Agenda and draft minutes

To appoint the Vice-Chairs for the 2023/24 municipal year.

RESOLVED: that Majid Hussain and Dr.J Patterson be appointed Vice Chairs of the Health and Wellbeing Board for the 2023/24 Municipal Year

Apologies for absence were received from Councillor Brownridge, M Barker, H Catterill, G Jones, T Tariq, A Tebay, D Jago.

To Receive Declarations of Interest in any Contract or matter to be discussed at the meeting.

There were no declarations of interest received.

Urgent business, if any, introduced by the Chair.

There were no items of urgent business received.

The Minutes of the meeting of the Health and Wellbeing Board held on 21 March 2023 are attached for approval.

RESOLVED:  That subject to the following amendments to those present, the Minutes of the meeting of the Health and Wellbeing Board held on 21 March 2023, be approved as a correct record:-

(i)            D. Jago – Northern Care Alliance

(ii)          Dr.C. Stevenson

(iii)         J.Taylor – Public Health Business Intelligence

To discuss and consider a presentation by Jon Taylor regarding Oldham’s new JNSA website https://www.jsnaoldham.co.uk/

The Health and Wellbeing Board received a presentation by Jon Taylor, Public Health Business Intelligence, regarding Oldham’s new Joint Strategic Needs Assessment (JNSA) website.

Jon Taylor informed the Board that the JNSA describes the health, wellbeing and care needs of the Borough and looks to identify  and address some of those needs and reduce inequalities in Oldham. It is produced by the Health and Wellbeing Board to inform decisions by the NHS, Oldham Council and other partners about providing services to improve the health and wellbeing of the people living in the Borough. He informed the Board that JSNA for Oldham is not available in printed form. Instead the content is available on the the website https://www.jsnaoldham.co.uk/

He advised that the website is more visually appealing and accessible and will be updated when additional information is available. He added that JSNA is work in progress and will always be, in that it is continually being updated with new data. It is designed to be a partnership resource for all to use.

He drew members attention to the website data content and examples of data within the content as follows:

(i)            Oldham Profile – population, derivation, life expectancy and growth.

(ii)          Starting Well – births, vaccination, early years, A and E attendances. Other information on Children Looked After is under development.

(iii)         Ageing Well – Life expectancy and health related information for persons of 65 years of Age and above.

(iv)         Health Conditions – strokes, cancer, dementia as examples.

(v)          People and Places – ward profiles showing a range of economic, health and social data relating to those areas.

(vi)         Wider Determinants of Health – income, employment, crime, housing.

(vii)        Deprivation – levels of deprivation, across the Borough.

Jon Taylor informed the Board that within each profile shown above, there is access to reports and he gave population as an example and the Census report. The site is being developed and will show hyperlinks for easy access to more detailed information. He advised that the site highlighted challenges that needed to be addressed and referred to reports that have been presented to the Board in areas of concern suggesting ways forward to tackle those challenges. He added that even though resources are limited he will continue to update the Board via reports.

Katrina Stevens emphasised that JSNA is a partnership resource and is only as good as the combined contributions from everyone to show life in Oldham.

Resolved: That the presentation be welcomed and noted.

(i)            To discuss and consider an overview of Oldham’s Health and Wellbeing Strategy from Katrina Stephens, Director of Public Health.

(ii)          To discuss and consider a presentation from Kathryn Willan regarding supporting our residents to gain the knowledge and skills to confidently make choices and participate in decisions about their own health

Consideration was given to a report regarding the Oldham Health and Wellbeing Strategy 2022-2030. Katrina Stevens reminded the Board that the Strategy had been agreed in March 2023. The Strategy details key priorities for improving the health and wellbeing of residents in Oldham for the coming 8 years 2022-2030.

The Board received a presentation from Kathryn Willan, Public Health Registrar, regarding the supporting the residents of Oldham to gain knowledge and skills to confidently make choices and participate in decisions about their own health. Feedback was given from the ‘Community Explorers’ session on the health literacy theme of the Strategy.

The Board was informed the Board that the Engagement with ‘Community Explorers’ will help to gain insight into experiences of voluntary, community, faith and social enterprise organisations operating in Oldham

•      The Community Explorers network is facilitated by Action Together, and has presence in each of the five districts. A 2015 study found a ‘mismatch between the complexity of health materials and the skills of the English adult working-age population’, and our residents told us the health and care system can be difficult to understand. Problems with communication have caused stress.

•      Limited health literacy is associated with increased risk of morbidity and premature death. People with limited health literacy are also more likely to use emergency services and incur higher healthcare costs.

Improved health literacy has the potential to:

•      Increase health knowledge and empower people to effectively manage long-term health conditions.

•      Reduce the burden on health and social care services.

•      Reduce health inequalities.

      Kathryn Willan highlighted the following goals:

•      Develop a common framework for engagement which can be used by all organisations and services, and provide the opportunity for residents to shape the offer to better suit them and their family.

•      Adopt a resident-focused approach to communication, ensuring residents feel listened to, language and communication is tailored to need, and steps are taken to ensure messaging has been understood.

•      Support established peer and patient support groups to grow and continue to improve their reach.

Kathryn Willan informed the Board that at the session which was held with residents people shared examples of where they, or residents they had worked with, hadn't felt listened to, and the barriers they had faced to accessing healthcare. So the session focused on this goal for most of the session. The sessions were held each month. The following themes were drawn from the discussion:

(a)  Flexibility

·         Life course approach

·         Digital inclusion

·         Community languages

·         Location and transport

(b)  Familiarity

·         Informal settings

·         Trusted voices

·         Shared language

(c)  Expectations

·         Clear routes to
appropriate care

·         Follow-up

·         Roles and responsibilities

Kathryn Willan emphasised the limitations of a 30 minute session which allowed one goal to be discussed. The limitations were:

•      Small number of organisations represented at a single meeting.

•      Representation of populations who are engaged with the community.

•      Limited time.

Dr. Jon Patterson concurred that health literacy was extremely important. He drew attention to the need for the safeguarding of  ...  view the full minutes text for item 7.

To discuss and consider a report on progress to date on Oldham’s Health Inequalities plan agreed by Health and Wellbeing Board June 2022.

Consideration was given to a report which provided information to the Board on progress to date on Oldham’s Health Inequalities plan agreed by Health and Wellbeing Board June 2022.

Oldham Life Expectancy for men is 77.2 years, compared to the national average of 79.4 years (PHOF 2018-20). By contrast, Westminster has an average life expectancy of 84.7years. The difference in life expectancy for men, between Alexandra ward (most deprived) and Saddleworth South ward (least deprived) is 12 years.

Oldham Life Expectancy for women is 80.5years compared to the national average of 83.1 years (PHOF 2018-20). By contrast, Kensington and Chelsea has an average life expectancy for women of 87.9 years The difference in life expectancy between Alexandra ward (most deprived) and Saddleworth South ward (least deprived) is 12.9 years.

The inequalities that we observe for life expectancy and for healthy life expectancy in Oldham are not just associated with deprivation but are also present between different ethnicities.

In November 2021, the Health and Wellbeing Board members discussed the development of a Health Inequalities plan for Oldham. This process took key recommendations from the GM Marmot Build Back Fairer and GM Independent Health Inequalities Commission report and mirrored broad six thematic areas

• Income, Poverty, Housing and Debt
• Housing, Transport and Environment
• Work and Unemployment
• Health in all Policies / Communities and Place
• Health and Wellbeing, and Health Services
• Children and young people

Each of the thematic areas was underpinned by a series of actions (a total of 57), and senior sponsor(s) assigned. The board agreed the plan in June 2022.

A tracker tool has been developed, detailing all the actions within the agreed Health Inequalities plan. Action owners have been invited to review and update the progress made towards each of the actions utilising commentary boxes and RAG ratings to provide a visual review of where programmes are on track, stalling or behind. Each of the sponsors has access to the tracker tool for oversight and review of their thematic area.

One of the thematic areas – ‘Health and Wellbeing and Health Services’ will undergo a review of the actions to align to the Integrated Care Partnership (ICP) priorities outlined within the ICP 5-year strategy and to ensure that the actions are reflective of existing programmes contributing to the reduction of health inequalities. The wording of the actions will be agreed with action owners before being committed.

Of the 40 actions, within the remaining 5 themes, nearly half (19) are RAG rated as green, indicating that they are on track or have been completed. This indicates that broadly speaking the health inequalities plan is on track to deliver the actions within the agreed 2-year time period, completing May 2024.

Those that are amber, are usually so because of short term funding or staffing capacity issues. Amber can also indicate that services are in place as per action, but that demand is exceeding capacity for example healthy weight support from the commissioned service ‘Your Health Oldham’

The board is asked to  ...  view the full minutes text for item 8.

To discuss and consider the Oldham Better Care Fund (BCF) Plan year end return for 2022-23.

Consideration was given to a report and presentation by Claire Hooley, Head of Commissioning and Market Management – Working Age Adults regarding

the Oldham Better Care Fund Plan year end return for 2022-23.

The Better Care Fund (BCF) requires areas to jointly agree to deliver health and social care services supporting improvement in outcomes against the following BCF policy objectives:

·         Enable people to stay well, safe and independent for longer

·         Provide the right care in the right place at the right time.

In November 2022 the Hospital Discharge Fund was included in the BCF 2022-23allocation.

Oldham’s allocation is as follows:

This amount differs from the original amount submitted in the plan (September 2022) due to the inclusion of the Hospital Discharge Fund.

Conditions of the Grant are as follows:

National Condition 1: a jointly agreed plan between local health and social care commissioners signed off by the HWB.

National Condition 2: NHS contribution to adult social care to be maintained in line with the uplift to CCG minimum contribution.

National Condition 3: invest in NHS commissioned out of hospital services

National condition 4: implementing the BCF policy objectives.

Beyond the 4 national conditions and the funding criteria, localities have flexibility in how the fund is spent but need to agree how the spending will improve performance against the following metrics:

·         Avoidable admissions to hospital

·         Admissions to residential provision

·         Effectiveness of reablement

·         Hospital discharges that are to the person’s usual place of residence

The funding of schemes was utilised across HSC to fund a wide range of provision for residents including the following:

• Residential enablement at Butler Green and Medlock Court
• A range of dementia services across the borough
• Community equipment and wheelchair provision
• Minor adaptations
• A range of Falls Services
• Warm Homes
• Alcohol liaison
• Carers’ support
• Healthwatch
• Respite Care
• Stroke support services
• A range of services to support hospital discharge

The year end return requires the inclusion of two successes and two challenges, and to be aligned to at least one of the logic model enablers, those reported were:

(i) Successes                   Response Detail

(i)           To receive the Health Improvement Highlight Report for the period March to June 2023.

(ii)          To receive the Health Protection Highlight Report for the period April to June 2023.

Consideration was given to a Health Improvement Highlight report presented by Dr.Rebecca Fletcher, Consultant in Public Health, for the period March-June 2023. Dr.Charlotte Stevenson, Consultant in Public Health, presented a Health Protection Highlight report for the period April-June 2023.

In referring to Tobacco Alliance section, Dr. Rebecca Fletcher informed the Board of two areas of focus. Where vapes are being used with other drugs which is a growing problem. The Board was also informed that North West Trading Standards had seized £4000 of illicit vapes which also is of concern.

The Board was also informed that Trading Standards had seized a large quantity of illicit vapes locally which means that potentially unsafe products have been removed from our shelves.

Resolved: That the Health and Wellbeing Board notes the presentations and agrees that future updates of both reports be presented to future Board meetings.