Agenda and minutes

People's Board - Wednesday, 13th March, 2019 2.30 pm

Venue: Room 10

Contact: Mrs KM Howard 


No. Item


Apologies for Absence

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Apologies for absence were received from Rachael Cleal, Gill Healy, Mike Palin and Sally Yeoman.



Minutes from the Meeting held on 23 January 2019 pdf icon PDF 90 KB

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*           Resolved that the minutes of the meeting held on 23 January 2019 be

            approved and signed, subject to the following amendment :-


            Minute 44 paragraph 1 to read ‘Detective Chief Inspector Williams’.


Declarations of Interest

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No Declarations of Interest from Members were made.



Update on the Development Session February 2019 pdf icon PDF 87 KB

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The Director of Public Health presented an update report on the second People’s Board Development Session that had taken place on 12 February 2019.


The February session had been a follow up to the session that had taken place on 8 January 2019. The first development day had focused on what had worked well and what could be improved on in relation to the People’s Board.


The second development session had focused on the future priorities of the Board and how the Board assesses its priorities and provided a proposed framework for this.  At the session, a priority area was used to analyse how useful the proposed framework was and with minor improvements it had been agreed that it will now be used to assess the Board’s priorities.

The session was also used to gain the view of the Board on perceived priorities. As a result of this exercise, the areas that were now to be considered were reported as:


  • Domestic Abuse – agreed by Board members present as a priority;
  • Vulnerable populations;
  • Child neglect;
  • Mental Health;
  • Data sharing and intelligence for campaigns and engagement;
  • Community assets;
  • Resilience and confidence of young people and wellbeing;
  • Alcohol – impact on population, crime, families;
  • Education schools, teacher training;
  • Hard to reach citizens – homeless; and

·       Cancer.


The Board was informed that further analysis would be used to assess these areas against the prioritisation framework which had been appended to the report.


*           Resolved that:

(1)        the update be noted;

(2)        a further update to agree the next steps in phase two be brought to the Board meeting scheduled for 5 June 2019; and


(3)        a Summit be held in the coming weeks at which key bodies would attend to identify a way forward to tackle domestic violence issues within borough.



Multi Agency Action Plan for Tackling Alcohol Harm pdf icon PDF 88 KB

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The Director of Public Health presented the Multi Agency Action Plan for Tackling Alcohol Harm.


The report proposed three priority workstreams within the Multi Agency Action Plan for tackling Alcohol Related Harm in St Helens for delivery in 2019/2020, which had been identified as one of the Board’s priorities for action in the People’s Plan (2017-2020).


The Board was informed that a multi-agency task group had been established in 2018 and two workshops held to develop an action plan, which had been presented to the Board in January 2019.


The three areas had been identified as:


  • Prevention and Early Intervention;
  • Treatment and Recovery; and
  • Enforcement and Control.


The Action Plan for Reducing Alcohol Harm in St Helens had been included within the report and outlined the identified priorities, key actions, tasks, lead responsibility, timescales and progress.


It was anticipated that these three priority work-streams would result in:


  • Reduced levels of alcohol harm and domestic abuse within families;
  • Protection of children and young people who may be at risk;
  • Support for front line staff to identify and respond to alcohol related risk in families;
  • A multi-agency response to identify and better meet the needs of those who repeatedly attend hospital due to alcohol;
  • A reduction in the number of people who need to attend hospital due to alcohol;
  • Promotion of a culture within the Borough where people drink responsibly; and
  • A positive contribution to the development of a vibrant and safe night time economy in the Town Centre.


*           Resolved that:


(1)             the report be noted;

(2)             the proposed three priority workstreams for delivery in 2019-2020 be approved; and

(3)            progress updated on each of the three alcohol related harm workstreams during the year be received by the Board.




Health Protection Forum update pdf icon PDF 99 KB

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The Director of Public Health presented the Health Protection Forum Update, which gave the Board an update on key issues relating to Health Protection.


The Health Protection Forum had been in operation since Public Health moved to the Council in 2013. The report to the Board highlighted the key issues of the Forum and informed the Board of the renewed terms of reference.

The key issues contained within the report for the Board to consider were:


  • Air Quality;
  • Flu;
  • Healthcare Associated Infections;
  • Anti-Microbial Resistance (AMR);
  • Screening and Immunisation;
  • Environmental Health;
  • Emergency Planning; and
  • Substance Misuse.

The Board discussed the flu vaccine and the need for a full evaluation of the flu programme to ensure improvement on the take up and effectiveness of the vaccine.


The Board also discussed cancer screening and how to improve screening for cancers, such as bowel cancer, particularly in the more deprived areas of the borough.  

Merseyside Fire and Rescue Service had seen a success in people taking up the offer of screening tests whilst performing the ‘Safe and Well’ visits which were made to homes; however more work and awareness was needed to increase the screening rates.

*           Resolved that:


(1)                 the report be noted;

(2)             the Board look to support the promotion of ‘Clean Air Day’ on 20 June 2019; and


(3)             an evaluation of the flu programme with key recommendations for improvement be brought back to the Board in June 2019.




Briefing on Cardiovascular Disease (CVD) - Atrial Fibrillation, Blood Pressure, Cholesterol (A-B-C) pdf icon PDF 82 KB

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The Head of Public Health Commissioning presented the report on cardiovascular disease – atrial fibrillation, blood pressure and cholesterol (ABC).


Nationally, the NHS Health Check programme had been enabling mass screening, identification and prevention / treatment of disease. A new coalition led by Public Health England (PHE) and NHS England announced the first ever national ambitions of improving the detection and treatment of atrial fibrillation, high blood pressure and high cholesterol (A-B-C).


The Cheshire and Merseyside (C&M) High Blood Pressure Partnership Board and

Strategy had been securing funding and driving regional workstreams to Save Lives and Reduce the Pressure.


The report detailed initiatives that had taken place. These included a Blood Pressure Champions pilot in 2017/18, Health Kiosks which to date had undertaken 2,025 tests on 1,914 individuals, support of the CHAMPS Public Health Collaborative and development of a Quality Improvement Package for General Practices (GP’s) all of which had complimented local ongoing work taking place in General Practices and Pharmacies and by local services such as the Healthy Living Team and Stroke Association.


The Board was advised of a successful bid via CHAMPS in 2018 to the British Heart Foundation Innovation Fund with Cheshire and Mersey now set to receive a further £120k to deliver further innovation in this area across the region.


One of the main workstreams was to train blood pressure champions within work places, in St Helens, this involved the creation and training of 160 Workplace Champions by March 2020 creating a minimum of 1,200 new blood pressure checks over 18 months. During 2019/2020 and beyond, a range of campaigns, events and projects would also be taking place with the objective of raising the profile of ‘knowing your A-B-C’s’.


This included the ongoing innovative atrial fibrillation digital screening pilot, mass introduction of the British Heart Foundation Quality Improvement Audit Tool into GP’s, delivery of the annual ‘Healthy In St Helens’ event and linking in with campaigns such as the ‘May Measurement Month’ and ‘Know Your Numbers’ and encouraging local people to take online tests such as the Know Your Heart Age check.



*           Resolved that:


(1)             the report be noted;

(2)             the intentions listed in paragraph 3.9 to 3.13 of the report be approved;

(3)             the national ambitions set out by Public Health England (PHE) and NHS England be acknowledged and supported by the Board;

(4)             all Partners agree to support the roll out of the blood pressure champions project in St Helens;

(5)             all Partners agree to actively engage in promotional activities across the year encouraging employees and service users to seeks a means to know their ‘A-B-C’s’; 

(6)             all Partners agree to undertake a Heart Age Test and encourage colleagues, friends and family to do the same; and


(7)             a checklist of actions be provided to the Board to ensure that Partner agencies are able to promote engagement with the programme within their organisations.



St Helens Homelessness Strategy 2018-23 pdf icon PDF 77 KB

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The Assistant Director of Housing, Safer Communities, Recreation and Libraries presented the report on St Helens Homelessness Strategy for 2018-23.


The report advised the Board of the priorities for tackling homelessness and rough sleeping in the borough over the lifetime of the St Helens Homelessness Strategy 2018-23, which had been approved by Cabinet at its meeting held on 14 November 2018.


The Board was informed that the Homelessness Reduction Act came into effect in April 2018. This Act placed new duties on local authorities to intervene earlier to prevent homelessness and extended the Council’s responsibilities to provide help to all eligible households.

Paragraph 2.5 of the report set out the specific requirements of the Local Authority in relation to the Act; this included two new duties of Prevention Duty and Relief Duty. Prevention Duty aimed to prevent a household that was threatened with homelessness from becoming homelessness with Relief Duty t
o applicants that were already homeless and required help to secure settled accommodation.

The Homelessness Reduction Act also widened the definition of statutory homelessness to include people who were threatened with homelessness within 56 days (previously 28 days).


In addition to the implementation of the Homelessness Reduction Act, Central Government had also committed to reducing levels of rough sleeping by 50% by 2022 and to end this by 2027. In order to support these intentions, Central Government had announced that £1.2bn would be awarded to local authorities and voluntary organisations up to 2020.

The Board was informed that additional funding had been secured from the Combined Authority of £200,000 via Homelessness Trailblazer Funding for 2018/19 and 2019/20 to help the authority meet its homelessness prevention duties.


The Homelessness Act 2002 required every local authority to undertake a review of homelessness in its area and to develop and publish a Strategy for preventing homelessness based on the findings of that review.

The St Helens Homelessness Strategy 2018-23 had been developed in accordance with these statutory requirements and informed by the conclusions of a Homelessness Review completed in May 2018 which assessed the level and patterns of homelessness in the borough.

The Board was informed that the Strategy also took into account the new, additional duties and requirements placed on local authorities by the Homelessness Reduction Act and the Government’s commitment to reducing rough sleeping.

The specific objectives of the Strategy were to:

a)         prevent homelessness;
            b)         secure suitable accommodation for those who were, or may become

            homeless; and
            c)         provide support to those who were, or used to be, homeless or at risk                      of becoming so, to prevent them from becoming homeless again.


The document identified how the Strategy would be delivered over the next five years and included an action plan which had been detailed in section 5 of the Strategy.


The Homelessness Strategy 2018-2023 was attached to the report at Appendix 1.

*           Resolved that:

(1)             the Homelessness Strategy 2018-23 and the priorities for tackling

homelessness in the Borough for the next 5 years be noted; and

(2)  ...  view the full minutes text for item 53.


Update on St. Helens Cares pdf icon PDF 242 KB

Video will be screened on the St Helens Shared Care Record.

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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:


  • In January 2019 all key partners had signed up to a Collaborative Agreement;
  • The scoping of the key priorities areas of the Provider Board had commenced  with the inaugural scheduled  for April 2019; and
  • Phase two transformation schemes have been scoped out and steering groups established.


The Board was informed that the Provider System Lead approach was now underpinned by a governance structure and a Collaboration Agreement between NHS St Helens CCG, St Helens Council, St Helens & Knowsley Teaching Hospitals NHS Trust, North West Boroughs Healthcare NHS Foundation Trust and Bridgewater Community NHS Foundation Trust.

The Collaboration Agreement set out an initial governance framework for the ‘Provider System Lead’ arrangements, with St Helens & Knowsley Teaching Hospitals NHS Trust identified as the provider system lead. The objectives of the Agreement included the development of the model; including the role of the provider system lead over the next 12 months focusing initially on four ‘Key Priority Areas’.

The Board was informed that governance structure had been refreshed and it had been proposed that the following be established: A Provider Board, A Stakeholder Reference Forum and a Finance and Contracting Group. An outline of their proposed remits had been included within the report.

A schematic of how all the components of the St Helens Cares Programme fit together was attached to the report at Appendix 1.


The report also contained an update on the following four priority areas:


  • Frailty Pathway;
  • Respiratory Pathways and Services (Adults);
  • Children’s Mental Health (ITHRIVE); and
  • Community Mental Health (Adults).


The Board was informed that Transformation Schemes had been identified as priorities for the continued collaborative partnership working. These schemes addressed how to work differently and innovatively in order to build resilience in local communities, share and support local services and provision and had a positive impact for the local population.

The Transformation Schemes identified were:


  • Four Acre Hub;
  • Integrated Therapy Provision;
  • Early Help for Children and Young People though Locality Approach and ‘Team around School’ model;
  • Transformation of Primary Care; and
  • Use of Digital technology for self-care / management.


As part of the report on implementation progress, the St Helens Cares information video was screened to Board Members.


*           Resolved that the report be noted.



Date of Next Meeting

Wednesday, 5 June 2019, at 2.30pm in Room 10, St Helens Town Hall

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Wednesday, 5 June 2019, at 2.30pm in Room 10, St Helens Town Hall.