To receive any apologies for absence.

Apologies for absence were received from Sally McIvor, Nicky Clarke and Steve Rumbelow.

The following supporting officers to the Board submitted their apologies: Sharon Hubber, Susan Hedges, Sam Smith, Julie Murphy and Alison Kelly.

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

The Board noted that, on today’s agenda, there was one item for exclusion of press and public. This was Item 10a – Urgent and Emergency Care Investment Fund.

Members are requested to approve the minutes of the meeting held on 30^th May 2023

Resolved that the minutes of the HMR Locality Board’s meeting held on 30^th May 2023 be approved as a correct record.

To consider public questions received since last meeting of the Board

The Chair informed the Board that one question had been received in relation to “local funding of future local safe haven or safe space models”. A response had been collated and shared with the questioner and with all Members of the Board and supporting officers.

Additional questions had been received from the same questioner, and, in line with the Public Questions Protocol, these would be presented at future Locality Board meetings, which would cover up to and including January 2024.

Resolved that the information be noted.

To receive a verbal update from the NHS GM Integrated Care Representative and from the Place Based Lead – Item for information

The Chief Officer for Strategy and Innovation NHS GM Integrated Care updated the Board on the latest developments with regards to the implementation of the Integrated Care System in Greater Manchester.

The GM Leadership and Governance Review commissioned by the NHS GM Integrated Care Board had been completed. The review revealed a sense of complexity of the GM system and it brought some clarity on how the various parts of the system worked individually and together. People felt voted to the ambition and strategy across GM, equally two main questions were raised as a result of the review: 1) how did this analysis of the GM system translate into delivery; 2) How could the GM system organise itself into a simpler operating model?

The Senior Officer continued informing the Board that next step would be to clarify roles and responsibilities of the NHS GM Integrated Care Board and to strengthen the role of the place based leads, also to clarify accountability in the system, work flow and bringing precision to the delivery role of locality boards in the system.

Resolved that the update be noted.

Report of the NHS GM Integrated Care Representative – for information and discussion

The Board received a report of the Chief Officer for Strategy and Innovation NHS GM Integrated Care which sought to inform of the draft Joint Forward Plan for the NHS GM Integrated Care Board (ICB).

The Senior Officer informed that, statutorily, the draft Joint Forward Plan would have to be submitted to NHS England (NHSE) by 30^th June 2023. The draft plan would include the objectives that NHS GM ICB would be required to deliver by NHSE. Additionally, the plan would comprise a shared delivery plan for the GM Integrated Care Partnership’s strategy.

The Senior Officer continued informing that the draft plan had been based on the locality plans and programmes across the system, with the contribution of teams from different organisations.

Although the plan covered five years, its submission on 30^th June would represent a milestone rather than a conclusion as it would keep developing to include more detail about the system financial sustainability.

The Senior Officer highlighted three main elements within the draft plan which required further discussion and input from the locality. These were: 1) determining the areas of work that the system needed to place greater emphasis on, 2) completing the task on metrics and level of ambition and 3) constructing financial stability for the system.

Board Members raised the following points:

-       Welcomed the draft Joint Forward Plan;

-       Asked where finances and capacity sit to drive the plan;

-       Asked about population health and impact of current deficit on preventative work;

-       Pointed out that the concept of subsidiarity (making decision at local level) required greater emphasis as it was not evident in the draft plan;

-       Reiterated that control of resources was pivotal for deliverables and accountability.

The Chair emphasised how diverse communities were in Greater Manchester and how different their needs might be. Therefore, local commissioning supported by local intelligence was essential to meet the needs of those communities and it required adequate resources. 

The Chief Officer for Strategy and Innovation confirmed that the default delivery method would take place at Neighbourhoods level and it would be coordinated by the Locality Board; allocation of resources within the system would develop in line with this principle. 

 Resolved:

1.     That the draft Joint Forward Plan be endorsed by the Board;

2.    That the comments and points raised by the Board Members be noted.

Report of the FPR Chair -  for information

The Board received a progress report of the FPR Chair which informed of the approval of the Heywood, Middleton and Rochdale Board Assurance Framework (BAF); the BAF would be presented to this Board on a quarterly basis.

With regards to Finance, quarter four report 2022/23 closed the year with a balanced position for the whole system.

In relation to performance, the FPR Chair informed that an update on planned care would be available in two weeks and this would be reported to this Board.

The Director of Public Health informed the Board that the ASQ data had been received by the provider. Consequently, the risk associated with this indicator ceased to exists.   

The HealthWatch Rochdale representative sought and received clarification with regards to waiting list for Social Communication Pathways, in particular ADHD and Autism assessments. Officers explained that the issue concerned all areas within Greater Manchester and that a solution was being sought at regional level to address this demand.

Another request was raised by the Cabinet Member for Children’s and Education in relation to physiotherapy waiting times for children. Officers would answer the enquiry once they receive the information from the relevant service.

Resolved that the update be noted.

Report of the SEG Chair – for information

The Committee received a progress report of the SEG Chair which sought to inform of the Greater Manchester estate, the Skyline Properties initiative, the local authority estate, the estate strategy for Children’s Services and the Primary Care Blueprint Engagement.

The SEG Chair also informed that the third Integrated Neighbourhood Team had been opened.

Resolved that the update be noted.  

Report of the Associate Director of Delivery and Transformation, NHS Greater Manchester Integrated Care (Heywood, Middleton and Rochdale) – for information

The Board considered a report of the Associate Director of Delivery and Transformation, NHS GM Integrated Care HMR which informed of the key areas of discussion for this group. A detailed piece of work on diabetes had been delivered and presented at the last meeting of the Health and Wellbeing Board.

Following a recent change in the chairmanship of this group, a forward plan would be developed with emphasis on engagement.

Resolved that the update be noted.

To consider that the press and public be excluded from the remaining part of the meeting pursuant to Section 100(A)4 of the Local Government Act 1972 on the grounds that discussions may involve the likely disclosure of exempt information as defined in the provisions of category three, Part 1 of Schedule 12A to the Local Government Act 1972 and public interest would not be served in publishing the information.

Resolved that the press and public be excluded from the remaining part of the meeting pursuant to Section 100(A)4 of the Local Government Act 1972 on the grounds that discussions may involve the likely disclosure of exempt information as defined in the provisions of category three, Part 1 of Schedule 12A to the Local Government Act 1972 and public interest would not be served in publishing the information.

Report of the Associate Director of Transformation and Delivery NHS Greater Manchester Integrated Care (Heywood, Middleton and Rochdale) - for decision

Report to follow

The Committee considered a report of the Assistant Director of Transformation and Delivery, NHS GM Integrated Care Heywood, Middleton and Rochdale which sought to inform of the Urgent and Emergency Care (UEC) submission which had been made to NHS GM Integrated Care Board on 17^th March 2023.

Resolved that the recommendations as outlined at point two of the report be noted and agreed.

Reason for decision:

The Board noted the reasons for decisions as listed at point three of the report.

Alternatives considered and rejected:

The Board noted the alternatives considered and rejected as outlined at point four of the report.