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/ and is attached separately for Board Members.

The Board received 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 in December 2016;

GCSE Attainment 2015-16, Alcohol-Related Admissions 2015-16, Healthy Life Expectancy (Male) 2013 to 2015, Healthy Life Expectancy (Female) 2013 to 2015, Re-offending Rate 2014, Rough Sleeping Rate 2016, Emotional Wellbeing of Looked After Children 2015-16 and Self-reported Wellbeing (low happiness score) 2015-16.

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 reports pack. Areas with a red rating included Fuel Poverty and Hospital Admissions for Self-harm, aged 10 - 24.

The report also featured a summary of the priority areas (March 2017):

Children, Young People & Families - Teenage conception rates were falling and levels of development at school entry were improving, although variations in excess weight, poverty, GCSE attainment and alcohol harm persisted.

Living Well - Smoking rates and deaths from preventable causes were falling, and levels of excess weight, physically activity and fruit and vegetable consumption compared favourably with similar areas.

Good Health and Wellbeing in Older Age - Deaths at home, healthy life expectancy, falls and GP support compared well in Devon, but whilst the service was effective, the coverage of re-ablement services was lower.

Strong and Supportive Communities - Housing-related measures, including fuel poverty, dwelling hazards and rough sleeping levels were a cause of concern in Devon.

Life Long Mental Health - Whilst general wellbeing was better, poorer outcomes were evident for those with mental health problems.

Table 5 of the report showed how Devon compared with the Local Authority Comparator Group (LACG) for all Health and Wellbeing outcome measures (March 2017). This included how Devon compared / performed against both the LACG and England and their rank position.

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;

·         Why Exeter was reporting a particularly high number of rough sleepers and the links between high housing costs;

·         The new processes and links with CAMHS in respect of young people entering the care system;

·         The attainment statistics for GCSE’s in the North Devon and Torridge areas and the concern that the inequalities graph appeared to show a widening rather than improvement (further work would be undertaken on this, albeit this was a national issue, aligned to a particular cohort of students); and

·         The issue for the Council with a limited influence over academy schools and their performance.

The Board noted that the updated figures in relation to educational performance would be incorporated into the Joint Strategic Needs Assessment, which was being brought to the Board in June 2017.