Issue - meetings

Report of the Director of Public Health (PH/16/23), which reviews progress against the overarching priorities identified in the Joint Health and Wellbeing Strategy for Devon 2013-2016.

The appendix is available at http://www.devonhealthandwellbeing.org.uk/jsna/health-and-wellbeing-outcomes-report/

The Board considered a report from the Director of Public Health (PH/16/23) on the performance for the Board, which monitored the priorities identified in the Joint Health and Wellbeing Strategy for Devon 2013-2016.

The indicator list and performance summary within the full report set out the priorities, indicators and indicator types, and included a trend line, highlighting change over time.

The Board received an ‘updates only’ version of the Health and Wellbeing Outcomes Report.  The report was themed around the four Joint Health and Wellbeing Strategy 2013-16 priorities and included breakdowns by South West benchmarking, local authority district and local authority comparator group, clinical commissioning group, and locality comparison, trend and future trajectories and inequalities characteristics. The indicators below had all been updated since the last report to the Board;

·         Smoking at Time of Delivery, 2015-16;

·         Teenage Conception Rate, Q2 2015;

·         Proportion of Physically Active Adults, 2015;

·         Alcohol-Related Admissions, 2015-16 provisional (narrow and broad definitions);

·         Adult Smoking Prevalence 2015;

·         Incidence of Clostridium Difficile, 2015-16; and

·         Percentage who feel supported to manage condition, 2015-16.

Following approval at a previous meeting, a Red, Amber, Green (RAG) rating was included in the indicator list and a performance summary on page 2 of the full report. Areas with a red rating included hospital admissions for self-harm aged 10-24, again demonstrating the importance of investing in services that supported emotional wellbeing.

The report also featured a table showing how Devon compared with the Local Authority Comparator Group (LACG) for all Health and Wellbeing outcome measures (September  2016). This included how Devon compared / performed against both the LACG and England and their rank position.

The outcomes report was also available on the Devon Health and Wellbeing website www.devonhealthandwellbeing.org.uk/jsna/health-and-wellbeing-outcomes-report

The Board, in discussion, highlighted and asked questions on;

• clarification of the recording of self harm incidents, particularly in acute units and also the recording of self harm in young people, with the reference in the JSNA and the Councils responsibilities to children in care;
• alcohol admissions and whether there was any evidence of where alcohol was being purchased and / or consumed and that further work would be undertaken on this;
• concern over the waiting times for CAMHS services, particularly counselling services and that an update report was being presented to the Peoples Scrutiny Committee in November 2016; and
• what actions were being taken to address the ‘red’ rated outcomes measures.

The Board further noted that a report would be presented to the Board in December in relation to mental health services, which would include social isolation issues and suicide rates.

In addition, a refresh of the Childrens and Young Peoples Strategy which included the Childrens Alliance Strategy was being undertaken and the Board would consider the content of this in due course.

RESOLVED that the performance report be noted and accepted.