Transcript MMC Background and Capability

Joint Health and Wellbeing Strategy
2013 - 2018
Consultation 2012
Domestics
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Fire alarm
Toilets
Mobile phones
There is no break
Questions
Purpose of the session
Health and Wellbeing Board
Development of a Health and Wellbeing
Board 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
Background and Purpose
New Health and Wellbeing Boards are
required 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)
Joint Strategic Needs Assessment
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-NeedsAssessment.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 Health and Wellbeing Strategy
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
The Board has identified four areas it
wants to explore as part of the
consultation:
• 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
Joint Health and Wellbeing Strategy
So what does the draft strategy
cover...
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
2. Improve health for older people
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
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
3. Systematic healthcare
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
Theme Three
Priorities
Our ambition is to:
Ensure everyone who
needs it can access
evidence based programmes
of:
 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
4. Improve outcomes for children
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
Theme Four
Priorities
Our ambition is to:
4.1 Early years impact on
Ensure all children, young
health and social
people and their families in
outcomes
Lincolnshire are supported to
allow optimum health
4.2 Social and emotional
development, including
development and
emotional and mental health.
mental wellbeing
Strong foundations here will
increase self-confidence,
4.3 Obesity
self-esteem and ultimately
help them achieve improved
social outcomes
5. Reduce Worklessness
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
Theme Five
Priorities
Our ambition is to:
5.1 A joined up approach to
 Give vulnerable people
improving support into
the best chance of
work for vulnerable
securing and maintaining
people
employment that supports
their health and wellbeing 5.2 Maximising work for
 Work with employers to
local people from public
maximise opportunities
expenditure
for inward investment and
job creation in
Lincolnshire
Joint Health and Wellbeing Strategy
Measuring Success – new outcome
frameworks will be…
“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”
Joint Health and Wellbeing Strategy
Measuring Success –
Public Health Outcome Framework
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
x
x
x
x
Children in poverty
Employment for those with a long term
health condition
x
x
Older peoples perception of
community safety**
x
x
Breastfeeding
x
Smoking prevalence - adults (over
18s)
x
x
x
x
Cancer screening coverage
x
x
Air Pollution
x
Chlamydia diagnosis 15-24 year olds
x
x
x
x
x
Population vaccination coverage
x
x
x
x
Infant mortality*
Mortality from cancer
x
Hip fractures in over 65s
x
x
x
x
Joint Health and Wellbeing Strategy
The Board has identified four areas it
wants to explore as part of the
consultation:
• 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
Consultation – Activity One
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 Two
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?
Next steps
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
On behalf of the Shadow Health
and Wellbeing Board…
…Thank you!