Joint Health and Wellbeing Strategy 2013 - 2018 Consultation 2012

Joint Health and Wellbeing Strategy2013 - 2018

Consultation 2012

Domestics

• Fire alarm

• Toilets

• Mobile phones

• There is no break

• Questions

• Purpose of the session

Development of a Health and WellbeingBoard in Lincolnshire

• Established in shadow form in March 2011

• A set minimum membership; including LINk/Healthwatch, councillors, officers and GPs

• Initial focus on improving Joint Strategic Needs Assessment (new JSNA published in Sept 2011)

• Since been working on consultation and drafting the first Joint Health and Wellbeing Strategy

Health and Wellbeing Board

Background and Purpose

New Health and Wellbeing Boards arerequired to:

• Undertake a Joint Strategic Needs Assessment (JSNA) and agree shared priorities

• Produce a Joint Health and Wellbeing Strategy (JHWS), using the evidence in the JSNA

• Promote integrated working between NHS and local government (including approval of commissioning plans to ensure alignment to JSNA and JHWS)

The JSNA must:

• Provide a comprehensive analysis of current and future needs across a range of issues

• Include a wide range of quantitative and qualitative data, including user, patient and community views

• Identify priorities that all Health and Wellbeing Board partners will sign up to and act upon

http://shared.research-lincs.org.uk/Joint-Strategic-Needs-Assessment.aspx

Joint Strategic Needs Assessment

The JSNA has five priorities:

• Promoting healthy lifestyles

• Improving health and wellbeing for older people

• Delivering high quality systematic care for major causes of ill health

• Improving health and social outcomes and reducing inequalities for children

• Reducing Worklessness

Joint Strategic Needs Assessment

Approach to development

• Five themes (based on five JSNA priorities)

• Each theme has a ‘sponsor’ from the Board

• A Public Health Consultant (or Assistant Director) leads the development of each theme

• Each theme uses evidence from the JSNA to consult and agree priorities and actions

• Five year strategy (2013 to 2018) periodically reviewed by the Health and Wellbeing Board

Joint Health and Wellbeing Strategy

Timescales

• Dec 2011/Jan 2012 – Individual themes consulted and proposed priorities to the Board

• March 2012 – Draft strategy chapters were presented to the Board

• April 2012 to June 2012 – Formal consultation

• July 2012 – Consultation report to the Board

• Sept 2012 – Strategy signed off. Used to inform commissioning plans for 2013/14 and beyond

Joint Health and Wellbeing Strategy

Engagement and consultation

• Already made 850 contacts asking for views regarding priorities in each JHWS theme

• Of those 850 contacts we have had 350 ‘active contacts’ attending workshops, responding to surveys and being on working groups

• Following initial consultation, between Sept 2011 and March 2012, we are in a 12-week consultation period on the draft strategy

Joint Health and Wellbeing Strategy

Joint Health and Wellbeing Strategy

The Board has identified four areas itwants to explore as part of theconsultation:

• Priorities on which the strategy should focus

• Mental Health

• Objectives the strategy is trying to achieve

• Outcomes which will demonstrate the strategy has achieved what it sought to do

So what does the draft strategy cover...

Joint Health and Wellbeing Strategy

1. Promoting Healthy Lifestyles

What the JSNA says:

Smoking is currently the most significant contributing behaviour to poor health and wellbeing.

Obesity and its two major components – food and physical activity - is also a major problem.

This is a greater priority in some places and among some groups of people.

The strategy needs to address how interventions will reduce the gap between those with the best and the worst health across the county.

1. Promoting Healthy Lifestyles

Theme One Priorities

Our ambition is to: Strengthen self-esteem,

confidence and personal responsibility

Positively promote ‘healthier’ behaviours and lifestyles

Adapt the environment to make healthier choices easier

1.1 Tackling adult obesity and addressing physical inactivity

1.2 Tobacco control

1.3 Alcohol

What the JSNA says:

The data illustrates the high proportion of older people living in Lincolnshire and the projected increase over the next decades.

This affects issues of health and social care, benefits and pensions, housing and transport, as well as prevention of ill-health, promotion of well-being and quality of life, and work and volunteering opportunities.

Through the Excellent Ageing programme, we are seeking to embrace this change rather than just respond to it.

2. Improve health for older people

2. Improve health for older people

Theme Two Priorities

Our ambition is to: Achieve a shift in the

‘strategic spend profile; and

Support the further development of a Wellbeing Support Network to improve the health and wellbeing of older people in Lincolnshire

2.1 Shifting the strategic spend profile

2.2 Support the development of the Wellbeing Support Network

What the JSNA says:

Evidence illustrates the benefits of prevention, early diagnosis and good management of risk factors in relation to the major causes of ill health.

The JSNA gives us evidence that this systematic prevention and care is not universally available in Lincolnshire.

We must have systematic programmes in place to identify risk and management of long-term conditions and major diseases, such as heart disease, stroke, cancer and diabetes.

3. Systematic healthcare

3. Systematic healthcare

Theme Three Priorities

Our ambition is to: Ensure everyone whoneeds it can access evidence based programmesof: Primary prevention Risk identification and

management Long-term condition

management

3.1 Long Term Conditions:(a) Diabetes(b) Chronic Obstructive

Pulmonary Disease (COPD)

(b) Coronary Heart Disease (CHD)

(d) Stroke

3.2 Cancer

What the JSNA says:

Children’s educational achievement and health are generally good in Lincolnshire.

Significant inequalities exist which have to be addressed to give all children the best start in life.

Evidence in the JSNA points to deprivation and poverty being major drivers of inequalities and to obesity, smoking, and teenage pregnancy as the main health issues to be addressed.

4. Improve outcomes for children

4. Improve outcomes for children

Theme Four Priorities

Our ambition is to: Ensure all children, young people and their families in Lincolnshire are supported to allow optimum health development, including emotional and mental health. Strong foundations here will increase self-confidence, self-esteem and ultimately help them achieve improved social outcomes

4.1 Early years impact on health and social outcomes

4.2 Social and emotional development and mental wellbeing

4.3 Obesity

What the JSNA says:

Worklessness is a highly significant determinant of people’s health. Work improves mental health, reduces the likelihood of poverty and increases self- esteem.

There are clear links between health and the quality of work too, hence the emphasis on fair employment and good work.

Evidence in the JSNA indicates that in certain parts of Lincolnshire this is a major health and wellbeing issue.

5. Reduce Worklessness

5. Reduce Worklessness

Theme Five Priorities

Our ambition is to: Give vulnerable people

the best chance of securing and maintaining employment that supports their health and wellbeing

Work with employers to maximise opportunities for inward investment and job creation in Lincolnshire

5.1 A joined up approach to improving support into work for vulnerable people

5.2 Maximising work for local people from public expenditure

Measuring Success – new outcome frameworks will be…

Joint Health and Wellbeing Strategy

“different to old style top down frameworks used to drive targets and performance management – rather it will set out the outcomes for public

health across public services and at all levels of responsibility – national to

local”

Measuring Success – Public Health Outcome Framework

Joint Health and Wellbeing Strategy

Vision: To improve and protect the nation's health and wellbeing and to improve the health of the poorest, fastest

Domain 1: Improving the wider determinants of health

Domain 2: Health Improvement

Domain 3: Health Protection

Domain 4: Healthcare public health and preventing premature mortality

Outcome Indicator Theme 1: Promoting

healthy lifestyles

Theme 2: Improving health and

well-being for older people

Theme 3: Delivering high

quality systematic care for major causes of ill health and

disability

Theme 4: Improving health and reducing

inequalities for children

Theme 5: Reduce

worklessness

Healthy life expectancy x x x x x

Difference in life expectancy between communities

x x x x x

Children in poverty       x x

Employment for those with a long term health condition

x x x x x

Older peoples perception of community safety**

x x      

Breastfeeding x     x  

Smoking prevalence - adults (over 18s)

x   x x  

Cancer screening coverage     x    

Air Pollution x x x x  

Chlamydia diagnosis 15-24 year olds x     x  

Population vaccination coverage   x x x  

Infant mortality*       x  

Mortality from cancer x   x    

Hip fractures in over 65s x x x    

Joint Health and Wellbeing Strategy

The Board has identified four areas itwants to explore as part of theconsultation:

• Priorities on which the strategy should focus

• Mental Health

• Objectives the strategy is trying to achieve

• Outcomes which will demonstrate the strategy has achieved what it sought to do

Priorities and mental health

• How confident are you that these priorities will improve people’s health and wellbeing?

• How could the strategy be improved to increase your confidence?

• Do you feel the priorities take sufficient account of mental health?

• Are there other aspects of mental health which are not reflected in the strategy?

Consultation – Activity One

Objectives and outcomes

• How confident are you that the objectives will help to achieve the aims of the strategy? How could the strategy be improved to increase your confidence? Are there other objectives which the strategy should try to achieve?

• The JHWS has not detailed outcomes or measures of success. What do you think these should be? How will we know the JHWS is making a difference to the population’s health and wellbeing?

Consultation – Activity Two

We will…

• Collate the feedback from each event and send you a summary to check we have understood you correctly

• Analyse feedback from the events, discussions held on visits to targeted groups and the questionnaire to create a report

• Present the report to the Health and Wellbeing Board, along with amended chapters

• Produce and circulate the final strategy

Next steps

On behalf of the Shadow Health and Wellbeing Board…

…Thank you!