Issue - meetings

-        John Radford, Director of Public Health to report

Dr. John Radford reported that Public Health England monitored the Council’s new statutory functions, including health protection and health improvement, through the Public Health Outcomes Framework (PHOF) which focussed on the causes of premature mortality.  Rotherham’s Health and Wellbeing strategy supported early intervention and prevention as part of improving performance against the PHOF and the key lifestyle factors that influenced avoidable mortality.

The Framework needed to be reviewed quarterly to drive improvements in performance.  Public Health would lead the agenda and report to Cabinet by exception and agree with partners action plans to address under performance.  Where indicators were significantly underperforming, discussion would take place at the Health and Wellbeing Board followed by a performance clinic to develop a remedial action plan to engage action by partners.

66 indicators had been identified, grouped into 4 domains to deliver the 2 high level incomes of increased healthy life expectancy and reduced differences in life expectancy and healthy life expectancy between communities:-

-          Improving the wider determinants of health (19)

-          Health improvement (24)

-          Health protection (7)

-          Healthcare public health and preventing premature mortality (16)

Current performance against the England average had highlighted several areas where there was under performance and a downward trend.  There needed to be an agreed reporting structure to ensure performance was monitored effectively.

There would be a comprehensive monitoring process initiated for those indicators off track including performance clinics to review change.  The process would be directed by the multi-agency Health and Wellbeing Steering Group.

Discussion ensued with the following issues raised/clarified:-

·           Public Health would examine each indicators and produce a report setting out where there were clear performance issues to be escalated to the Steering Group/performance clinic for action

·           Should also consider if/what the trends were within the priorities

·           Was the data compared against England data or other areas that Rotherham was always compared against?

·           Were there areas that could be “quick wins?”

·           Need to focus on issues that would make a difference in the 6 Priority areas

Resolved:-  (1)  That the proposed Framework to address under performance be approved.

(2)  That mechanism to deliver the Health and Wellbeing Strategy aim of moving to Prevention and Early Intervention be supported.

(3)  That the proposed Framework be submitted to the Cabinet for consideration.