Agenda and draft minutes

People's Board - Wednesday, 17th November, 2021 2.30 pm

Venue: Room 10

Contact: Mrs KM Howard 

Media

Items
No. Item

22.

Apologies for Absence

Additional documents:

Minutes:

Apologies for Absence were received from:

 

Tony Bennet

Wirral Community Trust

Councillor Charlton

Cabinet Member for Children and Young People

Councillor Groucutt

Cabinet Member for Education, Skills and Business

Karen Howell

Wirral Community Trust

Guy Keen

Merseyside Fire and Rescue

Jim Leivers

Director of Children’s Services

Ann Marr

St Helens and Knowsley Teaching Hospital NHS Trust

Councillor Mussell

Opposition Member

Mark Palethorpe

Executive Director Integrated Health & Social Care. Accountable Officer CCG

Sally Yeoman

Halton and St Helens Voluntary and Community Action

 

23.

Minutes from the Meeting held on 29 September 2021 pdf icon PDF 102 KB

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Minutes:

*           Resolved that the minutes of the meeting held on 29 September 2021, be approved and signed.

24.

Declarations of Interest

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Minutes:

No Declarations of Interest were made.

25.

Health Inequalities Commission Update pdf icon PDF 182 KB

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Minutes:

The Cabinet Member for Wellbeing, Culture and Heritage, Councillor Burns, introduced the report on Health Inequalities Commission which provided updates on the Health Inequalities Programme of work, including progressing the establishment of an Inequalities Commission and working towards becoming a Marmot community.

 

The Director of Public Heath advised that St Helens had been collaboratively engaging with the Cheshire and Merseyside Marmot Community programme and that St Helens Council would host a Marmot Community Programme Workshop on 1 December 2021.

 

The workshop was being facilitated by experts from the national Marmot team and formed part of St Helens’ active engagement with the Cheshire & Merseyside Health Care Partnership’s goal to achieve Marmot Community status. Information from this would then be fed back to the national Marmot team.

 

During the workshop, appropriate and effective approaches and initiatives to reduce inequalities and feed our recommendations would be developed. The findings would identify the priorities and the key drivers to address post-Covid-19 inequalities to support the refinement of place plans involving all sectors. A set of key inequality indicators would also be developed to track ongoing progress and inform the future delivery of implementation plans.

All members of the People’s Board had been invited to take part in the local Marmot workshop and were advised that, following the workshop, the St Helens Inequalities Commission would undertake it’s inaugural meeting to develop and implement a work plan to tackle inequalities in St Helens.

The Marmot Workshop Agenda and Draft Term of Reference of the Inequalities Commission were appended to the report.

The Board was also advised that the
Institute for Voluntary Action Research was supporting a two-part local event during February and May 2022. This event, titled ‘Living a Good Life in

St Helens’, would see engagement with members of the community, and other partners who were working locally to tackle inequalities and would focus on the following two Marmot objectives:

·       Best start in life: children and young people reaching their potential, raising aspirations and education; and

·       Poverty.

The Board resolved to:

(1)            engage with the planned Marmot community programme workshop on
1 December 2021;

 

(2)            the Inequalities Commission (a sub-group of the People’s Board) meeting with representation from partners across the People’s Board to develop a local work plan for becoming a Marmot Community following the workshop;

 

(3)            continue to receive regular updates on progress on tackling inequalities; and

 

support a two-part local event for wider members of the community and partners to join, to listen and learn from them for this programme of work.

26.

Covid-19 Response - Winter Plan 2021

Additional documents:

Minutes:

The Board received a presentation from the Director of Public Health which provided members with an update on the Covid-19 Response and winter planning for 2021.

The presentation entitled ‘Covid-19 Response - Winter Plan 2021’ detailed the following:

·       Testing overview St Helens – 14 August to 9 November;

·       St Helens Coronavirus Diagnosis Long Term Trend;

·       Cumulative Cases Trend Chart: St Helens vs England Average;

·       Cumulative Admission Rate of Covid Patients: March 2020 to November 2021;

·       Cumulative Weekly Death Rate per 100k: March 2020 to November 2021;

·       The Challenges for Winter 2021/22;

·       Autumn and Winter Plan;

·       General Management;

·       Health matters: Cold Weather and Covid-19; and

·       What are the Key Actions?

 

The Director of Integration provided a verbal update and reported that currently there were around 70 patients in St Helens and Knowsley Hospital with Covid. This equated to 10% of the hospital bed base, seven of which were currently in ITU (Intensive Therapy Unit) equating to 50% of the ITU commission. This was adding pressure to the elective recovery programme and planned operations.

It was acknowledged that the inclusion of Covid, Accident & Emergency pressures, both in terms of demand and staffing alongside the anticipated winter pressures indicted
St Helens and Knowsley Hospital had challenging months ahead.

 

The Board was advised by the Director of Adult Social Services that, as a partnership, a bid had been submitted to Cheshire and Merseyside partnership for funding to work with vulnerable residents and the Hospital trust specifically to help manage the next four months.

 

*           Resolved that:

(1)        the presentation be noted; and

(2)        an update report in relation to the outcome of the Cheshire and Merseyside partnership bid for additional funding be brought to a future meeting of the Board.

 

27.

St Helens Cares - Place Based Partnership Developments pdf icon PDF 440 KB

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Minutes:

The Interim Independent Chair of the St Helens Cares, Place Partnership Board, presented the report on St Helens Cares, Place Based Partnership Developments which provided the Board with an update on of developments at system and place level.

The report advised that the St Helens Place Based Partnership (PBP, formerly ICP) had undertaken an initial assessment by the interim Chair and Chief Executive of the ICS and each place had received a ‘development framework’ to undertake a self-assessment of the level of maturity across a number of domains.

This piece of work, along with the initial assessment by the interim Chair and Chief Officer of the ICS, had been influential in demonstrating the St Helens PBP ‘state of readiness’ to receive delegations from the Integrated Care Board.

Noting that St Helens Cares had been at the forefront of integration and partners had taken preparative steps with the early development of an integrated place partnership, the refreshing of the People’s Plan and a proactive approach to working with the system to create the conditions to become a test bed and template for other Boroughs in Cheshire and Merseyside.

 

St Helens was considered the most mature of all the place partnerships with sound governance processes in place with our People’s Board, Place Based Partnership Board, Stakeholder Forum, Programme Delivery Group and joint roles and committees between health and local government.

 

It was advised with a track record of integrated working and the continued advancement of the partnership, ICS leadership had a high degree of confidence that St Helens would be one of the first in Cheshire and Merseyside to gain the maximum delegation from the Cheshire and Merseyside Integrated Care Board.

 

The Interim Independent Chair updated the Board on the appointment of new Chief Executive for Cheshire and Merseyside for the Integrated Care Board, Graham Irwin, who was currently the Director for Performance in the Northwest region. Advertising was now currently underway to fill the non-Executive Director roles on the Board.

 

The Place Based Partnership Board met on 19 October 2021, and considered a

range of topics including:

·       Updates concerning national guidance;

·       Review of governance arrangements;

·       Updated with ICS developments;

·       Progress on the priority workstreams;

·       Partner contributions; and

·       Health and Social Care Skills Academy Bid

 

Governance arrangements were currently being aligned to become a committee of the Cheshire and Merseyside Integrated Care Board (ICB) whilst retaining strong links with this Board which will also have a line of sight to the Cheshire and Merseyside Health and Care Partnership Board (HCP).

 

The Board was also advised that partners from the Council, Torus, Chamber of Commerce, VCS, CCG and the Trust had recently submitted a bid for £350,000 to the ICS for the development of a Health and Social Care skills Hub to be located in a refurbished Gamble Building restoring this landmark building back to its origins of being a centre for learning and innovation.

 

The letter from the Interim Chair of the ICS Cheshire & Merseyside Health & Care Partnership to St Helens Place  ...  view the full minutes text for item 27.

28.

Partnership update from Torus

Additional documents:

Minutes:

The Board received a presentation from the Chief Operating Officer which provided members with an update from Torus.

The presentation entitled ‘Peoples Board (Health and Wellbeing Board/Community Safety Partnership)’ detailed the following:

·       Torus Background What we Do..

o   Our Operating Model

o   Current and future demography - what we can predict

o   Current operating context and policy environment

o   A community is only strong when…

·       Torus In partnership with Others

o   Housing partners do..

o   The way it can work well.. Partnership

o   Partners

·       Older People … specialist and appropriate accommodation

o   Older People specialist accommodation

o   Other Client Groups

o   Appleton Court St Helens

o   Supported Living Mill Point

·       Workforce and Employment Partnership ‘Opening Doors’

o   Background

o   Opening Doors

o   The project will..

·       Britain’s Housing Shame

·       The Social Housing White Paper 2020 : The Charter

o   That’s the context…it’s aims…

o   The Charter

o   Need to Improve…

·       Ongoing and Future Activity

 

Councillor Bell took the opportunity to outline the support that Torus added as an active community safety partner as one of the CSP Executive Board Members and their contribution to community resilience. The work of the Torus Foundation was also highlighted to the Board, including the support provided to residents across the Borough in response to the Covid-19 pandemic.

 

During discussion on encouraging wider engagement from the Social Housing Sector, it was advised that the Opening Doors initiative was encouraging other registered housing providers (RPs) within sector to engage, a Symposium was being arranged as a group of RPs and that the Liverpool City Region (LCR) Housing Group was currently developing an offer for partners across the Northwest.

 

Councillor Bell advised the Board on the ongoing development of the housing allocation policy and housing strategy and on forum meetings undertaken with registered providers across the Board as part of this work. The Board was updated on the establishment of a providers’ forum for St Helens housing providers to share best practice and to encourage the common aim of working together with the housing strategy.

Noting the importance of building well insulated and cheap to heat homes, due to the link between housing and health, the Board enquired about Torus’ objectives and plans. The Chief Operating Officer advised the Board that all new build homes would be energy rated under the
Standard Assessment Procedure (SAP) as Grade A.

 

In order to improve the energy ratings of older properties, Torus had developed a Sustainability Strategy. The strategy would initially start with insulating all properties with a view to then looking to embrace new energy efficient technologies such as air source heat pumps.

It was reported that the retro fit would be at an approximate cost of £693million over the next five years and that the Council’s Housing Team were working with Torus and other providers in bidding for funds being made available by LCR and nationally to providers for retro fits to improve heating/energy standards.

The Board noted the significant contribution that Torus had made to the  ...  view the full minutes text for item 28.

29.

Safeguarding Adults Annual Report 2020/21 pdf icon PDF 141 KB

Additional documents:

Minutes:

The Independent Chair of the Safeguarding Adults Board, Ian Cardwell attended the meeting to present the Safeguarding Adults Annual Report 2020/21 to the Board.

 

The Care Act 2014 required the St Helens Safeguarding Adults Board to publish an Annual Report which set out how the Board had performed during 2020/21.

The requirements of the Report were set out as follows:

·       To set out the progress against the business objectives for 2020/21, which were focused on Making Safeguarding Personal;

·       Seeking assurance from partners that there was effective leadership in place,

·       Ensuring that effective Partnership working, and governance were in place;

·       Ensuring all services had appropriate systems and processes in place;

·       Ensure that partners were equipped to respond appropriately; and

·       to set out business Objectives for 2021/22 and to revise the 3-year Strategic Priorities for the period 2020/23

 

The Report also set out the progress on any Safeguarding Adult Reviews (SAR) that had taken place during the year.

This year’s Annual Report had also been an opportunity for the Board to pay tribute to, and highlight the hard work of Board partners, particularly those who had continued to deliver front line services in the context of the COVID pandemic.

In presenting the Safeguarding Adults Annual Report 2020/21 to the Board the Chair took the opportunity to advised Members on National Safeguarding Week 2021 which was currently taking place.

The 2021 theme for National Safeguarding week was ‘Creating Safer Cultures’, with each day taking a daily a focus within this theme. The daily focuses during National Safeguarding week were screened for Board Members information.

 

*           Resolved that the Safeguarding Adults Annual Report 2020/21 and National Safeguarding Week 2021 be noted.

30.

Items for the next meeting of the Board

Board Members are invited to propose items for consideration at the next meeting of the Board.

 

Additional documents:

Minutes:

Board Members were invited to propose items for consideration at the next meeting of the Board and encouraged to email the Leader or Director of Public Heath with any proposals.

31.

Date of Next Meeting

-        Wednesday, 26 January 2022, 2 – 4pm at the Town Hall.

Additional documents:

Minutes:

Wednesday, 26 January 2022, 2 – 4pm at the Town Hall.

 

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