Agenda and minutes

It was moved and seconded that Councillor Sam Corcoran be appointed the Chair.

RESOLVED:

That Councillor Sam Corcoran be appointed as Chair.

It was moved and seconded that Dr Andrew Wilson be appointed as the Vice Chair.

RESOLVED:

That Dr Andrew Wilson be appointed as Vice Chair.

To receive any apologies for absence.

Apologies for absence were received from Louise Barry, Dr Lorraine O’Donnell, Victoria Elliott, Denise Frodsham, Dr Patrick Kearns, Jayne Traverse and Deborah Woodcock.

Mark Groves attended as a substitute.

To provide an opportunity for Members and Officers to declare any disclosable pecuniary and non-pecuniary interests in any item on the agenda.

In the interest of openness Dr A Wilson declared an interest in respect of the fact that he had been appointed as a non-executive at  mid Cheshire NHS Trust.

It was noted that Dr A Wilson made this declaration during minute no.21.

To approve the minutes of the meeting held on 21 June 2022.

RESOLVED:

That the minutes of the meeting held on 21 June 2022 be confirmed as a correct record.

In accordance with paragraph 2.24 of the Council’s Committee Procedure Rules and Appendix on Public Speaking, set out in the Constitution, a total period of 15 minutes is allocated for members of the public to put questions to the committee on any matter relating to this agenda. Each member of the public will be allowed up to two minutes each to speak, and the Chair will have discretion to vary this where they consider it appropriate.

Members of the public wishing to speak are required to provide notice of this at least three clear working days’ in advance of the meeting.

There were no public speakers.

RESOLVED:

That the following individuals be appointed as Non-Voting Associate Members of the Cheshire East Health and Wellbeing Board for the next 12 months

Councillor Janet Clowes, Superintendent Claire Jesson, Victoria Elliott, Dr Andrew Wilson, Jayne Traverse, Claire Williamson, Chris Hart and Kathryn Sullivan.

To approve the final version of the Pharmaceutical Needs Assessment for publication on the Cheshire East Council website for 2022-2025.

The board considered the final version of the Pharmaceutical Needs Assessment (PNA) 2022- 2025 prior to publication by 1 October 2022. The board had previously received a draft version of the PNA in November 2021 and following this there had been a period of consultation and amendments made following analysis of the responses received.

Following the analysis the overall conclusions of the PNA remained the same: pharmaceutical provision was adequate, and the PNA had not identified current or anticipated future need for new NHS Pharmaceutical service providers in Cheshire East over the time frame of the latest PNA.

There would be regular reviews regarding need and provision and consideration given to the need for additional statements to update any substantial changes that emerge.

The board thanked the team that had been involved internally and externally for all their work.

RESOLVED (Unanimously)

That the Pharmaceutical Needs Assessment (PNA) 2022 - 2025 be approved for publication on the Cheshire East Council Website by 1 October 2022.

To consider the actions taken in the 2021/22 influenza season, and proposals for 2022/23.

The Board considered the Annual Flu Report 2021/22 which included

-       A summary of the 2021/22 Cheshire East Council workforce influenza Vaccination scheme and recommendations for the future of the staff programme;

-       A summary of the 2021/22 NHS-led Influenza Vaccination programme across Cheshire East and a forward look at the 2022/23 influenza Programme.

The rates for influenza had been unseasonably low throughout 2021/22 which had been associated with behavioural changes due to the continuation of the COVID-19 pandemic.

The uptake in Cheshire East of the flu vaccination had continued to be higher than the national average in most patient groups although uptake of those with learning disabilities was low. It was agreed that officers would liaise with NHS colleagues to discuss plans to address this.

In response to a question in respect of when feedback would be received on how this year’s programme was going it was agreed that this would be added to the forward plan with a view to receiving a verbal update at the January meeting.

RESOLVED

That the Cheshire East Health and Wellbeing board noted the report and the recommendations set out in the report.

To receive the ‘All Together Fairer: health equity and the social determinants of health

in Cheshire and Merseyside’ report.

The board considered the ‘All Together Fairer: Health equity and social determinants of health in Cheshire and Merseyside’ report. The report’s recommendations would be considered in the refresh of the Cheshire East Health and Wellbeing Strategy and the drafting of the Cheshire East Health and Care Partnership’s Five -Year Delivery Plan.

The board welcomed the report as it gave practical examples of the next steps but felt frustrated that health inequalities were still there. To help reduce the inequalities the board asked its partners in the Cheshire East Health and Care Partnership to note the publication of the report and to commit to considering its recommendations as they developed their corporate, operational and delivery plans for 2023-2024 and align those plans to the Health and Wellbeing Strategy.

RESOLVED (Unanimously) That:

1. The Cheshire East Health and Wellbeing Board endorsed the ‘All Together Fairer: Health equity and social determinants of health in Cheshire and Merseyside’ report.
2. The Board noted the recommendations and that these would be considered and, where appropriate, be included within the refresh of the Cheshire East Health and Wellbeing Strategy and the drafting of the Cheshire East Health and Care Partnership’s Five-Year Delivery Plan.
3. That the Board asks that all partners in the Cheshire East Health and Care Partnership take note of the publication of the report and commit to considering its recommendations as they develop their corporate, operational and delivery plans for 2023 – 2024 and beyond; and in due course, align those plans to the Health and Wellbeing Strategy, with the intention of contributing to the reduction of health inequalities.

To receive an update on the programme.

During consideration of this item Dr Andrew Wilson declared an interest due to the fact that he was a non-executive at mid Cheshire NHS Trust.

Katherine Sheerin, Executive Director of Transformation and Partnerships and Sarah Harrison, Programme Manager from the East Cheshire NHS Trust provided the board with an update on the progress of the Creating Sustainable Hospital Services for the people of eastern Cheshire and Stockport programme. The board were given clarification on how the programme would fit with the East Cheshire NHS Trust Strategic Plan and in turn the Cheshire East Place Strategy.

The Board received a presentation which outlined the purpose of the programme, the governance structure for the programme, phases of the programme and its next steps.

The board heard that a series of workshops had taken place over the summer to develop the model of care and had been attended by patient representatives, people from voluntary, community, faith and social enterprise groups, Local authorities, primary care, commissioners, and clinical teams. Work would be undertaken to understand the financial, workforce, digital and capital implications, and to assess the level of potential changes in access in the ten clinical areas that the programme was focused on. If there were proposals for substantial service change then those would be subject to full public consultation.

The Board thanked Katherine and Sarah for their presentation and noted the complexities across two boards but felt that the target of reducing carbon emissions by 4%, outlined as part of the strategic plan could me more ambitious.

RESOLVED:

That the Board noted the progress with the work on creating sustainable hospital services for the people of eastern Cheshire and Stockport.

To receive an update on recent NHS changes and progress with their local implementation.

Mark Wilkinson, Cheshire East Place Director provided the board with an update on the establishment of the Health and Care Partnership and NHS Cheshire and Merseyside’s team in Cheshire East.

There had been two meetings of the Health and Care Partnership Board who continued to meet in shadow form until the terms of reference had been agreed by all partners. The recruitment process for a new chair was underway and expressions of interest had been invited.

 A Staff conference had taken place to provide clarity for former employees of the CCG and to receive feedback and comments from them. The board shared concerns that although the staffing structure was progressing there was still significant work to be done.

The board agreed that it was positive that there was agreement at the Cheshire and Merseyside level 80 or 90% of resources should be allocated at Borough level and that there were good working relationships at the Cheshire East level, along with a clear shared vision about tackling the wider determinants of health.

In response to questions and comments the board were assured that:

-       Everyone who was employed by the former CCG had been transferred over although there were challenges ahead in meeting savings targets for the Integrated Care Board.

-       The overarching objectives in the plans originally set out pre-pandemic hadn’t changed but the key was how performance would be monitored and how to articulate the delivery plan.

The Board was assured that winter was at the forefront of people’s minds but there was a need to work collaboratively as pressures would continue to increase over the winter period and the financial position would be challenging.

RESOLVED:

That the update be noted.

To receive a verbal update on the Cheshire East Health and Care Partnership.

The board received a verbal update on what actions were underway to help move forward the refresh of the Cheshire East Health and Wellbeing Strategy and five-year delivery plan. The update included the current Cheshire East Partnership interrelated strategies and the strategies outlined for the future which included:-

•    Cheshire East Joint Health and Wellbeing Strategy 2023 – 2028 (and Place Plan)

•    Five-year over-arching Cheshire East Partnership health and care system delivery plan 2023 – 2028

•    Joint Outcomes Framework

•    System Plans

•    Organisational strategies and plans

Once the joint Health and Wellbeing Strategy and Place plan had been drafted and gone out for engagement it was important that those partners and organisations that would be contributing to individual behaviours, socioeconomic factors and built environment were part of the conversation. 

The proposal was to stick with the existing outcomes which sat within the current strategy, with the addition of outcome 4 which covered the needs of children and young people. The delivery plan would incorporate the new models of care that had been agreed by the Place Partnership.

A list of issues that would influence the refresh of the strategy and would need to be taken into consideration were highlighted.

The Board supported the refresh but felt that more emphasis was needed on the ‘how’ as the ‘what’ was trying to be achieved had not changed.

The board heard from Andrew Turner, Public Health Consultant who stated that “I think we’re now at the point where we won’t get more health from more healthcare; we will have a much bigger impact on population health and wellbeing by improving the circumstances in which people live”. The Board acknowledged that there were real potential benefits from improving the quality of houses, communities, and jobs and that this could have more of an impact than improving the quality of the NHS services.

RESOLVED:

That the update be noted.