Venue: Room 10
Contact: Mrs KM Howard
Apologies for Absence
Apologies for absence were received from Councillor Grunewald, Councillor Bell, Phil Garrigan, Kevin Hardy, Ann Marr and Mike Palin.
* Resolved that the minutes of the meeting held on 25 January 2017, be
approved and signed.
Strategic Director of People's Services informed the Board that all of the actions from the previous meeting had been completed bar resolutions b2 and d2 (Minute 5) and gave an update on progress towards completion of these two actions.
Declarations of Interest
No Declarations of Interest from Members were made.
The Strategic Director People’s Services presented the report on the People’s Board Membership and Terms of Reference.
At a previous meeting of this Board held on 5 January 2017, the Board considered a report on the formal creation of the People’s Board and Terms of Reference. Proposals were made to amend elements of the Terms of Reference and it was resolved that the Chief Executive, St Helens Council undertake an engagement exercise with key partners on issues raised and that a report be brought back to the Board with regard to the outcomes of this exercise.
was informed that engagement had taken place and a revised Terms of
* Resolved that:
the report be noted;
the Membership and Terms of Reference
Revision 13 March 2017 be approved and adopted by this Board;
(3) the Strategic Director of People's Services, in consultation with the Chair of the People's Board, be delegated to make minor amendments following the completion of discussions with partner organisations.
The Assistant Director, Vision and Change, St Helens Council presented the report on Moving the Council forward to 2020. The report summarised an approach to be taken in moving towards transforming the Council to be both fit for purpose for a very different operating environment in 2020 whilst seeking to mitigate a series of strategic risks between now and 2020.
The proposed approach would fit with the Council’s need to move to being more innovative and adaptive in how it works while also, maintaining the key strengths of being well managed, effective and efficient in what it does. The challenge in how to make changes when capacity was increasingly being focused on just the immediate pressures of rising costs and demand in service areas when budgets were being cut.
In the last year various pieces of strategic work had been undertaken to prepare the Council for the significant changes that were taking place in the public sector between now and 2020. The whole of the public sector was undergoing considerable change, due to budget pressures and a simultaneous increase in demand.
In St Helens, the Council needed to make budget reductions of £20.6m by 2020, the ‘Alliance’ area of the Health system faced a budget challenge of £250m by 2020, Merseyside Police were required to make budget reductions of £25m by 2020 and the Merseyside Fire and Rescue Service had to make savings of £11m.
In addition, changes to legislation were impacting on Housing Associations and education establishments were becoming increasingly independent. In summary, the public sector was undergoing unprecedented change.
The various pieces of work undertaken over the last year had been constructed around the following objectives for the Borough:
• Increasing ambition;
• A sustainable health and care system;
• Growing the economy; and
• Better connected
The objectives had provided a framework over the last year within which more detailed work had been undertaken. For example, in establishing this Board these objectives had acted as a foundation with the work done focusing more specifically on how the Borough might establish a sustainable health and social care system.
Cabinet, at its meeting held on 11 January 2017, had received a series of significant reports that further set the direction for St Helens Council and for the Borough, for the years ahead to 2020.
The reports identified an approach to achieving a sustainable health and social care system for the people of St Helens, the approach to growing the economy of St Helens, and the need for the Council and other public service bodies to make significant budget reductions over the next few years.
The programme of activities that must be delivered in relation to one another were detailed in the report.
At a meeting of this Board held on 25 January 2017, a discussion
took place about how the Borough might take forward the further
integration of health and care in
The Strategic Director, People’s Services presented the report on Further Development of a Local Care System for St Helens which updated the Board on the further development of the system. It was noted that a version of this report had been considered and approved by St Helens CCG’s Governing Body.
St. Helens People’s Board had previously considered a number of reports relating to the development of Integrated Services with Health partners to benefit the people of the Borough. This work has increased in momentum recently as a result of the development of the St Helens People’s Board.
In January 2017, the Board considered a report detailing completion of Phase 2 of work relating to the development of a local care system (sometimes referred to as an Accountable Care Management System, ACMS, in other parts of the Country) to help fulfil the Council’s 2020 vision and the mission statement which was: -
“Improving people’s lives together, by tackling the challenge of cost and demand”
The People’s Board also aimed to become: -
“The most effective Borough based partnership in the country with
enhanced stewardship by those who are democratically elected”
report outlined a proposed way forward to deliver key elements of
the Local Care System by April 2018 and was structured under the
following key areas:
The aspiration for the development of a fully
integrated service for the functions of St Helens NHS Clinical
Commissioning Group and the health, social care and community
related elements of the Council;
A model for the continued development of a Local
Care System; and
· Interim structural changes which will need to be made in order to support this key transformation agenda.
The Board was informed the approach being taken would be in keeping with the locally developed approach to the Local Delivery System (LDS) and build on the overarching Section 75 agreement between the Council and the CCG.
Paragraph 3.2 of the report detailed the existing Integrated Services to be consolidated and strengthened with further services to be integrated where the opportunity presents. This integration would take place at a pace to underpin the intention of a delivery of a Local Care System by April 2018.
The St Helens People’s Board Local Care System Design and Delivery Programme Team (15 March 2017) was tabled for the Board’s information.
* Resolved that:
the report be noted;
the development of an integrated local care
system (St Helens Cares) forming one of the three key elements of
the Council’s approach to delivering the 2020 vision be
the next stage in the development of the local St
Helens Cares, a local care system be approved;
the proposal to develop a fully integrated system
of Council services relating to Health, Community and Social Care
the Chief Executive, Torus be appointed to the
Multi-agency Executive Board as the Nominated Member from this
(6) providers notify the Strategic Director of People’s Services of their appointments to ... view the full minutes text for item 13.
Merseyside Police Presentation and Community Safety Hub/Early Intervention
Chief Superintendent, Merseyside Police gave a presentation to the Board on Merseyside Police and Community Safety Hubs.
The presentation detailed:
· The Financial Landscape;
· Post CSR Announcement;
§ Response and Resolutions
§ Local Policing
· What does this mean for St Helens?
· Savings; and
· Early Intervention Hubs – High Demand Generators
(What, Why, How, Who and When)
The Board discussed the Early Intervention Hubs and it was noted that there would be an opportunity to link in with Torus and Third Sector services.
The education of the public on
the appropriate use of Early Intervention Hubs in place of
emergency services; similar to that of encouraging appropriate use
of Walk-In Centres instead of Acute Care and partners
neighbourhoods/ localities definitions fitting with one another
were highlighted by the Board as key to ensuring the success of the
Early Intervention Hubs.
* Resolved that the Presentation be noted
The Interim Director of Public Health presented the report on St Helens People’s Plan 2017-2020.
Health and Social Care Act 2012 introduced duties and powers for
Health and Wellbeing Boards in relation to Joint Strategic Needs
Assessments (JSNA’s) and Joint Health and Wellbeing
purpose of the Strategy was to improve the health and wellbeing of
the local community and reduce inequalities for all ages.
· To develop the Local Care System, ‘St Helens Cares’;
· To improve outcomes for people who are at risk of self-harm and
· To improve outcomes for people who are at risk of falling and reduce the number who fall;
· To improve outcomes for people at risk of alcohol abuse and reduce the number who suffer from alcohol harm ; and
To improve community safety by developing community
safety hub which
The St Helens People’s Plan 2017-2020 was attached to the report at Appendix 1.
* Resolved that:
the report be
the St Helens People’s
Plan be approved; and
(3) the Interim Director of Public Health, in consultation with the Chair of the People's Board, be delegated authority to make final amendments to the St Helens People's Plan.
proposed future meeting dates for the People’s Board were
reported as follows:
· Wednesday, 7 June 2017;
· Wednesday, 19 July 2017;
· Wednesday, 20 September 2017;
· Wednesday, 22 November 2017;
· Wednesday, 24 January 2018; and
· Wednesday, 14 March 2018.
It was noted the dates of these meetings form part of the draft Programme of Meetings 2017/2018, which was to be considered at the next meeting of Council scheduled for 19 April 2017.
* Resolved that the Board approve the dates of future meetings noting that the dates would be confirmed by Council on the 19 April 2017.
Date of Next Meeting
Wednesday, 7 June 2017 at 2.30pm Room 10, Town Hall, St Helens
Wednesday, 7 June 2017 at 2.30pm in Room 10, St Helens Town Hall.