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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/

Minutes:

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;

 

·         Adult Smoking Prevalence, 2017 – The latest figures from the Annual Population Survey (APS) indicated that 13.4% of the Adult population in Devon smoked. Rates remained lower than the South West, local authority comparator group and England. Differences between local authority district in Devon were not statistically significant.

·         Feel Supported to Manage Own Condition, 2018-19 – In Devon, 84.2% of people with a long-term condition in the GP survey, felt they had enough support to manage their own condition. This was significantly higher than South West (81.8%), local authority comparator group (83.6%) and England (78.4%) rates. Rates had increased from 2017-18 and were highest in West Devon (88.4%).

·         Deaths in usual place of residence, 2017 – 53.2% of Devon residents who died during 2017 did so in their usual place of residence (home, care home or religious establishment).  This was the same as the South West rate (53.2%), and above local authority comparator group (50.5%) and England (46.6%) rates.  Within Devon the highest rates were in the South Hams (57.3%) and West Devon (56.7%), and the lowest were in Exeter (47.8%).  Rates had generally increased over time.

·         Fuel Poverty, 2017 – Just over one in ten households in Devon were in fuel poverty (11.6%). Levels of fuel poverty increased from last year (10.9%) but remained lower than 2015 (12.2%) and 2014 in Devon but fell or remained stable in many other areas of the country. Despite this, rates continued to remain above the South West and local authority comparator group rates.

·         Estimated Dementia Diagnosis Rate (65+), 2019 – In 2019, it was estimated that 7,764 people in Devon aged 65 and over were on a GP register for dementia. Recent data showed that Devon (59.8%) was lower than the South West (62.4%), local authority comparator group (64.9%) and significantly lower than England (68.7%) rates.  Within the county, the highest rates were seen in Exeter (71.9%) and lowest in the South Hams (41.4%). Devon did not meet the dementia diagnosis target set at 67% by NHS England.

 

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;

 

·         whether the rates of Death in usual place of residence was affected by the availability of beds in hospitals or community hospitals;

·         the Gap in Employment (mental health clients) rates in Devon being significantly higher (71.3%) compared to South West comparators (67.2%) and England rates (68.2%) – it was noted that last year Devon Partnership Trust received additional funding from NHS England for a number of programmes which placed mental health clients with employers to help them get established at work; the Board agreed to undertake further work in this area;

·         the dementia diagnosis rates in Devon having been static for some time; work was ongoing between the NHS, GPs and primary care networks, with issues around reporting and recording, and the need to address the stigma attached with diagnosis;

·         alcohol specific admissions in under 18’s was significantly higher in Teignbridge; the Board noted that Teignbridge District Council were undertaking work in this area, particularly in Newton Abbot; and

·         the lack of availability of statistics on stable/appropriate accommodation for those clients with poor mental health.

 

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

 

RESOLVED that the performance report be noted and accepted and the Board undertake a future piece of work on the gap in employment rate for those with poor mental health.

 

 

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