Agenda item

Tony Baxter/Jo Abbott, Public Health, to report

Tony Baxter, Interim Director of Public Health, presented an update on the performance of the Health and Wellbeing Strategy with attention drawn to the following red rate Indicators:-

Priority 1 Smoking

-          Smoking at delivery rates rose slightly during 2013/14 – anticipated continued fall.  A number of factors could have influenced this including transition of Service from the Stop Smoking Service to Midwifery, specialist midwife sickness during Q4 affecting capacity, inaccurate recording of smoking at delivery status and uncertainty of Midwifery staff about how to record smoking status of women who switch to electronic cigarettes during pregnancy

-          New systems put into place since the team moved to Midwifery including electronic booking of stop smoking appointments by Community Midwives, clinic lists and test appointment reminders.

-          An audit of smoking at booking and smoking at delivery recording was planned as this had been shown to be inaccurate in other areas in Yorkshire and Humber with appropriate follow-up dependent upon results

Priority 2 Alcohol

-          The Team to deliver this piece of work had now been selected with work scheduled to begin in October/November 2013 but this was delayed until Q4.  Due to the late start the 2013/14 target was adjusted to maintain 2012/13 level with the 20% reduction set as the 2014/15 target

-          Although not demonstrating reductions in admissions overall, reductions for the cohort of 3+ admitters were now in evidence and the length of stay significantly reduced

-          Programme was making good progress to reduce the length of stay but as overall admissions had increased the figure had also increased

-          There was evidence that the programme was reducing admissions for the specified cohort

Priority 3 Obesity

-          2012/13 and 2013/14 data for overweight and obese children in Reception/Y6 data was higher than for 2011/12 especially for Reception.  Once detailed data was available for 2012/13 it would be analysed to highlight the reasons behind the increased

-          No further Healthy Eating Prevalence data after the 2011/12 baseline.  Indicator replaced by Excess Weight in Adults in Local Authority health profiles

-          Indicator was to be included in the Public Health Outcomes Framework similar to ‘healthy eating prevalence’, data to be collected via the Active People Survey from late 2014 and hoped to be published in February or May, 2015

Priority 4 NEET

-          Of the cohort of 28:-

14 (50%) were aged 18 and 19 – they were able to claim benefit in their own right and live independently – an extremely hard group to engage in any form of learning

9 (33%) were Y13 - 6 resident outside of Rotherham

5 (17%) had all recently left compulsory education and had a range of complex needs.  2 were resident outside of Rotherham but still supported by the Service, 1 in temporary accommodation at Rush House with intensive support from the Service, 1 had health issues which prevented engagement in Learning, 1 had never engaged despite persistent attempts whilst the remaining 1 was current engaging with the Service and moving towards a learning outcome

-          IYSS  currently revisiting its approach to working with the LAC/CL group with a view to a more Locality based model and strengthened working relationship with the Care Leaver Team

Priority 5 Fuel Poverty

-          Funding available to utility providers (earmarked for 2012/13) rolled over into 2013/14

-          Anticipated target of 1,285 not met as CESP had come to an end

-          Utility providers had made the required carbon savings on other earlier national schemes

Resolved:-  That the report be noted.