Agenda and draft minutes

Apologies for Absence were received from Mike Barker, Anthony Hassall, Majid Hussain, Gerard Jones, Councillors Shuttleworth and Sykes, Tamoor Tariq, Laura Windsor-Walsh Paul Clifford and Christina Murray.

Urgent business, if any, introduced by the Chair.

There was no urgent business for this meeting of the Health and Wellbeing Board.

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

There were no declarations of interest.

To receive Questions from the Public, in accordance with the Council’s Constitution.

There were no public questions for this meeting of the Health and Wellbeing Board to consider.

The Minutes of the meeting of the Health and Wellbeing Board held on 7th September 2023 are attached for approval.

That the Minutes of the meeting of the Health and Wellbeing Board held on 7 September 2023, be approved as a correct record.

The Health and Wellbeing Board received and considered the Oldham Safeguarding Adults Board 2022-23 Annual Report and 2023-24 Business Plan which was presented by Henri Gillier, Independent Chair, Oldham Safeguarding Adults Board.

The Oldham Safeguarding Adults Board (OSAB) is a statutory partnership set up to safeguard adults at risk of experiencing abuse, neglect or exploitation. As part of its statutory duties the Board is required to produce an Annual Report setting out the safeguarding concerns it has dealt over the last year, as well as a Business Plan setting out future ambitions and actions to help keep people safe in Oldham. The purpose of this report is to share the Board’s agreed 2022-23 Annual Report and 2022-24 Business Plan with members of the Health and Wellbeing Board for their consideration.

The role of the OSAB is to assure itself that organisations and agencies across Oldham are working together to protect and enable adults to live safely. This means helping people to make decisions about the risks they face in their own lives as well as protecting those who lack the capacity to make these decisions.

The Board has three main statutory duties which are to:

• Produce a Strategic Business Plan setting out the changes the Board wants to achieve and how organisations will work together.
• Publish an Annual Report setting out the safeguarding concerns it has dealt with in the last year as well as plans to keep people safe in the future.
• Undertake a Safeguarding Adult Review in line with Section 44 of the Care Act where it believes someone has experienced harm as a result of abuse, neglect or exploitation.

The Board’s 2022-23 Annual Report provides information on the number and type of safeguarding concerns reported in Oldham along with the actions taken to adopt learning from the Safeguarding Adult Reviews. Central to this has been the collection and sharing of firsthand experiences by adults ‘at risk’ and family members who have experience of safeguarding issues and services in Oldham.

In summary, a total of 2175 safeguarding referrals were made in 2022-23 and of these referrals 430 became the subject of a formal Safeguarding Enquiry. The data shows that the number of referrals received more than doubled compared to the number received in 2018-19 and increased by 16% compared to 2021-22. Some of this increase may be due to safeguarding awareness campaigns designed to encourage the residents of Oldham to report their safeguarding concerns and training provided to professionals in Oldham about making safeguarding referrals and the criteria for formal enquiries. However, whilst the number of overall referrals has increased, the number of serious safeguarding enquiries remains relatively consistent over the last four years.

A total of 4 Safeguarding Adult Reviews were completed in 2022-23, which was double the number completed the previous year. Common themes emerging from Safeguarding Adult Reviews involved the multi-agency management of risk; Complex and Contextual Safeguarding including cuckooing, financial abuse, and exploitation; and safeguarding transitions.

The Board’s Business Plan has been shaped  ...  view the full minutes text for item 6.

To consider a report which provides brief information to the Board on Oldham’s Moving More and Physical Activity whole system approach in reducing inactivity in our borough, and thus improving the health and wellbeing of our residents and our communities.  

The Health and Wellbeing Board received a report submitted by

Pritesh Patel, Sport Leisure and Wellbeing Service Manager which provided brief information to the Board on Oldham’s Moving More and Physical Activity whole system approach in reducing inactivity in our borough, and thus improving the health and wellbeing of our residents and our communities.

The Board was informed that as part of the Health and Wellbeing strategy 2022 -2030, one of the five key priorities is ‘Increasing Physical Activity’, and it is also clear that physical activity can contribute to several of the other priorities in the strategy too.

It is noted in the strategy that “we will know that we have achieved our goals” in Increasing Physical Activity, because activity levels in Oldham residents will increase, and the % gap between Oldham and England activity levels will close.

The % gap when the strategy was written was 6.3% (2020/21). The latest data shows that this has now reduced to 4.6% (2021/22) and has been reducing consistently since 2018/19. This is positive but is caveated with the small Active Lives.

28.5% of Oldham residents are inactive, which has seen a 4.7% decrease in the last 12 months which is positive.

The Board received a detailed power point presentation from Pritesh Patel on

‘Moving More & Physical Activity – A Whole System Approach’. The presentation highlighted the following which is set out in the Health and Wellbeing Strategy -

Vision

Oldham residents are happier, healthier; they feel safe, supported and they thrive in this vibrant & diverse borough

Principles

Resident focused,  Well-manged health & care system, Champions of equality,  Prioritise Prevention

Priorities (5)

Supporting our residents to gain the knowledge and skills to confidently make choices and participate in decisions about their own health;

Giving children the best start in life;

Improving mental wellbeing and mental health;

Reducing smoking;

Increasing Physical Activity.

The Goals are set out as follows –

•      We will support ALL residents to build movement in to their every day lives

•      Supporting VCF organisations to be able to provide services and work with their communities to increase Physical Activity

•      Improving communication with both residents and businesses to embed the message that Movement matters, for people of all abilities

•      Celebrating and championing positive examples of Moving More through the #Oldham #MoveMoreFeelbetter social media campaign

•      Taking a strength based – community approach to improving physical activity and moving more through the Local Pilot principles and place-based working

•      We’ll help our children, young people, and their families to Start Well

•      Raising awareness of initiatives such as The Daily Mile & Oldham’s 50 Things to do before you’re Five

•      We’ll help our working age residents to Live Well

•      Working collaboratively across GM to improve Oldham’s active travel infrastructure and help residents move more in everyday life

•      We’ll help our older people to Age Well

•      Continuing to use local knowledge to tailor the physical activity offer and ensure residents feel safe and secure

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

To consider a report presented by Dr Charlotte Stevenson and Dr Sepeedeh Saleh.

The Board receive a report submitted by Dr Charlotte Stevenson, Consultant in Public Health, which providedan update on measles risk and prevention in Oldham.

The Board was given the following background –

•      Uptake of routine childhood immunisations fell globally during the COVID-19 pandemic.

•      Coverage for the Measles, Mumps and Rubella (MMR) vaccination programme in the UK - a two dose vaccine given at 1 and approximately 3 years of age – fell to the lowest level in a decade.

•      Of particular concern here is measles, which poses a high risk and is easily transmitted across unvaccinated populations. 

•      Around 20-40% of those with measles will be hospitalised with higher rates in babies, and adults over 25 years of age.

•       

The July 2023 the national “Risk Assessment for Measles Resurgence in the UK” was published by UKHSA.  This concluded that “there is a high risk of imported cases leading to outbreaks in specific population groups … and geographies … with some risk of limited spread to the wider community”.

Vaccine Uptake –

•      Uptake for the first dose of MMR vaccine in children aged 2 years in England is 85.6%. This is well below the 95% target set by the World Health Organisation (WHO), needed to eliminate the disease.

•      Earlier this year the WHO and UK Health Security Agency (UKHSA) issued warning about the low levels of vaccine coverage and risks of measles resurgence, including recommendations for actions to prevent this.  The UK has never met the WHO target of 95% coverage and so under-vaccination is an issue across the age groups. Of key concern are teenagers and young people where national data indicates rates are low.

•      Recent vaccination data for Oldham indicate that by their 5th birthday, 94% of children in Oldham had had the first dose of the MMR vaccine: 80% had had both doses.

With regard to National actions and recommendations –

•      The UK strategy for eliminating measles and rubella includes 4 key parts:

                                  i.    Achieve and sustain MMR coverage at > 95% for 2 doses of the vaccine in the routine childhood programme (by 5 years of age)

                                ii.    Achieve coverage of > 95% for 2 doses in older age groups through opportunistic and targeted catch up programmes

                               iii.    Strengthen surveillance through rigorous case investigation and testing

                               iv.    Ensure easy access to high quality, evidence based information for health professionals and the public

In Oldham -

Leadership changes have recently taken place in relation to this work:

                                  i.    The childhood immunisations and vaccinations group was disbanded earlier this year. A new group will take its place and continue work on key areas including improving access to childhood vaccinations, community insights and engagement, and systems working with primary care.

                                ii.    This group will report to the Pan-GM Measles group, who provide strategic input to reverse the overall falling vaccine uptake rates in the childhood immunisations programme and increase the coverage for the MMR vaccination programme in the region.

•      Primary care have  ...  view the full minutes text for item 8.

To consider a report presented by Maion Colohan, NHS, Manchester Integrated Care.

Report to follow.

The Board received a report from the Integrated Care Partnership which set out the National approach for winter planning 2023-24 and Gm ICB Tier 1 Allocation -May 2023. The report also gave details of the Winter Vaccination Programme 2023-24 for Covid and Flu vaccinations.

Rebecca Fletcher, Interim Director of Public Health, referred to a broader approach to winter wellbeing which should include the cost of living, people keeping warm and vulnerable people which should be taken on board. She suggested that a post winter report showing what went well and the lessons learned from the 2023-24 winter and how the Winter 2024-25 Programme can include those factors.

Resolved – that Oldham Integrated Care Partnership be requested to submit a post winter 2023-24 update report to the Board which indicates what went well and lessons learned the implications for the 2024-25 Winter Programme.