Issues , initiatives, challenges Southend Health and Wellbeing Board Nov-13

1. Issues, initiatives, challengesSouthend Health and Wellbeing Board Nov-13

2. 2013 Health Profile Key messages: • Health in Southend is varied compared to the England average Significantly better than England average: - Statutory homelessness - Educational achievement - GCSE achieved (5A* -C) - Incidence of malignant melanoma - Hospital stays for self-harm - People diagnosed with diabetes - Acute sexually transmitted infections

3. 2013 Health Profile Significantly worse than England average: • Deprivation & childhood poverty • Violent crime • Long term unemployment • Smoking in adults • Starting breast feeding • Obese children (Year 6) • Hospital stays for alcohol related harm • Drug misuse • Female life expectancy

4. Health & Social Care Integration Pioneer All done at scale and pace By 2016 we will have; • Better integrated services and better access to them • Better integrated information and knowledge • A renewed focus on prevention and individual responsibility • Resources will be used more effectively • Better understanding of local people and their experiences We will have also opened up new areas of exploration

5. Health & Social Care Integration Pioneer Develop commissioning and contracting models – particularly for frail elderly, long term conditions and learning from Year of Care. Reduce urgent care demand at our hospital Reduce reliance on institutional care Build up good outcomes for all people in Southend Harness the enthusiasm and skills of our people Demonstrate how effective a small unitary authority and CCG can be in delivering great outcomes

6. Fulfilling Lives, A Better Start(Big Lottery bid) By providing £165 million over 10 years to 3-5 areas BIG Lottery aim to ... • … enable areas awarded the funding to test the use of the best available science and evidence of what works to improve the life chances of children, • by delivering a step-change in the use of preventative approaches in pregnancy and the first four years of life. NB: NON STATUTORY

7. A competitive process Fulfilling Lives, A Better Start(Big Lottery bid)

8. Southend’s outcomes Fulfilling Lives, A Better Start(Big Lottery bid)

9. ‘Who will care?’Challenges laid down by Hughes-Hallett report 1. A new understanding between public sector and public Basic premise: ‘Public sector needs to be up front and honest with public, clarifying the extent of the care offer. The public need to take ultimate responsibility for their own care but public sector will need to provide core quality services, be able to answer questions and willing to help and encourage public to take on self-responsibility’ Recommendations: • Publish a Citizen’s Guide to Care • Set up a Trip Advisor for care services, run by Healthwatch • GP led training and helplines to educate public and raise personal responsibility • More support for carers (and patients who self manage) • Revolutionise and ‘regroup’ the voluntary sector so that it can improve it’s ‘offer’ • Greater involvement of private sector

10. ‘Who will care?’Challenges laid down by Hughes-Hallett report 2. Prevent unnecessary crisis in care (more focus on prevention) Basic premise: ‘A new approach is needed to change the focus of care from treating disease and chronic conditions to one of supporting individuals earlier. This will prevent crisis in care, improve independent living and create personal responsibility to support those in need in our communities’. Recommendations: • Better records, owned by individuals • Better initial intensive preventative support • Right for all to have a supporting ‘wellness worker’, most likely from the community or voluntary sector • Set up nurse-led Long Term Condition Centres (part volunteer) • Set up online communities for mutual support

11. ‘Who will care?’Challenges laid down by Hughes-Hallett report 3. Mobilise community resources Basic premise: ‘A new approach to supporting communities and people. A local approach and local understanding of grass-roots needs can deliver best care, best support, best value and greater independence’. Recommendations: • Seed funding and support for local voluntary schemes • Create Essex-wide scheme to spot early signs of difficulty – community champions, village agents, fire service watch • Vibrant Community Award scheme • Longer term, and more intelligent, commissioning by public sector • Employers to support staff volunteering

12. ‘Who will care?’Challenges laid down by Hughes-Hallett report 4. Use data and technology better Basic premise: ‘Given advances in recent years it is surprising that the healthcare economy has not done more to embrace the richness of health and care data as well as technology. Organisations and individuals will welcome the benefits of using data and technology better’. Recommendations: • Put in place an Essex wide ‘data sharing strategy’ • Set up housing strategy using assistive technology so that people can live independently for longer • Large telecare and telehealth trial

13. ‘Who will care?’Challenges laid down by Hughes-Hallett report 5. Clear leadership, vision and accountability Basic premise: ‘Clear leadership and accountability are the only ways to deliver better, more coordinated care. A partnership of commissioners and providers operating across Essex will bring together public, private and voluntary sectors to procure and provide cradle to grave, co-ordinated, and convenient care for each individual’. Recommendations: • Set up a pan-Essex care partnership governed by HWBB’s • Pan-Essex single ‘pot of money’ to deliver outcomes from above • Full scale integration of provision

14. Going forward… Summary • 2013 Health Profile • Pioneer • Fulfilling Lives • Who will care Discussion • Big ideas and key themes? • Quick wins? • Points for Southend/Essex/Thurrock HWB meeting?

15. Issues, initiatives, challengesSouthend Health and Wellbeing Board Nov-13

16. Issues, initiatives, challengesSouthend Health and Wellbeing Board Nov-13 End of presentation