Venue: Room 10
Contact: Mrs KM Howard
Apologies for Absence
Apologies were received from Councillor Burns, Phil Garrigan, Louise Harrison, Tom Hughes, Councillor Neal, Sarah O’Brien, John Quick and Rob Young.
* Resolved that the minutes of the meeting held on 25 July 2018, be approved and signed.
Declarations of Interest
No Declarations of Interest from Members were made.
Sue Hill here entered the meeting.
The Director of Public Health presented the
report on Ofsted focused visit and action plan.
The letter attached at Appendix 1 to the report, highlighted that significant problems across Children’s Services had been discovered and three Priority Action Notices were issued.
This was of significant concern to the Council as it indicated some serious shortfalls, weaknesses and even failures within the current Children’s Social Care Services. It also indicated the need to do further work with partners such as Health, Police and Education to strengthen the Council’s ability to safeguard children in the appropriate manner.
A draft action plan had been completed and submitted to Ofsted on 17 August 2018 and it was reported that the Strategic Director, People’s Services was working closely with Ofsted to ensure the action plan is robust.
A number of immediate priorities had been identified to assist in the delivery of the action plan. The priorities were:
· improvements to IT hardware and software;
investment in a risk
management training programme to inform
· additional staffing resources in the Permanence and Safeguarding teams.
In order to support the cost of these
priorities, at it’s meeting held
on 12 September 2018, Cabinet approved that additional funding be
made available to the People’s Services Department, as set
out in Section 6 of the report (Other Implications –
* Resolved that:
(1) the Ofsted focused visit Inspection Letter dated 8 August 2018 be noted;
(2) the draft Ofsted Action Plan be noted; and
(3) the request for additional funding to support a number of immediate measures in respect of the action plan be noted.
The Speciality Registrar and Service Manager, St Helens Council presented the report on Descriptions of Need Document (Threshold Document) which updates and brings together the 2014 ‘Thresholds of Need’ and ‘Continuum of Need’ Documents.
A Thresholds Document is a requirement of Working Together to Safeguard Children 2018, the government guidance on inter-agency working to safeguard and promote the welfare of children.
The document purpose was:
· To provide families and professionals with a practical understanding of the thresholds of need to support professional judgement and decision making;
· To help families and professionals to better understand the services and support available across the levels of need;
· To ensure both strengths and needs are assessed and action plans are formulated and agreed;
· To encourage more professionals to feel confident to offer help at the earliest opportunity and to work closely with other agencies; and
· For families to feel supported so they are encouraged and enable.
The St Helens Descriptions of Need Document 2018-2022 was attached to the report at Appendix 1.
Board was informed that the document had been approved at the
Safeguarding Children Partnership Board and once formally launched,
it would be available on the
The Board raised questions which were answered at the meeting with regards to the update and review of referral forms as part of the review and anticipated timescales for the publication of the Early Help information leaflets and brochures.
the report be noted; and
(2) the Description of Need Document be approved and launched at the end of September with recommendation for adoption by all Partner Organisations.
The Director of
Public Health presented the report on e-cigarettes, which
provided an overview of what was happening nationally and locally
around smoking and the use of
The report highlighted the current issues, concerns and
was acknowledged that, although e-cigarettes can have a role in
supporting smokers to quit smoking altogether, this was separate
issue to people using e-cigarettes not as a quit aid.
the report be noted;
(2) exploratory discussion with interested e-cigarette companies to develop ways to use e-cigarettes as a quit aid in our current smoking population was not considered appropriate at this time. Any future developments in this area should come back to The People’s Board for approval;
(3) vaping will
not be normalised or promoted by partners in any way, other than as
an aid for the current smoking population in quitting cigarettes,
in order to protect current non-smokers and children and young
(3) current policies be updated to ensure a consistent
approach across partners and to revise these on an annual basis to
take account of any new evidence;
(4) the policy be maintained that vaping is prohibited
wherever smoking is prohibited; and
(5) the Board continue to review, without prejudice,
emerging evidence on e-cigarettes, particularly around take-up and
use by children and young people; and
(6) the Economy / Place Board be consulted as part of the review of the E-Cig policy.
The Director of Public Health presented the update report on the Health Protection Forum.
statutory responsibility to protect the population transferred to
the Secretary of State in April 2013, with responsibility mainly
discharged through Public Health England. Public Health England
provides specialist advice and response to incidents. However, it
is the Director of Public Health in the local areas who has a duty
to prepare and lead the Local Authority’s response to
incidents and present threats to the public’s health.
The report informed the Board of key issues under consideration by the health protection forum. Key issues included; Influenza, Healthcare associated infections, Anti-Microbial Resistance, Screening and Immunisations, Environmental Health and Emergency Planning and shared the revised Terms of Reference of the Health Protection Forum.
The Board discussed the
contents of the report, in particular if there was evidence of a
correlation between deprivation and antibiotic use and if there was
an update on ‘point of care’ testing kit pilot, which
had been introduced in high prescribing general practices as a tool
to establishing if it was appropriate to prescribe
the report be noted; and
the Terms of Reference for the Health Protection Forum
be approved; and
(3) an update on the ‘Point of Care’ pilot be provided to the Board.
The Associate Director Corporate Governance, St Helens CCG presented the report on Progress in implementing the Integrated Local Care System, St Helens Cares.
Since the Boards previous update a number of key milestones had been achieved in the implementation of the Local Care System, these included:
· Continued development of the lead provider model and engagement with key stakeholders;
· Decision on role and purpose of the Clinical Reference Group; and
· Refresh of Transformational Priorities for the next phase of delivery
The Board was informed that the Executive Board had discussed and reviewed the role and function of the Clinical Reference Group and proposed that the Clinical Reference Group be dissolved with immediate effect and that an alternative Stakeholder Forum, to include relevant professionals and public representatives be implemented as an alternative. This work was now underway by the leads for Communication and Engagement.
the next phase of St Helens Cares, the operational leads have been
tasked by the Executive Board with identifying and implementing new
transformational priorities; one of which was required to relate to
provision of services/ support for Children and Young People.
The report also outlined the Target Operating Model, which included update information on the following areas:
Work Stream 1 – Early Intervention and Prevention;
Work Stream 2 – Contact Cares (Front Door);
Work Stream 3 – Primary and Care Management and Co-Ordination; and
Work Stream 4 – Urgent and Crisis Care
Board was informed by the Chief
Executive, St Helens & Knowsley Hospitals that the CCG and St Helens
& Knowsley Hospitals had jointly appointed a Director of
Integration, Wayne Longshaw to oversee
the management of the workstreams.
* Resolved that the report and update be noted.
The Associate Director Corporate Governance,
St Helens CCG presented the report on
May 2018, St Helens Cares Executive Team agreed a model of delivery
for community engagement and approved three goals to underpin the
structure of future engagement:
· Helping people and communities to understand what St Helens Cares is and what it means for them;
· People within local communities taking care of themselves and each other; and
· Understanding the health and social care system locally and when to access services
The group recommended using an Asset-Based Community Development (ABCD) model for community engagement. The aim of this will be to harness capabilities to address the challenges public sector and health face. The model will be introduced in the four localities of North, South, Central and Newton & Haydock.
main reason for engaging residents and users in the co-design
process is that they are best placed to articulate their needs and
the kind of solutions that will work best locally.
* Resolved that the report be noted.
· Tom Woolstencroft, Chair of Safeguarding Adult Board has been invited to attend the meeting.
The Chair of the Safeguarding Adults Board, Tom Wolstencroft was present at the meeting to present the St Helens Safeguarding Adults Annual Report 2017 - 2018.
Board was informed that this was the 11th Annual Report
produced by the Safeguarding Adults Board. It was reported that the
actions agreed in the Annual Plan had been complete and commitment
from individuals and agencies had been fostered to ensure that
* Resolved that the St Helens Safeguarding Annual Report 2017/18 be noted.
The Director of Public Health presented a report which informed the Board on the 2018 update to the Joint Strategic Needs Assessment (JSNA) reports, Section 5 Vulnerable Adults and Older People and Section 6 Health Inequalities.
The key findings of the reports were:
Vulnerable Adults and Older People
· 1 in 10 deaths in 2017 were due to dementia or Alzheimer’s;
· The rate of injuries due to falls in 85+ year olds in St Helens is higher than the England average;
· In 2014/15 there were 615 people with a learning disability who received long term services in Adult Social Care; this is a 7.9% increase on 2014/15;
· The proportion of people in St Helens with dementia is expected to increase from 2,369 in 2017 up to 3,948 in 2035. This is an increase of 67% and will be a key public and clinical health challenge in future years;
· By the end of 2017/18, there were 12,015 active carers receiving a service from St Helens Carers Centre. The majority were for carers supporting partners who were frail and elderly or supporting someone with dementia; and
· There were 1,534 adult safeguarding concerns made to the Contact Centre/Front Door in 2017/18. Physical abuse is the most common form of abuse recorded.
· Life expectancy at birth for men varies by 9 years between wards, while female life expectancy varies by 7 years;
· Mortality from all causes in Town Centre ward is about twice the rate it is in Rainford;
· The rate of hospital admissions due to alcohol-specific conditions in Town Centre is five times higher than it is in Billinge and Seneley Green.
· Teenage conceptions rates in Town Centre ward are significantly higher than in Rainhill; and
· Eccleston is the least deprived ward in the Borough and performs the best overall, ranking in first or second position for eight of the sixteen indicators. Town Centre ward performs the worst for seven of the sixteen indicators and is the second most deprived ward.
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).
* Resolved that
the updates to Section 5 and 6 of the JSNA be noted;
(2) a session be arranged for the Board to review the outcomes of the JSNA and set the strategic priorities and key focuses for the coming year.
Date of Next Meeting
Wednesday, 21 November 2018 at 2.30pm, Room 10 at the Town Hall.
Wednesday, 21 November 2018 at 2.30pm, Room 10 at the Town Hall.
Exclusion of the Public
Recommended that the public be excluded from the meeting during consideration of the following item:
14 Information relating to any individual (Para 1 of Schedule 12a)
* Resolved that the public be excluded from the meeting during consideration of the following item:
34 Information relating to any individual (Para 1 of Schedule 12a)
Domestic Homicide Review
The Senior Assistant Director of Housing, Safer Communities, Recreation and Libraries presented the Domestic Homicide Review (DHR).
At a meeting of this Board held on 21 June 2017, the Board endorsed the decision to undertake this DHR, having agreed the criteria to complete a DHR had been met in accordance with the definition set out within Section 9 of the Domestic Violent Crime and Victims Act 2004.
The Domestic Homicide Review Overview Report, including conclusions, recommendations and action plan was attached to the report at Appendix 1 for the Board’s approval prior to submission to the Home Office for endorsement and official publication.
* Resolved that:
the report be noted; and
(2) the Action Plan arising from the Domestic Homicide Review be approved for submission to the Home Office.