Agenda and draft minutes

Apologies for absence were received from Jack Sharp, Alistair Craig, Gerard Jones, Kristina Atkins and Michelle Scholes.

With the approval of the Chair, Dr John Patterson shared information about a stop smoking initiative taking place in Oldham over the coming weeks. A Smoking Cessation Offer was being provided and all current or ex-smokers in Oldham over the age of 40 received an invitation for a CT scan to allow for early detection of Lung Cancer. Other support would also be made available for those wishing to stop smoking including nicotine replacement products.

RESOLVED that, this was noted by the Board.

There were no declarations of interest received.

There were no public questions to consider at this meeting.

The Minutes of the meeting held on 7^th March 2024 are attached for approval.

RESOLVED that the minutes of the meeting held on 7^th March 2024 be approved as a correct record.

To review the current membership of the Health and Well Being Board and to add and/or remove members with the approval of the Board.

The Board reviewed the Statutory and Discretionary members of the Health and Wellbeing Board. They noted that the list would need to be updated due to changes in staff roles and responsibilities.

Members of the Board also discussed possible new members but agreed that further discussions would need to take place to establish in what capacity they would join the Board.

The Board agreed that a representative working within an education setting would be a valuable addition to the Membership.

The Director of Public Health and Dr. John Patterson were nominated as co Vice-Chairs alongside Cllr Shuttleworth.

RESOLVED that,

1)    The Director of Public Health is to work with Constitutional Services to update the membership.

2)    The Director of Public Health and Dr. John Patterson would act as co Vice-Chairs alongside Cllr Shuttleworth.

The Associate Director of Strategy, Planning and Development for Oldham presented on the Oldham Integrated Care Partnership’s five-year strategy and one-year 2024/25 delivery plan.

The Partnership’s five-year strategy was agreed during 2023/24, following a full refresh of Oldham’s Locality Plan, which was ratified in November 2019. It has had some minor updates but has not been extended in timeframe.

The Partnership’s 2024/25 delivery plan covers commitments in this current financial year, as well as the delivery of a range of objectives and priorities in relation to the national NHS Operational Guidance and NHS Greater Manchester Operational Plan. This one-year delivery plan features the key priorities for the year ahead, as well as the detail of various action areas and milestones. At the heart of the plan is the implementation of the new Population Health Management model, build from extensive work to determine the drivers of demand for local services, as well as five workstreams making up the delivery and transformation programme for local health and care.

The Board heard how Oldham face three core challenges in the deliver plan:

1) High health, care and social needs

2) Ineffective focus on early intervention and prevention

3) Lack of service integration, communication and signposting

In order to address these concerns, four top priorities have been identified:

1)    Reduce ‘late’ service access, presenting in high demand for Urgent and Emergency Care

2)    Proactive Children and Yound Person intervention to reduce downstream demand, including in social care

3)    Enhanced model for managing mental health needs, including low- and mid-severity

4)    Supporting better care navigation and coordination

Members of the Board commended the preventative approach taken in the delivery plan and agreed that early intervention within communities will provide better outcomes.

RESOLVED that, the Oldham Integrated Care Partnership’s strategy and delivery plan be noted by the Health and Wellbeing Board.

An overview of Healthwatch Oldham’s work programme for 2024/25

The Health and Well Being Board heard how Local authorities have a statutory duty to commission a local Healthwatch organization which in turn has a set of statutory activities to undertake, such as gathering local views and making these known to providers and commissioners, monitoring and scrutinizing the quality of provision of local services, and a seat on the local Health and Wellbeing Board.

Local Healthwatch services are required to:

·       Listen: be proactive to gather the views of people about their needs and experiences of local health and care services in Oldham.

·       Involve and Engage: involve and engage communities from across the borough including by connecting with trusted networks to understand and learn what is important to local people.

·       Provider Data and Insight: share the data and insight that has been gathered and produce reports which include recommendations about what local people have said about ways health and care services can be improved.

·       Share Information: provide information and advice to the public about the local health and care services available to them and share information and support to access this.

The workplan for 2024/25 is focused on three areas of focus; improving services, influencing plans and involving the public.

The Framework of the plan Split into projects  - two local projects and three projects with GM counterparts. Healthwatch will look to identify where they should target our engagement and share with partners where there is an intent to work strategically with others on issues that may not be solely delivered by a health or care provider.

Following approval from the Healthwatch Advisory Board, the Projects for this year are:

·       Secondary/Metastatic Cancer Services

·       Greater Manchester Children and Adolescent Mental Health Services (CAMHS)

·       Greater Manchester Menopause and Mental Health

·       People with learning disabilities experiences of diabetes services

Members of the Board noted the work being done, but queried progress on work started to address issues with accessing GP appointments. Healthwatch to provide an update on the work and Annual Reports to be presented to the Health and Wellbeing Board to review progress on all projects.

RESOLVED that,

1.     Healthwatch Oldham’s Work Programme be noted by the Health and Wellbeing Board.

2.     Annual Reports to come back to the Health and Wellbeing Board so progress can be reviewed

The Better Care Fund’s (BCF) vision has been to support people to live healthy, independent and dignified lives, through joining up health, social care and housing services seamlessly around the person. The BCF Policy Framework centres on these objectives; 1. enable people to stay well, safe and independent at home for longer and 2. provide people with the right care, at the right place at the right time.

The Board heard how in order to meet the national funding conditions of the Better Care Fund, the Health and Wellbeing Board’s approval is required on the 2023-24 End of Year report and 2024-25 Planning template. To meet the deadlines, the templates have already been submitted so retrospective approval is required. The Board’s approval is also required to delegate the decision to submit quarterly reports to the Better Care Fund team, with the understanding that the reports will be noted at the next available Health and Wellbeing Board meeting.

RESOLVED that the Health and Well Being Board approve,

1)    the Better Care Fund End of Year Report 2023-24

2)    the Better Care Fund Planning Template 2024-25

3)    to delegate the decision to submit quarterly reporting templates to the Place-Based Lead and Oldham Council’s Chief Executive in consultation with the Director of Adult Social Services (DASS).

The Director of Public Health to provide an overview of the Public Health Annual Report.

The Health and Well Being Board heard from the director of Public health on the impact that Housing has on the health of Oldham residents. The three key themes that impact health are unsafe homes (Damp and Mould, Pests etc), unsuitable homes (Overcrowding etc) and unstable homes (Homelessness etc).

The Board heard about The Oldham Offer and work that is already being done including but not limited to the below initiatives;

Pest Control

For a 12–month trial period (April 2023 – March 2024), Oldham Council invested in free and universal pest treatment for all homeowners and private tenants in Oldham who were experiencing an infestation in their home. This helped to tackle infestations of rats, mice, cockroaches, bed bugs and fleas. The aim was to remove all ‘public health related pests’ with the aim of reducing the risks associated with poor health/ infectious diseases.

Damp Mould

The Home Improve Loan scheme is one of the tools available to help owner occupiers in Oldham who are on a low income to carry out essential repairs to their home, for example, to pay for a damp proof course, or replace a window. This is a loan facilitated through the release of equity in their home. Home Improve Loans play a crucial part in the sustainability of housing within Oldham, and by helping residents to remain in the area they also help to maintain communities.

Members of the Board noted that Health is now becoming a key factor when building new houses is Oldham. Considerations such as safe walking routes are looked into to encourage children walking to school and promoting healthier lifestyles.

RESOLVED that, the Annual Report be noted by the Health and Wellbeing Board.