Agenda item

Report of Liz Gaulton, Director of Public Health and Wellbeing

The Board considered a report of Liz Gaulton, Director of Public Health and Wellbeing, which provided an update on progress with the place-based Joint Strategic Needs Assessment (JSNA) and informed about the process for development of a refreshed Joint Health and Wellbeing Strategy.

The report indicated that a new place-based JSNA was being developed in Coventry for the period 2019 to 2022 to help partners understand needs and assets at a local level. The refreshed Health and Wellbeing Strategy would translate the emerging JSNA findings into priorities for what the Board – through its members and wider partners - wanted to achieve over the next three years.

It was being developed in the context of an emerging Integrated Care System for Coventry and Warwickshire and with reference to the Health and Wellbeing Concordat and system design.

The Board had previously agreed to take a place-based approach to the JSNA, based around the 8 family hub geographies, reflecting national policy direction and a sub-regional move in Warwickshire towards a place-based approach. The Board were informed that work was now underway to develop:

•  a data profiler tool and citywide intelligence hub;

•  a citywide JSNA profile; and

•  two place-based profiles, initially Families for All (Foleshill); and The Moat (Moat House).

The two areas were selected because of existing activity and emergent place-based partnership working in the localities, where JSNA engagement would add value and help cement new ways of working across a range of initiatives. Reference was made to the successful engagement workshop held at the end of October with a wide range of partners and stakeholders interested in supporting the development of the JSNA, including representatives from the Foleshill and Moat House areas.

JSNA profiles for the remaining family hub areas of the city would be developed on a staged basis over two years, drawing on the learning from the initial place-based JSNA profiles.

The report informed that work was underway to refresh the Coventry Health and Wellbeing Strategy (HWBS). An officer steering group had been established, including representatives from the JSNA officer group, and the group met for the first time in December, 2018. The outline process and timeline for this work was detailed in the report.

The starting point in developing the revised HWBS would be to look at the impact of the three priorities in the existing Health and Wellbeing Strategy 2016-19:

·  Working together as a Marmot City: reducing health and wellbeing inequalities

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

·  Developing an integrated health and care system that provides the right help and support to enable people to live their lives well

The King’s Fund had recently published ‘A vision for population health: Towards a healthier future’, which outlined a framework for population health centred on four pillars. Their proposition was that an effective population health system needed to recognise and maximise the activity in the overlaps between the pillars, as well as develop activity in, and rebalance activity between, the four pillars themselves. The Board were informed that this could provide a helpful framework for exploring the potential future health and care priorities for Coventry. A workshop for Health and Wellbeing Board members and other senior partners was being planned for early March to test out the model and its relevance for Coventry as a way of reviewing the value of existing activity and identifying gaps and priorities.

It was intended that the consultation and engagement process for the HWBS would be an extension of the engagement activity that was integral to the JSNA approach.

An update on progress with the JSNA and the HWBS was to be submitted to the next Board meeting in April.

Members discussed how the household survey information would feed into the process and how the place based JSNA would help identify emerging issues for the city such as a rise in violence. This would help to provide opportunities for effective partnership preventative work. There was an acknowledgement of the importance of feeding back to communities/ organisations following engagement.

RESOLVED that:

(1) The progress made in the development of a place-based Joint Strategic Needs Assessment for Coventry be noted.

(2) The proposed approach to developing a refreshed Joint Health and Wellbeing Strategy be endorsed.

(3) Arrangements be put in place for a workshop for Health and Wellbeing Board members and other partners, potentially on the morning of 6^th March, to consider the Kings Fund population health model as a framework for informing the Health and Wellbeing Strategy priorities.