To receive any apologies for absence.

Apologies for absence were received from Councillors Emsley and Wardle, Dr. Alam and Sharon Hubber. 

The Board also received apologies from Dr. Duffy and Liz Windsor-Welsh.

Members are requested to approve the minutes of the meeting held on 25^th Apr 2022

To follow

RESOLVED that the minutes of the meeting held on 25^th Apr 2022 be approved as a correct record.

Members are required to declare any disclosable pecuniary, personal or personal and prejudicial interests they may have and the nature of those interests relating to items on this agenda and/or indicate if S106 of the Local Government Finance Act 1992 applies to them.   

There were no declarations of interest received

To determine any items on the agenda, if any, where the public are to be excluded from the meeting.

There were no items for exclusion of press and public

To determine whether there are any additional items of business which, by reason of special circumstances, the Chair decides should be considered at the meeting as a matter of urgency.

There were no items of urgent business received

The Board is asked to appoint a Vice-Chair for Municipal Year 2022/23. The Vice-Chair would be appointed amongst the voting members of the Health and Wellbeing Board. The Vice-Chair will be in post for the entire duration of Municipal Year 2022/23

The Director of Public Health informed that following approval at Annual Council on 18th May 2022 of the revised terms of reference for the Health and Wellbeing Board, the Vice-Chair of the Board would be appointed on annual basis at the first meeting of the Municipal Year and would be elected from the Health and Wellbeing Board voting membership.  

The Senior Officer continued informing that the proposal for this year was to appoint the NHS GM Clinical Director (Heywood Middleton and Rochdale) but this designation had not taken place yet. Therefore, the proposal was to appoint Dr. Bodrul Alam on an interim basis until the Clinical Director position was filled.

RESOLVED that Dr. Bodrul Alam be appointed interim Vice-Chair of the Health and Wellbeing Board until the NHS GM Clinical Director position was filled.

To note the Terms of Reference as approved at Annual Council on 18^th May 2022

The Board gave consideration to the new terms of reference for the Health and Wellbeing Board which had been approved at Annual Council on 18^th May 2022.

RESOLVED that the terms of reference approved at Annual Council on 18^th May 2022 be noted.

To consider a presentation of the Director of Public Health

The Board received a presentation of the Director of Public Health on the Population Health priorities for Rochdale.

The Senior Officer informed of how events such as the pandemic and the cost of living crisis affected all residents, in particular the most vulnerable and proceeded to describe the significant gap between life expectancy and healthy life expectancy in Rochdale.

The Senior Officers continued providing an overview of the three types of priorities for Public Health: 1) disease priorities (i.e.: cardiovascular, diabetes, cancer and respiratory) to help people live longer and healthier lives, 2) wider determinants of health to improve environmental factors and support people to be more resilient and 3) mental wellbeing to support residents to look after themselves and build and maintain positive relationships with others.

The Senior Officer provided data to show how Rochdale compared with other authorities in Greater Manchester and in the North West in reference to death from cardiovascular disease, diabetes prevalence, 1-year survival rate after cancer and premature mortality from respiratory disease and smoking prevalence.

Data was positive in regards to flu vaccination coverage but Corvid anti-vaccine campaign had already impacted on school vaccination uptake.

With regards to the wider determinants of health, the focus was on Early Years and Development and Education Catch up. Early Years Providers had indicated that, due to the pandemic, children had fallen behind with some independence, communication and social skills. Cost of Living Crisis and Poverty was the other priority as intelligence showed the negative impact of fuel poverty.

Other priorities were helping those who had lost basic support such as housing and employment and focussing on Mental Wellbeing and issues linked to it such as domestic abuse, physical activity, loneliness and isolation. Prevention was the golden thread together with a whole system approach to address these priorities.

Board Members noted that data referred to individual wards within Rochdale but in each ward there were pockets of deprivation. Board Members also acknowledged that supporting residents to manage their health conditions would benefit their physical and mental wellbeing and it would contribute to contain costs for the NHS in the long term.

The Board proceeded to observe that different communities had different needs and age and gender barriers remained to stop some groups from accessing GP services and healthy lifestyle.

The Board agreed that skills, employment opportunities and housing standards were critical ways to deal with some of the priorities listed above.

The Board noted some ongoing programmes to tackle health priorities and wider determinants of health such as healthy eating and physical activity focus in Early Years and schools and a piece of research on kidney failure and diabetes linked to Manchester University led and influenced by the people of Rochdale.

The Board agreed that quality data and training front line staff was essential to lead the work on health priorities.

The Board also agreed that a data tracking tool could be utilised to highlight priorities, measures of success and to collate evidence. It was essential that  ...  view the full minutes text for item 16.

To consider a presentation of the Director of Public Health

The Board received a presentation of the Assistant Director Public Health on how the various levels of integrated care would work together to deliver the Population Health priorities for Rochdale.

The Assistant Director informed that the objective was to wrap services around local population and, at the same time, deliver prevention through a universal offer (i.e.: for all residents). The challenge was how current resources could be used more efficiently and effectively. This required a strong link and coordination between the various levels of integrated care: national, Greater Manchester, Rochdale (i.e.: Place), Neighbourhoods which are geographical areas within Rochdale with a population of 30,000-50,000 circa. Neighbourhoods coincided with the five Townships. Neighbourhoods also meant a collective of individuals with different needs.

The Assistant Director continued informing that strategic priorities were set at “Place” and the role of Neighbourhoods was how to deliver local services and local prevention. Through a standardised approach each Neighbourhood would have a Board whose task would be to set out outcomes and deliver them in the way that would be best for a specific Neighbourhood.

Board Members agreed that equalities needed to be considered at Neighbourhood level; terminology was also very important and it needed to be clear for residents what the various parts of the system meant and their functions.

Board Members noted that the role of the Health and Wellbeing Board was to set the direction for the Locality Board, the Local Care Organisation and the other partners. Local intelligence and data were a fundamental part of this process like the expertise of service providers and the understanding that the approach would need to be different according to the characteristics of a specific Neighbourhoods.

Board Members also noted that resources remained limited and a pivotal part of the work within Neighbourhoods was how to better deliver local services and local prevention using existing resources effectively and efficiently.

RESOLVED:

1.    That the content of the presentation be noted;

2.    That it be noted that strategic directions and health priorities should be set at the Place level;

3.    That it be noted that for the first two years Neighbourhoods should be given clear direction about their aims and objectives and these should be based on achieving progress towards two broad aims – better neighbourhood services and better neighbourhood prevention;

4.    It be noted that Neighbourhoods should be given intelligence and evidence support to help them to choose their own actions;

5.    It be noted that Neighbourhoods should demonstrate how they use understanding of their population to improve health and wellbeing;

6.    It be noted that changes to service design and integration of services should carefully consider the best level of delivery and expected benefits and costs of proposed new approaches.

To consider a presentation of the Director of Public Health

The Board gave consideration to the work programme for the current municipal year and agreed to cancel the meeting on 12^th Apr 2023 due to Elected Members’ engagements throughout the pre-election period.

Board Members were asked to consider the topics presented at today’s meeting and suggest items for future meetings of the Board. 

RESOLVED:

1.     That the dates and topics for next meetings of the Health and Wellbeing Board be noted;

2.    That Board Members consider the topics presented at today’s meeting and suggest agenda items for future meetings of the Board;

3.    That the meeting of the Board scheduled on 12^th Apr 2023 be cancelled.