The Chief
Executive and Director of Public Health will be in attendance to provide the
Board with an update in respect of the Council’s response to COVID-19.
Minutes:
The Chief Executive, the Director of Public
Health and the Head of Revenues and Benefits were in attendance to provide
information to the Board regarding the Council’s response to COVID-19.
The Director of Public Health delivered a
presentation to the Board.
Regarding the latest COVID-19 position and
the rolling seven-day rate of cases per 100,000 of the Middlesbrough
population, as at 12 January 2021: 72 new cases had been added to the system;
675 new cases had been diagnosed; 478.8 rate per 100,000 population; and 177.30
COVID-19 deaths per 100,000 population, which reflected a predicted
post-Christmas spike. Increases were a
result of the new variant that had been identified (between 65-70% of cases
were of the new variant, which was more infectious) and also the extent of
mixing on Christmas Day when the restrictions were relaxed. Lockdown seemed to be having a positive
effect, with numbers reducing significantly, but the peak was important when
considering the impact on hospitals.
The number of people admitted to hospital
with a COVID-19 diagnosis had increased from around 28/29 December 2020. There was currently 185 in-patients (the
figure did not include positive cases from within the community detailed
previously); 28 of which were in Critical Care.
There were significant operational pressures for the hospital, which
would get worse; current modelling was based on a potential peak of 300 beds
occupied by people with COVID-19. It was
highlighted that figures would start to increase further as a result of those
infected over the Christmas period, which was a significant concern for
professionals across the system.
In terms of COVID-19-related deaths across
Middlesbrough, the current statistics (as at week ending 1 January 2021)
reflected the significant steps that had been taken to protect care homes and
populations in general; whilst there had been an increase in cases in the
community, the number of deaths had been significantly lower. Protection activity had included additional
testing; ensuring that people were not discharged with a positive diagnosis
from hospital into care homes, or from the community into care homes; and
additional support for vulnerable people in communities. Unfortunately, however, it was anticipated
that the increased activity at James Cook University Hospital, as described
previously, would cause an increase in these figures over the coming weeks and
months.
Regarding lockdown three response activities
and the support provided to businesses and residents, details would be provided
as part of the Head of Revenue and Benefits’ presentation to the Board.
It was indicated that all Council services
had been reviewed to understand where provision would be impacted further by
lockdown three restrictions.
Lockdown three guidance / regulation
implications for those attending education settings, such as primary or secondary school would see
Early Years (nurseries, etc.) registered child care and other supervised child
care activities continued, and childcare bubbles were permitted. Primary and secondary schools were now closed
until at least 15 February 2021, but primary schools were open to vulnerable
children and children of key workers.
The number of those children was higher than in comparison to previous
lockdowns, with schools needing to support both this and the planned testing
programme that would be initiated in schools.
Support in respect of the testing programmes had been provided by Public
Health and Teesside University. The aim
of the testing was to minimise the impact of a positive case by reducing the
number of bubbles that would be required to isolate.
Additional funding was expected to support
schools to provide food parcels / meals to those eligible children. Where this
was not possible, a national voucher scheme would be accessible for the
duration of school closures.
For
vulnerable children and adults, the
guidance issued for lockdown two / tier four had been reviewed and would
continue for lockdown three.
The Public Protection Service was monitoring compliance with business restrictions
and responding to requests for advice and to complaints. Mention was made of work that would be
undertaken in relation to supermarkets (including the wearing of face coverings
and the number of people allowed into retail space at any one time), which
would commence shortly.
In terms
of shielding support, this
varied from that provided during the previous lockdown; Government direction was to encourage the
Clinically Extremely Vulnerable to access existing channels of support i.e.
registering for online shopping priority slots, rather than Local Authority
provision of food parcels, etc. Help
Boro call handling demand during lockdown two was low, although longer term
arrangements for Help Boro were being developed.
In terms of the vaccination programme, as at
6 January 2021, over 6,000 first vaccines had been
administered to Middlesbrough residents and, to date, the North East had had
the highest number of vaccines delivered.
The programme currently focused on Health and Social Care Workers and
people aged over 80, but was now moving into the over-75s. Vaccination sites in Middlesbrough comprised
James Cook University Hospital, North Ormesby Health Village and Thorntree
Surgery. Mass roll-out sites within
Middlesbrough were also currently being explored, which would significantly
increase access to vaccines.
Regarding community testing, the target
population for testing was approximately
10-20% of residents aged 11yrs+, and equated to 11,985 -23,971 of the
Middlesbrough population.
The proposed testing approaches would
mitigate inequality, protect vulnerable people and reduce transmission in high
risk settings. These approaches included
routine testing of key workers; and testing in large high risk work places with
a larger proportion of low paid jobs (e.g. food processing plants), as
employees were more likely to live locally in areas of greater deprivation and
therefore more susceptible to COVID-19.
Three targeted community testing sites had
been identified initially: Newport Community Hub, North Ormesby Hub and Marton
Sports Village. It was explained that as
there was only one pool of staff available, support for testing sites would be
off set against support for vaccination sites, which was the more important
endeavour within the programme. Work was
currently underway to address the staffing requirements which would, in the
main, be met by Local Authority employees, i.e. casual staff and those able to
be redeployed into alternative roles.
Key partners, including the Fire Brigade and local Voluntary Community
Support organisations, had offered support in terms of assisting local people
to access testing and understand the provision available should they be
required to isolate.
Targeted
community testing would be deployed over a six-week period from early February
2021 and would consider economically deprived areas, BAME communities and areas
with high positivity (factors that tended to overlap), but which had low
testing rates. Circa. 500 tests per week
were anticipated in those settings based on work undertaken in Grangetown,
where just under 400 people had been tested in almost a one-week period. Targeted community testing was also about
holding conversation and building community capacity on what people could do to
protect themselves and their families, and increase understanding of COVID-19.
The Head of Revenues and Benefits delivered
a presentation to the Board.
Revenues
and Benefits were privileged to have access to all Middlesbrough residents and
businesses, which consisted of 65,000 Dwellings and 4,500 Businesses.
Since the
onset of COVID-19, the service had been a key player in delivering over £34.6m
of financial support to both residents and businesses. A further circa. £11.5m would be provided
from 5 January 2021. The Council had
been both a key driver and player in ensuring the success of Middlesbrough’s
business community over the course of the pandemic, and was very keen to work
closely with the community.
The
service was currently delivering / had delivered 16 initiatives (a further
three to follow), which cut across a number of services. These amounted to more than 12,000 additional
hours of activity; providing financial support to partnering organisations to
reduce food poverty. Circa. 3000
businesses had been supported, with additional funds to support circa. 2000
businesses in January 2021 and over the coming months. Circa. 40,000-plus residents had been
provided with, or were due, additional financial assistance (e.g. a top-up to
Council Tax reduction; funding for food hampers; free school meals, etc.); and
provided funding to 12 partnering organisations to help them deliver solutions
that underpinned what the community needed at the present time.
The
service had paved the way in developing numerous policies, which were
progressing at speed. It was highlighted
that in a number of instances, the service was the first in the Tees Valley to
launch and pay schemes. There had also
been national recognition / press recognition for innovative ideas. A number of policies and reports had been
prepared that sought Executive approval, and the Council was being compared to
City counterparts due to the efficiency and effectiveness of the processes
being put in place.
Details
of the various support schemes / initiatives provided to businesses and
residents were outlined to Members, which included: Mandatory and discretionary
business grants; Lockdown grants; Council Tax support payments to 16,000
residents; Free school meals (i.e. turning around a solution for circa. 7600
children in 48 hours, with excellent feedback being received from the local
community); and Winter fund payments (aimed at over 12,500 children, this was
currently on phase three after two very successful phases, which had been
opened to further families as a consequence of responding to local
feedback). A seven stage scheme had also
been devised to support couples and single individuals impacted financially by
COVID-19, and 80 Community Support Crisis payments of £500.00 had been
made. Some of the schemes had been
delivered, whereas others were currently open.
A process flow to assist businesses had been designed in order to
facilitate their access to support. It
was indicated that three further support schemes / initiatives had commenced
from 5 January 2021: ‘New Tier Four’; ‘New Closed Scheme’ (linked to tier
four); and ‘New Lockdown Grant’. With
regards to the tier four grant, guidance had been issued on 13 January 2021,
the Council went live with the solution yesterday, and made the first payment
today, which was excellent. To date, 150
applications had been received.
Revenues
and Benefits had been working with partnering organisations to reduce food
poverty and the strategy focused on initial, mid, and longer-term
solutions. A budget of £244,000 had been
made available to fund a number of food / essentials programmes across the
town, with such partner organisations as: Middlesbrough Foodbank; Together
Middlesbrough; Middlesbrough Environment City; Echo Shops; and Cleveland Fire
Brigade. Examples of activities
undertaken were provided to Members.
The Revenues and Benefits Service had held
Customer Services Excellence for over 18 years.
On 7 and 8 January 2021, the service had been fully re-assessed for
further three-year accreditation; the result was currently pending.
Following the presentations, the Chief
Executive and the Mayor thanked all of the teams involved in the delivery of
this work and commended the activity undertaken.
Members were afforded the opportunity to ask
questions of the Chief Executive, the Director of Public Health, and the Head
of Revenues and Benefits.
A Member made reference to the
80 crisis payments paid out and queried how many applications were made above
the 80 that were given out. In response,
it was explained that if individuals did not qualify for a crisis payment, i.e.
they did not meet the policy, those individuals were allocated to a separate
funding stream, and therefore most of those payments were processed via another
scheme.
A Member referred to the vaccine
rollout and raised concerns in respect of harder-to-reach communities /
individuals who were not registered with GPs, and who may not understand the
process. It was queried how all
communities would be encompassed within the programme. In response, the Director of Public Health
advised that work was currently taking place in this regard, with consideration
being given as to how access into those communities could be achieved and
information / support provided. It was
critical that all communities were safe and highlighted that, should any
Members have any concerns when vaccines were roll-outed to more general
communities, to please raise them, as it was important to understand and
address any potential barriers to vaccine take-up.
A Member made reference to
vulnerable children and key workers currently attending and working in
Middlesbrough’s schools and queried the current position in terms of their
progress and health. In response, the
Director of Public Health advised that he was not aware of any particular
issues. It was explained that teams
based within Public Health and Education were supporting schools with the
mitigation measures to be put in place around social distancing, wearing masks,
etc., and assisting schools with local contact tracing details to minimise the
size of bubbles when people needed to go home.
The Director of Public Health would liaise with the Director of
Prevention and Partnerships to determine whether any specific issues had been
raised in relation to this, and feedback further information as applicable.
Members commended the work
undertaken by the Revenues and Benefits Service and congratulated all involved
for the achievements made and recognition received.
A Member made reference to
lockdown three guidance in respect of education, and queried whether there were
now more primary school children in Middlesbrough being identified as essential
workers’ children and vulnerable children.
In response, the Director of Public Health advised that specific figures
could be obtained, although it was understood that the numbers were higher
during this lockdown than in the original lockdown. It was anticipated that there would be some
national restriction implemented to address this.
A Member made reference to
business grant funding and queried whether businesses were actively being
contacted and advised as to the types of support available. In response, the Head of Revenues and
Benefits advised that an email account had been set-up for the majority of
these customers; reference was made to an email that had been circulated
earlier in the day to over 600 businesses.
Contact was also made via telephone and social media, with a very high
success rate being achieved. The
approach had been tailored to meet the needs of the businesses, which was based
on the feedback received from them.
A Member made reference to
supermarkets and small stores and commented upon the enforcement of wearing
face masks. It was felt that support
from the Police would be required to ensure compliance. In response, the Director of Public Health
advised that the Public Protection Team would be commencing visits to
supermarkets to determine compliance and take action as appropriate.
In response to a query regarding
the number of Council employees testing positive for COVID-19, the Chief
Executive advised that of all sickness at present, 15% was COVID-19
related. There had not been any major
staffing issues arise as of yet; there had been some difficulties experienced
in Adult Social Care and Children’s Social Care with COVID-19, but to date,
there had been no operational problems encountered.
A Member made reference to
Cleveland Police Officers and queried whether front-line Constables could be
prioritised for the COVID-19 vaccination.
In response, the Chief Executive advised that a very clear national
priority list was being worked through.
It was explained that within the staff groups, there was a group called
‘other’ - it was currently being looked at as to which roles this could
include. It was explained that a number
of different occupational groups were putting cases forward, but the programme
was NHS-led and therefore outside of the Local Authority’s control. The current focus in terms of the priority
list were Health and Social Care-based roles.
The Director of Public Health advised that the Joint Committee on
Vaccinations and Immunisations had a list of nine priority groups based on age
and underlying health conditions; the only staff groups were Health and Social
Care-based because they supported the vulnerable people. There was a move to move to other key work
areas, such as Police and Fire personnel, with a national advice document
recently being released. This would be
reviewed to determine the level of influence that the Local Authority could
bring. The Director of Adult Social Care
and Health Integration advised that one of the top four priority groups that
the Government planned to work through by the end of February was frontline
Health and Social Care workers; a current vaccination programme involving the
Council’s Health and Social Care workers was currently underway at James Cook
University Hospital. In Middlesbrough,
there were approximately 4500 Health and Social Care workers, with reference
being made to the new booking system that had been established.
A Member made reference to
testing and high risk workers and queried whether school staff would be
included within this. In response, the
Director of Public Health advised that testing in schools was a national
programme; school staff would be tested twice per week. The programme was currently operating in
secondary schools and would be rolled-out to primary schools shortly. Mention was made of work undertaken with
Teesside University in providing support to schools.
A Member made reference to
schools and the ways in which the pandemic was being dealt with. It was queried whether uniformed guidance /
policies / practice should be provided to schools to provide operational
consistency. In response, the Director
of Public Health advised that work was being undertaken with schools in order
to share good practice; visits had also been undertaken to advise on mitigation
measures and improve those as required.
Schools were independent, but officers were advising and assisting as
much as possible.
A Member raised a query
regarding the varying strains of the virus and the effectiveness of the
vaccination. In response, the Director
of Public Health referred to the flu vaccination and the ways in which it
targeted different strains of that virus.
In 2017/2018, the vaccination did not align with the strains presented
in that year, and therefore the respective mortality rate was particularly
high. Vaccinations were developed on
current strains and predictions made as to how they could mutate. COVID-19 would continue to mutate in the same
way as flu did. It was understood that
the vaccines currently available were as effective against the new variants
that had emerged. Consistent review of
this was undertaken by Public Health England and pharmaceutical companies.
Following a request for
clarification in respect of a five day business grant payment, the Head of
Revenues and Benefits advised that this related to a tier four payment (classed
as a closed scheme). It was explained
that when the Local Authority moved into tier four, there was a small amount of
payment covered for that period. This
was followed by a further payment for the lockdown period, and then a further
supplementary payment (therefore three payments linked to that one element).
The Chair thanked the Chief
Executive, Director of Public Health and Head of Revenues and Benefits for
their attendance and contributions to the meeting.
AGREED that the information provided be noted, and the agreed action be undertaken.