Report of the Director of Public Health
Uzmah Bhatti, Insight Specialist (Public Health) Strategy and Resources introduced the Annual update report 2019 on the Joint Health and Wellbeing Strategy 2016-2020 providing the Board with an update on strategic developments. She bought the following points to the attention of the Board:
(a) The strategy is divided into 5 areas, an overarching aim to increase healthy life expectancy in Nottingham and 4 outcomes which are then further broken down into different indicators:
· Healthy lifestyles
· Mental wellbeing
· Healthy culture
· Healthy environment
(b) Healthy life expectancy in Nottingham is lower than comparators for both men and women. This figure has not changed for men but has shown a downward trend women since targets were set;
(c) When targets were set, there were significant differences between neighbourhoods in Nottingham with people in the most socio-economically deprived wards experiencing poorer health earlier than those in less deprived wards. Further ward level data is not available to analyse whether there has been a greater impact at ward level.
Healthy Lifestyle Outcome indicator
s updates include the
following key points:
· Although rates of sexually transmitted infection remains high in Nottingham, there has been no statistically significant increase since baseline. Actions are being taken to address challenges around rising demand and higher needs in groups such as young people.
· There has been significant progress and the conception rate amongst girls age 15-17 has decreased approximately 15% since baseline. Further system-wide actions are being identified to sustain this downward trend.
· Alcohol related hospital remain unchanged and are higher than comparators. A number of work streams are in progress to reduce this number, including funding bids for an Alcohol Hub in emergency departments and for accommodation to help “street drinkers”.
· Targets around reducing smoking amongst adults have been achieved. Persistent and vulnerable smokers are now to focus of a new smoking cessation service.
· Obesity is an ongoing national issue. This has been discussed at length in minutes 4.
(e) Service related targets for mental health have been achieved. In addition to this, Time to Change hub has over achieved on targets. Activity target at people with serious mental illness, BME people and construction workers is being progressed. A refreshed strategy is currently out for consultation
(f) Healthy Culture targets around askLION and reablement have been met and exceeded. However, targets around hospital discharge and financial resilience have been more challenging. Actions are being taken to address these.
(g) Good progress has been made in the Healthy Environment Outcome. Air quality has been improved and EMAS has reduced their carbon footprint. There is still work to do around reducing the number of households in fuel poverty and excess winter deaths as is the case across most of the core cities; Policy restricting hot food outlets near secondary schools has had to be removed due to challenges. Transport improvement continues with various initiatives funded by external sources.
During questions and comments from the Board the following further points were highlighted:
(h) There has been some really positive work coming from the strategy. It is due to be refreshed and the Board will work towards setting further robust and focused challenges in order to benefit the citizens of Nottingham;
(i) The Board agreed that partnership working continued to be essential to progressing work towards the strategy targets including the co-ordination of funding where appropriate;
(1) Note the contents of the report;
(2) Consider what actions members can take together to support delivery of the Strategy in its final year; and
(3) Support the development of a refresh of this strategy;