To receive any apologies for absence.

Apologies for absence were received from Councillor Neil Emmott, Councillor Bev Place, Susan Hedges, Sharon Hubber, Steve Rumbelow and Mark Widdup.

Members are requested to approve the minutes of the meeting held on 28^th September 2022

Resolved that the minutes of the meeting held on 28th September 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.

To consider a joint report of the Public Health Development Manager and the Senior Medicine Optimisation Pharmacist, Greater Manchester NHS Integrated Care – For approval

The Board considered a joint report of the Public Health Development Manager and the Senior Medicines Optimisation Pharmacist, Greater Manchester Integrated Care which sought to inform of the draft Pharmaceuticals Needs Assessment (PNA) 2022-25 which returned to the Board for final approval after a 60- day stakeholder consultation.

Officers informed that the PNA was a legal document which each Health and Wellbeing Board in England had to publish every three years. It detailed the location and accessibility of pharmacies in the area (Rochdale) and which services they provided.

The PNA was also used by commissioners and pharmacy contractors to determine whether a pharmacy could help improve the health of the local population through commissioned or provided services.

Board Members sought and received clarification on the current process for pharmacies to communicate their available services to the public. The Board discussed possible ways that the public could be further engaged with such as information posters at pharmacies, GP surgeries and hospitals as well as other public access buildings such as community centres, schools, libraries and council buildings. It was discussed that information regarding services available at individual surgeries should be easily accessible via individual pharmacy websites and social media pages which are already hosting contact details and opening hours information.

It was stressed that often residents would prefer to visit a pharmacy for minor ailments. However that the information regarding what ailments patients can and should visit a pharmacy for, as well as information about the different services and treatments available at some select pharmacies, was not currently well communicated to the public and as a result pharmacy services were not being utilised to their full advantage.

Resolved:

1.    That the draft Pharmaceutical Needs Assessment 2022-25 be approved;

2.    That local Pharmacies be engaged with to encourage a proactive approach to providing and keeping up to date information about their available services to their own websites and/or other appropriate sites.

3.    That a system response to communication/advertisement of pharmacy services be developed as part of the LCO business plan.

To consider a report of the Director of Public Health – For discussion

Report to follow

The Board received a presentation of the Director of Public Health which sought to inform of the Health and Wellbeing Strategy and Shared Narratives. It was informed the strategy was mandated for the council to produce, and that its responsibility sits with the Health and Wellbeing Board.

Officers informed that priorities that had previously been agreed by the Health and Wellbeing Board were:

Disease reduction and management

•      Reducing cardiovascular risk e.g. blood pressure, salt in diet reduction

•      Diabetes management and prevention

•      Diagnosis of cancers and ensuring treatments

•      Respiratory illness – keeping flu low and smoking

Wider determinants

•      Early years and educational catch up

•      Employment, skills and income

•      Poverty and helping those who have lost out on basics (house, job) e.g. advice, housing support, food banks

Mental Wellbeing

•      Loneliness and isolation

•      Reducing abuse

•      Physical activity

•      Increasing resilience i.e. people coping better

The board was advised that the aim of a shared narrative was to have a broad shared understanding of how we think about an issue and how we will tackle it. Shared narratives can cover:

·         How you understand the overall problem

·         How you understand that problem locally

·         What could reasonably be done to help

·         How much impact you might have from different possibilities and whether they are value for money

·         What you have broadly decided to do

·         How you will measure the success of what you plan to do

The Board noted that at a local level it would be hard to improve whole population outcomes, such as cancer mortality, however that small positive outcomes as a result of interventions can make a difference. Shared narratives provide long term aims which would build on learning from different local areas to help embed the narratives into neighbourhood working.

Clarification was sought regarding who the narratives would be aimed at, health care providers or the public. It was advised that currently it was focussed at health care providers but that the future aim was to deliver to the public in lay language as part of neighbourhood working.

It was also discussed that the ‘No Wrong Door’ approach that exists within Children’s Services should be adapted across Adult services and be considered at the LCO and that the agreed Health and Wellbeing Board priorities should also include sections on how those priorities impact on children as well as adults.

Resolved:

1.    That the information provided regarding Narrative Development be noted and the approach to Shared Narratives development be endorsed.

2.    That updates continue to be delivered at meetings on a two monthly basis.

3.    That the Health and Wellbeing Board work programme for the 2023/24 financial year include the following priorities; Diabetes - Types 1 and 2, Reducing Cardiovascular Risk, Loneliness and Isolation and to cross-work with Overview and Scrutiny work programmes regarding Poverty (focussing on housing and damp).

4.    That the Director of Public Health make representations for the data management and intelligence relevant to the work of the Health and  ...  view the full minutes text for item 33.

To consider a report of the Director of Public Health – For discussion

Report to follow

The Board received a presentation of the Director of Public Health which sought to inform of the draft Joint Strategic Needs Assessment (JSNA).

Officers informed that the purpose of JSNAs was to improve the health and wellbeing of local communities and to reduce health inequalities for all ages. JSNAs helps people consider factors that affect mental health and wellbeing and to identify some of the main data, information and knowledge that local areas may use to build a picture of need and are commonly used to identify need for services.

Current issues were outlined including; that it is known that the need is outstripping service supply, health service expansion wanted but would require substantial new resources and outside commitment, local strategies need to be implemented to improve health and wellbeing, all resource levers need to be utilised as well as finding ways to improve health which are not resource intensive.

Officers advised areas of focussed improvement included:

•      Wider Determinants of health – housing, education, jobs.

•      Social and Cultural Life – relationships people have.

•      Natural and built environment – healthy places, low crime, good air.

•      Life Events – reduce adverse events, increase opportunities.

•      Internal world – good relationship with self, see issues clearly.

•      Wider health and care services – all our public services.

JSNA aligns with All Age Prevention Strategy and Health and Wellbeing Board priorities. These priorities have a narrative which describe the work intended, why it is being done, the expected impact and how progress would be measured. This JSNA would link these narratives and it would then be possible to see how an identified need in the JSNA could be tackled with the local resources available.

Board Members were encouraged to contact officers if they had any suggestions to add to the JSNA.

Resolved:

1.    That the information received regarding the draft Joint Strategic Needs Assessment be noted.