Agenda and minutes

People's Board
Wednesday, 21st June, 2017 2.30 pm

Venue: Room 10

Contact: Mrs KM Howard 

Items
No. Item

1.

Apologies for Absence

Minutes:

Apologies for absence were received from Councillor Grunewald, Dr Michael Ejuoneaste, John Quick, Ann Marr, Deputy Chief Phil Garrigan and Chief Constable Carl Foulkes.

2.

Minutes pdf icon PDF 117 KB

Minutes:

*           Resolved that the minutes of the meeting held on 15 March 2017, be approved and signed.

 

The Strategic Director updated the Board on an amendment to the Terms of Reference for the appointment of a Deputy Chair which had been undertaken in line with the Boards delegation and in consultation with the Chair.

As a result of this the Board formally agreed that Geoffrey Appleton, Lay Chair of CCG be appointed as Deputy Chair to the Board.

3.

Declarations of Interest

Minutes:

No Declarations of Interest from Members were made.

4.

Multi -Agency Response to Knife Crime

Minutes:

The Local Policing Superintendent gave a verbal report on the Multi-Agency Response to Knife Crime.

The Board was informed in response to knife crime Merseyside Police had supported the national initiative Operation Sceptre, which aimed to reduce knife crime and the number of families affected by knife crime whilst highlighting the risks of carrying a bladed weapon as well as targeting offenders who use and carry knives.

 

It was reported for the period of October 2016 to April 2017 there had been 41 offences involving a knife. For the same period year previous there had been 30 knife offences, indicating an increase in individuals carrying knives particularly in young males aged 16-25.

St Helens undertaking of Operation Sceptre had been the highest performing in the Merseyside region in regards to the recovery of knives, as well as seizing 11 knives
officers made nine arrests for suspicion of possessing a bladed article, one arrest on suspicion of possessing a prohibited weapon and one arrest on suspicion of possession of an offensive weapon.

 

The Board was informed of the initiatives that had taken place during the week long Operation including: high visibility police presence with Mounted Police, a dispersal zone with the use of handheld metal detectors in the town centre, visits to primary schools, distribution of knife awareness literature, test purchases and the targeting of specific groups with presentation from Street Doctors via the Youth Offending Service.

The Senior Assistant Director, Social Work and Community informed the Board of the work being undertaking in conjunction with the ‘Ben Kinsella Trust’ who worked to educate young people about the consequences of knife crime and the affect it has on families.

Members from St Helens and Knowsley Hospitals, Merseyside Community Rehabilitation Company and CCG offered to help raise further awareness with the display of knife literature in their hospitals and walk in centres.

 

*           Resolved that;

 

(1)           the verbal report be noted; and

(2)           a written update be provided by the Local Policing Superintendentfor distribution to Board Members not present at the meeting.

5.

Update Estates Mapping

Nigel Clark (Monitoring & Technical Officer (IT), St Helens Council to attend

Minutes:

The Assistant Director, Integrated Local Care System gave a verbal update report on Estates Mapping.

 

The Board was informed following estates and assets being identified as a key enabler to the success of the St Helens Cares programme, work had been undertaken to plot the group’s assets across the borough.

The Chair reported that the Strategic Estates Group was scheduled to meet on 26 June 2017 and had already seen a number of successes regarding opportunities for shared use of estates.

 

*           Resolved that;

(1)        the verbal report be noted; and

(2)        the draft assets map be brought to the next meeting of the Board.

6.

Growing Our Economy

Mike Palin (Chief Executive) St Helens Council

Minutes:

The Chief Executive, St Helens Council gave a presentation on Growing our Economy during which a short film was screened.

 

The presentation detailed the following:

 

·         Three Primary Programmes to deliver;

·         Proposed Structure / Partnership Working;

·         Growing the Economy;

·         New Economic Approach;

·         Local Plan – A Process;

·         Safeguarded Land (Plan Period 2);

·         Projects Coming Forward;

·         St Helens Town Centre – Why it has to be a priority;

·         Bury Town Centre – Example;

·         So What for St Helens?;

·         What’s Next?;

·         The Questions that Matter;

·         St Helens Story; and

·         Perceptions

 

It was proposed that consideration should be given to the application of the Department for Business Innovation and Skills ‘Better Business for All’ initiative and how the Social Economy could be part of the concern of the Economy Board.

The Board also noted that 2018 marked the Boroughs 150th anniversary and that a series of events would be planned to mark this as the ‘step change’ year

The Board agreed in the importance of raising aspiration and promotion of the town’s offer.

 

*           Resolved that:

(1)        the report be noted; and

 

(2)        the screened video be shared with Partners.

7.

St Helens People’s Plan - Falls Action Plan 2017-2020 pdf icon PDF 98 KB

Additional documents:

Minutes:

The Interim Director, Public Health presented the report on St Helens Falls Prevention Strategy Action Plan 2017-2020 and thanked the acute trust partners for their support in developing the action plan before the Board.

 

The first ever Falls Strategy was devised in 2014 and detailed a three year plan to help reduce the burden of falls within the borough. Over the three years much has been achieved and a reduction in hospital attendance and admissions associated with falls and hips fractures have been seen.

 

Three years from the strategy launch, falls in the over 65’s are still a big issue and more work is required to address this, as a result a new strategy had been formed and collaborated to create an action plan to further impact on both the human and wider economic cost of falls.

 

The 2017-2020 action plan would focus on three main themes:

·         Population level approach – community;

·         Targeted approaches – primary, secondary and social care; and

·         Processes

With the three main aims of:

·         Reducing the number of falls within the population;

·         Reducing the number of serious injuries where a fall does occur; and

·         Enabling residents to remain active and independent.

 

The St Helens Falls Strategy, Volume 2 (2017-2020) Action Plan was attached to the report at Appendix 1.

It was proposed that the role of the community pharmacy be considered as part of the plan in future and that case studies of this work in action be brought to the Board e.g. the work of the ‘Staying Put, Staying Home’ Housing Association Project.

 

*           Resolved that:

(1)        the report be noted; and

 

(2)        the contents of the proposed St Helens Fall Prevention Strategy 2017-2020 Action Plan be approved.

8.

St Helens Financial Recovery Reset Meeting pdf icon PDF 91 KB

Minutes:

The Interim Clinical Chief Executive, CCG presented an update from NHS England regarding the St Helens Financial Recovery Reset Meeting that had been undertaken on 24 April 2017.

The letter from NHS England dated 12 May 2017 gave a high level summary on their findings and was included within the agenda for the Board’s information.

 

At the meeting held on 24 April 2017, the key drivers of the financial challenges the CCG faced, the progress made over the past year and how that will be built on going forward was presented to NHS England.

As a result of this meeting action points had been identified by NHS England these were as follows:

·         Although not subject to the Capped Expenditure Process, NHS England expects the CCG to work closely with all providers and to focus on genuine cost reductions rather than cost shifting;

·         a clearer narrative on the QIPP on how opportunities are identified and prioritisation of decisions taken; and

·         an additional meeting be scheduled for mid-July to review two months of actual plus one month of estimated performance data.

 

It was noted that the CCG remained in ‘formal Directions’ due to the CCG’s financial position and that a financial control total had been agreed with NHS England endorsing a £5 million deficit for the health budget for St Helens for the current financial year.

 

It was reported to the Board that early tracking (month 2) indicates that the attendance at Accident and Emergency (A&E) and non-elective admissions were above target. This would remain a challenge in trying to reduce these figures and the financial pressure this placed on the budget.

It was noted that the reasons for this were multi-faceted but included; a need for an improved primary care offer (being where it needs to be and when) for people, addressing a general behavioural pattern and simply that people find they are treated quickly with good care in A&E so go directly there. 

The Board was informed that there was a national a scheme being developed to place GP streaming into A&E this would be in place at Whiston hospital from 1 June 2017 (3 months ahead of national target), the impact of which would be monitored.

 

It was acknowledged by the Board that the pressure on A&E and non-elective care was a national issue not just a pressure within St Helens.

 

*           Resolved that the letter and progress made be noted.

 

9.

Local Care System

Minutes:

The Strategic Director of People’s Services gave a verbal report on the Local Care System.

 

It was reported that an Executive had been formed and tasked with leading the formation of a Local Care System and that the following objectives had been met or being worked towards:

·         Terms of Reference for the Executive had been agreed and adopted;

·         Undertaking of a multi-agency 3 Day event;

·         Formation of a ‘Design Delivery Team’ up and running currently focusing on the five key areas of: Prevention, the Front Door, Urgent Care/Crisis Care, Care Management and Enablers (Finance as Key enabler, with Estates IT etc.) each led by differing agencies; and

·         The 5 Year Forward View reset (NHSE) focuses on the importance of Local Care Systems.  St Helens is working closely with partners in the Alliance Local Delivery System to ensure an effective fit with the reset and the wider regional and national development.

 

It was reported to the Board that the Local Care System, although progressing was slightly behind the anticipated timescale. One of the gaps currently identified was with regard to primary care provision representation on the Board and sub groups.  Emphasis was also placed on the importance of physically working together at the Helena Central base.

The Interim Clinical Chief Executive informed the Board on the challenges the CCG currently faced regarding Primary Care. It was reported that agreement had been reached with Primary Care practices (34 under the CCG) regarding the formation of a borough wide Federation and that a representative would be appointed by the Federation to sit on this Board and Executive over the following months.

It was acknowledged that Primary Care Offer not being represented and part of this Board was a key risk to the overall success of the Board and its ability to transform Health Care as they are key to solutions.


The Medical Director of St Helens & Knowsley Teaching Hospitals NHS Trust informed the Board that the pressure GP recruitment within Primary Care was that some GPs have  a preference to be employees with a practice, not a partner, with some only wanting to practice a specific area/s of Primary Care.

As a result of this, St Helens and Knowsley Hospital, in agreement with CCG, was currently advertising for four hybrid GP’s under their charge as employer to remove these barriers.

 

*           Resolved that the verbal report be noted.

 

10.

Date of Next Meeting

Wednesday, 19 July 2017 at2.30pm in Room 10, St Helens Town Hall

Minutes:

Wednesday, 19 July 2017 at 2.30pm in Room 10, St Helens Town Hall.

 

11.

Exclusion of the Public

Recommended that the public be excluded from the meeting during consideration of the following items for the reasons stated:

Item                Reason

 

  x                    Information relating to an individual (Para 1 of Schedule 12a)

Minutes:

*           Resolved that the public be excluded from the meeting during consideration of the following item for the reasons stated:

 

Item    Reason

  12      Information relating to an individual (Para 1 of Schedule 12a)

 

X and x here left the meeting.

12.

Approval to Proceed to hold a Domestic Homicide Review

Minutes:

The Senior Assistant Director, Social Work and Community presented the report on Approval to proceed to hold a Domestic Homicide Review.

 

The Board was informed of the statutory requirement for Community Safety Partnerships (CSP) to conduct a Domestic Homicide Review (DHR) in certain circumstances.

When a domestic violence incident occurs, the relevant Police Force informs the relevant CSP in writing of the incident. Overall responsibility for establishing a review rests with the local CSP which holds responsibility for establishing whether a homicide is to be the subject of a DHR by giving consideration to the definition which had been set out in paragraph 1.2 of the report.

 

The circumstances of the incident and conclusions were detailed in the report.

 

*           Resolved that:

(1)        the report be noted;

 

(2)        the holding of a Domestic Homicide Review be endorsed; and

 

(3)        a review report, including action plan be presented at a future meeting of this Board once the Domestic Homicide Review has been concluded.

 

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