Agenda item

Report of the Chief Officer for Community, Public Health, Environment and Prosperity, which reviews progress against the overarching priorities identified in the Joint Health and Wellbeing Strategy for Devon 2016-2019.

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

The Board considered a report from the Chief Officer for Communities, Public Health, Environment and Prosperity on the performance for the Board, which monitored the priorities identified in the Joint Health and Wellbeing Strategy for Devon 2016-2019.

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 five Joint Health and Wellbeing Strategy 2016-19 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;

·         GCSE Attainment, 2016-17 – 65.0% of year 11 pupils in Devon achieved five or more GCSEs at grades equivalent to A* to C, including English and Maths.  Within Devon, rates were highest in the South Hams and West Devon, with the lowest rates in Teignbridge and East Devon.

·         Teenage Conception Rate, 2016 – Conceptions to under 18s continued to fall in Devon and were broadly similar to South West and comparator group rates. There were no statistically significant differences between Devon’s districts.

·         Alcohol-specific admissions in under 18s, 2016-17 – Approximately 65 admissions occured each year in Devon related to alcohol-specific causes in under 18s. The rate per 100,000 in Devon is 45.5 which was broadly in line with the South West (44.4). However, the rate was significantly above the local authority comparator group (36.9 per 100,000) and England (34.2) rates.

·         Excess Weight in Adults, 2016-17 – 57.4% of the adult population in Devon had a BMI in excess of 25 (Overweight or obese) in 2016-17. This was significantly below the South West (60.3%), the local authority comparator group (61.4%) and England (61.3%) rates.  Within Devon the lowest rates of excess weight were seen in Exeter (54.0%).

·         Proportion of Physically Active Adults, 2016-17 – 73.9% of adults in Devon were physically active for at least 150 minutes per week.  This was above the South West (70.4%) and comparator group (67.6%) and significantly above the national (66.0%) rates.

·         Alcohol-Related Admissions (narrow definition), 2017-18 – There were around 4,900 alcohol-related admissions to hospital for Devon residents between July 2016 and June 2017. The age-standardised admissions rate (606.0 per 100,00) was below the South West, local authority comparator group and England rates.

·         Diet – Fruit and Veg ‘5-a-day’, 2016-17 – In Devon 66.4% of the adult population consumed five or more portions of fruit and vegetables per day.  This was significantly above the South West (63.1%), local authority comparator group (60.6%) and England (57.4%) rates.  Within Devon the highest rates were seen in East Devon (70.9%) and the South Hams (70.4%) and the lowest in Mid Devon (61.4%).

·         Domestic Violence, 2016-17 – Devon had a rate of 14.8 per 1,000, below the South West (18.5), comparator group (19.4) and England (22.5) rates.  The Devon rate increased on 2015-16 levels. Locally, rates were highest in Exeter (20.1).

·         Emotional Wellbeing of Looked After Children, 2016-17 –The average difficulty score in Devon was 16.8, which was higher than the South West (15.4), local authority comparator group (15.0), and England (14.1) averages.

·         Hospital Admissions for Self-Harm, Aged 10 to 24, 2016-17 – There were 786 hospital admissions for self-harm in persons aged 10 to 24 in Devon in 2016-17.  The rate per 100,000 in Devon was 609.6, which was above the South West (581.8), local authority comparator group (461.2) and England (404.6) rates.  Admission rates increased from 376.6 in 2007-08 to 609.6 in 2016-17.  Within Devon, rates were highest in Torridge and lowest in the Mid Devon.

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;

·         commercial data and real-time information on the long-term effects of alcohol consumption, particularly in the ‘hidden’ middle-class sector; the Committee agreed that figures be reported at the next Board meeting;

·         rates of alcohol consumption had dropped in the younger age groups;

·         the current definition of ‘physically active’ being more than 10 minutes of moderate activity;

·         the difficulty in measuring the emotional wellbeing of Looked After Children being related to perception of services and the need to gather further intelligence to enable comparison with other authorities on a national scale;

·         the impact of these indicators on forward planning within the CCGs; using the Joint Strategic Needs Assessment to develop main objectives and an outcomes framework to develop strategic commissioning;

·         looking at joint work to develop objectives across health and wellbeing within Devon;

·         the partnership work undertaken with children and young families in respect of Looked After Children and rates of hospital admission for self-harm; the Chief Officer for Children’s Services to report to a future Board meeting; and,

·         Dementia Diagnosis – more information was required in the future to explain the reasoning behind the fall– the Chief Officer for Adult Care and Health to report back into the STP to gain a picture across Devon, Plymouth and Torbay regarding the services available to those diagnosed with dementia.  The Board noted there were over 67 Memory Cafes in Devon.

RESOLVED that the performance report be noted and accepted.