Agenda and minutes

People's Board - Wednesday, 23rd January, 2019 2.30 pm

Venue: Room 10

Contact: Mrs KM Howard 


No. Item


Apologies for Absence

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Apologies were received from Dr M Ejouneatse, Helen Fitzgerald, Nick Gallagher, Phil Garrigan, John Heritage and Mike Palin.



Minutes pdf icon PDF 100 KB

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*           Resolved that the minutes of the meeting held on 19 September 2018, be approved and signed.


Declarations of Interest

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No Declarations of Interest from Members were made.


Liverpool City Region Wealth and Wellbeing Programme pdf icon PDF 75 KB

·         Presentation by Alan Higgins Head of Programme Liverpool City Region and Public Health England.

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Public Health England’s Head of Programme presented the report on the Liverpool City Region (LCR) Wealth and Wellbeing Programme.

The Board was informed that the LCR was developing a Wealth and Wellbeing programme through the Combined Authority and with the support of Public Health England.

The focus of the work would be on addressing the health reasons behind worklessness, rapid movement into and out of work and how the health and care sector can link with inclusive economic growth.

The rationale had been driven by the recognition that meaningful work (or other activity such as volunteering) was one of the most important determinants of health. Equally, a healthy workforce is essential to productivity, growing the economy and attracting more and better jobs to the region.

The presentation received by the Board detailed the following:


·         Relationship between Wellbeing and Health;

·         LCR Health and Wellbeing Programme;

·         Local Industrial Strategy;

·         Building the System Wide and Local Narrative; and

·         Draft Specification for Public Narrative.


The Board noted that the St Helens Task and Finish Group workshop had been scheduled to be undertaken in September 2019 and would focus on Frontline Services with a view to understand if each service providers had sufficient understanding of the other and if commissioners of services knew what to prioritise for best health outcomes.


The Board commented on the value in recognising the link between work and wellbeing and working towards enabling employment for those currently unable to access or retain employment or training opportunities.

It was requested that consideration be given by the Wealth and Wellbeing Programme to include the impact this agenda could have not just on an individual but, their families and children too.


*           Resolved that the report be noted.



The People's Board Development Session pdf icon PDF 78 KB

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The Director of Public Health presented the report on the People’s Board Development Session that had taken place on 8 January 2019.

Since its formal constitution in January 2017 and approval of the People’s Plan in March 2017 which outlined the five main priories of the Board, there had been concerted focus on the development of St Helens Cares and work at system level to improve outcomes for people in St Helens. It had been agreed as it was two years from the inception of the Board, it was time to take stock and relook at how the People’s Board was working.

The development day focused on examining and assessing what had worked well and what could work even better. The key findings from the day had been highlighted in paragraph 3.1 of the report.


It was reported that a follow-up development day had been scheduled for 12 February 2019 to consider the future of the People’s Board and it’s priorities moving forward.

*           Resolved that:

(1)  the report be noted; and

(2)          an update from the follow-up development day on 12 February 2019 be reported at the next meeting of the Board scheduled for 13 March 2019.


Presentation on the work of the Merseyside Community Rehabilitation Company Ltd pdf icon PDF 685 KB

·         Presentation by John Quick, Director of Operations, Community Rehabilitation Company.

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The Director of Operations from Community Rehabilitation Company gave the Board a presentation on work of the Community Rehabilitation Company.


The presentation detailed the following:

·         Interchange;

·         Methods of Change;

·         Unique Collaborative Approach;

·         The 3 Core Activities;

·         Interchange and the Operating Model;

·         Supporting Personal Change;

·         Integrated through the Gate;

·         TTG Enabling Change Model;

·         What the Data tells us for St Helens CRC Caseload against Merseyside Average?

·         Reoffending Data based on Cohorts (October 2015 – December 2016);

·         Index Offence; and

·         Initiatives / Opportunities.


The Board questioned if there were any reportable outcomes on the Housing First England initiative and proposed that Community Rehabilitation Company give consideration to linking in with third sector provider.

The Board
was informed that the LCR would be setting up a steering group to look at issues around homelessness.

*           Resolved that:


(1)          the presentation be noted; and

(2)          the Action Plan be circulated to the Board.


Multi Agency Action Plan for Tackling Alcohol Harm pdf icon PDF 94 KB

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The Director of Public Health presented a report on Multi Agency Action Plan for Tackling Alcohol Harm.


Reducing harm from alcohol was identified as one of the People’s Board priorities for action in the People’s Plan (2017-2020). The Board noted the impact that alcohol has on the local community, families and children, individuals and services and that the overarching goal was to improve outcomes for people at risk of alcohol abuse and reduce the number of people who suffered from alcohol harm.

A wide range of alcohol related harm was described in the People’s Plan, including alcohol dependence, alcohol related violence, domestic abuse, crime and anti-social behaviour, public nuisance, damage to physical health and mental health, harm to unborn babies, child neglect, early mortality and accidents.

A multi-agency task group had been established in 2018 and two workshops were held to identify the key actions to be delivered in 2019. A draft action plan had been developed as a result of this work.

The action plan was attached to the report at Appendix 1 and focused on three key strategic areas: Prevention and Early Intervention, Treatment and Recovery, and Enforcement and Control.

The Board discussed the draft action plan. It was noted that the plan was thorough with many action points and that there could be a benefit in streamlining or prioritising the delivery of fewer actions and setting lead responsibility or accountability for those actions.

*           Resolved that:


(1)          the report be noted; and

(2)          the proposal to streamline the priorities and allocate lead responsibility for delivery will be considered by the multi-agency meeting and will be brought to the next meeting of the Board.



Progress in Implementing the Integrated Local Care System, St Helens Cares pdf icon PDF 149 KB

·         Presentation by Michelle Wood, Head of Health and Housing, Torus and Carole Kilshaw, Assistant Director, Contact Cares.

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The Strategic Director People's Services/Clinical Accountable Officer presented the report on Progress in Implementing the Integrated Local Care System, St Helens Cares.

It was reported that since the last update, main areas of progress or change included:


·         Lead Provider, model update on Memorandum of Understanding (MOU) and Terms of Reference;

·         Agreement on Phase 2 priorities for the Programme Delivery for 2019-2020; and

·         Approval of St Helens Executive Terms of Reference (appended to the report at Appendix 1)


The reported updated the Board on the development of a lead provider model; programme for delivery for 2019/2020 which detailed the next phase of delivery and target operating models for the four workstreams; Early Intervention and Prevention Social Prescribing, Contact Cares (Front Door), Primary and Care Management and Co-Ordination Risk Stratification and the electronic shared care record (ESCR) and Urgent and Crisis Care: Urgent Treatment Centre (UTC).

The Board was informed that four priority Task and Finish Groups had been established that would be led by providers to focus on specific pathway improvements.

These were:

·         Urgent and Acute Care: Frailty;

·         Respiratory;

·         Mental Health: Children’s IThrive Model; and

·         Mental Health: Adult Community Provision.


As part of the report on implementation progress, the Board received a presentation on
St Helens Cares from the Head of Health and Housing, Torus and Assistant Director, Contact Cares.

The presentation detailed the following:

·         Why was Contact Cares established?

·         What is Contact Cares seeking to achieve?

·         Key Changes;

·         Case Studies – What has been the impact for Service Users?

·         Case Studies – What has been the impact for Staff?

·         Wider System Outcomes; and

·         Next Steps.


It was reported that St Helens Cares had been shortlisted for a second award having reached the finalist stage for the Local Government Chronicle (LGC) Awards 2019, in the Health and Social Care category for its innovative work on the integration of health and social care services.


*           Resolved that:


(1)             the report and presentation be noted;

(2)          Governance of St. Helens Cares Groups will be discussed as part of the work scheduled for the People’s Board development; and

(3)          the Board wished to express their thanks to all staff involved in the Implementation of St Helens Cares.


Community Based Assets Aimed at Improving Health and Welling. pdf icon PDF 602 KB

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The Specialty Registrar, St Helens Council and Chief Executive of Halton and St Helens VCA jointly presented a report on Community Based Assets aimed at Improving Health and Wellbeing. As part of the report, a presentation was tabled on Grass roots voluntary & community action in St Helens.

The report provided the People’s Board with an update on some of the valuable community based work already taking place within St Helens and to illustrate ways community work can help to reduce the demand on health and social care.

The Board was informed that an ‘asset based approach’ looked at assets as people, organisations and communities rather than service provision and assessed what resources needed to be created, developed and maintained to ensure an environment that supports and sustains health and recovery.

This ‘asset based approach’ acknowledged that assets within communities, such as the skills and knowledge, social networks and community organisations, were the building blocks for good health.

The approach finds out what people’s skills and passions were and what resources they have and sought to mobilise these with an overall aim to empowering people to develop the skills, confidence and capabilities to do it for themselves and for others.


It was proposed that consideration should be given to the People’s Board developing awards to mark the work and contribution of third sector providers.


*           Resolved that:

(1)        the report be noted; and

(2)        the presentation and video links be circulated to the Board.



Tackling Domestic Abuse - St Helens Strategy 2018-2023 pdf icon PDF 76 KB

·         Presentation by Sgt Williams Merseyside Police and Stephen Tracey, Senior Assistant Director, Housing, Safer Communities, Recreation and Libraries.

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Sergeant Williams, Merseyside Police presented a report on Tackling Domestic Abuse,
St Helens Strategy 2018-2023.

In St Helens domestic abuse was a high volume crime, it was estimated that there were 4,800 residents who experienced domestic abuse and that approximately 20% of these individuals will experience medium or high risk abuse.

To address these issues, the Tackling Domestic Abuse – St Helens Strategy 2018-2023 had been developed in partnership with Safe Lives, a national a charity dedicated to ending domestic abuse for good.

The Board was informed that the strategy had been developed specifically for the Borough and was intended to be the framework for all agencies to respond effectively to tackle domestic abuse over the five year period up to 2023 and had been approved by Cabinet at its meeting held on 21 February 2018.

The strategy was been based around a core vision with four identified key priorities together with outcomes for each priority that the Strategy will look to deliver during the lifetime of the Strategy. The four priority areas were identified as; Prevention, Partnership, Provision and Protection.

The presentation given to the Board detailed the following:

·         Definition of domestic abuse

·         The Six Objectives;

·         Primary Objective Protecting ‘all by reducing the risk;

·         MARAC;

·         Key Facts;

·         Domestic Abuse in St Helens (D) April 2015 – December 2018;


The Board discussed the report and concerns were raised that thework required to finalise the governance arrangements for monitoring the implementation of the Strategy and in developing a comprehensive performance framework needed to be a priority. It was proposed that a Task and Finish Group be established to progress this action.

It was also proposed that consideration should be given to the People’s Board organising/supporting a White Ribbon campaign event.


*           Resolved that:

(1)        the report and presentation be noted;


(2)        a Task and Finish group be established to progress the Governance arrangements and development of a performance framework (as detailed at Paragraph 3.6 of the report); and

            (2)        an update report on progress be presented to the Board.


Date of Next Meeting

Wednesday, 13 March 2019, at 2.30pm at the Town Hall, Room 10.

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Wednesday, 13 March 2019, at 2.30pm at the Town Hall, Room 10.