of work. The report looks at work and health differently and enforces the link that work provides positives for employees, their organisations and the people who receive their services.

Reference was also made to the Independent Prosperity Review and the

research on the review that underpins the Manchester Local Industrial Strategy which will be launched shortly. Research taken from the strategy suggested that a reason for low productivity in the GM area is ill health and the promoting of good health of employees will benefit the productivity of organisations. The Chair also referred to the Good Employment Charter which currently has twenty employers involved with the organisations now working towards the agreement on a set of standards that will be rolled out later in the year to promote better engagement with local employers. The Chair stated that the organisations that work to engage their employees find that the employees were more likely to be retained than those not

engaged.

Decisions

1. To note the findings of the report and the comments received.

2. To request officers to reconsider Recommendation 5 in view of the

comments made.

3. To note that a further progress report will be submitted to the Health and

Wellbeing Board in 2020.

The Board received a report from the Director of Planning and Operational Services,

Manchester Health and Care Commissioning which provided progress on the

Locality Plan: Our Healthier Manchester, with a focus on the following areas:

Single Hospital Service (SHS) – an update on the benefits realised postmerger

and the planned acquisition of North Manchester General Hospital; Manchester Health and Care Commissioning (MHCC) – an update on Phase 2, the further development of MHCC as a strategic commissioning organisation and the phased transfer of operational commissioning responsibilities to the LCO.

Ed Dyson introduced the report and verbal updates were provided by Matt Makin

(Medical Director NMGH) and Peter Blythin (Director SHS Programme – Manchester

University Foundation Trust).

The Chair invited comments from Board members.

A member commented that there was frustration at the pace of change, however

during this time there was a focus on ensuring that patient safety continues to be

protected. An inspection by the CQC was anticipated and the organisation was

confident and prepared for this test.

A member asked if the expected deadline for the transfer of NMGH to MFT set for

April 2020 would be achieved.

It was reported that the April deadline was the ambition however, the NHS I still has

two complex transactions to resolve and this may potentially jeopardise the deadline.

The Chair referred to the changes in MFT and taking account of the future with

NMGH and asked if this was included in the thinking in the progress being made

around Theme 3.

It was reported that Theme 3 was included within the process and discussions within

the Transaction Overview Group. Also the decisions on Theme 3 will be carried at a

GM Commissioner level and would include planning of scenarios relating to the

future of the NMGH site.

The Chair commented that the merger of hospitals can present problems however,

the work being done at NMGH was working and producing the health benefits

expected. Officers were congratulated on the progress being made. Officers were

also asked to include information about changes in senior management and board

level in the MHCC and MLCO report to a future meeting of the Health and Wellbeing

Board.

Councillor Craig suggested that the next joint MLCO/MHCC report submitted to the

Board will demonstrate the connection and ambition of the two organisations.

Decisions

1. To note the report submitted, including the progress made toward completing the Single Hospital System (SHS) and Manchester Health and Care Commissioning (MHCC) Phase 2 transformation programmes.

2. To note the comments received.

3. To request that the next report of the MLCO MHCC to the Health and

Wellbeing Board be presented as a joint report and include information

about changes in senior management and board level in the MHCC

and MLCO.

The Board received a report from the Director of Population, Health and Wellbeing which described the interim findings of the Manchester Joint Strategic Needs Assessment (JSNA) and outlined the next steps for further evaluation and action.

The final evaluation would be completed by September 2019.

The Chair invited questions from the Board.

A Board member welcomed the report and referred to the useful information it

contains and asked officers what changes would be made to address the issue of ward boundary changes and would those changes be incorporated in future updates.

It was reported that Office for National Statistics was working to address the 32 wards and new data would be available in the next few months.

The Chair referred to ward boundary data and reported that the Our Manchester Investment Board is working to harmonise existing boundaries of partner organisations to ensure joined up working and effective targeting.

The Chair of the MLCO reported that a report would be produced on joined up

services to a future meeting of the Board.

Decision

To note the report and the comments received.

The Board received a report from the Director of Population, Health and Wellbeing

presenting the cycle of Board meetings for 2019/20 Municipal Year. The Board was

requested to comment of items for inclusion of work items in the Forward Plan for the

meetings scheduled for the remainder of the year.

The Chair invited questions and suggestions from the Board.

Members made the following suggestions for inclusion in the Forward Plan:

·         Frailty – relating to - in hospital, out of hospital and primary care.

·         Children and Adult - multi agency safeguarding arrangements –

implementation.

·         Social prescribing and more innovative approaches to health and how this is

working for Manchester.

·         Changes to organisation and development changes at GM level in order to

understand the changes at a locality level.

·         Bringing services together in health and social care through the LCO.

Decisions

1. To note the report submitted.

2. To note the suggestions for future work items.

The report from the Deputy Chief Executive and City Treasurer outlined the final outturn position for 2018/19 for the Council’s revenue expenditure and income. For the previous financial year the outturn variance compared to the revised budget was an overspend of £293k. The summary of the overall position was:

The report examined and explained the most significant of the variances that had arisen in the directorate budgets and the corporate budgets, with large budget overspends in both Children’s and Adult’s Services as the Council had sought to cope with continuing high demands for support and service provision.

With respect to the General Fund reserve position, the 2018/19 budget had assumed there would be a transfer to the General Fund reserve of £31k, to give a balance of £22.338m. As the actual revenue budget outturn position was an overspend of £293k the balance on the General Fund Reserve at 31 March 2019 was £22.045m, with the budget overspend being taken from the reserve. The year-end General Fund balance was still deemed to be a reasonable amount for the risks the City Council is facing.

The report explained that the Housing Revenue Account (HRA) outturn position was a £11.064m favourable variance. That allowed for funding set aside to improve fire safety measures through the installation of sprinkler systems within council owned tower blocks. Those installations were to take place in 2019/20. The outturn also included £1.128m lower PFI payments due to delays in delivering the capital works on the Brunswick PFI scheme.

The report proposed the use of some of the Budget to be Allocated that had been set as part of the 2018/19 budget. These were:

·         £1.4m contribution to Manchester Health Care and Commissioning to be returned in 2019/20

·         £418k allocation to Homelessness to replace the Rough Sleepers grant allocation

·         £663k allocation to the Cross Cutting Saving target to avoid further saving requirements

·         £188k allocation for Waste and Street Cleaning Contract inflation in accordance with the methodology and formulae the annual inflation increase in accordance with the contract’s documentation

·         £340k to be released to support the revenue budget

Those were all supported.

The report also addressed requests for transfer to reserves and recommended the following:

·         The transfer to reserves of £36k to allow the High Street Cleaning service to perform future street cleaning and waste activities in 2019/20.

·         The transfer to reserves of £440k of Discretionary Housing Payments and Welfare Grant that had not been allocated at the end of 2018/19 and which could now provide increased capacity for welfare and housing support to Manchester residents in 2019/20

·         The transfer to reserves of £524k of rental income from the Arndale in 2018/19 that had been announced late in the previous financial year.

Those transfers were all supported.

Decisions

1          To note the outturn position for 2018/19 as set out in the report and summarised in Table 1 above.

2          To note the Housing Revenue Account position for 2018/19 as outlined above.

3          To note the overall General Fund position for 2018/19 as outlined above.

4          To approve the use of budgets to be allocated as set out above.

5          To approve the use of reserves as set out above.

A report was submitted seeking approval for the delegation of various executive functions to officers of the Council; those functions being recorded at Part 3, Section A of the Council’s 2019 Constitution. The report also sought approval for the delegation to officers of the Council’s various executive functions set out in Part 3, Section F of the Council’s 2019 Constitution.

The report explained the legal powers available to the Leader and to the Executive to arrange for the exercise of and delegation of executive functions within the Council. We supported the proposed delegations.

Decisions

1.       To note the decision of the Leader of the Council to exercise his power under Section 9(E)(2) of the Local Government Act 2000 (as amended) to delegate the discharge of all of the Council’s executive functions to the Executive.

2.         Subject to 3 below, to note and endorses the arrangements agreed by the Leader to delegate to officers the discharge of all of the Council’s executive functions recorded at Part 3, Section F of the Council’s Constitution as set out in the version of that section presented to Council at its Annual Meeting on 15 May 2019.

3.         To note and endorses subsequent minor amendments made to Part 3, Section F of the Council’s Constitution by the City Solicitor under Article 15.2(a) of the Constitution.

4.         To note and endorses the consequential amendments to the delegations of executive of functions to officers recorded at Part 3, Section A of the Council’s Constitution, made by City Solicitor under delegated authority granted by the Leader.

5.         In relation to the Scheme of Delegation to Officers set out in Part 3, Section F of the Council’s Constitution, to note that delegations of executive functions include those functions that are designated as “Executive Functions” and those functions that are designated as “General Functions” insofar as these are executive functions.

In May 2019 the Council had approved the establishment of the new Greater Manchester Transport Committee as a joint committee of the 10 districts, Greater Manchester Combined Authority and Mayor (Minute CC/19/47). The Council had also approved the Terms of Reference and Operating Agreement for the Committee and agreed to delegate functions as set out in the Terms of Reference. A report now submitted explained that some of the matters to be delated to the joint committee were Executive Functions and therefore their delegation lay with the Executive rather than the Council.

Decision

To note and endorse the establishment of the new GM Transport Committee as a joint committee of the 10 districts, GMCA and Mayor and the delegation of functions, including Executive Functions, as set out in the Terms of Reference to the Transport Committee.

Councillor Leech proposed a motion without notice to ‘suspend particular rules’ (Council Procedure Rule 19.1(k)). The motion was seconded by Councillor Kilpatrick.

Resolution

The motion was put to Council and voted on, and the Lord Mayor declared that it was lost.

The Council considered a report proposing the establishment of the Greater Manchester Transport Committee.

Decisions

(1)       To approve the establishment of the new Greater Manchester Transport Committee as a joint committee of the 10 districts, Greater Manchester Combined Authority and Mayor.

(2)       To approve the Terms of Reference and Operating Agreement for the Committee as set out in Schedule 1 of the report.

(3)       To delegate the functions as set out in the Terms of Reference to the Greater Manchester Transport Committee.

(4)       To appoint two members to the Transport Committee for 2019 – 2020, one being the Executive Member for Environment, Planning an Transport, and one other Councillor as recommended by the Constitutional and Nomination Committee.

(5)       To appoint as a substitute for the Executive Member the Assistant Executive Member for Environment, Planning and Transport, and to appoint another Councillor as the second substitute as recommended by the Constitutional and Nomination Committee.

The Council considered the dates of Council meetings for the forthcoming municipal year.

Decisions

(1)       To agree the following dates of ordinary meetings of the Council in 2019/2020:

Wednesday 10 July 2019                 Wednesday 2 October 2019

Wednesday 27 November 2019      Wednesday 29 January 2020

Friday 6 March 2020 (Budget)         Wednesday 25 March 2020

(2)       To agree that that the Annual Meeting of the Council 2020 will be on 20 May 2020.

The Leader of the Council moved the recommendations in the City Solicitor’s report about amendments and revisions to the Constitution.

Decisions

(1)       To adopt, subject to 3 below, the attached Parts of the Constitution of the Council, namely –

Part 3, Section F

Part 4, Section A

Part 8

(2)       To agree that the City Solicitor may make such consequential amendments to other Parts of the Constitution as may be required to reflect the changes made to the Parts referred to in 1 above;

(3)       To note that, in relation to Part 3, that responsibility for the discharge of executive functions and the delegation of such responsibility rests with the Leader of the Council and that the recommended delegations of executive functions as set out in the attached Part 3, Section F (Scheme of Delegation to Officers) are for the information of the Council only;

(4)       To note that the Leader has approved the delegations of executive functions contained in Part 3, Section F and has agreed that the City Solicitor may make any consequential amendments to Part 3, Section A (Local Choice Functions) of the Constitution, insofar as they relate to executive functions; and

(5)       To note that the report submitted represents an interim review of the Constitution and a report on a full review will be brought to the Council’s October meeting.

The Lord Mayor invited nominations for election as Leader of the Council.

Councillor Richard Leese was proposed by Councillor Lanchbury and seconded by Councillor Evans.

After the Council voted on this, the Lord Mayor declared that Councillor Richard Leese was elected.

Decision

To elect Councillor Richard Leese as Leader of the Council.

The Lord Mayor invited nominations for the office of Deputy Lord Mayor for the forthcoming municipal year.

Councillor Tommy Judge was nominated by Councillor Leese and Seconded by Councillor Lanchbury and the Council voted by acclamation. The Lord Mayor declared that he had been appointed.

Councillor Judge read out the Declaration of Acceptance of Office and was invested with the badge of office.

The Lord Mayor invited nominations for the office of Lord Mayor for the forthcoming municipal year.

CouncillorAbid Latif Chohan was nominated by Councillor Leese and seconded by Councillor Lanchbury and the Council voted by acclamation.

The Lord Mayor declared that Councillor Abid Latif Chohan was elected Lord Mayor of Manchester for the forthcoming municipal year.

Councillor Chohan then read out the Declaration of Acceptance of Office. The Council adjourned briefly while the new Lord Mayor was robed.

When the meeting resumed, the Lord Mayor Councillor Abid Latif Chohan took the Oath of Allegiance and was invested with the badge of office.

Decision

To agree the minutes of the meeting of the Council held on 27 March 2019 as a correct record.