Agenda and draft minutes

Apologies for absence were received from Councillor M. Bashforth, Councillor S. Bashforth, Councillor Munroe, Majid Hussain, Mike Barker, Tamoor Tariq, Gaynor Mullins, Laura Windsor-Welsh, Sayyed Osman, Paul Clifford and Jayne Ratcliffe.

There were no public questions for this meeting to consider.

The Minutes of the meeting of the Health and Well Being Board, 24^th January 2023, are attached for approval.

Standing Items: Joint Strategic Needs Assessment & Health Inequalities Plan

Resolved:

That the Minutes of the meeting of the Health and Wellbeing Board held on 24^th January 2023, be approved as a correct record.

Jon Taylor to present

The Health and Wellbeing Board received a report regarding the National Child Measurement Programme Oldham. The prevalence of overweight/obesity amongst reception aged children in Oldham (20.8%) was

statistically lower in 2021/22 than in either the North West Region (23.3%) and England as a whole (22.3%). The prevalence of those overweight or obese observed in 2021/22 represented a decrease of 4.9 percentage points on the previous recorded year (2019/20).

The prevalence of overweight/obesity amongst Year 6 age children in Oldham (children aged 11) (42.4%) was statistically higher than both the North West (39.0%) and England rates (37.8%). The prevalence of those overweight

or obese observed in 2021/22 represented an increase of 1.8 percentage points on the previous recorded year (2019/20).

Examining the data over a four year period, 2017/18 to 2021/22 (the year 2020/21 was excluded due to Covid-19) by ward of child, the wards with the highest levels of overweight/obese children were for the Reception Year – Failsworth East (28.0%), followed by Medlock Vale (27.4%) and Chadderton South (27.0%). For Year 6 - Coldhurst (47.2%), followed by Failsworth West (44.7%) and Chadderton South (43.7%).

Oldham’s participation rate in the national child measurement programme in 2021/22 was 85.5% for reception aged children and 90.3% for year 6 aged children. This was similar the previous rate of 87.8% (2018/19) but lower than in previous years whereby participation had been consistently above 91% for all years since 2010/11. Participation rates were lower than regional and national averages for both year groups.

The ethnic group in the Borough with the highest percentage of children classified as overweight or obese at reception age was ‘Black’ with 31.3%. The ethnic group with the lowest percentage was ‘White’ with 15.8%, followed by ‘Asian/Chinese’ with 21.2%. Looking at the obesity category alone, ‘Black’ was highest at 16.4%, followed by ‘Mixed’ (13.0%) and ‘Asian/Chinese’ 12.4%. The ethnic group with the lowest level of obesity was ‘’White’ with 5.3%. The ethnic group with the highest percentage of reception aged children classified as underweight was ‘Asian/Chinese’ with 3.7%. The ethnic group with the lowest percentage was ‘Mixed’ with 0.9%.

Resolved:
That the report be noted.

Anna Tebay/Rebecca Fletcher/Gerard Jones to present

Public Health Updates

The Health and Wellbeing Board received a presentation regarding multi-agency efforts, within the Borough to combat health inequalities, specifically for this purpose insofar as it affected and impacted on children.

In terms of general background information regarding poverty, children living in the most deprived areas were more than twice as likely to be living with obesity, than those living in the least deprived areas. It was noted that boys have a higher prevalence of living with obesity than girls for both age groups. In the ethnic minority communities, there was a prevalence of Children in Oldham who were overweight and obese, which was higher in all non-white ethnic groups for both reception and year 6 children.

Surveys had revealed that:

a.    A lower Take up in Oldham – Participation in the programme fell nationally in 2021/22 but remained lower in Oldham. This could potentially impact the findings.

b.    A decrease in Prevalence in Reception – Children in reception who are overweight and Obese decreased in 2021/22 in Oldham and nationally. Oldham’s rate is now lower than national average, this is the first time since 2015/16.

c.    An increase in Prevalence in Year 6 – In contrast, prevalence across year 6 in Oldham and Nationally continued to increase and has done consistently since 20016/17. Oldham’s rate is significantly higher than national rate.

d.    A higher Prevalence in Boys – Across both age groups, boys have a higher prevalence, but is more significant at Year 6.

e.    A higher Prevalence in deprived areas – Children living in deprived areas are much more likely to be overweight or obese.

f.     A higher Prevalence in Non-White Ethnic Groups – Prevalence of Children in Oldham who are overweight and obese is higher in all non-white ethnic groups for both reception and year 6 children.

It was reported that Oldham’s infant mortality rate has been higher than Greater Manchester, the North West region and England rates consistently for over a decade. In the 2018-20 period, Oldham was 6.2 per 1,000, compared with 3.9 per 1,000 England. It was an established fact that infant mortality correlates with deprivation. Oldham’s intelligence team found that the highest rates are observed by babies under 28 days of age. The most significant risk factors included: smoking in pregnancy, maternal obesity, unsafe sleep patterns and recessive genetic conditions.

The Board also considered the Borough’s Children’s Transformation Programme, which defined the approach to Children’s Transformation as being a holistic one encapsulating all areas of the service. The authority needed to address issues early with appropriate interventions to prevent escalation. The Council needed to consider cases where it has a ‘duty of care’, then there is an imperative to ensure that the best placement decisions are made, with the right checks and challenge. Secondly the council should ensure that it has productive and mature relationship with the necessary elements of the market to shape it to the authority’s needs and requirements.

Resolved:

That the presentation be noted and welcomed

That  ...  view the full minutes text for item 7.

Charlotte Stevenson/Andrea Evans to present

The Health and Wellbeing Board considered a report of the Consultant in Public Health and the Senior Health Protection Nurse regarding Oldham’s updated Local Operational Health Economy Outbreak Plan and to approve suggested changes detailed therein.

The Local Operational Health Economy Outbreak Plan had been developed to ensure clarity on operational roles and responsibilities for each responding organisation in the event of an outbreak in Oldham. It was intended to act as a companion to the GM Multi-Agency Outbreak Plan, providing operational detail and helping responders provide an effective and coordinated approach to outbreaks of communicable disease. It was therefore important for each organisation, having signed off this plan, to support staff to engage and to embed the multi-agency response to an outbreak and create familiarity over key tasks. A recent review of the Local Operational Health Economy Outbreaks Plans across the 10 Greater Manchester Localities had led to a refresh and review of the plan for Oldham.  The plan had been updated so that it was in alignment with the other localities across Greater Manchester and contact details were updated to reflect organisational change across the system.

The following were suggested areas of consideration for each locality to look closely at when updating their Local Outbreak Management Plan:

a.    To look for areas of duplication and opportunities for streamlining

2. To review key contacts list and adjust/update as required.
3. To consider the following for inclusion:

i.      Isolation support pathways

The plan was reviewed by the Local Authority Health Protection Team and a list of suggested changes presented at the most recent Health Protection subgroup of the Health and Wellbeing Board. A full list of changes was detailed at section 3 of the submitted report, to assist the Health and Wellbeing Board in its review.

Resolved:

That the Health and Wellbeing Board approve the recommendations from the Greater Manchester Health Protection Reform review of the Greater Manchester Local Outbreak plans, the changes proposed to the Oldham plan and authorise sign off of the Oldham Plan.

a.    Health Protection Action Plan

b.    Health Improvement Action Plan

Business items

The meeting received a Health Protection and Health Improvement Highlights report. The Health Improvement Highlights report examined issues relating to teenage health and pregnancies; healthy weight and physical activity; tobacco related issues (including dependency and smoking cessation); ‘Healthy Start’ (the development and delivery of infant mortality action plans); drug and alcohol treatment services and governance issues (including the establishment of a Health Improvement Group that would report to the Health and Wellbeing Board).

The Health Protection Highlights included outbreak support (the management of outbreaks of communicable diseases – including respiratory and new and emerging infections; infection prevention and controls in high-risk settings (such as GP Practices, Care Homes and Early Years settings);  the combating of flu, including the rolling out of the seasonal vaccination programme; and Healthcare Acquired Infections and anti-microbial resistance (via the provision of support to prevent and reduce attendant risks)

Resolved:

That the report be noted.

Director of Public Health to report

The Director of Public Health reminded the meeting that in July 2022 the Health and Wellbeing Board had held a development session to discuss the creation of a new Health and Wellbeing Strategy for the borough. The proposed vision, ambition, principles, and overarching priorities were discussed at the Health and Wellbeing Board on 4^th October 22. The goals for each priority were discussed on 15^th November 22 and with guidance from colleagues across the Board membership, specific metrics have been added. The strategy could now be presented to the Board for final review and sign off.

The strategy aimed to set out high level objectives, with the intention that actions to achieve these are embedded within other strategies, action and service plans developed and owned by the organisations which make up the Board’s membership. Alongside the original strategy presented, an ‘easy read’ version will be made available both via the Oldham Council website and in print on request. This version will highlight the key messages of the strategy in a simplified way to ensure accessibility for a wider audience.

It was proposed that, in 2023/24, the Health and Wellbeing Board, will focus on one theme from the strategy at each meeting.

Prior to each meeting there will be engagement with ‘Community Explorers’ to discuss and seek views on the topic area. Community Explorers are representatives of voluntary, community, faith and social enterprise organisations operating in Oldham, who come together monthlyto make connections, share knowledge and develop new approaches to supporting the community. The network is facilitated by Action Together and has presence in each of the five districts.

Resolved:

1.    That the Health and Wellbeing Board approves the Oldham Health and Wellbeing Strategy 2022-2030 and notes the intention to publish an ‘easy read’ version.

2.    The health and Wellbeing Board agrees the proposed approach to working with Community Explorers and structuring future Health and Wellbeing Board agendas around the strategy themes, as outlined in the report.

3.    That the Board notes how objectives and actions will be adopted and delivered by the organisations represented on the Board, and how the Board will monitor progress thereon. 

To note that the Health and Wellbeing Board meets on the following dates in 2023/2024:

a.    Thursday, 8^th June 2023 at 10.00am.

b.    Thursday, 13^th July 2023 at 10.00am (Development Session)

c.    Thursday, 7^th September 2023 at 10.00am

d.    Thursday, 2^nd November 2023 at 10.00am

e.    Thursday, 7^th December 2023 at 10.00am (Development Session)

f.     Thursday, 11^th January 2024 at 10.00am

g.    Thursday, 7^th March 2024 at 10.00am

The meeting was advised that the Health and Wellbeing Board was scheduled to meet on the following dates in 2023/2024:

a.    Thursday, 8^th June 2023 at 10.00am.

b.    Thursday, 13^th July 2023 at 10.00am (Development Session)

c.    Thursday, 7^th September 2023 at 10.00am

d.    Thursday, 2^nd November 2023 at 10.00am

e.    Thursday, 7^th December 2023 at 10.00am (Development Session)

f.     Thursday, 11^th January 2024 at 10.00am

g.    Thursday, 7^th March 2024 at 10.00am