Briefing Note of the Director of Public Health and Wellbeing.
Note: The Members of the Health And Social Care Scrutiny Board (5) have been invited to attend for this item.
Minutes:
The Scrutiny Co-ordination Committee considered a briefing note and presentation which provided an update on the work of Coventry City Council Public Health to reduce health inequalities and assist other teams within the Council with evidence and data to underpin efficient delivery of services.
The briefing note indicated that health inequalities refers to unfair and avoidable differences in people’s lives. This might refer to the number of years a person can expect to live or the number of years they might live in good health. Coventry is working together as a city to tackle and improve outcomes for residents. Whilst it would be easy to believe that this comes down to genetics or how someone behaves, the reality is that how much money families have, access to education and living conditions have an integral part to play in our health. Health inequalities are constant, no matter which population is considered, but the aim is to reduce the inequalities as far as possible.
With regard to the local picture, the briefing note provided information on the following areas:
· Life expectancy at birth in England (2021-2023)
· Life expectancy and healthy life expectancy at birth
· Population health data
· Why Coventry became a Marmot City – the Marmot Principles
· Impact of Public Health and being a Marmot City
· Public Health role in leading health improvement
· Changes to indices of multiple deprivation
· Work and health
· Reducing inequalities in Early Years
· Coventry Health Determinants Research Collaboration (HDRC)
· Key aims of the Coventry HDRC
· Initial HDRC Priority Areas aligned with One Coventry and Marmot Principles
· Impact of the HDRC on health inequalities
· Where do we go from here in reducing health inequalities?
The presentation covered various elements of health inequality, including:
· What is happening nationally
· Local context
o the good (public health outcomes framework)
o the not so good (public health outcomes framework)
· Marmot Cities – Coventry was the first, many followed.
· Positive Impacts on Residents Health
· Marmot – It’s a partnership
· Where do we go from here? – Marmot 2.0
· Health Determinants Research Collaboration (HDRC) – role in contributing to the reduction of health inequalities.
· HDRC action in priority areas and intended impact.
The Committee asked questions, received responses from officers and requested additional information in respect of the following:
a) More recent data in relation to public sector expenditure on services by function as a % of GDPR and life expectancy at birth for males and females in England.
b) Further evidence of the impact of Marmot locally and details of ongoing / future projects, with a particular view to support future funding requests should they be required.
c) Details of measurable objectives and key performance indicators.
RESOLVED that, the Scrutiny Co-ordination Committee:
1. Notes Public Health progress to date on health inequalities, progress as a Marmot City and as host of the Coventry Health Determinants Research Collaboration.
2. Supports the renewed direction of public health work in further addressing health inequalities with the Marmot 2.0 approach.
3. Requests that additional information be circulated in respect of items a to c above.
Supporting documents: