Agenda and minutes

Venue: Training and Conference Suite, First Floor, Number One Riverside, Smith Street, Rochdale, OL16 1XU

Items
No. Item

32.

Declarations of Interest pdf icon PDF 27 KB

Members must indicate at this stage any items on the agenda in which they must declare an interest.  Members must verbally give notice of their interest at the meeting and complete the form attached with this agenda. 

 

Members are also advised to take advice with regard to any matter where there is potential bias or predetermination in any business to be considered at the meeting and whether they should take part in decision making at the meeting.

 

Members are reminded that, in accordance with the Localism Act 2011 and the Council's adopted Code of Conduct, they must declare the nature of any discloseable pecuniary interest; personal interest and/or prejudicial interest required of them and, in the case of any discloseable pecuniary interest or prejudicial interest, withdraw from the meeting during consideration of the item, unless permitted otherwise within the Code of Conduct.

Additional documents:

Minutes:

There were no declarations of interests.

33.

Minutes pdf icon PDF 77 KB

To consider the minutes of the meeting of the Health and Wellbeing Board held 29th November 2016.

Minutes:

DECIDED – that subject to the substitution of references in the minutes to the ‘Rochdale Council for Voluntary Services’ by ‘CVS Rochdale’, the Minutes of the meeting of the Health and Wellbeing Board held on 29th November 2016 be approved as a correct record.

34.

Minutes - Shadow Integrated Commissioning Board pdf icon PDF 57 KB

To note the minutes of the meetings held 13th December 2016 and 10th January 2017.

Additional documents:

Minutes:

DECIDED – That the Minutes of the meetings of the Shadow Integrated Commissioning Board held 13th December 2016 and 10th January 2017, be noted.

35.

Membership of the Integrated Commissioning Board pdf icon PDF 138 KB

Minutes:

The Health and Wellbeing Board considered a report of the Assistant Director (Legal, Governance and Workforce) which advised the Board of the appointment of Denise Dawson to the vacant position for a Lay Member of the Clinical Commissioning Group on the Integrated Commissioning Board (ICB). The report also invited the Board to consider a proposed revision to the membership arrangements of the ICB.

 

A review of the Terms of Reference for the ICB was referred to the ICB, the Health and Wellbeing Board and the Governing Body of the Clinical Commissioning Group.  The proposal has been made by the Clinical Commissioning Group and considered by the ICB; consent was therefore required from this Board to the change in membership arrangements.

 

The ICB was established and meets in shadow form to develop understandings and arrangements for joint commissioning between the Council and the Clinical Commissioning Group of health and social care services and to make recommendations in this regard to the Council’s Cabinet and to the Clinical Commissioning Group Governing Body.  The ICB also meets as a formal Sub-Committee of this Board to deal with delegated matters relating to the Better Care Fund.  The current membership of the ICB is seven members each from the Council and the Clinical Commissioning Group.

 

The agreed terms of reference for the Integrated Commissioning Board provided for equality between the two partners in terms of membership, quoracy and voting rights.  It has been considered desirable to maintain such an approach. In an effort to maintain that equality, it was proposed that the Council’s Chief Executive be nominated for membership of the ICB, and it was proposed that the matching appointment of a second Clinical Commissioning Group Lay Member for membership of the Board be made. This proposal was supported by the Integrated Commissioning board at a meeting held on 10th January 2017.

 

DECIDED – That (1) the appointment of Denise Dawson to the ICB be noted;

(2) the Board approves the proposed amendment of the terms of reference of the ICB by increasing the membership by the addition of the Council’s Chief Executive, Mr Steve Rumbelow and Mr. Paul Rowen as a second Lay Member of the Clinical Commissioning Group.

36.

Oral Health

Minutes:

The Health and Wellbeing Board received a presentation from the Oral Health Improvement Officer (Public Health and Wellbeing Directorate) which updated and informed Members on oral health outcomes for children and advised of initiatives that the Greater Manchester Health and Social Care Partnership and Greater Manchester Children’s Partnerships were undertaking especially with regard to the completion of a feasibility study for fluoride schemes across Greater Manchester including fluoridation of the domestic water supply.

 

Members of the board were advised on and requested to consider alternative fluoride schemes with cited examples from other Local Authorities, including the West Midlands, which had a similar socio-economic, cultural and demographic profile to Greater Manchester but had vastly superior levels of oral health due mainly to the fact that the domestic water supply was fluoridated. Walsall MBC was a statistical neighbour’ of Rochdale Borough Council but their residents enjoyed higher levels of oral health.

 

In discussing the presentation the Board requested that actions to address oral health outcomes for children continue to be monitored mainly by the Children and Young People’s Partnership, the Portfolio Holder for Children and Young People and the Portfolio Holder for Culture, Health and Wellbeing. The Board also asked that the Council proposes the commissioning by the Greater Manchester Combined Authority of a feasibility study for a Greater Manchester wide approach to fluoride schemes including the fluoridation of water, supporting an earlier Cabinet recommendation, in this regard. It was stressed that placing fluoride in the water supply would be a population approach to Dental caries that would not rely on individual behaviour change. It was a complex scheme that would be difficult to progress at a local level requiring collaboration across Greater Manchester and beyond.

 

DECIDED – That (1) the presentation be noted and welcomed;

(2) the Health and Wellbeing Board supports feasibility work around the promotion of fluoride in Greater Manchester’s domestic water supply and support for this initiative be sought from Leaders, Chief Executive’s and Directors of Public health from all other Councils who constitute the Greater Manchester Combined Authority.

37.

Health and Wellbeing Alliance

Presentation by CVS Rochdale

Minutes:

Michelle Warburton updated the Health and Wellbeing Board with regard to the progress towards the implementation of the Voluntary Sector Health and Wellbeing Alliance Model.  The purpose of the Model was to strengthen partnership working within the voluntary, community, faith and not for profit social enterprise sector, and between the sector and public bodies.

 

This model was developed in order to create a single voluntary sector health and wellbeing alliance made up of thematic partnerships of voluntary, community, faith and not for profit social enterprise organisations working collectively to improve health and wellbeing.

 

Greater Manchester devolution and Locality Plans required a model for the engagement of the Voluntary Sector to engage with the Plan. The Voluntary Sector Health and Wellbeing Alliance model was developed as a result of consultation with the wider sector in order to link to public service reform and locality plan priorities and had taken into consideration the limited resources available from public bodies and was intended to be inclusive for all voluntary, community, faith and not for profit social enterprise sector organisations.

 

The Board was informed that the Health and Wellbeing Alliance leadership group is to be made up of the lead organisation representatives from each of the thematic partnerships and is intended to include other relevant stakeholders such as HealthWatch Rochdale, Link4Life, CVS Rochdale, Big Life Group and Rochdale Boroughwide Housing for example and would lead on behalf of the voluntary sector on health and wellbeing within the Borough, aiming to improve partnership working within the sector, and between the sector and public bodies in particular to work in partnership to:-

           Provide services that empower local residents to help themselves

           Encourage greater independence and healthy lifestyles

           Make access to services provided by not for profit organisations easier to access.

 

The Board offered their thanks to Michelle Warburton and her team at CVS Rochdale for their continued work to ensure that the Voluntary Sector Health and Wellbeing Alliance Model was developed effectively.

 

DECIDED – That the presentation be noted and welcomed.

38.

Health Protection Update pdf icon PDF 635 KB

Minutes:

The Health and Wellbeing Board received a report from the Rochdale Borough Health Protection Working Group regarding working arrangements, performance and action that was being taken to protect the health of residents in 2016. The report focused on updating on working arrangements and immunisation and screening.

 

The Board was advised that health protection sought to prevent or reduce harm caused by, but not confined to, communicable diseases, to ensure effective infection prevention and control, to minimise health impacts from environmental, chemical and radiation hazards and extreme weather events. The Board was also informed of the excellent screening and immunisation programmes that existed to prevent or to detect diseases and to ensure that the public’s health is protected in the event of an emergency situation.

 

The report assured Members on major programmes such as the national immunisation and screening programmes, the provision of health services to diagnose and treat infectious diseases and to ensure that there existed a robust approach to planning, surveillance and response to incidents and outbreaks.

 

There was an active Greater Manchester Health protection work programme that dealt with a wide range of issues that supported Greater Manchester and also local responses on health protection. At a local level Rochdale Borough had an established Health Protection Working Group which provided mechanisms for warning and informing on local health protection issues within the Borough. The Group is chaired by Rochdale’s Consultant in Public Health and had membership from Public Health England, NHS England, RBC Public protection, AGMA Resilience service, Heywood Middleton and Rochdale Clinical Commissioning Group (HMR CCG) and the Cabinet Portfolio holder for Culture, Health and Wellbeing.

 

The Board in considering the report noted the increased levels of bowel cancer screening, the figures for late HIV diagnoses and the alarmingly high percentage (50%) for missed appointments across the NHS footprint. The Board asked that update reports on this matter be presented top future meetings approximately every six months.

 

DECIDED – That (1) the report be noted;

(2) future reports to the Health and Wellbeing Board on Health Protection measures be submitted approximately every six months.

39.

Health and Wellbeing Board - Draft Work Programme 2017/18 pdf icon PDF 86 KB

Minutes:

The Director of Public Health submitted a draft work programme for future meetings of the Health and Wellbeing Board into 2017/18. The Director was looking to have ‘themed’ meetings in the future that would be guided and accompanied by presentations that would be designed to encourage discussion and debate. It was also suggested that the Health and Wellbeing Board have a separate development session, early in the 2017/18 Municipal Year which would inform the Board’s Work Programme.

 

DECIDED – That (1) the report be noted;

(2) the Health and Wellbeing Board resolves to hold an informal Development Session at a date and time to be determined, early in 2017/18, for the purpose of developing its Work Programme.

40.

Rochdale Borough Safeguarding Adults Board Annual Report pdf icon PDF 134 KB

Additional documents:

Minutes:

The Board considered the 2015/2016 Annual Report from the Rochdale Borough Safeguarding Adults Board.

 

DECIDED – that the 2015/2016 Annual Report from the Rochdale Borough Safeguarding Adults Board be noted.

41.

Rochdale Borough Safeguarding Children Board Annual Report pdf icon PDF 115 KB

Additional documents:

Minutes:

The Board considered the 2015/2016 Annual Report from the Rochdale Borough Safeguarding Children Board.

 

DECIDED – that the 2015/2016 Annual Report from the Rochdale Borough Safeguarding Children Board be noted.