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 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 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;

·         Teenage conception rate, 2015 (latest rate (18.3 per 1,000 females aged 15 to 17) was broadly in line with South West (17.0). Rates had fallen significantly over recent years);

·         Alcohol-specific admissions in under 18s, 2015-16 (rate per 100,000 population was broadly in line with South West rate (46.8), and significantly above the local authority comparator group (39.3) and England (37.3) rate);

·         Alcohol-related admissions, Q3 2016-17 (Admission rates had fallen on 2014-15 levels and were significantly below the South West and England rates);

·         Male life expectancy gap, 2013 to 2015 (For males the average gap between the most and least deprived communities was 5.9 years, significantly lower than the gaps for the South West (7.7), and England (8.2)):

·         Female life expectancy gap, 2013 to 2015 (For females the average gap between the most and least deprived communities was 3.9 years, significantly lower than the gaps for the South West (5.0), and England (6.4));

·         Injuries due to falls, 2015-16 (the rate per 100,000 was 1788.0, below the South West (2046.5), local authority comparator group (1954.8) and England (2169.4) rates);

·         Reported domestic violence incidents per 1,000 population, 2014 (Devon’s rate of 12.00 per 1,000, was below the South West (19.37), comparator group (19.34) and England (22.07) rates):

·         Hospital admissions for self-harm in persons aged 10 to 24, 2015-16 (admission rate per 100,000 in Devon was 614.1, higher than the South West (597.8), local authority comparator group (507.6) and England (430.5) rates); and

·         Gap in employment rate (mental health service users), 2015-16 (the gap in employment rate between mental health service users and the overall employment rate in Devon (73.2%) was wider than the gap for the South West (68.0%), and England (67.2%).

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

The report also featured 3 tables, table 1 showing a summary of the indicators, the latest available rate, an indication of trend and a quick comparison between Devon, the South West and England, table 2 giving a short textual summary covering the five priority areas and table 3 compared the indicators with Devon’s local authority comparator group, a group of similar local authorities, and was ordered according to Devon’s ranking.

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;

·         Clarification on the Domestic Violence incidents figures and whether there was an explanation for Devon’s figures being lower than the South West average or comparator groups and the role of the Strategy in tackling the key issues;

·         That the ongoing work on self-harm was welcomed and further information would be available at the next meeting;

·         The successful reduction in teenage conceptions in the Exeter area and whether any of the initiatives could be replicated across the County;

·         That further investigation would be made into the figures relating to the gap in employment rate for life long mental health; and

·         Whether any analysis had been done in comparison of the above with people who had learning disabilities.

It was MOVED by Councillor Leadbetter, SECONDED by Dr Pearson, and

RESOLVED that the performance report be noted and accepted.