Agenda and minutes

People's Board
Wednesday, 20th September, 2017 2.30 pm

Venue: Room 10 - Town Hall

Contact: Mrs KM Howard 

Items
No. Item

21.

Apologies for Absence

Minutes:

Apologies were received from Tom Knight, Mike Palin, Christine Samosa, Stephen Tracey and Sally Yeoman.

 

22.

Minutes from the Meeting held on 19 July 2017 pdf icon PDF 80 KB

Minutes:

*           Resolved that the minutes of the meeting held on 19 July 2017, be approved and signed. 

 

23.

Declarations of Interest

Minutes:

No Declarations of Interest from Members were made.

 

 

24.

Children's Joint Strategic Needs Assessment (JSNA) pdf icon PDF 63 KB

Additional documents:

Minutes:

The Director of Public Health presented a report which informed the Board on the 2017 update to the Joint Strategic Needs Assessment (JSNA) reports, covering Maternity and Early Years, and Children and Young People.

 

The key findings of the reports were:

 

Maternity and Early Years

·        It was estimated that by 2026, the population of 0-25 year olds would remain relatively static. However, the population of 3-19 year olds would increase by 5%;

·        The rate of smoking during pregnancy had decreased in recent years from 21.7% in 2010 to 16.1% in 2015/16;

·        Breastfeeding rates were improving slowly, however they still remained significantly below the England and regional averages;

·        For the majority of vaccines, St Helens performed better than the England rate; and

·        The rate of infant mortality in St Helens was the lowest in the North West.

           

Children and Young People

·        In 2015 there were 87 under-18 conceptions in St Helens, compared to 110 in the previous year. The most recent published annual rate of 29.6 conceptions per 1,000 in 2015 was the lowest recorded, and half the 2008 rate (59.6 per 1,000); Rates remain significantly higher than England (20.8 per 1,000 in 2015);

·        Alcohol specific hospital admissions of under 18s had reduced by 46% from 144.6 to 77.9 admissions per 100,000 (between 2006/07-08/09 and 2012/13-14/15) however it still remained the highest in Merseyside;

·        In 2015/16, there were 287 hospital admissions due to intentional self-harm, three quarters of which were females and the largest proportion admitted were aged 16 years;

·        The number of children on an EHC plan or Statement had increased year on year since 2013; and

·        The number of young people smoking was decreasing, from 18% in 2013 to 8% in 2015.

           

There is a legal duty under the Health and Social Care Act 2012 for Local Authorities and Clinical Commissioning Group (CCG) to jointly undertake the JSNA and that duty was discharged through the Health and Wellbeing Boards. The process for development should be decided locally and take note of national guidance and that states the JSNA’s should support health and social care commissioning decisions and the development of Joint Health and Wellbeing Strategies, (People’s Plan in St Helens). The ‘Info4StHelens’ website would become the host of JSNA documentation and data and further report sections would be updated later in the year. This should satisfy national guidance for the production of JSNAs.

 

*           Resolved that the report be noted.

 

25.

Localities pdf icon PDF 75 KB

Additional documents:

Minutes:

The Assistant Director, Integrated Local Care System presented a report which informed the Board of the Integrated Local Care System – Localities and to seek approval from the Board to move to a four localities model for the basis of service planning. 

 

The proposal was that Integrated Local Care System Design and Delivery team could plan the design and development of services round four localities, namely;

 

·        North locality;

·        Central locality;

·        South locality; and

·        Newton and Haydock locality.

 

The next steps would then be that the St Helens Strategic Estates Group would identify the public sector assets in each locality and report on them, their utilisation and their condition and:

·        a profile would be produced for each locality, including demographics and health data; and

·        the Integrated Local Care System Design and Delivery team (Primary and Community Care Management workstream) would lead the design of public sector community hubs for each locality.

 

The justification for the decision was that the integrated local care system, St Helens Cares was reviewing how organisations could deliver the right care at the right time in the right places. Geographic localities therefore needed to be agreed in line with guidance issued by NHS England. These localities would be used for initial planning purposes, focusing on the needs of their communities. Following agreement of the localities, the Strategic Estates Group would produce details of public sector estate within the localities and their utilisation rates.  Specifications would be drafted for “Public Sector community hubs”, which would be designed and agreed across partner organisations. The aim of the community hubs would be to manage and co-ordinate service demand in locations near to where people reside.

 

The Primary and Community Care Management and Co-ordination workstream of the Programme was developing demographics and health profiles of the population by (new) locality as well as mapping current service delivery models with a view to developing “bespoke locality offers” to meet the needs of the population in each locality. It was recognized that some services may be most effectively delivered on a borough wide basis, whilst some specialist services may be delivered on a footprint wider than

St Helens.

 

The key implication was for the South locality, which had the Central locality moved out as a separate locality. That would allow development of services on a hub and spoke basis, allowing some borough wide services to be developed based in the town centre, whereas other services and support may be developed at a community level in accordance with local need.

 

It was important that the localities were agreed quickly as the GPs in St Helens had recently federated and had formed a Federation Board. That meant that rather than always acting as individual businesses, GPs may start to work together more in delivering some aspects of primary care at scale. Agreement of the localities may therefore help to determine groups of GPs who may work more closely together in a geographical area.

 

The localities model was dependent on primary care involvement,  ...  view the full minutes text for item 25.

26.

Initial Evaluation of Safe and Well Visits pdf icon PDF 100 KB

Minutes:

The Deputy Chief Fire Officer, Merseyside Fire and Rescue gave an update to the Board on the evaluation of Safe and Well Visits.   The ‘Safe and Well Visits’ conducted by Mersey Fire and Rescue Service (MFRS) started in May 2017.  The extension of the home safety checks included smoking cessation, alcohol assessment and falls assessment using standards assessment processes.  Alongside that as the target audience for home safety visits were over the age of 60, the fire service advocates also asked and reminded the people about the importance of bowel cancer screening and if necessary would ensure a kit was sent out.

           

Early indications were proving positive.  It was also evident that partners also saw the value in the programme and on how the programme integrated with new ways of working. A clear example of that was the St Helens Cares model under which to date they had made a significant number of referrals in the following areas:

 

Safe & Well visits completed at 265 St Helens properties, in addition to properties receiving a high risk home fire safety check:-

 

·        raised awareness relating to benefits of the Bowel Cancer Screening Programme to 110 people, 53 of which requested MFRS to arrange for a screening kit to be sent out;

·        conducted conversations to 86 people relating to benefits of smoking cessation resulting in 18 consented referrals being made for further support;

·        conducted Brief Intervention Assessment to 153 people - 4 of those consented to a referral for further support; and

·        completed 134 Falls Risk Assessment Tool (FRAT) assessments resulting in 97 consented referrals being made via Integrated Acess St Helens (IASH).

 

The hypertension work stream continued to be developed with colleagues from Public Health. 

 

There is a working group looking into the outcomes relating to the programme of work and whether they could obtain data from the various services to ascertain the benefits of the ‘Safe and Well Visits’.  Additional evaluation of the programme was being assessed by Liverpool John Moore’s University, which would include an economic analysis of the bowel cancer screening.

 

*           Resolved that the report be noted.

 

 

27.

Integrated Local Care System Update pdf icon PDF 81 KB

Additional documents:

Minutes:

The Senior Assistant Director Quality and Finance, St Helens Council presented a report which updated the Board on the progress of implementing the St Helens Cares, Local Care System.

 

The report covered the following areas:

 

·        target operating model;

·        initial focus on quick wins;

·        early intervention and prevention;

·        front door ‘single point of access’;

·        primary and care management and co-ordination;

·        urgent and crisis care;

·        enabler workstreams;

·        communication and engagement; and

·        specialist partner.

 

It was reported that all staff within the Local Care System continued to be committed to move forward positively with a determination and commitment in relation to the many obstacles and challenges which were being faced.

 

The contribution of Torus in providing office accommodation and other support had been invaluable in allowing the team the space to work together and form as a team.

 

The continued support of the Executive Board and members of the People’s Board in helping remove obstacles to progress where they may occur would ensure things continue to successfully move forward towards the shared aspiration of a placed based Local Care System for St Helens.

 

Members emphasized that credit should be given to the partner organisations of the People’s Board for their commitment working together and their commitment to St Helens.

 

*           Resolved that the report be noted.

28.

Merseyside Police and Crime Commissioner's Annual Report 2016/17 pdf icon PDF 63 KB

Additional documents:

Minutes:

The Local Policing Superintendent presented the Police and Crime Commissioners (PCC) Annual Report 2016/17.  The key issues identified in the report were:

 

  • the challenges facing Merseyside Police as a result of the Government’s Austerity Programme;  Since 2010, nearly 25% of posts (1,500) have been lost and further savings are required.  The report highlighted how the PCC had worked with the Chief Constable to fundamentally restructure the way in which Merseyside Police operates to use the available resources in the most effective and efficient way to deliver policing on Merseyside.

 

  • the progress made in delivering against the PCC’s 4 key priorities for tackling crime which had been developed following consultation with partners and feedback from the public, they were to;

 

i)                 prevent crime & anti-social behavior;

ii)                provide a visible and accessible neighbourhood policing style;

iii)              tackle serious and organised crime; and

iv)              support victims, protect vulnerable people and maintain public safety.

 

  • how the Commissioner was using the funding she had available to address the priorities in each area of Merseyside and acknowledges where further improvements are needed.

 

  • the PCC’s efforts to engage with communities across Merseyside over the previous 12 months and the ways in which she holds the Chief Constable and his team to account, and;

 

  • The progress made in the second full year of the Victim Care Merseyside Service which provides support to help vulnerable victims of crime to cope and recover.

 

Work was currently in progress to develop a St Helens Community Safety Strategic Assessment to address local issues of crime and disorder in St Helens.  This was a statutory requirement under the Crime & Disorder Act 1998.  It was intended that the document would be presented to St Helens People’s Board for endorsement at its next meeting.  The Strategic Assessment would underpin the development of a local Crime & Disorder Strategy for the borough.

 

In preparing both the Strategic Assessment and a Local Crime & Disorder Strategy there was a requirement to take into account the policing and crime priorities of the Police and Crime Commissioner.  The issues set out in the PCC’s Annual Report 2016/17 would be reflected in both documents.

 

Members were reminded at the meeting of the funding provided by the police for local improvement projects to engage youth.  The next round of funding was to be released and members were informed that bids could now be put forward.

 

*           Resolved that the report be noted.

 

29.

Review and Approval of the Better Care Fund Submission pdf icon PDF 89 KB

Additional documents:

Minutes:

The Interim Clinical Chief Executive, St Helens CCG presented a report to the Board which give details of the Better Care Fund (BCF) Submission.

 

To comply with NHS England - Integration and Better Care planning requirements 2017-19, the better care fund for St Helens required approval by the People’s Board.      

 

The BCF submission was made to the BCF support team on Monday 11 September 2017, subject to approval from the Peoples Board. In accordance with the NHSE requirements, Board approval was now being sought.

 

The BCF plan had also been subject to review and approval from:

 

·        the CCG Executive Leadership Team;

·        the CCG Finance, Governance and Risk committee; and

·        Council SMT.

 

The main elements of the report were:

 

  • overview of the BFC plan;
  • financial planning template;
  • funding contributions;
  • scheme investment;
  • the supporting narrative; and
  • risks associated with the decision.

 

The submission would now be subject to the assurance process by the regional NHSE BCF team.

 

The following timeline was outlined in the NHSE guidance regarding the assurance process following submission:

 

Timescales

Assurance Process

w/c 11/9/2017 and w/c 18/9/2017

·        Scrutiny by regional assurers

·        National team collate and analyse data and     feed back to assurers

 

w/c 25/9/2017

·        Confirmation of ratings to regional leads

·        Regional moderation meeting

 

w/c 2/10/2017

·        Cross regional calibration

·        Advice on approvals considered

 

w/c 9/10/2017

·        Plan approval ratings sent to areas

 

 

*           Resolved that:

 

            (1)        the report be noted; and

 

            (2)        the plans for the BCF submission to NHS England (NHSE) for                           2017/18 and 2018/19 be agreed.

 

30.

Date of Next Meeting

Wednesday, 22 November 2017 at 2.30pm in Room 10, St Helens Town Hall.

Minutes:

Wednesday, 22 November 2017 at 2.30pm in Room 10, St Helens Town Hall.