The ONE Stockport Health and Care Locality Board met on Wednesday 28 August 2024 to discuss a range of critical health and care priorities for the borough. Key topics included updates on urgent and emergency care, financial performance, and plans for children and young people. The board also reviewed progress on neighbourhood and prevention initiatives, elective care recovery, and the Greater Manchester Moving strategy.

Place Based Lead and Deputy Place Based Lead Update

The meeting was scheduled to receive an update from Michael Cullen, Chief Executive and Place Based Lead for Stockport MBC, and Philippa Johnson, Deputy Place Based Lead for NHS Greater Manchester (Stockport). This update was expected to cover ongoing work and strategic developments within the Stockport health and care system.

NHS GM Executive Update

Philippa Johnson was also scheduled to provide an update from the NHS Greater Manchester Integrated Care Board. This report, available as Item 07 - CEO Report - NHS Greater Manchester Integrated Care Board, would have covered national and regional updates, including the implications of the recent General Election on health and care policies, the 76th anniversary of the NHS, and leadership changes within NHS Greater Manchester. It also detailed progress on the Greater Manchester Integrated Care Board's strategy, including the Board Assurance Framework, the 2023/24 accounts, system planning, and the launch of new organisational values.

Finance Report

Michael Cullen was due to present the Finance Report for 31 July 2024 (Month 4), detailed in Item 08 ii - ONE Stockport Health and Care Board Finance Report - August 2024. The report indicated an adverse year-to-date variance of £2.120 million and a forecast outturn adverse variance of £6.756 million. This was attributed to increasing costs and demand for continuing healthcare, mental health placements, neurodiversity assessments, ADHD treatments, and prescribing costs. The report also detailed the progress of the Cost Improvement Programme, with £2.384 million in savings achieved against a target of £7.973 million.

Children & Young People Plan 2024-27

Chris McLoughlin, Executive Director People and Integration and Director of Children’s Services for Stockport MBC, was scheduled to present the refreshed Children and Young People Plan for 2024-27, outlined in Item 09 ii - CYP Strategy 2024-27. This plan, developed in collaboration with the Stockport Family Partnership Board, aligns with borough-wide and Greater Manchester priorities. It sets out six key ambitions focused on ensuring children and young people are safe, have the best start in life, achieve their potential in education, receive appropriate support for special educational needs and disabilities (SEND), have access to early help, enjoy good health and wellbeing, and have stable homes as children in care or care leavers.

Neighbourhood & Prevention – Focus One Neighbourhood Approach

Kathryn Rees, Corporate Director of Corporate Support Services at Stockport MBC, was set to provide an update on the One Stockport Local – Neighbourhoods and Prevention programme, specifically focusing on the One Neighbourhoods Approach pillar, as detailed in Item 10 ii - One Neighbouhood Approach Update. The ambition of this programme is to bring together services, organisations, and groups within neighbourhoods to create vibrant, safe places, join up public services, make it easier for people to access help earlier, and reduce inequalities. The report highlighted progress in developing the One Stockport Local Offer, workforce initiatives, data and intelligence sharing, citizen access through the One Stockport Local Directory, and communication strategies.

Stockport Elective Care Recovery Update

Philippa Johnson was scheduled to present an update on elective care recovery, as detailed in Item 11 - Elective Care Locality Board Report August 2024 060824. The report indicated that as of 30 July 2024, Stockport NHS Foundation Trust had not met the 78-week standard for elective care, with three patients waiting longer. A plan was in place to meet the 65-week standard by September 2024. The update also covered Greater Manchester-wide initiatives, including clinical validation, theatre productivity, and mutual aid.

Urgent and Emergency Care Update August 2024: Capacity and Discharge Funds Allocation

Philippa Johnson and Ben Aspinall, Associate Director of Delivery & Transformation at NHS Greater Manchester (Stockport), were to present an update on Urgent and Emergency Care (UEC), including the Performance Improvement Plan and plans for reducing bed days for clinically ready for discharge patients. This was detailed in Item 12 ii - IMPROVEMENT PLANS AND CAPACITY AND DISCHARGE FUNDS AUG 24 BOARD.pdf. The report included recommendations for the allocation of UEC capacity and discharge funding for 2024/25, totalling £7.197 million. It also summarised feedback from an NHS England visit to Stockport as part of the support package for systems in Tier 1, highlighting areas for improvement and system-wide recommendations.

Greater Manchester Moving / Stockport Moving Together

Jilla Burgess-Allen, Director of Public Health for Stockport MBC, was scheduled to provide a strategic update on Greater Manchester (GM) Moving, as outlined in Item 13 ii - GM Moving. This included a refresh of the Memorandum of Understanding between GM and Sport England, plans for Place Deepening investment, and priorities for the GM Integrated Care Partnership plans for GM Moving. The report highlighted learning from work in Brinnington, focusing on evolving the leisure centre into a community hub, engaging inactive residents, and fostering sustainability through community ownership.

Flash Report – Stockport Provider Partnership

Karen James, Chief Executive of Stockport NHS Foundation Trust, was due to present a flash report on the Stockport Provider Partnership, detailed in Item 14 - Flash Report - Provider Partnerships August 2024 002. The report was expected to highlight progress on workstreams including Diabetes, Alcohol Related Harm, Frailty, and Cardiovascular Disease (CVD). Subgroups had been established for all workstreams, and actions included mobilising the NHS Health Check Programme and examining links between CVD target areas and other health services.

Flash Report – Stockport Primary Care Commissioning Committee (PCCC)

Philippa Johnson and Gale Edwards were scheduled to provide a flash report from the Stockport Primary Care Commissioning Committee (PCCC), as detailed in Item 15 - Flash Report PCCC - July 2024. Updates included discussions on oral health, urgent and emergency care performance, a Greater Manchester Community Service Review, and a GM Medicines Optimisation Review. The committee was also to consider a proposal for a two-year contract extension for the Stockport Special Allocation Scheme and updates on the Heaton Moor Medical Group branch site closure.

Flash Report – Stockport Quality Improvement Collaborative (SQIC) update

Jemma Billing, Associate Director of Quality at NHS Greater Manchester (Stockport), was scheduled to present a flash report on the Stockport Quality Improvement Collaborative (SQIC), as detailed in Item 16 - Flash Report - Quality - June 2024. The report was expected to cover updates on Equality Impact Assessments, safeguarding, the Transforming Care programme for individuals with learning disabilities and autism, cancer quality updates, Healthwatch Stockport activities, Adult Social Care updates, and mortality trends in Stockport. Key priorities for the next 12 months were identified as CQC system readiness, Mortality Annual Review, Equality of Access, and Equality Impact Assessments.

Questions from the public

The agenda indicated that there would be an opportunity for questions from the public, with one question received regarding the Dementia Strategy from the Alzheimer's Society.