Transcript SUSTAINABLE COMMUNITY STRATEGY AND LOCAL AREA …

Housing Matters
Health, Wellbeing and
Welfare Reform
Mike Sandys
28th November 2012
Health and Wellbeing Board
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In shadow form prior to ‘proper’ establishment in April
2013 as part of Health and Social Care Act.
Responsible for:
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Assessing the health and wellbeing needs of the local population
(through the JSNA)
Preparing a joint health and wellbeing strategy reflecting the
identified needs of the JSNA, prioritising actions and
underpinning commissioning in the short, medium and long term
Promoting integration and partnership working by joining
up NHS, social care and public health commissioning
plans and using flexibilities.
Sub-groups: Staying Healthy, Integrated Commissioning
Board, Emergency Planning
JSNAs and joint health and wellbeing
strategies
Health and Wellbeing Board
What does our population and place look like?
Collect the evidence
What are we doing now, how well is it working?
JSNA
What does this mean – now and for the future? A
narrative on the evidence
Joint Health
& Wellbeing
Strategy
So what are our collective priorities for action, and
how can we achieve them?
Commissioning
plans
What services do we need to commission (or
decommission)?
Outcomes
framework
How do we measure success?
Engagement
with users
and the
public
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2012 JSNA – key priorities
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Giving children the best start in life
Managing the shift to early intervention and prevention
Supporting the ageing population
In addition to targeting specific parts of the life course the
following cross cutting themes have been identified:
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Targeting the communities with the greatest needs
Improving mental health and wellbeing
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Health and Wellbeing Strategy
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Health and Wellbeing Board development session held
in August to clarify priorities
1st draft of strategy to Health and Wellbeing board 4th
October
Extensive comments included from that meeting into a
consultation draft
Consultation throughout November and early December
Sign off at December Cabinet and Health and Wellbeing
board
Next steps - need to work up detailed action plans after
sign off
Strategy content and next steps
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Strategy sets out:
 summary
of health needs
 national and local context
 the principles that will underpin our commissioning
intentions
 the priorities and associated commissioning intentions
(the “we will’s”)
 Key partners and success measures
Our commissioning principles
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Reducing inequalities and improving the health of the
worst off fastest
Using evidence based practice and responding to local
information
Develop cost effective solutions and improving efficiency
Focusing on prevention
Emphasising local action and responsibility
Sustainability
Dignity
Health and Wellbeing Strategy
priorities
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Getting it right from childhood
Managing the shift to early intervention and prevention
Supporting the ageing population
In addition to targeting specific parts of the life course the
following cross cutting themes have been identified:
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Tackling the wider determinants of health by influencing
other boards
Improving mental health and wellbeing
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The priorities
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Getting it right from childhood
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We will support positive outcomes for children and families
through:
 early years support
 early intervention/prevention
 continuing health programmes to develop well
 early identification of families in need of support
We will improve health and educational outcomes in looked after
children through high quality health and social care support
We will enable children to start well through provision of high
quality maternity services including pre and post natal support.
We will ensure a good transition between child and adult
services for children with complex physical and mental health
needs
The priorities
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Managing the shift into early intervention and prevention
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We will maintain or increase the number of children and adults
who are a healthy weight, through the provision of a range of
healthy weight interventions and the promotion of physical
activity and healthy eating
We will reduce the harm caused by alcohol and drugs
We will improve sexual health services for the Leicestershire
population
We will further reduce smoking prevalence by preventing people
from starting to smoke and helping people to stop smoking
We will reduce the number of people who die prematurely from
cancer
The priorities
Supporting the ageing population
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We will plan for an ageing population, particularly the increase in
the frail elderly population, through providing appropriate
housing and adaptations to enable the frail elderly to live longer
in their own homes
We will maximise independence in older people by improving
stroke care and rehabilitation services, preventing falls and
reducing preventable hospital admissions
We will seek to improve the management of long term conditions
We will ensure care homes adhere to the highest standards of
dignity and quality ensure carer training in organisations is
improved
We will improve the provision of end of life care and support for
people who wish to die at home and support for their carers
The priorities
Improving mental health and wellbeing
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We will promote positive mental health promotion
We will ensure the earlier detection and treatment of mental
health problems in children
We will continue to improve the early detection and management
of people with common and severe and enduring mental health
needs
We will ensure the earlier detection and treatment of dementia
and support for people with dementia and their carers.
The priorities
Tackling the wider determinants of health by
influencing other boards
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We will seek to reduce levels of child poverty in Leicestershire
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“influencing other boards” has been identified as a key priority for
ensuring that the Health and Wellbeing Board delivers improved health
outcomes across the life course. E.g.
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Children and Young People Commissioning Board
The Leicester and Leicestershire Enterprise Partnership Environment Board
Safer Communities Commissioning Board
Stronger Communities Board
Housing Services Partnership
Housing Planning Infrastructure Group
Leicestershire Rural Partnership
Community Budget Programme Board
Voluntary and Community Sector Strategy Group
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