Champs business plan 2015-2017

ChampsPublic HealthCollaborativeStrategic Business Plan 2015–17

ContentsWelcome Page 2Building on success Page 3Our new way of working Page 5The Champs Public Health Collaborativeand the wider public health system Page 6Champs Public Health Collaborative overview Page 7Key deliverables/Governance/Performancemonitoring Page 8Cheshire and Merseyside Directors of PublicHealth – System leaders for public health Page 91

WelcomeWelcome from Margaret Carney, Chief Executiveof Sefton Council and Lead Chief Executive forCheshire & Merseyside Public Health Collaborativeand Liz Gaulton, Director of Public Health, St HelensCouncil and Chair of the Cheshire & MerseysideDirectors of Public Health Executive Board.The last two years have been a time of changeand challenge for local authorities with increasingdemand for services and finite resources, however,the transition of public health into local governmenthas been a positive step which is now reaping rewardsfor our residents.The public health workforce is now fully embeddedwithin our organisations and we are working well withall parts of the system, including Public Health Englandand the NHS, to achieve better health and wellbeingfor our populations. There are many great examples ofwhere the expertise of public health professionals andthe local “on the ground” knowledge of councils havecome together to create effective interventions toimprove health and wellbeing. However despite theseachievements, there is still more to do.Working together across the sub-region throughthe Champs collaborative has complemented andstrengthened our local work and this collaborationhas been a steady ship in sometimes choppy waters.Under the leadership of the Directors of Public Health,collaborative working groups provided expertiseacross the three domains of public health; publichealth health care, health improvement and healthprotection and delivered joint pieces of work where itmade sense to work together on a public health issue.Moving forward, the Champs collaborative model hasbeen revised to focus on a smaller number of locallydetermined priorities and we welcome this approachto ensure we make an impact on the most importantpublic health issues we face.Local authorities will be under increasing financialpressure in the future and working collaboratively isone of the ways we can streamline our approach anddeliver more for less. A healthy population remains ourmain aim and we welcome the NHS Five Year ForwardView and its call for more focus on tackling the rootcauses of ill health and hard-hitting action on obesity,alcohol and other major health risks.The Champs Public Health Collaborative business plan2015–17 gives an overview of our recent achievementsand sets out how we will work together in the futureto deliver on our key priorities to improve health andreduce health inequalities for our communities.Margaret CarneyLead Chief Executive of ChampsPublic Health Collaborative andChief Executive of Sefton CouncilLiz GaultonChair of Directors of Public HealthExecutive Board and Director ofPublic Health of St Helens Council2

Building on successUnder the leadership of the Directors of PublicHealth and their continued commitment tocollective working on key public health issues,the Champs collaborative has enabled resourcesto be shared and public health initiatives to bedelivered across a larger area, improving localhealth outcomes and reducing costs.The expertise and commitment given by localpublic health teams, partners and providers tocollaborative projects has been essential tosuccess and the following projects could nothave been achieved without them.Commissioning of population level interventionstackling alcohol harm, tobacco and obesityThe collaborative has collectively commissionedprogrammes, on behalf of the Directors of PublicHealth, facilitating population-level interventionson alcohol, tobacco and obesity.Suicide Reduction Board and strategy receivesnational recognitionA new zero suicide strategy has been developedand is being implemented by an operationalmulti agency group, facilitated by CALM, whichis commissioned by the collaborative on behalfof the Directors of Public Health.The approach was presented to the NationalSuicide Prevention Advisory Board and recognisedas an exemplar of excellent practice. The newsuicide support service, commissioned by thecollaborative and provided by Listening Ear,began in April 2015 which supports those affectedby suicide in Cheshire & Merseyside.Elected member champions for wellbeingA masterclass in late 2013 saw all councilscommitting to having a mental wellbeingchampion in collaboration with a nationalmental health charity. A follow on event isscheduled in 2015 and will focus on the newsuicide prevention strategy.3Behaviour change campaignsA series of cost effective, high qualitybehaviour change and awareness campaignshave been delivered at scale to reduce costsand ensure consistent messages are given tothe public across Cheshire & Merseyside.• Domestic abuse – Thiscampaign called for thegeneral public to pledgetheir support to enddomestic abuse viaa website, social mediaand a series of local eventswww.lovernotfighter.org.uk• Breast feeding promotion“Breast milk it’s amazing” –A former Merseyside campaignwas refreshed incorporating anew mobile app, an updatedwebsite and resources withPR and a series of local eventswww.amazingbreastmilk.nhs.uk• Start4Life healthy eating in pregnancycampaign – This responsive website wasdeveloped to promote healthy eatingin pregnancy. The website containeda pregnancy tracker, a healthcheck quiz and hints and tipson healthy eating and exercise.www.healthy4baby.co.ukReviews of collective commissioned programmesA full review of the collective commissioned publichealth programmes has been undertaken withefficiencies and savings generated.Reviews of mandated services – National ChildMeasurement Programme, health checks andsexual healthThree reviews of commissioned services have beencompleted including NHS Health Checks, NationalChild Measurement Programme (NCMP) and sexualhealth. Detailed reports were presented for localconsideration and evidence reviews and high qualityspecifications have been prepared. The outcomesfrom the review are informing future commissioning.

Clinical governance and quality assuranceA series of Patient Group Directions (PGDs) essentialfor the prescribing of key sexual health drugs andtobacco control have been devised by expert groupsof colleagues from across Cheshire & Merseyside andhave been made available to all areas to implement.The PGDs were accompanied by comprehensiveguidance and the approach of tackling them onceon behalf of all nine greatly reduced duplication.The approach to developing a PGD over multipleorganisations has led to those developed in Cheshire& Merseyside being shared as an example of goodpractice on a national NHS Website for PGDs.Utilising the evidence baseThe Champs intelligence network has worked withLiverpool John Moores University (LJMU) and theLiverpool Public Health Observatory (LPHO) toensure that outputs are focused and responsiveto local requirements. Key examples include:• Homelessness health needs assessmentfor the Liverpool City Region which isbeing used by the region’s homelessnesscommissioning leads group• Fixed odds betting terminals researchwhich has received national recognitionand raised the profile of both the issueand public health within local authorities• Impact of welfare reform research whichculminated in a seminar session at LJMUinvolving a wide range of partners fromacross Cheshire & MerseysideDeveloping the workforceA series of CPD events have been delivered forover 1000 participants across Cheshire & Merseysidepublic health teams and the wider workforce.Events include a peer led action learning set onintegrated wellness services, a health protectionevent on antimicrobial resistance, a master classfor elected members on becoming “mental healthchampions”, a sector led improvement masterclass and emergency planning.Early 2015 saw the annual suicide reduction summit,a domestic abuse event and a beat blood pressureevent as well as a system leadership programme,funded by PHE and the Leadership Centre, whichprovided a focus on developing the skills, behavioursand frameworks to support systems leadershipspecifically for public health professionals.Connect 5 (mental health in everyday practice)was commissioned to provide “train the trainer”courses across the nine local authorities.Beating high blood pressureA system wide programme of work is underway totackle high blood pressure in Cheshire & Merseyside.The work began with stakeholder event in March2015 with the aim of gathering local insight from keypartners about perceptions of high blood pressureand how diagnosis and treatment can be improved.The steering group have generated a vision and driverdiagram to direct the programme of work for theyear ahead and identified work in three key strands:prevention; identification and management.A safe and resilient systemA new health protection framework and dashboardhas been developed to support local authorities intheir quality assurance role. An antimicrobial strategyhas been developed with partners following a jointevent with PHE. A multi-agency exercise calendarhas been created linking with wider stakeholdersand Cheshire & Merseyside local health resilienceforums established. A key focus has been pandemicflu preparedness, outbreak plans and qualityassurance for local authorities for screeningand immunisation programmes.4

Our new way of workingAs Directors of Public Health for Cheshire &Merseyside, we are committed to working inthe best way possible to achieve better healthoutcomes. We are very proud of our nationallyrecognised collaborative way of working whichbrings great benefits for all.Duncan Selbie, Chief Executive at Public HealthEngland (PHE) attended the Champs Public HealthCollaborative Directors of Public Health meeting inMay 2015 and said following his visit that Cheshire& Merseyside were the “most organised” Collaborativewith a “strong track record”.We would like to thank everyone who has contributedto collaborative projects over the past two years,there are some great achievements. We are workingwith financial challenges but we must keep ourfocus on what we need to do to create healthiercommunities.The model for collaborative working through Champs,which operated for two years following the transitionof public health into local government, was reviewedby us as an Executive Board earlier this year alongsidethe stakeholder feedback from an evaluation withlocal teams by Liverpool John Moores University.A focus group with public health teams and a seriesof one to one discussions also informed our thinking.Following this feedback, the purpose of thenew Champs Public Health Collaborative is to:• Improve local health and wellbeingoutcomes by collective strategic action• Enable and deliver strong public healthsystem leadership• Promote effective and innovative publichealth interventions and the use of thelatest evidence base• Facilitate shared learning expertise andpeer support• Collectively commission cost-effectivesub-regional public health programmesand interventions5The future Champs Public Health Collaborative isnow an outcome focused model and will deliver asmaller number of local priorities, shown later on inthis business plan. These have been agreed by us inpartnership with Public Health England North West andNHS England Cheshire & Merseyside. The priorities aremental health and wellbeing for children and youngpeople, suicide prevention and high blood pressurewith a fourth priority to be considered later on thisyear on health and regeneration. These priorities wereidentified through a detailed prioritisation exerciseby the Champs health care leads group and PHE/NHS England as the most suitable for collaborativeaction and common to all nine Cheshire & Merseysidelocal authorities. The priorities replace the previouscomponents and workstreams model which covered allthree domains of public health. Champs Public HealthCollaborative is no longer a “service” with the moveaway from its broader work across the three domainsof public health and onto key priorities.The existing cross cutting themes including facilitatingcollective action, CPD and events, intelligence,communications and sector led improvement willcontinue to support the new priorities.Collaborative commissioning, where it makes senseto do so, will continue as will the commissioning of anumber of population wide programmes for example,the regional alcohol and tobacco programmes.A high level expert health protection strategy groupensures a safe and resilient system and supports localauthorities in their quality assurance role.A leaner, more agile and flexible Champs supportteam leads, facilitates and enables the delivery ofthe priorities with local teams and partners.Each local authority has a ‘Collaborative Link’ whofacilitates the two way communication betweentheir local teams and the wider collaborative.In addition, a new methodology will be developedto measure impact and cost savings for each priorityarea with the aim of really shifting local outcomes andmaking a tangible difference to our local communities.We are confident this new way of working will addvalue to our local work, share resources and enable usto have a greater impact on these important collectivepublic health issues.We are looking forward to working with our teams,partners and all our stakeholders to achieve our visionof a thriving and healthy Cheshire & Merseyside.

The Cheshire & Merseyside Directors of Public Health Executive Board​Matthew Ashton​Knowsley CouncilSandra DaviesLiverpool City CouncilLiz Gaulton​ St Helens CouncilHeather Grimbaldeston Cheshire East CouncilFiona Johnstone Wirral CouncilMargaret JonesSefton CouncilEileen O’Meara​ Halton CouncilFiona Reynolds​ Cheshire West and Chester CouncilRita RobertsonWarrington CouncilThe Champs Public Health CollaborativeThis diagram shows how the Champs collaborative fits in with the wider system of public health inCheshire & Merseyside.C&M Public Health WiderSystem PartnersLocal AuthorityPublic HealthC&M Directors ofPublic HealthSupport Team6

The Champs Public Health CollaborativeSystem leadershipCommissioningCPDIntelligenceSector LedImprovementHealthProtectionCommunicationsand knowledge transferKey priorities:High blood pressureMental health and wellbeingof children and young peopleSuicide preventionRegenerationThe Champs collaborative will:7• Work with partners to ensure Cheshire andMerseyside is the most improved sub-region forprevalence of high blood pressure• Lead the implementation of the Cheshire andMerseyside Suicide Prevention Strategy “No More”• Support Local Authorities to develop and delivereffective plans to improve mental health andwellbeing with a key focus on children andyoung people• Improve the quality, efficiency and costeffectiveness of commissioned public healthservices• Provide collaborative public health intelligenceacross Cheshire & Merseyside• Ensure there is a safe and resilient healthprotection system in place• Support Local Authorities with their statutoryrequirements to provide professional publichealth learning and development ensuringLocal Authorities have a highly trained andcompetent workforce• Identify future collaborative action onregeneration and establish a communityof practice• Develop and manage the implementationof the communications and marketing plan• Lead the development of resources for localmental health and wellbeing campaigns

Key deliverablesSupporting this strategic business plan is a detaileddelivery plan which sets out the aims and objectivesfor the public health collaborative. Some of theseare highlighted below.By 2017 the public health collaborative will have:• Made strong progress towards the 2020 ambitionof everyone over 40 in Cheshire & Merseysidehaving their blood pressure checked at leastonce• Undertaken a scoping and review of theevidence for the mental health and wellbeingof children and young people, identifiedcurrent provision and gaps and determined keycollaborative objectives and deliverables• Ensured that Cheshire & Merseyside achievesa suicide safer community accreditation• Effectively managed the collectivecommissioned contracts and improvedpopulation health and wellbeing• Completed a comprehensive review of collectiveinvestments and proposed recommendations tothe Directors of Public Health• Developed an innovative model for sectorled improvement to improve impact forcollaborative priorities• Ensured specialist intelligence supportis accessible to key priorities within thecollaborative• Delivered an effective CPD programme thatbuilds the skills of the public health workforceGovernanceLeadership and decision making is facilitatedthrough the nine Directors of Public Health, whomake up an Executive Board currently chaired byLiz Gaulton, Director of Public Health in St Helenswith Matthew Ashton from Knowsley Council takingover as Chair in September 2015.The Executive Board is supported by a LeadershipGroup, chaired jointly by Fiona Johnstone andMatthew Ashton which oversees the businessfunctions of the collaborative.The Executive Board meet three times per yearand meet for monthly system leadership meetingsin between where Mel Sirotkin, Centre Director forPublic Health England North West and Julie Kelly,Head of Public Health for NHS England in Cheshire& Merseyside are also in attendance.Performance monitoringThe work of the collaborative will be monitoredand reported through a robust performance andmonitoring framework. This will encompass workdirectly undertaken by the local public healthteams, the Champs support team and throughcontracts managed by Champs. The Directors ofPublic Health also report progress bi-annually tothe Cheshire & Merseyside Chief Executives.Director of Public Health lead rolesIn addition to the lead roles below, the Directorsof Public Health act as system leaders for publichealth taking lead roles on behalf of each otherworking with partners such as Public HealthEngland, NHS England and the Strategic ClinicalNetworks.C&M ExecutiveBoard ChairLiz Gaulton,St Helens CouncilHigh blood pressureHeather Grimbaldeston,Cheshire East CouncilC&M Executivea Board Matthew Ashton,Vice ChairKnowsley CouncilIntelligenceMatthew AshtonKnowsley CouncilLeadershipGroup ChairsFiona Johnstone,Wirral CouncilMental Healthand WellbeingSandra Davies,Liverpool City CouncilMatthew Ashton,Knowsley CouncilRegenerationFiona JohnstoneFiona ReynoldsCommissioningFiona Johnstone,Wirral CouncilSuicide preventionRita Robertson,Warrington CouncilCommunicationsFiona Reynolds,Cheshire Westand ChesterWorkforce and CPDEileen O’Meara,Halton CouncilHealth ProtectionRita Robertson,Warrington Council8

9DPH LeadMentalWellbeing SDCM LocalWorkforce &EducationGroup EOMDPH LeadHigh bloodpressure HGCheshireCheshireTransformationBoard HGCWWLHRPRR/FJSCN Oversight& Senate HGMentorHealthyHospitalsSDDPH Lead CMPublic HealthHealthcare HGHealth EquityNorth EOMImprovingMaternityExperiencesBoard LGDPH LeadWorkforce &L&D EOMNW FinanceGroup HGADPHFinanceCommittee LGMerseysideComm. SafetyPertnershipBoard SDCheshire and MerseysideNorth West / NorthNationalCheshire and MerseysideDPH Public Health SystemMerseysideCCG NetworkLGCheshire &Merseyside0-5 TransitionGroup LGHigh BPboard HGDPH LeadIntelligence MARegionalTabacco LeadMACSE GoldLGCheshire and Merseyside Directorsof Public Health – System leadersfor public healthCM DPHExecutiveBoard LGCLAHRCSteeringGroup TBCMerseysideChild PovertyCommissionEOMDPH LeadCommissioningFJMerseysideLHRPMAThe Cheshire and Merseyside Directors of PublicHealth act as system leaders for public healthDPH LeadHealth ProtectionRRtaking lead roles at national, regional andlocal levels, working with partners such asPublic Health England, NHS England andthe Strategic Clinical Networks.CM SuicideReductionPartnershipBoard RRDPH LeadRegenerationFJ/FRMerseysideDPH LeadCommunicationsFRGlossaryCLAHRC — Collaborations for leadershipin applied Health Research and CareCS — Child Sexual ExploitationDH — Department of HealthEOM — Eileen O’Meara, Directorof Public Health for HaltonHG — Heather Grimbaldeston,Director of Public Health forCheshire EastL&D — Learning and DevelopmentLHRP — Local Health ResiliencePartnershipNW — North WestSCN — Strategic Clinical NetworkCCG — Clinical Commissioning GroupCM — Cheshire and MerseysideCWW — Cheshire, Warrington and WirralDPH — Director of Public HealthFJ — Fiona Johnstone, Director of PublicHealth for WirralFR — Fiona Reynolds, Director of Public Healthfor Cheshire West and ChesterLG — Liz Gaulton, Director of Public Health for St HelensMA — Matthew Ashton, Director of Public Health for KnowsleyRR — Rita Robertson, Director of Public Health for WarringtonSD — Sandra Davies, Director of Public Health for Liverpool

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