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The Health and Wellbeing Strategy and the role of the Community Wellbeing Team

The Health and Wellbeing Strategy and the role of the Community Wellbeing Team. Tim Anfilogoff Head of Community Wellbeing. Contents:. Health and Wellbeing Board Health and Wellbeing Strategy Consultation Fifteen minute discussion Role of CWB Team. 1. Health and Wellbeing Board.

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The Health and Wellbeing Strategy and the role of the Community Wellbeing Team

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  1. The Health and Wellbeing Strategyand the role of theCommunity Wellbeing Team Tim Anfilogoff Head of Community Wellbeing

  2. Contents: • Health and Wellbeing Board • Health and Wellbeing Strategy Consultation • Fifteen minute discussion • Role of CWB Team

  3. 1. Health and Wellbeing Board • Currently a Shadow Board – meeting since • July 2011. From 2013, local authorities will be • tasked with: • Development, interpretation and use of the Joint Strategic Needs Assessment (JSNA) to shape commissioning and spending plans • Agreement of a health and wellbeing strategy • Consideration of commissioning plans for health and social care • Agreement of joint commissioning plans and oversight of performance against outcomes

  4. Who is on Shadow HWB? • HCC Cabinet Members: • Chair: Richard Roberts (Children’s Services) • Colette Wyatt-Lowe (Adult Care and Health) • Chris Hayward (Herts Local and Libraries) • HCC officers: • Sarah Pickup (Director of Health and Community Services) • Jenny Coles (Director of Children's Safeguarding and Specialist Services) • NHS • Jane Halpin, Chief executive of NHS Hertfordshire - (as an observer) • Dr Raymond Jankowski (Deputy Director of Public Health) • Dr Tony Kostick, GP (Chair of the East and North Herts CCG • Dr Nicolas Small, GP, (Chair of Herts Valley CCG) • Districts • Cllr Lynda Needham, council leader North Herts District Council • Cllr Dorothy Thornhill mayorWatford Borough Council • Patients and public consumer champion • Henry Goldberg, Chairman of Hertfordshire LINk (Local Involvement Network)

  5. £2.7bn annually

  6. 2. HWbS Strategy Authorisation Health and Wellbeing Board CCGs HWb Strategy Commissioning Plans

  7. Timeline Jan –Mar 12 Initial evaluation and engagement planning Oct – Mar 2012/3 CCG Authorisation Apr – Jul 12 Public engagement Dec 11 Steering Group Established Mar 12 HWb Board Approve 1st Draft Sep 12 Finalise and Issue Strategy Aug 12 HWb Board Consider Final Draft

  8. HWbS Strategy • Key requirement of the Health and Wellbeing Board is to develop a health and wellbeing strategy • Strategy must respond to the specific needs of local populations and communities • CCGs need to have regard to the local HWbB Strategy as part of their authorisation process • CCG commissioning plans need to • reflect the strategy Health and Wellbeing Board Hertfordshire

  9. Lots of priorities…. Health and Wellbeing Board Hertfordshire

  10. Evaluated using the same methodology … • Robust, transparent and evidence based process • All priorities evaluated against the same criteria: • Resources & Environment –How much is spent on the priority? What is the current and future population likely to be affected by the priority? • Stakeholders – To what extent is the priority an existing priority in in terms of an organisations committed resource and corporate plans? • Implementation – How well could the priority be addressed in practice? Health and Wellbeing Board Hertfordshire

  11. HWbS Priority Evaluation Tool

  12. To develop a list of the top priorities…

  13. 1. Tackling Obesity • 200,000 people (21% of all adults) obese • increased risk of heart disease, diabetes and cancer • cost organisations in Hertfordshire over £335m • Weight management low cost but big impact • Obese children more likely than adults to suffer high bp, heart disease, type II diabetes • 17% of Herts school children, in year 6, are obese. • Increased physical activity improves attainment and discipline and reduces behavioural problems • Also helps OP stay at home (less falls and stroke) • Certain groups (eg BME, LD) at particular risk and problems as a result of obesity • Engagement key

  14. 2. Reducing Smoking • Causes lung cancer, heart disease and chronic obstructive pulmonary disease (COPD) • Nearly 20% of adults smoke (= EoE average) • Growing issue amongst teenage girls • Passive smoking increases risk of cot death, meningitis asthma and lung infections • Poorer people more likely to smoke • Impact on environment, including the litter associated with cigarette butts, and the number of fires caused by cigarettes

  15. 3. Managing Long Term Conditions • Prevalence will rise by 20%+ over next 25 years • Nationally 70% of health and care spend, 77% of inpatient bed days, 55% of GP appointments and 68% of outpatient and A & E appointments • Better self management reduces need for/ cost of emergency care. • Only 50.6% of those with LTC felt had enough support from GP in last 6 months (Eng average 53.7%) • Certain groups more at risk of some LTC • EG Type II diabetes can be 6 times more likely for South Asians, 3 times more likely for African and Africa-Caribbean people.

  16. 4. Supporting Family Carers • 138,000 carers in Hertfordshire. Some are young carers, under the age of 18 • Carers’ own physical and mental health often suffer • High levels of care associated with a 23% higher risk of stroke • 40% experience psychological distress or depression • It would cost the state £2.1bn to replace the care they provide for free • Need to help carers stay well and keep caring

  17. 5. Promoting Good Mental Health • MH problems can also be LTCs • Dementia linked to old age, eating disorders to youth • Reasons for mental health problems are complex • 8,000+ people over 65 with dementia in Herts • Rely heavily on carers • Expected to reach 21,000+ by 2030 means dementia will pose huge challenges for health and social care services in the coming years

  18. 6. Helping Families Facing Multiple Problems to Thrive • Some families face multiple problems (eg living in poor housing, substance abuse, domestic violence, unemployment) • Can also cause problems (eg crime, anti-social behaviour) • There are about 1,300 of these families in Herts • Only £1bn of £9bn spent nationally has been on prevention • Need to work to reduce negatives (domestic violence, drug or substance misuse, truancy, exclusion, or bad behaviour at school, unemployment) so these families can thrive

  19. 7. Reducing the Harm caused by Drugs and Alcohol • Impact on individual’s health, their families and society, crime and antisocial behaviour, and the economy • Alcohol misuse increases the risk of stroke, cancer, liver diseases and accidental injury • Overall fewer people in Herts end up in hospital than elsewhere, alcohol consumption is more of a problem in certain areas • NHS Hertfordshire spends £48m+ on alcohol related harm

  20. 8. Fulfilling Lives for People with Learning Disabilities • 3,000 known to HCC • National prevalence rate suggests there are 19,500 • Historical impact of old long stay hospitals • People with learning disabilities are more likely to have long term conditions such as epilepsy, diabetes, circulatory disease and autism • Such conditions increase risk of premature death • People with LD sometimes receive poorer care from health services due to disability • Certain people miss out more than others, including those from certain ethnic minorities.

  21. 3. Over to You! • Do you agree approach? Have we considered right factors? • Other priorities? Or thinking about these ones differently? • More information about the priority areas, and an online questionnaire to fill in at www.hertsdirect.org/hwb • We need your responses by 16 July 2012 • We will listen to what you think and what you say might change the areas we decide to focus on.

  22. CWB - history • New in September 2010 • Massive review October 2010 – March 2011 • High political profile • 25% Savings achieved or 75% of sector ‘preserved’

  23. CWB - Where are we now? • About to commission Healthwatch • Jointly commissioning prevention with PCT/CCGs • Establishing value of what we are buying (outcomes and social return)

  24. CWB – What are we for? • Prevention and Wellbeing • Information, advice, advocacy • Peer support, community support • Promoting independence (HCM, lunch clubs, visiting services etc) • Volunteering, time-banking, intergenerational, community cohesion etc…

  25. CWB meetings structure

  26. CWB - Where are we going? • Information, Advice and Advocacy • OPHRS – OP Prevention strategy • Lunch Clubs phase 2 • Carers • Volunteering and Infrastructure • JCT • Engagement • Emarketplace • Outcomes/Effectiveness/Public Health • Procurement

  27. Information, Advice, Advocacy • Keep bedding HH in, esp with GPs and DCs • Develop phase 2 • More campaigns? • What have we learnt about customer journeys • www.hertsdirect.org/ needs to improve 0300 123 4044

  28. Lunch Clubs Phase 2 • Standard lunch club spec • SROI – big benefits to carers too • Intergenerational stuff and Milk and More • Equity • Public health opportunities • Links to LINk/HW? • Gap analysis • 1/14 of our funding – excellent piece of work – other areas need it too

  29. Supporting Carers • Carer Friendly Community and Hospital pilots from September • New Hertfordshire Commitment to Carers • Joined up breaks comm-issioning and modernising self management • Keep showing health outcomes for carers • Priority in HWBS!

  30. Engagement Report to SHWB May 2012 Need to co-ordinate and quality assure Review of OP and carers’ engagement structures Develop Healthwatch for April 2013 – NCVO led work helping VCS engage we all need to engage and support Partnership with Hertford Equalities Council Need to developwhole system engagement

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