Gloucestershire Health and Wellbeing Board SIG

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1 Gloucestershire Health and Wellbeing Board SIG Report Title Item for decision or information? Sponsor Author Organisation Report from the Strategy Implementation Group (SIG) For information Dr Peter Brambleby Sarah Scott Gloucestershire County Council Key Issues: 1. Work has begun on the refresh of the Health and Wellbeing Strategy s delivery plan. This will include an overarching plan for tackling health inequalities. 2. An information and analysis sub-group has been set up to scope, guide and support the creation of the Understanding Gloucestershire, a Joint Strategic Needs Assessment county summary document and the drive the development of the content of the Local Information System 3. There is a wide range of projects and services delivered by the district councils that contribute to the delivery of the health and wellbeing agenda. These have been summarised in this report. Recommendations to Board: To note the contents of this report. Financial/Resource Implications: None

2 1.0 Health Inequality Plan The Health and Wellbeing Board have previously agreed that the Health and Wellbeing delivery plan will undergo a review and refresh in 2015 with a view to commence implementing the new delivery plan from April The current strategy Fit for the Future has five priorities: Reducing obesity Reducing the harm caused by alcohol Improving mental health Improving health and wellbeing into older age Tackling health inequalities The review process will check available data sources and tools to ensure the five priorities listed above are still the most significant priorities for improving the health and wellbeing of the people of Gloucestershire. The GCC Public Health team have received helpful feedback on the style and content of the current delivery plan as well as a specific request from Gloucestershire Clinical Commissioning Group for an overarching plan to tackle health inequalities. As tackling health inequalities is one of the five priorities in the strategy it would make sense if the plan for tackling health inequalities was the health inequalities card in the Health and Wellbeing delivery plan. It is proposed that tackling health inequalities becomes an overarching theme in the new delivery plan. The plan will summarise existing activity and make recommendations for further work based on a locality model. The revised delivery plan also presents an opportunity to clarify the strategic direction of our work around obesity and alcohol. There is currently no other guiding strategy or partnership through which the work in this areas can be directed. The next Health and Wellbeing Board development session on 30 April will focus on the refresh of the delivery plan and seek the Board s input.

3 2.0 Update on Subgroup Activity 2.1Understanding Gloucestershire JSNA Information and Analysis Group As a result of the JSNA review an information and analysis sub-group has been set up to scope, guide and support the creation of the Understanding Gloucestershire, a Joint Strategic Needs Assessment county summary document, by the end of June This group will also guide the strategic direction of the Local Information System which will underpin the Understanding Gloucestershire document. The group held its first meeting in February and Terms of Reference were signed off at SIG on the 25 th February. 3.0 Update on Activity across the Districts The services that district councils provide both directly and in partnership with others play an important role in addressing the wider determinants of health and improving health outcomes for local communities. From the provision of housing and environmental services through to leisure facilities and economic development, district council services play a significant role in tackling health inequalities and contribute to achieving the public health outcomes necessary to demonstrate successful delivery of the joint health & wellbeing strategy(jhws). The district s health & wellbeing representatives meet on a quarterly basis together with public health and CCG colleagues in order to promote a coordinated and joined up approach between districts with respect to health & wellbeing initiatives so as to avoid duplication and achieve better outcomes. It also facilitates a dialogue with the District representatives on the Health & Wellbeing Board. Each district has produced an asset map of all the work being undertaken in each District by all of the health partners in relation to the JHWS priorities. The mapping exercise has been overseen by the SIG and has been a useful exercise which provided opportunities to identify synergies, overlaps and gaps in provision of services at a District level. Inevitably the Districts are relatively diverse in nature but there are many commonalities from a health & wellbeing perspective. Each of the districts will be feeding their priorities into the JHWS delivery plan refresh prioritisation exercise. Many of the health & wellbeing related services provided by the districts are discretionary in nature and are inevitably under pressure in the current economic climate. Whilst increased partnership work to deliver services more innovatively and efficiently is being progressed, the importance of these largely preventative interventions in reducing costs to the NHS should not be underestimated. Some key district specific health & wellbeing activities are summarised below:-

4 Forest of Dean The community engagement team work to empower communities individuals and organisations to make things happen for themselves through asset based community development A social prescribing pilot has been running since March 2014 and has been successful in guiding patients from the health service to non clinical community based solutions. Successful GP referral scheme covers a number of non clinical programmes including exercise, healthy eating, falls prevention, cardiac rehab, weight management, back care, walking for health, respiratory rehabilitation, swimming and Pilates. Running large awareness raising programme for dementia including sessions with schools, fire & rescue, PSCO s community groups and frontline services. Through service level agreements the council currently funds charitable organisations to deliver a wide range of health & wellbeing initiatives in communities. It also provides community grants to help build community capacity which in turn has a significant impact on wellbeing Provides a range of housing interventions to help residents remain living safely and independently in their homes. Runs five leisure centres FoDDC are part of the cultural commissioning group looking at ways to include the arts in wellbeing initiatives/ FoDDC are involved with the mapping exercise with CCG, GCC and Imjin Barracks. Offer Careline and Linkline services Gloucester Established their first Park Run which will be going ahead in Kingsway Have adopted the asset based community development (ABCD) approach to help communities to become more sustainable and self-sufficient helps improve well-being, employment prospects etc. Community builders in place in Kingsway and Matson An arts community project was funded by the Hearty Lives project in Podsmead. This helps with well-being, social connections, skills etc. Part of the Cultural Commissioning Project seeks to use art and culture as part of a wellbeing strategy. This supports the Strike a Light festival which brings great art to Gloucester Social Isolation remains an issue in Gloucester Maiden data as well as a survey by GRCC highlights the size of the issue. Community Building as well as other befriending strategies and increased social connections supports the plan to reduce this.

5 Cotswold The Cotswold Health & Wellbeing Partnership continues to coordinate and deliver a wide range of activities, including work on dementia, loneliness and specialist exercise. Cotswold are currently working with CCG locality colleagues to align their local priorities for 2015/16. The Social prescription pilot has involved over 100 patients in S. Cotswolds GP surgeries and is supporting them to make improvements to their health, including wider determinants, e.g. housing conditions, debt issues, and social networks. The majority have been referred for isolation or caring responsibilities. The focus on very broad partnership working has been central to the project s success, which it is hoped will be demonstrated in the forthcoming evaluation. Cirencester Hospital Market Place has involved local statutory and voluntary sector partners in developing a volunteer-led market place at Cirencester Hospital, improving access to health and care information. This will go live in the spring. Partnership working with the military community has involved a range of statutory and voluntary sector partners working with 29 Regiment RLC to develop a project that encourages healthy lifestyle behaviours amongst military personnel, their families and the local community. Tewkesbury Work is underway to construct a new leisure centre which will open in July It will provide a much wider range of sport and leisure facilities than have been available previously and will have a strong community focus. The pilot for the next phase of Families First has been launched and is branded as Families First Plus. The criteria have been widened and there is a focus on engagement with communities and community organisations including connecting families to local activities e.g. sport, leisure and art etc. The Tewkesbury Parkrun was launched in June. The women s running network involves 200 runners every week in 6 groups and over 300 sports clubs are supported across the borough. Four health walks groups are also coordinated. A Social Prescribing pilot in the south and west of the borough will be extended to include a further pilot in the north of the borough during April 2015 The Tewkesbury Athletics Academy is to be launched in the summer of 2015 Currently 1 memory cafe and 2 memory clubs are supported to help people suffering from dementia. Stroud Successful and well established GP referral scheme now enables GP s to refer patients to a wide range of non clinical programmes to improve their

6 health and wellbeing. Schemes include exercise programmes, weight management, swimming, cardiac rehab, dance, respiratory exercise and breast cancer rehab. More recently cycling on prescription has been added. We are also investing 1.4m in building new gym and dance facilities at Dursley pool. Have recently invested 16m on building and improving our own council properties and spent over 6m on installing renewable energy products to help eliminate fuel poverty and cold related illnesses to those most at risk. The social prescribing pilot has been expanded and developed and is currently the only scheme in the country that includes young people years old. Supported the Stroud District Youth Council in undertaking a specific piece of work on young people s health & wellbeing. Key issues identifies were mental health, sexual health and self harm. They subsequently produced a very useful information leaflet entitled Worried about Self harm? Undertook a review of the needs of elderly people living in sheltered housing and have developed a new service that will support independent living and tackle issues such as social isolation and loneliness. We continued to invest in housing across all tenures in recognition of the fact that cold, damp and unsafe homes have an adverse affect on the health of the occupants. As well as a major repair and improvement programme in our own stock, we helped elderly and vulnerable owner occupiers and private tenants through our Healthy Homes Loans and Warm & Well schemes secure essential repairs and improvements to their homes. Cheltenham Engaging with young people to understand their needs and develop a school based peer support network to aid young people lead healthy lives Supporting the community project Connecting Warden Hill to reduce social isolation The community hubs managed by Cheltenham Borough Homes offers a range of health & wellbeing programmes and social meetings to help breakdown social and cultural barriers and promote a sense of collective wellbeing Provide targeted sports initiatives ranging from engaging young people through schools, clubs and community groups through to exercise on prescription, falls prevention projects and facilitating access for disabled people and their carers. Provide advice and assistance to those living in poor quality energy inefficient homes.

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