Agenda item

Report of the Chief Officer for Communities, 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 local authority, district and trends over time. The 13 indicators below had all been updated since the last report to the Board;

·         Early Years Foundation Score – in 2017/18, 71.7% of children in Devon achieved a good level of development at school entry, compared to 71.3% for the South West, 72.0% for the local authority comparator group and 71.5% for England;

·         GCSE Attainment, 2017/18 – 64.2% of year 11 pupils in Devon achieved five or more GCSEs at grades 9-4, equivalent to A* to C, including English and Maths.  The Devon rate was lower but not significantly different to the South West and local authority comparator group. It was higher than the England rate. There was variability across the districts with rates highest in East and Mid Devon and the lowest in Torridge.

·         Teenage Conception Rate, 2017 – Conceptions to under 18s continued to fall in Devon and were lower than the South West, comparator group and England rates.

·         Alcohol-specific admissions in under 18s, 2015-16 to 2017-18 – Approximately 63 admissions occurred each year in Devon related to alcohol-specific causes in under 18s. The rate per 100,000 in Devon was 43.6. This was broadly in line with the South West (43.6). However, the rate was significantly above the local authority comparator group (37.2 per 100,000) and England (32.9) rates. Rates had fallen slightly since 2015-16 levels.

·         Excess Weight in Adults, 2017/18 – 60.1% of the adult population in Devon had a BMI in excess of 25 (overweight or obese) in 2017-18. This was below the South West (61.0%), the local authority comparator group (62.9%) and England (62.0%) rates.  There was variability across the districts with the lowest rates of excess weight seen in East Devon and Exeter and highest in Teignbridge.

·         Proportion of Physically Active Adults, 2017-18 – 72.8% of adults in Devon were physically active for at least 150 minutes per week.  This was significantly above the South West (70.7%), comparator group (67.4%) and national (66.3%) rates.

·         Diet – Fruit and Veg ‘5-a-day’, 2017/18 – In Devon in 2017-18, 62.3% of the adult population consumed five or more portions of fruit and vegetables per day.  This was above the South West (61.2%) and significantly above the local authority comparator group (58.5%) and England (54.8%) rates.  Within Devon the highest rates were seen in the South Hams (67.9%) and the lowest in East Devon (58.3%).

·         Domestic Violence, 2017-18 – Devon had a rate of 13.2 per 1,000, below the South West (19.9), comparator group (20.7) and England (25.1) rates.  The Devon rate increased on 2015-16 levels. Locally, rates were highest in Exeter (18.3).

·         Emotional Wellbeing of Looked After Children, 2017-18 –The average difficulty score in Devon was 16.9, which was higher than the South West (15.4), local authority comparator group (14.9), and England (14.2) averages.

·         Hospital Admissions for Self-Harm, Aged 10 to 24, 2017-18 – There were 759 hospital admissions for self-harm in persons aged 10 to 24 in Devon in 2017-18.  The rate per 100,000 in Devon was 593.7, is lower than the South West (621.0), but higher than the local authority comparator group (480.8) and England (421.2) rates.  Within Devon, rates were highest in Torridge and lowest in the Mid Devon.

·         Gap in employment rate (mental health service users), 2017-18 – The gap in employment rate between mental health service users and the overall employment rate in Devon (71.3%) was wider than the gap for the South West (67.2%), and England (68.2%).

·         Stable and Appropriate Accommodation (Mental Health Clients), 2017-18 – 69.0% of adults in contact with a secondary mental health service were living in stable and appropriate accommodation, which was significantly above the South West (62.0%), comparator group (56.9%) and national rates (57.0%).

The outcomes Report also featured an explanation of current actions and projects across the five priorities including health checks, Food Exeter, Connect 5 training, suicide prevention training and sugar smart campaigns, to name but a few.

The Board also noted the proposed changes to the Devon Health and Wellbeing Outcomes Report, December 2018 where an easy read report had been produced, working alongside Living Options Devon.

The outcomes report was 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;

·         equality issues and a widening poverty gap across the county, with large concerns over health and education in the north of the county with higher rates of self harm and lower attainment rates in education;

·         the importance of working with district councils and other partnerships in order to address these inequalities;

·         funding bids being allocated to areas with the least need – e.g. Sport England bid to deliver a pilot scheme in Cranbrook and Exeter, which currently has the highest rates of physically active adults in Devon;

·         establishing relationships with different groups to work together to resolve inequality issues across Devon; and

·         the Joint Health and Wellbeing Strategy to engage with partners at all levels.

It was MOVED by Councillor Parsons, SECONDED by Councillor Leadbetter, and

RESOLVED that

(a) the performance report be noted and accepted; and

(b) the Chair of the Board and the Director of Public Health write to Devon District Leaders to bring to their attention the variations of outcomes across the County and to look at how partner agencies may work together to help resolve these issues.