ChampsPublic Health Collaborative

Strategic Business Plan 2015-17Updated July 2016

Contents

Welcome Page 2

Building on success 2015/16 Page 3

Our way of working Page 5

Champs Public Health Collaborative and the wider public health system Page 6 Champs Public Health Collaborative overview Page 7

Key deliverables / Governance/ Performance monitoring Page 8 Cheshire and Merseyside Directors of PublicHealth - System leaders for public health Page 9

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Welcome from Margaret Carney, Lead Chief Executive of Champs Public Health Collaborative, Lead Chief Executive for health and wellbeing in Liverpool City Region and Chief Executive of Sefton Council and Matthew Ashton, Chair of Directors of Public Health Executive Board and Joint Director of Public Health for Knowsley and Sefton.

This last year has seen great progress for public health across Cheshire & Merseyside and working together through Champs Public Health Collaborative has ensured that teams can work effectively across the system focusing on key priorities. Since the key priorities of high blood pressure, mental health and wellbeing of children and young people and suicide prevention were agreed in 2015, in partnership with Public Health England and NHS England, there have been some amazing achievements.

The recent launch of the Cheshire & Merseyside 5 year cross-sector blood pressure strategy, Saving lives: Reducing the pressure, is the culmination of two year’s iterative sub-regional developments and has been highly acclaimed both nationally and internationally. To be runners up in the NHS England test bed bid for funding to embed digital technology in the prevention, detection and management of high blood pressure was excellent and it played a key role in galvanising the system and strengthening partnerships for future work.

Cheshire & Merseyside’s zero suicide strategy “NO MORE”, was launched with its vision to eliminate suicide for our region and now all local authorities in Cheshire & Merseyside are working towards becoming Suicide Safer Communities. This work has also been recognised as an exemplar of excellent practice and has recently been shared internationally with Suicide Prevention Australia.

Significant external income of nearly £400,000 has been generated including funding received from Health Education England which will ensure the workforce is trained to help families and carers support and promote resilience and wellbeing for children and young people.

Moving forward, Devolution for Liverpool City Region and Cheshire & Warrington is being supported by the Directors of Public Health and the wider Collaborative. There is also ongoing work to support the development of the Cheshire & Merseyside Sustainability and Transformation Plan. Two new workstreams have emerged, looking at a common approach to Licensing and Employment and Skills.

This update to our Business Plan 2015-17 gives more detail on our achievements so far and sets out what we will deliver in our second business year as a public health system across Cheshire & Merseyside. As always, our main aim is to ensure that we really make a difference and improve the health and wellbeing of our local population.

Matthew Ashton

Chair of Directors of Public Health Executive Board and Joint Director of Public Health for Knowsley and Sefton.

Margaret CarneyLead Chief Executive of Champs Public Health Collaborative, Lead Chief Executive for health and wellbeing in Liverpool City Region and Chief Executive of Sefton Council.

Welcome

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Under the leadership of the Directors of Public Health and their continued commitment to collective working on key public health issues, the Collaborative has enabled resources to be shared and public health initiatives to be delivered across a larger area, improving local health outcomes and reducing costs. The expertise and commitment given by local public health teams, partners and providers to collaborative projects has been essential to success and the following projects could not have been achieved without them.

Beating high blood pressureA system wide programme of work is underway to tackle high blood pressure in Cheshire & Merseyside driven by the Cheshire & Merseyside Blood Pressure Partnership Board which was formed in November 2015.

Over 625,000 people are affected by high blood pressure in Cheshire & Merseyside and the Board has recently launched its five year cross-sector strategy “Saving lives: Reducing the pressure” focusing on the prevention, detection and management of high blood pressure.

The strategy was launched on World Hypertension Day, 17th May 2016 and received national and international praise with Professor Norm Campbell from the University of Calgary in Canada, who led the Pan-Canadian Framework saying the strategy “provides a state of the art, comprehensive approach to hypertension and will serve as a model for other programmes around the globe.”

The Cheshire & Merseyside blood pressure strategy is now a global resource and is featured on the World Hypertension League website to share good practice.

NHS England test bed bid for high blood pressure The Cheshire & Merseyside cross-sector system for high blood pressure and industry partners co-produced a competitive bid in November for NHS England funding to embed interconnected innovative digital technologies to support the prevention, detection and management of high blood pressure and atrial fibrillation across the sub-region. Whilst the team were runners up, the ‘art of the possible’ developed throughout the process, played a key role in galvanising the system and strengthening cross-sector partnerships.

Primary care workshop focuses on high blood pressure A half day workshop in May enabled primary care colleagues to contribute their ideas and suggestions to tackle high blood pressure in Cheshire & Merseyside. The workshop also shared current and proposed work relevant to primary care and colleagues were able to attend parallel sessions around community pharmacies, community partners, education and training and quality improvement. Working towards zero suicideA zero suicide strategy has been developed, which is overseen by the Cheshire & Merseyside Suicide Prevention Board and implemented through an operational multi-agency group.

The approach was presented to the NationalSuicide Prevention Advisory Board and recognisedas an exemplar of excellent practice. The suicide support service Amparo, commissioned by the Collaborative and provided by Listening Ear, began in April 2015 which supports those affected by suicide in Cheshire & Merseyside.

Suicide risk factors identified across Cheshire & MerseysideThe Cheshire & Merseyside Joint Suicide Audit has been completed and 200 case notes were analysed. The findings highlight a number of issues not previously quantified and suggest groups relevant for interventions. The audit will inform the priorities within the zero suicide strategy and one key priority is training in suicide prevention interventions for primary care.

Suicide audit data workshop held A workshop was held in May with the Cheshire & Merseyside local authority public health leads, intelligence leads and with the Coroners’ for Cheshire and Merseyside to look at a standardised approach to recording data across C&M.

Building on success 2015/16

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The standardised approach will ensure future audits contain accurate and meaningful data. Real-time surveillance was also discussed which could identify clusters and enable local authority teams to implement a community response plan.

Behaviour change campaigns

A series of cost effective, high quality behaviour change and awareness campaigns have been delivered at scale to reduce costs and ensure consistent messages are given to the public across Cheshire & Merseyside. • Domestic abuse campaign The Cheshire & Merseyside domestic

abuse campaign “Be a lover, not a fighter”, was repeated in February 2016 to include Lancashire. This year’s campaign highlighted the impact on children and the

campaign engaged with 60,000 people via events, social media and the website. The campaign was shortlisted for a NICE shared learning award and appears on the NICE local practice collection website.

• Make time campaign The new “Make time” campaign, a

public facing campaign utilising the 5 ways to wellbeing, was rolled out in several local authority areas for this year’s Mental Health Awareness Week, w/c 16 May. The materials were developed by the Champs Collaborative mental health leads

for local delivery and evaluation.

Generating external income

Additional funding to support the Collaborative priorities has been generated. Nearly £300,000 has been received from Health Education England which will be used for workforce training and development for high blood pressure and to support the Youth Connect 5 training which helps families and carers support and promote resilience and wellbeing for children and young people.

Utilising the evidence base The Champs Collaborative intelligence network has worked with Liverpool John Moores University (LJMU) to ensure that outputs are focused and responsive to local requirements. Key examples include: • A maternity health needs assessment was conducted

as part of the ‘Improving Me’ programme to inform the redesign of maternity services, improve outcomes and the overall maternity experience for women and families across Cheshire, Merseyside and West Lancashire.

• A Learning disabilities and autism health needs assessment for children and adults in Cheshire and

Merseyside which is being used by NHS England to inform their Transforming Care work programme for Cheshire and Merseyside.

• The extent and nature of addiction to medicines in Cheshire and Merseyside investigated the experiences of health professionals around addiction to psychoactive medicines with a view to providing evidence on how best to support people with an addiction to medicines in Cheshire and Merseyside.

A safe and resilient systemThe Cheshire & Merseyside health protection leads group supports local authorities in their quality assurance role and ensures a safe and resilient system. Recent work includes:

• Very strong multi-agency engagement led to the development of a comprehensive antimicrobial resistance strategy with a specific action plan to be implemented across Cheshire and Merseyside on a CCG footprint, both in primary and secondary care. This has been highlighted as best practice by the PHE Director for Health Protection.

• A multi-agency air quality CPD event was held and a multi-agency group established looking at air quality priority areas with the aim of developing an overarching approach and strategy for Cheshire and Merseyside.

• A robust emergency planning resilience and response (EPRR) system is in place. A number of incidents were responded to including a chemical spill on a major transport system. In addition, the group have supported prepardness to pandemic flu and other emerging infections as well as a multi agency debrief on a joint response to the international Ebola threat.

Developing the workforce

A series of CPD events have been delivered for over 600 participants in 2015/16 across Cheshire & Merseyside public health teams and the wider workforce.

Events include a 0-5 transition workshop on school readiness, a North West best practice event on Domestic Abuse, the annual suicide prevention summit, a food policy event and the private screening of The Divide film on health inequalities.

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Share your story with us #maketime make-time.org

When was the last time...you tried something new?

It’s never too late to learn a new skill or take on a new challenge – like trying a new recipe, learning an instrument or taking that computer

course. Doing it will make us feel proud. Some of your best memories might be thanks to a time when you decided to give something a go.

you noticed things around you?It’s not often that we stop to notice the world around us, think about how we’re feeling or try to live in the moment. It may have been a while since

you were curious or took some time to be aware of everything happening around you. When will the next time be?

When was the last time...

Share your story with us #maketime make-time.org

you laughed until you cried?Spending time with the people around us – be it friends, neighbours or

family – improves our sense of belonging and makes us feel good. Chances are the last time you had a really good belly laugh it was with

somebody else. When will the next time be?

When was the last time...

Share your story with us #maketime make-time.org

L-R: Jim Hancock, Margaret Carney, Jane Rossini, Katharine Round, David Taylor-Robinson, Matthew Ashton, Jim McVeigh at the private screening of The Divide film.

As Directors of Public Health for Cheshire & Merseyside, we are committed to working in the best way possible to achieve better health outcomes. We are very proud of our nationally recognised collaborative way of working which brings great benefits for all.

Following his visit to the Cheshire & Merseyside Directors of Public Health meeting in November 2015, Dr Andrew Furber, President of the Association of Directors of Public Health (ADPH) said “Cheshire & Merseyside has an enviable reputation for effective collaborative working”. We would like to thank everyone who has contributed to collaborative projects, there are some great achievements. We are working with financial challenges but we must keep our focus on what we need to do to create healthier communities.

The purpose of the Champs Public Health Collaborative is to:

• Improve local health and wellbeing outcomes by collective strategic action

• Enable and deliver strong public health system leadership

• Promote effective and innovative public health interventions and the use of the latest evidence base

• Facilitate shared learning expertise and peer support

• Collectively commission cost-effective sub-regional public health programmes and interventions

Champs Public Health Collaborative is an outcome focused model and works on key system priorities including tackling high blood pressure, preventing suicide and improving the health and wellbeing of children and young people. These priorities have been agreed by us in partnership with Public Health England North West and NHS England Cheshire & Merseyside.

The priorities were identified through a detailed prioritisation exercise by the Champs Collaborative health care leads group and PHE/NHS England as the most suitable for collective action and common to all nine Cheshire & Merseyside local authorities. In addition to these priorities, two new workstreams have emerged as part of our support to the Devolution agenda. Working groups are currently looking at a single approach to licensing and supporting employment and skills.

We are also providing recommendations on prevention priorities to the Steering Group for the Cheshire & Merseyside Sustainability and Transformation Plan.

The Champs Collaborative cross cutting themes including facilitating collective action, CPD and events, intelligence, communications and sector led improvement support the priorities. Collaborative commissioning, where it makes sense to do so, continues as does the commissioning of a number of population wide programmes for example, the regional alcohol and tobacco programmes. A high level expert health protection leads group ensures a safe and resilient system and supports local authorities in their quality assurance role. The Champs support team leads, facilitates and enables the delivery of the priorities with local teams and partners. Each local authority has a ‘Collaborative Link’ who facilitates the two way communication between their local teams and the wider collaborative. We are confident our collaborative work programmes add value to our local work, share resources and enable us to have a greater impact on these important collective public health issues. We look forward to continuing to work with our teams, partners and all our stakeholders to achieve our vision of a thriving and healthy Cheshire & Merseyside.

The Cheshire & Merseyside Directors of Public Health Executive Board

Our way of working

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This diagram shows Champs Public Health Collaborative fits in with the wider system of public health in Cheshire & Merseyside.

C&M Public Health Wider System Partners

Local Authority Public Health

C&M Directors of Public Health

Support Team

The Cheshire & Merseyside Directors of Public Health Executive Board Matthew Ashton Knowsley and Sefton CouncilsSandra Davies Liverpool City CouncilSue Forster St Helens CouncilHeather Grimbaldeston Cheshire East CouncilFiona Johnstone Wirral CouncilEileen O’Meara Halton CouncilFiona Reynolds Cheshire West and Chester CouncilMuna Abdel Aziz Warrington Council

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The Champs Public Health Collaborative

The Champs Public Health Collaborative

• Works with partners to ensure Cheshire and Merseyside is the most improved sub-region for observed prevalence of high blood pressure

• Leads the implementation of the Cheshire and Merseyside Suicide Prevention Strategy “NO MORE”

• Supports Local Authorities to develop and deliver effective plans to improve mental health and wellbeing with a key focus on children and young people

• Improves the quality, efficiency and cost effectivness of commissioned public health services

• Provides collaborative public health intelligence across Cheshire & Merseyside

• Reduces alcohol harm and is considering a single approach to licensing across Cheshire and Merseyside

• Supports local authorities to reduce health related worklessness and improve workplace health

• Ensures there is a safe and resilient health protection system in place

• Supports Local Authorities with their statutory requirements to provide professional public

health learning and development ensuring Local Authorities have a highly trained and competent workforce

• Develops and manages the implementation of the communications and marketing plan • Manages the evaluation of local activity for the mental health 5 ways to wellbeing campaign. • Delivers Youth Connect 5 training to promote resilience and wellbeing for children and young people

The public health collaborative:

System leadership

Commissioning

CPD / Workforce

Intelligence

Sector Led Improvement

Health Protection

Communications and knowledge transfer

Key priorities:High blood pressure

Mental health and wellbeing of children and young people

Suicide preventionEmployment and skills

Licensing

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Governance

Leadership and decision making is facilitated through the eight Directors of Public Health, who make up an Executive Board currently chaired by Matthew Ashton, Joint Director of Public Health for Knowsley and Sefton.

The Executive Board is supported by a Leadership Group, chaired jointly by Fiona Johnstone and Matthew Ashton which oversees the business functions of the Collaborative.

The Executive Board meet three times per year and meet for monthly system leadership meetings in between where Mel Sirotkin, Centre Director for Public Health England North West and Julie Kelly, Head of Public Health for NHS England in Cheshire & Merseyside are also in attendance.

Performance monitoring

Champs Public Health Collaborative work is monitored and reports through a robust performance and monitoring framework. This encompasses work directly undertaken by the local public health teams, the Champs support team and through contracts managed by Champs. The Directors of Public Health also report progress bi-annually to the Cheshire & Merseyside Chief Executives.

Director of Public Health lead roles

In addition to the lead roles below, the Directors of Public act as system leaders for public health taking lead roles on behalf of each other working with partners such as Public Health England, NHS England and North West Coast Strategic Clinical Network

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Key deliverables

Supporting this strategic business plan is a detailed delivery plan which sets out the aims and objectives for the public health collaborative. Some of these are highlighted below. By 2017 the public health collaborative will have: • Made strong progress towards the 2020 ambition

of everyone over 40 in Cheshire & Merseyside having their blood pressure checked at least once

• Undertaken a scoping and review of the

evidence for the mental health and wellbeing of children and young people, identified current provision and gaps and determined key collaborative objectives and deliverables

• Ensured that Cheshire & Merseyside achieves a

suicide safer community accreditation • Effectively managed the collective

commissioned contracts and improved population health and wellbeing

• Completed a comprehensive review of collective

investments and proposed recommendations to the Directors of Public Health

• Developed an innovative model for sector

led improvement to improve impact for collaborative priorities

• Ensured specialist intelligence support

is accessible to key priorities within the collaborative

• Delivered an effective CPD programme that builds the skills of the public health workforce

C&M ExecutiveBoard Chair

Matthew Ashton,Knowsley & Sefton Councils

Licensing Fiona Johnstone,Wirral Council

C&M ExecutiveBoard Vice Chair

Eileen O’Meara, Halton Council

High blood pressure

Heather Grimbaldeston,Cheshire East Council

LeadershipGroup Chairs

Fiona Johnstone,Wirral Council

Intelligence Matthew Ashton,Knowsley & Sefton Council

Matthew Ashton,Knowsley & Sefton Council

Mental Healthand Wellbeing

Sandra Davies,Liverpool City Council

Commissioning Fiona Johnstone,Wirral Council

Employment and Skills

Fiona Reynolds,Cheshire West & Chester

Communications Fiona Reynolds,Cheshire West & Chester

Suicide prevention

Sue Forster,St Helens Council

Health Protection Eileen O’Meara, Halton Council

Workforce & CPD

Eileen O’Meara,Halton Council

The Cheshire and Merseyside Directors of Public Health act as system leaders for public health taking lead roles at national, regional and local levels, working with partners such as Public Health England, NHS England and the Strategic Clinical Networks.

Glossary

ADPH Association of Directors of Public Health CCG Clinical Commissioning GroupCDOP Child Death Overview Panel CM Cheshire and Merseyside C&W Cheshire and Warrington DH Department of Health

DPH Director of Public Health

EOM Eileen O’Meara, Director of Public Health for Halton

FJ Fiona Johnstone, Director of Public Health for Wirral

FR Fiona Reynolds, Director of Public Health for Cheshire West and Chester

HG Heather Grimbaldeston, Director of Public Health for Cheshire East L&D Learning and Development

LCR Liverpool City Region

LHRP Local Health Resilience Partnership

MA Matthew Ashton, Director of Public Health for Knowsley and Sefton

MAA Muna Abdel Aziz, Interim Director of Public Health for Warrington

NW North West

SCN Strategic Clinical Network SD Sandra Davies, Director of Public Health for Liverpool

SF Susan Forster, Interim Director of Public Health for St Helens TB Tuberculosis

DPH Lead CPD & Events

EOM

Health & Fire Working Group

MA

DPH Lead Public Health

Healthcare HG

SCN Oversight& Senate HG

DPH Lead Mental

Wellbeing SD

CM Local Workforce &

Education Group FR

DPH Lead Hypertension HG

DPH Lead Licensing FJ

CM STP Group HG

NW Finance Group HG

Health Equity North EOM

Hypertension Board HG

ADPH EOM

National Confederation

HG

DH Ref. Group HG

ADPH Finance Committee SF

NW TB Board SD

CM DPH Executive Board MA

DPH Lead Health Protection

EOM

DPH Lead Commissioning

FJ DPH Lead Communications

FR

DPH Lead Intelligence MA

CM Suicide

Reduction Partnership

Board SF

CM TB Strategic Group SD

CDOP Governance

Group FJ

DPH Lead Employment &

Skills FR

MerseysideLHRP MA/FJ

MerseysideChild PovertyCommission

EOMMerseyside

DCS Board for Children EOMMerseyside

Comm. Safety Partnership

Board SD

LCR NHS Local

Government Collaborative Leadership Group MA

Improving Maternity

Experiences Board EOM

CWW LHRP

EOM/MAA

Cheshire Transformation

Board HG

Cheshire & Merseyside

North West / North

National

Merseyside

Cheshire and Merseyside DPH Public Health System

Cheshire

Cheshire and Merseyside Directors of Public Health - System leaders for public health

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Champs Public Health CollaborativeSuite 2.2 | Marwood | Riverside Park | 1 Southwood Road | Bromborough | Wirral | CH62 3QXTel:0151 666 5123 | Email:champscommunications@wirral.gov.uk | Web:www.champspublichealth.com