Agenda and minutes

People's Board - Wednesday, 22nd July, 2020 2.30 pm

Venue: Room 10

Contact: Mrs KM Howard 

Media

Items
No. Item

54.

Apologies for Absence

Minutes:

Apologies for Absence were received from, Cllr Nova Charlton, Kath O’Dwyer, Carla Jones and Ann Marr

 

It was noted that John Heritage had tendered his apologies for Part 2 of the meeting.

55.

Minutes from the Meeting held on 11 March 2020 pdf icon PDF 118 KB

Minutes:

*           Resolved that the minutes of the meeting held on 11 March 2020, be

approved and signed.

56.

Declarations of Interest

Minutes:

No Declarations of Interest were made.

57.

People's Board revised Terms of Reference pdf icon PDF 177 KB

Additional documents:

Minutes:

The Director of Public Health, Sue Forster presented the report on People’s Board Revised Terms of Reference which updated the Board on the review of The Terms of Reference of the People’s Board.

The People’s Board Terms of Reference were reviewed annually, normally in March 2020, prior to the Annual Council meeting in May where the Terms of Reference were formally approved.

 

It was noted that in managing the COVID-19 Outbreak, both Annual Council and the People’s Board had been cancelled in May and June respectively and therefore there had been a delay in reviewing the Terms of Reference of the Board.

 

However, with the new requirements of local authorities to have Outbreak Management Plans and both Outbreak Management Boards and Health Protection Boards, it had been agreed by emergency decision that the People’s Board would be the oversight and public engagement arm of actions delegated to the Board. Therefore, the Terms of Reference had been reviewed.

 

The report highlighted the key changes which included redevelopment of the vision of the People’s Board and strategic objectives, updates and inclusions to the Board Membership, inclusion of Oversight of Outbreak Management for the COVID-19 response for St. Helens to the statutory duties of the Board and amendments and inclusions to the functions of the Board.

The Board was advised that the changes to the Terms of Reference had been made to ensure the Board functions met the new requirements and that titles were changed appropriately.

Also, amendments had been made to ensure a greater links between the People’s Board and the Place Board and a level of political oversight had been introduced with members of Cabinet and a representative from the opposition party.

 

The Membership and Terms of Reference St Helens Peoples Board June 2020 was attached to the report at Appendix 1.

 

*           Resolved that:

(1)        the report be noted; and

(2)        the changes to the People’s Board Terms of Reference be endorsed and approved.

58.

Safer St Helens Executive Terms of Reference pdf icon PDF 180 KB

Additional documents:

Minutes:

Councillor Bell, Cabinet Member for Safer Communities presented the report on Safer St Helens Executive Proposal.

 

The St Helens People’s Board encompassed both the Health and Wellbeing Board and the Community Safety Partnership functions for St Helens.

The Board was advised that over recent months, consideration had been given to developing an Executive to lead on issues of community safety to both mirror the arrangements for health and social care (St Helens Cares Executive) and to provide additional capacity for strategic planning and delivery of services that supported safer communities.

The report set out a proposed revision to the current governance arrangements in relation to the Community Safety Partnership element of the overall scope of the People’s Board. The background and reasons for the recommendation and consideration of alternative options for arrangements were detailed in the report.

The Safer St Helens Executive Terms of Reference and Safer St Helens Executive Governance Proposal flow chart were appended to the report at Appendices 1 and 2 respectively.

 

*           Resolved that:

(1)         the report be noted;

(2)        the creation of a Safer St Helens Executive, the Terms of Reference for the Executive, associated reporting mechanisms and the creation of a subgroup structure to support delivery be endorsed and approved; and

 

(3)        the proposal that the St Helens People’s Board would retain overall responsibility as the Community Safety Partnership forum for St Helens be endorsed and approved.

59.

Update on Community Safety activity during Covid-19 pandemic * pdf icon PDF 1 MB

Additional documents:

Minutes:

The Director of Public Health presented the Covid Dashboard, which presented to the Board details of the number of diagnosed and suspected cases of SAR-COV2 (Covid-19) in St Helens from 13 March 2020 to 10 July 2020 and trends in other outcomes.

It was reported up to the 18 July 2020, a total of 1,189 positive cases of SAR-COV2 (Covid-19) had been diagnosed in St Helens, with cases peaking at 194 cases per week in April 2020. It was reported that currently diagnosed cases were all time low of three per week.

 

The Board was advised in terms of benchmarking, St Helens had currently the lowest rate of cases in the North West, although the Board was advised to be mindful of the fact there could be asymptomatic cases.

In relation to deaths, it was reported there had been 196 deaths related to coronavirus in St Helens, 86 of which had occurred in care homes up to the 3 July 2020. The Board was advised that currently o
verall deaths had been close to the long-term average in St Helens for the last eight weeks.

 

The Board expressed the importance of the data coming through from Government being correct and on time, particularly to help ensure that ‘Track and Trace’ worked locally.

*           Resolved that the report be noted.

60.

St Helens Joint Strategic Needs Assessment (JSNA) 2020: Mortality pdf icon PDF 172 KB

Additional documents:

Minutes:

The Director of Public Health, Sue Forster presented the report on St Helens Joint Strategic Needs Assessment (JSNA) 2020: Mortality.

 

The aim of the Joint Strategic Needs Assessment (JSNA) was to identify the health and social care needs of the local population in order to support local organisations to plan, commission and deliver services and to ensure that local services best met the needs of local residents.

The report to the Board considered the key public health issues of life expectancy and mortality. Life expectancy was a measure that indicated the overall health of the population and since 2011, this has slowed in growth nationally for the first time in several decades. The mortality section provided insight into the trends, inequalities and causes of death in the Borough.

The report set out key findings, life expectancy, all age all-cause mortality, premature mortality, specific causes of mortality, excess winter deaths. It was reported that the data within the presented JSNA was for 2019 and therefore Covid-19 data had not been included.

The Director of Public Health advised that there had been some indication of the impact of the pandemic on mortality rates thus far, and at the time of writing in June 2020 there had been 188 registered deaths in St Helens that mentioned Covid-19 between March and June 2020. This reflected a greater number than deaths St Helens in the whole of 2019 from
diseases of the nervous system, including Alzheimer’s disease anddigestive diseases, including liver disease, at 154 and 133 deaths respectively.

The St Helens Joint Strategic Needs Assessment 2020: Mortality had been appended to the report.

The Board discussed the report and the need to refocus the health priorities and health inequalities that had been identified as priorities for focus for St Helens before the impact of Covid-19

It was noted that the impact in the stepping down of health services, in particular those responsible for early diagnosis and treatment of cancer and cardiorespiratory disease, was likely to have a future negative effect on the health and mortality outcomes for the Borough.

*           Resolved that:

(1)        the report be noted;

(2)        the Board consider the JSNA 2020 Mortality section in the planning and delivery of services and programmes to reduce mortality inequalities and increase life expectancy in St Helens; and

            (3)        the report be used to understand the mortality rates prior to the

pandemic and be used as a benchmark in relation to impacts of Covid-19 on the Borough’s population in 2020 and subsequent years.

 

61.

COVID Dashboard pdf icon PDF 137 KB

Minutes:

The Director of Public Health presented the Covid Dashboard, which presented to the Board details of the number of diagnosed and suspected cases of SAR-COV2 (Covid-19) in St Helens from 13 March 2020 to 10 July 2020 and trends in other outcomes.

It was reported up to the 18 July 2020, a total of 1,189 positive cases of SAR-COV2 (Covid-19) had been diagnosed in St Helens, with cases peaking at 194 cases per week in April 2020. It was reported that currently diagnosed cases were all time low of three per week.

 

The Board was advised in terms of benchmarking, St Helens had currently the lowest rate of cases in the North West, although the Board was advised to be mindful of the fact there could be asymptomatic cases.

In relation to deaths, it was reported there had been 196 deaths related to coronavirus in St Helens, 86 of which had occurred in care homes up to the 3 July 2020. The Board was advised that currently o
verall deaths had been close to the long-term average in St Helens for the last eight weeks.

 

The Board expressed the importance of the data coming through from Government being correct and on time, particularly to help ensure that ‘Track and Trace’ worked locally.

*           Resolved that the report be noted.

62.

Outbreak Plan and Governance pdf icon PDF 180 KB

Additional documents:

Minutes:

The Director of Public Health presented the report on Outbreak Management Plan.

 

On 22 May 2020, Directors of Public Health received a briefing and presentation from Tom Riordan, the Chief Executive of Leeds City Council, who had been seconded to support the Government and the Department of Health and Social Care on Test, Trace, Contain and Empower.

The Board was advised that within the presentation, local authorities had been given clear guidance that their role would be to manage local outbreaks of COVID-19 now that test and trace systems were in place in order to keep rates are low.  It had been considered that local authorities were best placed to understand the implications for their communities, and be able to work alongside partners and residents to manage the spread of COVID-19.

It was reported that it had been nationally mandated for Upper Tier Local Authorities to have Outbreak Management Plans and governance, and for this to be in place by 30 June 2020. The plans covered seven specific areas:

 

·         Care homes and schools;

·         High risk places and communities;

·         Local testing capacity;

·         Contact tracing in complex settings;

·         Data integration;

·         Vulnerable People; and

·         Local Boards.

 

With the aim to protect the health and wellbeing of populations, through effective outbreak management, in St Helens the view had been taken that it was useful to have weekly meetings for both the Health Protection Board and Outbreak Management Board, with the rationale being that infections could spread quickly, there was a need to be able to respond in a timely manner.

The Board was advised that Health Protection Board and Outbreak Management Boards would meet frequently and take preventative measures where possible. However the Board could sit urgently should there be a need to set up an Incident team and report to the Board.

It was reported that the People’s Board would be the public oversight of the Outbreak Management Board where updates on Covid-19 would be presented.

The St Helens Borough Council Management Plan for Covid-19 Summary June 2020, Terms of Reference of the Outbreak Management Board and the Terms of Reference of the Health Protection Board were appended to the report at Appendices A to C respectively.

*           Resolved that:

 

(1)                   the report be noted;

(2)          Partners email the Director of Public Health to provide feedback on what information would be valuable to include in future reports to the Board on outbreak management; and

(3)          future updates from the Outbreak Management Board be received by the Board.

63.

St Helens Cares COVID Update Presentation pdf icon PDF 144 KB

Minutes:

The Executive Director/ Accountable Officer – People’s Services, Sarah O’Brien gave a presentation to the Board on St Helens Cares Covid Update.

 

The presentation ‘Response to Covid-19’ detailed the following:

 

·         Introduction;

·         Care Homes;

·         Primary Care and Community Care;

·         Public Health Advice;

·         Public Health Services;

·         Acute Care;

·         Mental Health;

·         Integration and Enabling Activities; and

·         Reflections and Learning

 

The Board noted the significant advantage that St Helens Cares and the Shared Care record had given to the local Health service in managing and treating the outbreak across the local authority, CCG and hospital.

*           Resolved that the presentation be noted

 

64.

Adult Social Care approach to supporting care providers during COVID-19 Pandemic pdf icon PDF 173 KB

Additional documents:

Minutes:

The Deputy Director Peoples Services, Rachel Cleal presented the report on Adult Social Care approach to supporting care providers during Covid-19 Pandemic.

The Council had an obligation to ensure that contracted adult social care services remained financially sustainable. The Board was advised that over the past ten weeks officers had worked with providers and the wider health and care system to understand and respond to the challenges of Covid-19.

The Government had been intent on supporting adult social care, specifically the care home sector. It was reported that there had been several Government announcements in recent weeks and that the Council was required to respond to all changes in policy, although was noted government announcements were advisory.

The Board was advised that the Council were adhering to much of the guidance

Already, including the requirement to consider the future sustainability of the market beyond Covid-19, any uplift in payments only meeting temporary costs for providers, no standard or prescribed way to undertake the financial approach to Covid-19, enhanced uplifts for out of borough placements to be addressed locally and that payments should be made on plan and in advance.

The report set out a range of measures to support the adult social care provider market, to address the potential for increased demand and cost pressures arising from Covid-19 and to provide a level of financial security and cash-flow so care providers can operate effectively and safely.

 

The report also advised the Board on the financial implications common across the social care market including; Domiciliary Care, Residential / Nursing care, Supported Living, Day Support Services, Supporting Hospital Discharge, Changes to Payment Cycles and indirect Financial support.

 

The Financial Return for St Helens and Letter to the Minister of State for Care dated 29 May 2020 re: Support for Care Homes had been attached to the report at Appendices A and B respectively.

The Board made comment on the omission of carers in the recently announced public sector pay awards by the Government and that the system as a whole needed financial support.

 

*           Resolved that:

 

(1)          the report including the detailed range of measures as set out within this report to support the adult social care provider market in
St Helens
be noted; 

(2)          the Board note that there may be a need to review provider capacity, in response to the demands on NHS Acute Trusts and the need to ensure a viable and sustainable care market in these unprecedented circumstances; and

(3)          an update report be received by the Board in 6-12 months’ time.

 

65.

Date of Next Meeting

·         Wednesday, 23 September 2020 at 2.30pm

Minutes:

Wednesday, 23 September 2020 at 2.30pm.

66.

Exclusion of the Public

Recommended that the public be excluded from the meeting during consideration of the following item for the reason stated:

 

Item     Reason (under the Local Government Act 1972)

 14        Information relating to any individual (Para 1 of Schedule 12A)

Minutes:

*           Resolved that the public be exlcuded from the meeting during consdieration of the following item for the reason stated:

 

            Minute            Reason (under the Local Government Act 1972)

 

66                  Information relating to any indidivual (Para 1 of Schedule 12A)

67.

Domestic Homicide Review

Minutes:

The Assistant Director, CThe Independent Reviewer, Steve McGilvary presented the Domestic Homicide Review (DHR).


The
report presented both the Overview and Executive Summary detailing the findings of a Domestic Homicide Review following the commissioning of the Review by the People’s Board in 2019.

A presentation was given to the Board on the outcomes and findings of the Domestic Homicide Review. The presentation detailed the following:

·         Status of DHR Report;

·         Background;

·         Key Lines of Enquiry;

·         Events;

·         Disclosure November 2018;

·         Response to Disclosure;

·         Assessment December 2018;

·         Conclusions; and

·         Lessons Learnt and Recommendations.

 

The Domestic Homicide Review Overview Report and the Executive Summary – Domestic Homicide Review was attached to the report at Appendix 1 and 2 for the Board’s approval prior to submission to the Home Office for endorsement and official publication.

 

*           Resolved that:

 

(1)          the report be noted;

(2)          the findings and recommendations of the Domestic Homicide Review be noted; and

(3)          the submission of the Domestic Homicide Review to the Home Office for evaluation and consideration for publication be agreed.

 

-oOo-

ommunity Safety presented the Domestic Homicide Review (DHR).


The
report presented both the Overview and Executive Summary detailing the findings of a Domestic Homicide Review following the commissioning of the Review by the People’s Board in 2019.

The Independent Reviewer, Steve McGilvary was also present to give a presentation to the Board on the outcomes and findings of the Domestic Homicide Review.

 

The Domestic Homicide Review presentation detailed the following:

·         Status of DHR Report

·         Background

·         Key Lines of Enquiry;

·         Events

·         Disclosure November 2018

·         Response to Disclosure

·         Assessment December 2018

·         Conclusions

·         Lessons Learnt and Recommendations

 

The Domestic Homicide Review Overview Report and the Executive Summary – Domestic Homicide Review was attached to the report at Appendix 1 and 2 for the Board’s approval prior to submission to the Home Office for endorsement and official publication.

 

*           Resolved that:

 

(1)             the report be noted;

(2)             the findings and recommendations of the Domestic Homicide Review in respect of ‘Emma’ be noted; and

(3)             the submission of the Domestic Homicide Review to the Home Office for evaluation and consideration for publication be agreed.

 

-oOo-