PEOPLE'S BOARD At a meeting of the People's Board held on Wednesday, 6 June 2018 (Present) Geoffrey Appleton (Deputy Chair) Chair, St Helens CCG Rachel Cleal Deputy Director People’s Services Michael Ejuoneatse Deputy Chair/Deputy Clinical Lead, St Helens CCG Louise Harrison Local Police Commander, Merseyside Police Sue Hill Director of Finance, Bridgewater Community Healthcare Tom Hughes Chair, Healthwatch Tom Knight Head of Primary Care, NHS England Councillor Long Council Leader, St Helens Council Michelle Loughlin Assistant Director Public Health Ann Marr Chief Executive, St Helens and Knowsley Teaching Hospitals Councillor Neal Cabinet Member, Better Health and Building Arts and Culture Sarah O’Brien Strategic Director People's Services / Clinical Accountable Officer Sandra Oluonye Assistant Chief Officer, National Probation Service Councillor Pearson Cabinet Member, Developing Young People John Quick Assistant Chief Executive, Community Rehabilitation Co. Councillor Quinn Cabinet Member, Adult Social Care and Health Dr David Reade GP Principal Mark Thomas Prevention Manager, Merseyside Fire and Rescue Tina Wilkins Clinical Network Director, North West Boroughs Healthcare NHS Foundation Trust Michelle Wood Head of Health and Housing, Torus Sally Yeoman CEO, Halton & St Helens VCA ------- 1 APOLOGIES FOR ABSENCE Apologies were received from Councillor Burns, Phil Garrigan, Stephen Tracey and Rob Young. 2 MINUTES * Resolved that the minutes of the meeting held on 14 March 2018, be approved and signed subject to the following amendment: Minute 47 : Operation Sector to read ‘Sceptre’. 3 DECLARATIONS OF INTEREST No Declarations of Interest from Members were made. 4 JOINT LOCAL AREA SEND INSPECTION ST HELENS The Strategic Director People's Services / Clinical Accountable Officer presented the report on the Joint Local Area SEND Inspection St Helens. PEOPLE'S BOARD The report updated the Board on the outcomes and findings from the inspection undertaken by Ofsted and Care Quality Commission (CQC), between 29 January 2018 and 2 February 2018, on the local area’s arrangements for children and young people with special educational needs (SEND) and/or disability. The inspection was undertaken by one of Her Majesty’s Inspector from Ofsted, with a team of Inspectors including an Ofsted Inspector and a Children’s Services Inspector from the Care Quality Commission (CQC).The purpose of the inspection was to evaluate how local areas were discharging their duties under the Children and Families Act 2014. The three broad areas of focus for the inspection were: The effectiveness of the local area in identifying children and young people who have special educational needs and/or disabilities; The effectiveness of the local area in assessing and meeting the needs of children and young people who have special educational needs and/or disabilities; and The effectiveness of the local area in improving outcomes for children and young people who have special educational needs and/or disabilities. It was reported to the Board that the St Helens Inspection report highlighted a significant number of positives and areas of strength, and relatively few areas identified for improvement. It was noted that where the report did identify areas for improvement, it was acknowledged that the local area was already taking action to address these areas. The full letter from Her Majesty’s Inspector dated 21 March 2018, outlining the findings of the inspection, was attached to the report at appendix 1 The Board was informed that the intention was to work with the Parent/Carer Forum and the Children and Young People’s Engagement Forum to develop underpinning workstreams in order to address the areas identified. * Resolved that: (1) the report be noted; and (2) a vote of thanks be given to all staff involved in the SEND Inspection. 5 ST HELENS CARES CLINICAL AND SUPPORT STRATEGY The Strategic Director People's Services / Clinical Accountable Officer presented the report on the St Helens Cares Clinical and Support Strategy. The strategy had been produced to build on the positive progress made by Partners in St Helens in integrating services through genuine collaboration and outlined how clinical and other social, community and wellbeing services would operate across the four St Helens localities of St Helens South, North, Central and Newton and Haydock. A presentation was made to the Board which detailed the following: Aim of Presentation; Main Additions to the strategy; Locality model; PEOPLE'S BOARD What will it mean for Residents? What will it mean for Staff? and What will it mean for the Borough? The Board was informed that the Strategy was a progression of the work that Partners in St Helens had achieved together over the previous 18 Months and gave a framework for the implementation and delivery of localised and effective services that would deliver both the strategic outcomes and the vision of reducing cost and demand whilst improving the quality of services. The report detailed the vision for the borough including; agreed strategic outcomes and shared principals, The St Helens Circle, Locality Model, underpinning enablers of locality approach, performance indicators and measuring success of the locality approach and priorities and conclusion. The I Statements, Explaining the Inner Rings of St Helens Circle, Draft Urgent Care Strategy, St Helens Cares Locality Handbook and Financial Modelling were appended to the report at Appendices 1 to 5 respectively. The Board discussed the report and comments were made regarding reviewing if Pharmacy and Dentistry were in the correct tier of the ‘Inner Rings’ of the St Helens Circle with a proposal that they should be in the first rung of the circle not second. Questions were raised regarding measuring success and outcomes as a result of the strategy and if there was scope for evolving the model. Assurance was given that audit and assessment had been built in and that there was flexibility to develop the strategy. The Board was also informed of the formation of a Delivery and Learning Group to continue the development of the system over all localities. The Board acknowledged the impact the third sector had on enabling social prescribing and the role it had in supporting the system, alongside the need to ensure that local school links continued to be established. * Resolved that the report be noted. 6 DISCUSSION PAPER ON NEW ARRANGEMENT FOR CHILD DEATH OVERVIEW PANELS The Assistant Director of Public Health presented the Discussion Paper on new arrangements for Child Death Overview Panels (CDOP). The current child death review processes were contained within Working Together, and formed an integral part of the Children’s safeguarding arrangements, with Merseyside CDOP being responsible to each of the five existing Local Safeguarding Children’s Boards (LSCB). The Board was informed that current national arrangements were being changed; with a transfer of responsibility for Child Death Reviews from the Department for Education to the Department of Health; with Local Authorities and CCG’s becoming the new accountable bodies. PEOPLE'S BOARD The paper informed the Board on the changes to the Child Death Review process, outlined the key issues that needed addressing, highlighted the implications for stakeholders and recommended next steps. The Board was informed that a workshop with stakeholders was proposed to be undertaken on 9 October 2018. * Resolved that: (1) the report be noted; (2) endorsement be given from this Board for the Merseyside Child Death Overview Panel to continue to operate on the existing five Local Authority area footprints; (3) it be noted that the accountability for Child Death Overview Panels be moved from the Local Safeguarding Children’s Board to the People’s Board; (4) a review of the current budget and contributions be undertaken to determine how future funding should be arranged to fund the future Child Death Review process in a fair and equitable way; (5) current chairing arrangements be reviewed to determine whether there is a need for change; (6) the proposed date of 9 October 2018 for a stakeholders workshop be noted; and (7) a report on the outcomes from the workshop and proposals on future arrangements be received by this Board. 7 TACKLING DOMESTIC ABUSE - ST HELENS STRATEGY 2018-19 The Strategic Director People's Services / Clinical Accountable Officer presented the report on Tackling Domestic Abuse – St Helens Strategy 2018-2023, as approved at a meeting of the Cabinet held on 21 February 2018. The Tackling Domestic Abuse St Helens Strategy 2018-2023 had been developed specifically for St Helens to reflect local needs and was intended to be the framework for all agencies to respond effectively to domestic abuse. The Strategy was a partnership document and responsibility for its delivery required the Council and other agencies to take responsibility for specific priority areas. Four priority areas had been identified, together with the outcomes that we are looking to achieve with each of the priority areas. The four priorities areas were identified as: Prevention; Partnership; Provision; and PEOPLE'S BOARD Protection. To support the delivery of the Strategy it was proposed that new governance arrangements be implemented and a Domestic Abuse Strategy Group be established with overall strategic oversight for the strategy and to report regularly to the Board. The Board was informed that the Domestic Abuse Strategy Group would be supported by a Domestic Abuse Operational Group,