Agenda item

Officers provided a report which gave the Board an opportunity to review the current Health and Wellbeing Strategy and begin the development of the future Strategy. The Strategy would underpin the Board’s work programme and communication and engagement Strategy (both covered in items on elsewhere on the agenda).

The current Health & Wellbeing Strategy commenced in 2012 for three years; it was agreed as part of the development that there would be an annual refresh of the data and priorities to reflect the latest evidence from the JSNA and monitoring reports.  It was also the opportunity to outline current drivers especially as the Health and Social Care areas changed and became more fully integrated.

Board Members noted an update on each of the nine priorities with  summary of the main achievements over the last two years, a red, amber and green rating (RAG) based on the progress against the three year outcomes and finally a summary of the planned actions for 2014/15. This was currently being finalised with key partners including the Council, Bromley CCG and third sector partners. It was planned that during 2014/15 all nine priorities would be monitored and reported to the HWB during the course of the year.

The Strategy developed in 2012 outlined the proposed changes in both health and social care organisations, these changes had now been implemented in part and in relation to further integration these plans had become more developed locally. The evidence base of the 2012 version of the Strategy had also been updated to reflect the 2012 JSNA and other more up to date sources. This document would be finalised and circulated for sign off at the HWB March meeting, with February being used to collate feedback and comments on the content of this refreshed Strategy.

It was planned that work on the 2015 – 18 Health and Wellbeing Strategy will begin as soon as the 2013 JSNA was presented for sign off by the HWB (September 2014). A facilitated HWB workshop where the potential areas to be considered as priorities in the future Strategy, the draft Strategy would be developed for engagement events early in 2015 for launching and implementation from April 2015.

The Chairman was pleased to see the ratings included in the Strategy,  this was one of the suggestions from the Board’s “Away Day” in October.

Councillor Jefferys felt that close attention needed to be paid to the wording and detail and that the issues contained needed to be cross referenced.  He was aware that in relation to obesity and diabetes there are a number of other issues, in the instance of these two medical conditions he would expect to see the prevalence rise to indicate that patients are being indentified.  There were a number of other areas he would like to discuss and it was agreed that these discussions would take place outside the meeting.

Dr Lemic explained that the document being presented was the summary document and the full plan contained details on priority areas led by groups and action plans within these groups.

With regard to diagnosis of diabetes she was pleased to report that Bromley GP’s were very good at identifying patients and the proportions of undiagnosed diabetes were less than elsewhere.  She confirmed that it was likely that the incidence of diabetes may rise.  Diabetes was a major problem and that was the reason for trying to develop a programme to address it.

The proposal was for the refresh Strategy to be circulated to the Board in mid-February for agreement and to ensure it contained the right targets.  The Chairman reminded the Members of the Board that it was important that they fed into the Strategy.

The Board questioned the “Falls Service” but was informed that this  was within the remit of the ProMISE service and contained in a report elsewhere on the agenda.

Officers reassured the Board that carers were being identified in all areas and that they were trying to stimulate more carers to register.  This was an area where GP colleagues were providing help. However it was acknowledged that the full picture regarding carers was still not clear.

In relation to obesity, Councillor Evans questioned the reported activity targets of 69.1% and the nature of the sample of people questioned.  Dr Lemic explained that activity was not necessarily just exercise it also referred to activities such as housework and gardening.  She was not able to confirm the size of the sample and it was agreed that she would provide additional information outside of the meeting. She also confirmed that more detailed information was contained on the JSNA.

Officers would bring regular updates back to the Board.

RESOLVED that:

1. the report, 2012/14 achievements and 2014/15 planned actions be noted (appendix 1);
2. the timescales for completing this refresh be agreed;
3. the monitoring reports for the nine current priorities be agreed;
4. the suggested approach for development of the next Strategy be endorsed.