Agenda item

including an update on the SEL ICS Strategy

Report ACH23-017

The Board considered a report outlining the proposed structure for the new Joint Health and Wellbeing Strategy.

The Director of Public Health noted that at the Health and Wellbeing Strategy workshop, held on 8^th December 2022, Members of the Board had discussed in small groups the potential priority areas for the focus of the next publication of the Health and Wellbeing Strategy. The proposed structure for the new Joint Health and Wellbeing Strategy was as follows:

-  Foreword

-  Contents

-  Introduction

-  What has happened since the last strategy?

-  Our process to develop this Strategy

-  Our Vision / Ambition (linking to the ICS strategy and ICB priorities)

-  Our Priorities – overview of each priority area (Improving Health and Wellbeing of young people; Improving Health and Wellbeing of Adults; Disease prevention and helping people to stay well)

-  Our Implementation plan (linking to the ICS strategy and ICB priorities)

-  How we will measure progress (linking to the ICS strategy and ICB priorities)

The plan would have three overarching priority areas:

1)  Improving Health and Wellbeing of young people (to include obesity, youth violence, adolescent mental health);

2)  Improving Health and Wellbeing of Adults (to include obesity, diabetes, dementia, mental health, substance misuse); and,

3)  Disease prevention and helping people to stay well (linking with our ICB prevention priority and achieving this through our vital 5 work).

Monitoring these areas would be achieved by the following:

1)  For the ‘Improving Health and Wellbeing of young people’ priority area it was suggested that the Children’s Executive Board lead on this;

2)  For the ‘Improving Health and Wellbeing of Adults’ priority groups were already set up and identified whom it was suggested take a lead on each of these. For example, the Diabetes Partnership Group, the Bromley Obesity Working Group, Bromley Mental Health and Wellbeing Partnership Board, Combatting Drugs and Alcohol Partnership Board; and,

3)  For the ‘Disease Prevention and helping people to stay well’ priority this was work that was currently being undertaken with the ICB and would be picked up in these workstreams.

These groups would be asked about their priorities, and asked to include the Health and Wellbeing Strategy priorities in their action plans. The Public Health team would work on the development of the new strategy over the summer, and it was proposed that a draft be brought to the Health and Wellbeing Board meeting on 21^st September 2023.

The Bromley Place Executive Director – NHS South East London (“Bromley Place Executive Director”) provided an update on the South East London Strategy and Joint Forward Plan and the development of the One Bromley 5 Year Strategy. It was noted that the three priorities summarised by the Director of Public Health aligned well with the other strategies to be brought together. The ICS had identified the following five priorities:

•  Become better at preventing ill health and helping people in south east London to live healthier lives;

•  Ensuring parents, children and families receive the most effective support before and during childbirth and in early years;

•  Ensuring that children and young people receive early and effective support for common mental health challenges;

•  Ensuring that adults in south east London receive early and effective support for common mental health challenges; and,

•  Ensuring that people, including those with continuing health needs, can conveniently access high quality primary care services

The Bromley Place Executive Director highlighted that the priorities for the Health and Wellbeing Strategy would also closely align with the draft One Bromley 5 Year Strategy. There would be specific priorities related to delivering care closer to home; developing neighbourhoods through which care could be delivered; ensuring good access to urgent care; and improving the health of the population.

A Member highlighted the need to target services in order to meet outcomes. Another area to consider was myth-busting – there were often presumptions, and different communities may look at health in different ways. The Chairman agreed that these were important points, but it was noted that some of this work would be operational and would need to be taken forward by health partners. The Director of Public Health advised that the overarching themes identified already had partner groups established that looked into the specifics. The groups could be asked to identify how they would address the issue of targeting communities.

A Member considered that prevention was key, and things such as having access to healthy food in the local area was important. There was more need in the outer areas of the borough, and some of the centres would need to be located in these areas, rather than central Bromley, as people tended not to travel. The Director of Public Health advised that prevention was a whole priority area. In terms of targeting specific areas, it was noted that discussions and work in relation to this was ongoing with One Bromley partners and the ICB, and the JSNA chapter on Morbidity and Mortality in Bromley would contain information that assisted this further.

RESOLVED that:

i.)  the proposed structure for the new Joint Health and Wellbeing Strategy be agreed; and,

ii.)  the update on the South East London Strategy and Joint Forward Plan and the development of the One Bromley 5 Year Strategy be noted.