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 attached, but also available at: http://www.devonhealthandwellbeing.org.uk/jsna/health-and-wellbeing-outcomes-report/

The Board considered a report from the Chief Officer for Community, 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 four 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 four indicators below had all been updated since the last report to the Board;

·         Adult Smoking Prevalence, 2016 (latest figures suggests that 12.6% of the adult population in Devon smoke, which is below the South West (13.9%) and England rate (15.5%)):

·         Feel Supported to Manage Own Condition, 2016-17 (67.5% of those with a long-term condition felt they had enough support to manage their own condition, higher than the South West (65.2%) and England rates (63.3%));

·         Fuel poverty, 2015 (approx. one in eight households in Devon is in fuel poverty at 12.17%); and

·         Estimated Dementia Diagnosis Rate (65+), 2017 (recent data showed that Devon (60.6%) was lower than the South West (62.8%) and significantly lower than England (67.9%) rates).

Following approval at a previous meeting, a Red, Amber, Green (RAG) rating was included in the indicator list and a performance summary on page 12 of the full report. Areas with a red rating included fuel poverty, hospital admissions for self-harm (aged 10 – 24) and estimated dementia diagnosis rates (65+).

The report featured a table showing how Devon compared with the Local Authority Comparator Group (LACG) for all Health and Wellbeing outcome measures (September 2017). This included how Devon compared / performed against both the LACG and England and their rank position. A further table showed the Priority Area Summaries, which included progress against those priority areas including, inter alia, teenage conception rates, poverty, GCSE attainment and alcohol harm, smoking rates and deaths from preventable causes, levels of excess weight, fruit and vegetable consumption, deaths at home, healthy life expectancy, falls, dwelling hazards and rough sleeping levels. Also suicide rates, self-harm and the mental wellbeing of local service users.

Following discussion at the June 2017 Health and Wellbeing Board and as requested, the report included a further analysis of self-harm related admissions in 10 to 24 year olds, as the rates in Devon were significantly above South West, local authority comparator group and England levels. Table 4 of the report showed the total bed days per 100,000 population and revealed that Devon did not experience higher levels of zero day length of stay admissions and in fact had longer average lengths of stay than the South West, local authority comparator group and England. The Public Health England Local Knowledge and Intelligence Service is coordinating a detailed analysis of self-harm admission rates with an initial focus on the ratio of admissions to patients.

The findings of the analysis would be reported to the Board in the December 2017 outcomes paper.

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 rurality was truly reflected in the presented data;

·         that fuel poverty was a cause for concern, that even when infrastructure was available for new connections, affordability was an issue and the recent bid for £2.8m for the ‘warm homes fund’, on which the Cabinet Member would report back in due course;

·         the work that had been undertaken on improving dementia diagnosis rates and whether any new initiatives had been introduced since to improve the situation further;

·         a reinforcement of the concern over self-harm related admissions in young people and there were a number of possible hypotheses, therefore all were being considered in order to improve the co-ordination of services; and

·         whether the indicators currently designated as ‘amber’ were sufficiently monitored prior to them becoming a ‘red’ rating;

RESOLVED that the performance report be noted, accepted and that further detail will be brought to the Board on self-harm related admissions on 14 December 2017.