Issue - meetings

Joanna Saunders, Head of Health Improvement, and Michael Holmes, Policy Partnership Officer

Michael Holmes, Policy Officer, and Joanna Saunders, Head of Health Improvement, gave the following presentation on the Rotherham Health and Wellbeing Strategy:-

Health and Wellbeing Board

-          Established by Health and Social Care Act 2012

-          Brings together Council, Clinical Commissioning Group and other key partners including Healthwatch and Service providers

-          Produce Joint Strategic Needs Assessment – evidence base for health needs     (http://www.rotherham.gov.uk/jsna/)

-          Develop Strategy to improve health and wellbeing

-          Ensure partners’ spending plans were geared towards achieving the Strategy’s aims and objectives

Health and Social Care Integration

-          Better Care Fund – pooled funding to transform Health and Social Care Services

-          Critically it was about person-centred care

-          Rotherham Better Care Fund Plan approved January, 2015; key target to reduce hospital admissions

What does the evidence tell us?

-          Life expectancy below England average and significant gap between the Borough’s most and least deprived areas

-          Population changes – ageing population and people living longer with poorer health

-          28.5% of adults were classed as obese, worse than the England average

-          Relatively high rate of hospital stays for alcohol-related harm

-          Higher than average adult smoking levels and smoking-related deaths

-          Rate of sexually transmitted infections was worse than average

-          Rates of death from cardiovascular disease and cancer were worse than the England average

Key Health Challenges:  Children and Young People

-          Child poverty was worse than the England average with 22.8% of under 16s living in (relative) poverty

-          9.8% of children aged 4-5 and 23.4% of children aged 10-11 were classified as obese

-          The rate of diagnosis of sexually transmitted infections in young people aged 15-24 years was above the England average

-          Relatively high rates of smoking in pregnancy, contributing to increased risk of stillbirth, low birth weight and neonatal deaths

-          Rotherham’s breastfeeding rate was amongst the lowest in the region – contributing to levels of childhood obesity

The Strategy (2012 to 2015) – Current Thinking

-          Explicit focus on children and young people

-          Increased emphasis on mental health

-          Help people to take responsibility for their health

-          Principles of prevention and early intervention

-          Work with communities – asset-based approach

-          Build on good practice in Rotherham and elsewhere

-          Meaningful indicators to measure progress

Feedback from Voluntary and Community Sector

-          Increase emphasis on and investment in prevention and early intervention

-          Holistic approach to health and Wellbeing Board utilising expertise from a range of organisations

-          Recognise key transition points rather than waiting for people to hit crisis

-          Real commitment to “asset-based” approach – not just as a cover for cuts

-          Make the Health and Wellbeing Board “system” easier for people to access, understand and navigate

-          Target the most disadvantaged regardless of age, including a renewed focus on healthy ageing

For September, 2015

-          Health and Wellbeing Board approve Strategy including long term strategic outcomes

-          Outcomes inform partners’ emerging commissioning plans

After September 2015

-          Annual delivery  ...  view the full minutes text for item 21