Agenda and draft minutes

People's Board - Thursday, 21st March, 2024 2.30 pm

Venue: Room 10. View directions

Contact: Mrs KM Howard 

Media

Items
No. Item

46.

Apologies for Absence

Additional documents:

Minutes:

Apologies for absence were received from:

 

Councillor Baines

Leader, St Helens Council

Supt Ind. Steve Brizell

Merseyside Police

Sally Yeoman

Halton and St Helens VCA

Ged Sherian

Merseyside Fire and Rescue Service

Tom Hughes

Healthwatch

Kath O’Dwyer

Chief Executive, St Helens Council

Superintendent Steve Brizell

Community Policing Team, Merseyside Police

Helen Fitzgerald

Chief Officer, Deafness Resource Centre

 

47.

Minutes from the Meeting held on 25 January 2024 pdf icon PDF 102 KB

Additional documents:

Minutes:

*           Resolved that the minutes of the meeting held on 25 January 2024 be approved and signed.

 

48.

Declarations of Interest

Additional documents:

Minutes:

There were no Declarations of Interest made.

49.

Inequalities Commission Update pdf icon PDF 285 KB

Additional documents:

Minutes:

The Chair of the Inequalities Commission, Dr Justin Hill and the Director of Public Health, Ruth du Plessis jointly presented the Inequalities Commission update to the Board.

 

The presentation provided the Board with an update on the most recent work of the Inequalities Commission on the continued actions aimed at reducing inequalities between localities and reducing the overall level of deprivation in St Helens and detailed the following:

 

  • Most recent meeting – 21st February 2024 “Business Meeting”
  • Ongoing Work
  • ICS Approach to Health Inequalities
  • Summary of Population Health Functions – Plan on a Page January 2024
  • Proposals for Discussion

 

A report had also been included in the agenda pack which set out role of the Cheshire and Merseyside Integrated Care Board (ICB) in tackling inequalities and the £12.2m ring fenced funding set aside to support this during 2024/25 and beyond.

 

Councillor Quinn appraised the Board on a meeting of the Cheshire and Merseyside Health and Care Partnership held on 19 March 2024 which had discussed healthier lifestyles following concerns around the lack of exercise in some people and outlined their aspirations for Merseyside to pledge to become a smoke free by 2030.  The Partnership had also highlighted the work of Knowsley Council in restricting advertising for junk food and the positive impact this had.

 

The Director of Public health raised the importance of continuing the work to address inequality as one of the main causes of the cause of unhealthy lifestyles and poor health outcomes and to lead this through the work of the Inequalities Commission. Supporting this, the Board also raised the impact poor housing (eg damp a cold home) also had on health and the importance of this being considered in both primary and secondary care settings.

 

Referring to the investment discussion encouraged within the report and following questioning around the process to feedback on the investment of the £12.2m, it was confirmed that the Executive Director of People & NHS Place Director St Helens, Mark Palethorpe would feedback through the St Helens Cares Place Partnership Board.

 

*           Resolved that the presentation be noted. 

 

50.

Integrated Care Board (ICB) Update pdf icon PDF 600 KB

Additional documents:

Minutes:

A presentation was provided to the Board by Wayne Longshaw, Director of Integration, Mersey and West Lancashire Teaching Hospitals NHS Trust (MWL), which appraised the Board on developments with the Integrated Care Board (ICB)

 

The presentation detailed the following:

 

  • National Picture
  • Cheshire and Merseyside Joint Forward Plan
  • Cheshire and Merseyside ICS Financial Planning
  • C&M UEC Diagnostic Exercise – Newton
    • What was the scope
    • What were the key themes of community-based services          

-        Admissions Avoidance

-        Decision Maing

-        Length of Stay

-        Intermediate Care Services

  • Conclusion

 

The Board noted the pressures reported within the presentation, particularly of those on the hospital in terms of occupancy and raised concerns regarding the potential risks this presented in the terms of quality of care and in resilience.

The importance of understanding hospital discharges and the planning of step-down provision, including care in the community and in the understanding of the implications of the financial pressures and impact this would have on St Helens and its residents was raised by the Board.

 

A discussion took place around the provision of Dental Services in the borough and the difficulties and challenges experienced by some residents in accessing NHS dental care.

Noting the link between oral health and overall health, the importance of continuing to scrutinise this issue and understand future plans for dentistry in the Borough and the Cheshire and Merseyside Region including its funding and spending was emphasised.

 

*           Resolved that the presentation be noted.

51.

Partner Presentation - Merseyside Fire and Rescue Service and Youth Work pdf icon PDF 2 MB

Additional documents:

Minutes:

The Prevention Manager, Kevin Johnson from Merseyside Fire and Rescue Services (MFRS) gave a presentation to the Board which provided an overview of the work of The Prince’s Trust and other youth education programmes run by MFRS.

 

The presentation entitled ‘Merseyside Fire and Rescue Service Youth Education’ detailed the following:

 

·       The Prince’s Trust

·       The Prince’s Trust : Experiences

·       The Prince’s Trust : Challenges

·       Beacon

·       Fire Cadets

·       Street Intervention Team

·       Fire Champions

·       NFCC Early Intervention Implementation Framework

 

The Board discussed the importance of developing and supporting next steps and the sign posting of young people after completion of The Prince’s Trust and in understanding the referral process for getting young people onto both The Prince’s Trust and Beacon Project.

The Director of Communities advised that the Beacon Project was funded by the Violence Reduction Partnership who identified local schools to work with in identified areas and outlined the schools currently benefiting from the Beacon Project and Fire Champions programme.

 

Following a request that the course be delivered in St Helens to help young people in the borough being able to access the provision and in noting the issue of securing a suitable venue, the challenges in terms of staffing and funding due to funding being allocated on a yearly basis was highlighted to the Board by the Prevention Manager. The Chair proposed that St Helens College be approached as a potential venue.

‘Safe and Well’

At the request of the Board, a verbal update was also provided on the ‘Safe and Well’ home fire safety checks. The Prevention Manager outlined the support and advice offered through this initiative.

 

It was noted that some health checks, which had been part of the Safe and Well home visits, had been ceased during the pandemic. The Board supported the Director of Public Health advocating the restarting of these and agreed to receive an update on this at the future meeting. 

 

*           Resolved that:

(1)        the presentation be noted; and

(2)        an update on the Safe and Well home and fire safety checks be provided at a future meeting.

The Chair, Inequalities Commission, Justin Hill left the meeting during discussion of the following item.

52.

Joint Strategic Needs Assessment - Family Hubs Maternity & Early Years JSNA pdf icon PDF 180 KB

Additional documents:

Minutes:

Following an introduction from Councillor Burns, Cabinet Member for Wellbeing, Culture and Heritage, the Transformation Lead Family Hubs, Vicky Velasco and Public Health Intelligence Evidence & Performance Manager, Rachel Brown jointly presented the Joint Strategic Needs Assessment (JSNA) report on Family Hubs Maternity and Early Years to the Board.

 

The Board was informed that the Join Strategic Needs Assessment (JSNA) was part of a suite of reports describing some of the strategic needs of the local population in

St Helens. The purpose of the JSNA process was to inform local strategic priorities, plans and commissioning of services. The JSNA highlighted some of the significant inequalities experienced both within St Helens and compared to the rest of England.

 

The family Hubs Maternity and Early Year report presented an in-depth analysis of the local picture on maternal and early years health status and provided an overview of need in St Helens, to illustrate trends and inequalities within the borough for young children and their families.

 

The needs assessment brough together a range of data which was themed around the following key areas:

 

Demographic Profile

Maternity Need and Births

Staying Healthy

Early Education and Development

Special Educational Needs and Disabilities (SEND)

Parental Lifestyle

 

The findings of the report highlighted that there were significant differences in outcomes for children aged 0-5 within St Helens, and that in general, those poorer outcomes were associated with the areas of higher deprivation

To complement the report, a presentation entitled ‘Family Hubs Maternity and Early Years (0-5 Years)’ was provided to the Board. This detailed the following:

 

  • Introduction
  • Demographic Profile: Number of Children aged 0?5 years
  • Maternity Need: Low Birth Rate
  • Staying Healthy: Oral Health and Obesity
  • Early Education and Development
  • Special Educational Needs and Disability (SEND)
  • Parental Lifestyle: Neglect and Parental Conflict
  • Recommendations

 

*           Resolved that:

 

(1)           the report and the current situation in St Helens with regards to key indicators of health related to maternity and early years be noted;

(2)           the needs assessment be used to inform future policy and action on improving children’s health in St Helens; and

(3)           a six-month update on the Family Hubs be brought to a future meeting of the Board.

53.

Better Care Fund Quarter 3 pdf icon PDF 181 KB

Additional documents:

Minutes:

The Better Care Fund (BCF) 2023-25 Quarter 3 report was introduced by Councillor Marlene Quinn, Cabinet Member for Integrated Health and Social Care and presented by Jamaila Hussain, Director of Adult Social Services (DASS) and Finance Business Partner - IHSC.

 

The Better Care Fund (BCF) was one of the Government’s vehicles for driving health and social care integration. It required Integrated Care Boards (ICBs) and Local Government to agree a joint spending plan, owned by the Health and Well-Being Board, which in

St Helens was the People’s Board.

 

The Council and NHS Cheshire and Merseyside ICB had worked together to produce a BCF plan for 2023-25 which had been formally approved by the People’s Board on

28 June 2023. Confirmation of approval of the plans by NHS England, following their assurance work had been provided on 29 September 2023.

 

Quarterly reporting against the BCF had been reintroduced from quarter 2 2023/24. This covered reporting against a set of metrics and capacity and demand data. The quarter 2 report was presented to the People’s Board and approved on 9 January 2024.

 

The Quarter 3 report included an update on the progress against the five metrics

within the BCF and included an update on the planned spend and activity as of

the end of quarter 3 2023-24.


The report highlighted that four of the five-reporting metrics (avoidable admissions, discharge to normal place of residence, residential admissions, reablement and falls) remained on track to meet the anticipated planned activity reported for the financial year 2023-24.

 

The report advised that data was not currently available to assess progress against avoidable admissions, however, Performance data reported at Q1 & Q2 for this metric indicated that progress against the anticipated planned activity for 2023/24 was on track.

 

*           Resolved that the contents of the Better Care Fund Quarter 3 Monitoring submission be noted.

 

The Director of Communities here left the meeting.

54.

Adult Safeguarding Annual Report pdf icon PDF 411 KB

Additional documents:

Minutes:

The Care Act 2014 required that the St Helens Safeguarding Adults Board publish an Annual Report which set out how the Board had performed during the year.

 

The Board had been provided with the 2022/23 St Helens Safeguarding Adults Board Annual Report. The report was introduced by Councillor Marlene Quinn, Cabinet Member for Integrated Health and Social Care and presented by Jamaila Hussain, Director of Adult Social Services (DASS).

 

The report outlined progress against the business objectives for 2022/23,which focused on:

·        Ensuring the delivery of safeguarding services to adults at risk of abuse and neglect, with a particular emphasis on the approach of ‘Making Safeguarding Personal’;

·        Dynamically adapting the Boards approach to safeguarding adults to respond to emerging societal trends, priorities, reports, and guidance.;

·        For the Board to be recognised as leaders in the field of safeguarding adults in St Helens through providing excellent standards of partnership working and to effectively engage with our community; and

·        Providing consistent leadership focusing on delivering positive outcomes for those using the services. 

Alongside setting out progress of the Safeguarding Adults Board against these business objectives, the report outlined what had been achieved in 2022/23 and identified the Strategic Priorities and Annual Objectives for 2023/24.


The Safeguarding Adults Board Annual Report for 2022/23 was appended to the report.

 

*          Resolved that:

(1)           the Safeguarding Adults Board Annual Report 2021/22 be noted; and

(2)           the ongoing objectives over the next 1-3 years be noted.

 

55.

Items for the next meeting of the Board

Board Members are invited to propose items for consideration at the next meeting of the Board.

 

Additional documents:

Minutes:

Board Members were invited to propose items for consideration at the next meeting of the Board and encouraged to email the Leader or Director of Public Heath with any proposals.

 

It was noted that the following item would be placed on the Boards rolling plan of items:

 

  • MFRS Safe and Well home safety checks; and
  • Family Hubs – a six month on Update

 

56.

Date of Next Meeting

·       Wednesday, 26 June 2024, 2.30-4.30pm, Room 10, Town Hall

Additional documents:

Minutes:

Wednesday, 26 June 2024, 2.30-4.30pm, Room 10, Town Hall.

 

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