Presentation by Rachel Chapman, Consultant Public Health
Minutes:
The Board received a presentation from Rachel Chapman, Consultant Public Health, on behalf of the Coventry and Warwickshire Inequalities Task Group, which provided an update on progress with the ICS Inequalities Strategic Plan.
The presentation set out the background and national requirements for the strategy which involved a 5 year strategic inequalities plan that was fully embedded and delivered at ICS level. The strategy had the following aims:
· To strive towards health equity for the population of Coventry and Warwickshire.
· To make reducing inequalities the golden thread through all of our work
· To challenge the whole system on how they can contribute and embed action.
Health inequalities were unfair and avoidable differences in health across the population, and between different groups within society. Data provided information about male and female life expectancy across Coventry and Warwickshire. The strategy to tackle health inequalities was based on a Population Health approach using the four pillars. The major projects within these four areas were highlighted. Reference was made to Coventry being a Marmot City and to the key role of the Board.
The presentation detailed the Core 20 Plus 5 initiative which was designed to drive targeted health inequality improvements using a target population (the most deprived 20% of the population) tackling the following 5 key clinical areas of health inequalities: maternity; early cancer diagnosis; severe mental illness; chronic respiratory disease; and hypertension case-finding. Details of Coventry and Warwickshire’s most deprived populations by location were highlighted.
It was proposed that there be a focus on the ‘Plus’ groups - groups that risked “falling between the cracks” with poor outcomes. Proposed groups were:
i) Coventry and Warwickshire:
Transient and newly arrived populations, (gypsies and travellers, boaters, refugees and asylum seekers)
Families who are at risk of poor outcomes
ii) Coventry:
People on long term sickness benefit
iii) Warwickshire:
People with a disability (sensory and development)
Rural isolation
Ethnic minority groups.
The presentation set out the following six local high impact actions to address inequalities:
(i) Financial strategy – applying universal proportionalism
(ii) Economic recovery – engagement with wider businesses and the local LEP
(iii) Workforce – diversity and recruitment
(iv) Population health management – data monitoring and engagement
(v) Commissioning and procurement – support social value and local supply chains
(vi) Digital inclusion – joining up Digital Transformation Board and bottom-up approaches.
Further information was provided on the evidence-based approach that would be used; the system delivery; and the governance arrangements including the role of the Health and Wellbeing Board to enable delivery. Ownership and overall responsibility for the Strategy would belong to the Integrated Care Partnership / Integrated Care Board. Plans for system engagement were also detailed which included this Board as part of the Coventry element. The presentation set out how success would be monitored from inputs; activities; outputs; outcomes; and impact.
The presentation concluded with the following next steps:
· System engagement
· Develop the Governance framework
· Identify major inequalities work programmes with the biggest impact, and how to shift resources
· Develop the monitoring framework.
Members asked about when co-production would start to make a difference that could be measured. The importance of co-production and sharing knowledge and ideas was acknowledged.
RESOLVED that the contents of the presentation be noted.