Agenda item

Briefing Note and Presentation of the Director of Public Health

The Board considered a report and presentation of the Director of Public Health which informed of the background, purpose and membership of the Health and Wellbeing Board and provided an overview of the priorities for the Health and Wellbeing Strategy for 2016-2019 highlighting progress to date. Juliet Hancox, Coventry and Rugby CCG, Councillor Abbott, Cabinet Member for Adult Services and Councillor Ali, Deputy Cabinet Member for Public Health and Sport attended the meeting for the consideration of this item.

The Coventry Health and Wellbeing Board was a statutory Board established as part of the 2012 Health and Social Care Act. Its purpose was to deliver strong and effective partnerships which improved the commissioning and delivery of services across the NHS and Local Government leading to improved health and wellbeing for local people. 

The Board were informed that the objectives of the Health and Wellbeing Strategy for 2016-2019 aimed to look wider than managing people’s health problems; recognised that people who had jobs, good housing and were connected to families and communities stayed healthier; and used the skills and capabilities that lay within communities and individuals to improve their health and wellbeing. Consequently the strategy focused on a small number of priorities that would make the biggest difference as follows:

·  Reducing health and wellbeing inequalities (as per Marmot)

·  Improving the health and wellbeing of individuals with multiple complex needs

·  Creating a place in which health and wellbeing of our people drives every that we do, by developing an integrated health and care system that meets the needs of the people of Coventry.

The report set out the case for change; the areas of focus; the expected outcomes; and the progress to date in respect of these priorities.

In respect of the priority to reduce health and wellbeing inequalities, the Board were informed of the commitment of Sir Michael Marmot and Public Health England to continue to work with Coventry for a further three years. It was the intention to raise Coventry’s profile as an exemplar city in this area of work. A launch event was held on 23^rd March, 2016 with all partners in attendance.

Partners would continue to work on existing projects along with the following two additional priorities:

(i) Tackling health inequalities disproportionally affecting young

(ii) Ensuring that all Coventry people, including vulnerable residents, can benefit from ‘good growth’ which will bring jobs, housing and other benefits to the city.

Progress with the second priority relating to individuals with complex multiple needs included the establishment of a Multiple Complex Needs Board, chaired by Danny Long, West Midlands Police to provide a re-designed, integrated and co-ordinated service for those experiencing two or more of the following: substance misuse, mental ill health, violence and sexual abuse.

The approach of the Board was evidenced based and work was being undertaken to map provisions of services as well as linking in with national initiatives. The Board aimed to ensure that the city would be given the necessary powers, responsibility and accountability to improve the lives of those most excluded due to their needs.

A Multiple Complex Needs Network was also to be established with a wider membership to collaborate, share best practice and promote and enhance service delivery.

Regarding progress with the third priority to develop an integrated health and care system, reference was made to the Sustainability and Transformation Plan, Minute 8 above refers. It was currently work in progress on the local priorities of mental health, maternity and paediatrics, frailty and musculoskeletal which were being considered under the broader categories of ‘in patient’ and ‘out of hospital care’. Reference was made to the Health and Well-being Board meeting on 27^th June when the Board endorsed the Coventry and Warwickshire Health and Wellbeing Alliance Condordat which set out the principles for joint working between the two Boards in relation to the Sustainable and Transformation Plan.

The Board questioned the officer on a number of issues and responses were provided, matters raised included:

·  Further information on the plans for joint working between the Coventry and Warwickshire Health and Wellbeing Boards

·  Clarification about the use of data to support the work on individuals with multiple complex needs and the impact of childhood experiences of abuse, i.e. the replication of behaviour patterns

·  The opportunities for services to operate in schools supporting both teachers and troubled families

·  Examples of the difficulties being faced when trying to engage and help troubled families

·  Further information about additional partners who are offering to support the work to help reduce health inequalities – Whitefriars, the Chamber of Commerce and the Department for Work and Pensions

·  In relation to the Sustainability and Transformation Plan and the recent input from NHS England, how to ensure that Coventry’s priorities were not diluted.

RESOLVED that:

(1) The update on the Health and Wellbeing Strategy for 2016-2019 be noted.

(2) The proposed priorities for the Coventry Health and Wellbeing Strategy be endorsed.