Presentation by Dr Jane Moore, Director of Public Health
Minutes:
Further to Minute 30/15, the Board received a presentation from Sarah Billiald, Collaborate which provided a summary of the work undertaken to date by the Board for their development and for creating the framework for the next Health and Well-being Strategy.
The presentation provided a timeline of the work undertaken since November which would lead to finalising the Health and Well-being Strategy and refreshing the way the Board operates at their final meeting of the current municipal year in April. There was a recap of the current focus and operation of the Board along with the opportunities for improvement and change to move forward the work of the Board. The key barriers to better well-being for Coventry residents that the Board would like to tackle were highlighted along with the key issues in relation to these barriers.
The presentation set out the following proposed vision for the Board:
‘Local people live happier, healthier, longer lives and have improved health and well-being during their lives.’
Information was provided on how the seven topics identified through the JSNA, Marmot and Board discussions had become the following three key priority areas:
i) Developing an accountable care system through the necessary system infrastructure which will improve resilience and enable a genuine focus on prevention as well as treatment
ii) Making sure that the health and well-being of those with complex and multiple needs (mental health, substance misuse and domestic abuse in particular) is improved
iii) Maintaining the focus on health inequalities, particularly by ensuring an equal chance of success for all children/ young people and good jobs for all to support the growth of Coventry (Marmot).
Detailed feedback was provided from the three workshops held to consider the above priority areas including the vision for these priorities and how they could be delivered. The presentation concluded with the timetable for progress for the first 100 days.
The Board gave detailed consideration to a number of issues arising from the presentation including:
· A concern that national changes were required while the Board operated at a local level
· The role of the Board to work in partnership whilst holding one another to account to ensure delivery of the agreed priorities
· An acknowledgement of individual organisational issues, the need to work within constraints and the requirement for cultural change
· The importance of using Boards/Operational Groups already in existence to be able to move issues forward
· The importance of the Board’s role in supporting the Council’s aspiration for Coventry to be a Top Ten City
· In the light of reducing financial resources, the need to reorganise and work differently to be able to deliver outcomes for the people of Coventry
· A suggestion that it might be appropriate for a small number of members to form a Leadership Group to lead on the priorities rather than the whole Board moving issues forward
· A concern at the lack of pace and focus to move to one accountable organisation
· A concern that the Board were continually discussing the same issues rather than ensuring that issues were moving forward
· The need for partners to be risk averse and not get caught up with data protection issues
· An acknowledgement of the transformation work of the integrated neighbourhood teams which involved the sharing of patient records
RESOLVED that:
(1) The three priorities of the Board outlined above be endorsed.
(2) The Director of Public Health to determine how to move forward at pace on each of the three priorities and to report back with detailed proposals at the next meeting of the Board in April.
(3) Approval be given for all Board Members to work together in partnership to manage change and to hold one another to account.
(4) The vision set out above be approved.