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, attached.

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:

·         Excess Weight in Four / Five Year Olds, 2016-17 – Levels of excess weight in reception year children (22.8%) were similar to the South West comparator group and national rates;

·         Excess Weight in 10 / 11 Year Olds, 2016-17 – Levels of excess weight in year six (29.3%) were below South West comparator group and national rates;

·         Teenage Conception Rate, Q2 2016 – Conceptions to under 18s had fallen in Devon and were similar to South West and comparator group rates;

·         Excess Weight in Adults, 2015-16 – According to the Active People Survey, 61.6% of the adult population in Devon were overweight or obese (broadly similar to South West comparator group and national rates);

·         Proportion of Physically Active Adults, 2015-16 – revealed that 69.9% of the Devon adult population were active for at least 150 minutes per week, which was above regional and national rates;

·         Diet – Fruit and Veg ‘5-a-day’, 2015-16 – 64.3% of the adult population in Devon consumed five or more portions of fruit and vegetables per day (significantly above South West comparator group and national rates);

·         Mortality rate from preventable causes, 2014-2016 – the age-standardised mortality rate in Devon (159.7 per 100,000) was significantly below South West comparator group and England rates. However, the rate of decline had slowed in recent years and inequalities persisted;

·         Reablement Services (Effectiveness), 2016-17 – in Devon, 86.8% of older people were still at home 91 days after discharge from hospital into Reablement services, (significantly above the South West comparator group and national rates);

·         Reablement Services (Coverage), 2016-17 – In 2016-17, 1.8% of older people discharged from hospital in Devon were offered Reablement services (significantly lower than South West comparator group and national rates);

·         Deaths in Usual Place of Residence, 2016 – 54.9% of Devon residents dying in 2016 did so in their usual place of residence, which was significantly above South West, comparator group and national rates; 

·         Stable and Appropriate Accommodation (Learning Disabilities), 2016-17 – 78.4% of adults with a learning disability in Devon were living in their own home or with family, which was above South West comparator group and national rates;

·         Stable and Appropriate Accommodation (Mental Health Clients), 2016-17 – 60.0% of adults in contact with a secondary mental health service were living in stable and appropriate accommodation, which was below the South West, but above comparator group and national rates.

·         Suicide Rate, 2014-2016 – There were around 70 suicides per annum in Devon, with rates remaining around or slightly above the national average;

·         Social Contentedness, 2016-17 – 44% of social care users reported being satisfied with their social situation, (which was below South West comparator group and national rates).

The Board, in discussion, highlighted and asked questions on:

·         the rise in obesity levels amongst children and adults and national and local campaigns to address this including the Sugar Smart City campaign in Exeter;

·         working with Early Years settings to improve healthy lifestyle habits;

·         Reablement Services and the aim to increase the number of people who received this high level of care; (to be considered at a future meeting);

·         the causes of repeat self-harmers and whether they received a sufficient level of care at first contact, to give them the means to look after themselves;

·         pathways for people with mental health issues to access services; and

·         the increase in homelessness and rough sleeping; Cllr Philip Sanders, as the District Council representative, agreed to lead a discussion at the next Board meeting. 

RESOLVED that the performance report be noted and accepted.