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 2020-2025.

The appendix is available at https://www.devonhealthandwellbeing.org.uk/strategies/

The Board considered a Report from the Director of Public Health, on the

performance for the Board, which monitored the priorities identified in the

Joint Health and Wellbeing Strategy for Devon 2020-25.

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 full Health and Wellbeing Outcomes Report for January 2021, along with this paper, was available on the Devon Health and Wellbeing website: www.devonhealthandwellbeing.org.uk/jsna/healthandwellbeingoutcomesreport  

The Report monitored the four Joint Health and Wellbeing Strategy 2020-25 priorities, and included breakdowns by local authority, district and trends over time. These priorities areas included:

· Create opportunities for all

· Healthy safe, strong and sustainable communities

· Focus on mental health

· Maintain good health for all

The indicators below had all been updated since the last report to the Board;

• Key Stage 4 Performance, 2019/20 - the percentage of pupils achieving grades 5 or above (in English and Mathematics GCSEs) in Devon was 48.7%. This was significantly lower compared to the England average of 49.9%;
• Overall Rate of Crime, 2019/20 - in Devon, the rate of crime from incidents recorded by the police was 47.4 per 1,000 population, a rate which was significantly lower compared to the England average;
• Emergency Hospital Admissions for Intentional Self-Harm, 2019/20 - in Devon, the rate of emergency hospitalisations for self-harm was 230.1 per 100,000 population, a rate which was significantly higher compared to the England average. Across Devon, there was variation in rates across the Districts. North Devon and Torridge rates were significantly higher compared to the England average (326.8 and 253.8 respectively).
• Self-Reported Wellbeing (low happiness score %), 2019/20 - the percentage of people who self-reported with a low happiness score in Devon was 5.7%. This is significantly lower compared to the England average of 8.7%
• Social Contentedness, 2019/20 - The percentage of service users who reported that ‘they had as much social contact as they would like’ in the Adult Social Care and Carers Survey in Devon was 45.8%. This was statistically similar compared to the England average.
• Alcohol-Specific Admissions in Under 18s, 2017-20 - in Devon, the rate of under 18s hospitalisations for alcohol specific causes was 51.4 per 100,000 population, a rate which was significantly higher compared to England average.
• Cancer Diagnosed at Stage 1 or 2, 2018 - the percentage of cancers diagnosed at an early stage in Devon was 58.4%. This was significantly higher compared to the England average of 55.0%. Across Devon, there was some variation across the Districts. East Devon, Exeter, South Hams and Teignbridge were significantly higher compared to the England average (58.9%, 60.4%, 59.6% and 58.8% respectively).
• Re-ablement Services (Effectiveness), 2019/20 - the percentage of persons 65 and over who were still at home 31 days after discharge into reablement/rehabilitation in Devon was 85.8%. This was significantly higher compared to the England average of 82.0%
• Re-ablement Services (Coverage), 2019/20 - the percentage of persons 65 and over who were offered reablement services following discharge in Devon was 1.7%. This was significantly lower compared to the England average of 2.6%
• Injuries Due to Falls, 2019/20 - in Devon, the rate of hospitalisations for fall-related injuries in persons 65 and over was 1697.8 per 100,000 population, a rate which was significantly lower compared to the England average.

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;

·      concerns around the level of self-harming amongst young people which had been an issue for some years, which contradicted the information around self-reported wellbeing and social contentedness.  There were concerns that more needed to be done to support younger people, especially given the past 12 months; and,

·      alcohol specific admissions in under-18s and the links to deprivation in Devon.

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

RESOLVED that

(a)  the performance report be noted and accepted;

(b)  a future update be given on self-harming and the work being done to support young people; and,

(c)  a report be produced providing an in-depth look at alcohol specific admissions in under-18s and the links to deprivation in Devon.