Agenda and minutes

The Chair, Cllr Jeffrey Kaufman, welcomed attendees to the meeting.

He confirmed this was the first formal Health & Wellbeing Board Summit, as a result of a restructure to this group last April. All attendees from the previous ‘3 health-focused’ meetings have been invited to attend, along with other local Health Providers.

The plan for the meeting is to begin with the 3 presentations as shown on the Agenda. This will be followed by an evaluation of what has been achieved over the last 12 months. Then a discussion on the new priorities for 2017/18.

Inspector Michael Cawley 

Cllr Ms K Chalk

Stephen Glazebrook

Julia Leadbetter      

Helen Loydall          

Susanne Lucas

Ruth Mann   

Amy McCue 

James Naylor

Dr Vivek Varakantam         

Angela Bright          

Mike Sandys

Two actions were identified from the January 2017 meeting:

Item: No 3:      Substance / Alcohol Misuse

1. Ruth Day – to analyse how many people access their service from the Oadby and Wigston area.

Ruth Day confirmed: individuals in treatment in the Oadby/ Wigston area currently sits at approx. 85 people. This has been as high as 126 in last 12 months.

2. ZaheeraChatra (Stop Smoking Service Manger) to forward Quit Ready promotional information

Confirmation that this has been received, and the promotional information has been uploaded on the Health & Wellbeing Board’s dedicated health webpage, Active Oadby Wigston.  www.activeoadbywigston.org.uk/health

Angela Bright (Chief Operating Officer West Leicestershire CCG and SRO for Integrated Teams)

Angela Bright (Chief Operating Officer West Leicestershire CCG and SRO for Integrated Teams), provided an overview of the new models of care. STP builds on the work of our Better Care Together programme.

This plan addresses the development of local health and social care services over the next five years and have been drawn up by health and care organisations from across the area. It is clear that there is an increasing demand on the health services, particularly by individuals with a variety of long-term multiple health conditions. GPs cannot deal with multiple conditions within a 10 minute consultation. The key message is about working together jointly and collectively to meet demand. The aim is to develop a deep understand of patients and service users and think of new ways of working to manage conditions and access to services.

Locality Leadership Teams have been set up. There is one in Oadby and Wigston lead by Dr Vivek Varakantam, it was formed in December 2016. A lead Officer and Councillor representative from OWBC will be invited to meet with the group soon, meeting date to be confirmed.

The aim in the future is to deliver more care and support in the community than in the acute sector. Integrated Locality Teams will be responsible for joining up and coordinating the care provided by multiple professionals to patients within their defined geographical place (locality).  The focus for phase 1 of the programme will be groups of patients who are considered most at risk of their care escalating into the acute setting. Three priority groups have been identified of patients who will initially benefit from the Integrated Locality Team model in Leicester, Leicestershire and Rutland. Integrated Locality Teams will concentrate on the following with effect from April 2017:

• Adults with five or more long term conditions.
• Adults whose acute care costs are predicted to be three times the average over the next twelve months.
• People with a frailty marker regardless of age (impaired function)

Full presentation can be accessed at Appendix 1. Other supporting documentation can be accessed at Appendix 1a, b, c, d and e.

Mike Sandys (Director of Public Health Leicestershire County Council)

Mike Sandy’s, Director of Public Health, provided an overview of the 2016 Annual Report. This included the health of the county population and an overview of workplace health. He discussed the current Health Profiles across the Oadby and Wigston; the positive element is that Oadby and Wigston do not have many ‘Reds’, and although we continue to be Red rating for Diabetes, Leicestershire has been Red for Diabetes for a number of years. Full presentation can be accessed at Appendix 2.

There are a number of Amber indicators for Oadby and Wigston, Homelessness and GCSE results for example (see slide 3 & 4), which Mike confirmed need monitoring, but are not major priorities. 

Oadby and Wigston was identified as being in the Top 10 performance in the Country for 2016 for ‘Infant mortality’ and 2^nd best for ‘Killed & seriously injured on roads’ which is positive (see slide 5). Slide 6 shows another positive as the borough does not feature in the bottom 10 performance indicators in the country for 2016.

Mike Sandys (Director of Public Health Leicestershire County Council)

Mike Sandy’s, Director of Public Health provided an overview of the Joint Health and Wellbeing Strategy.  The key aim is collaboration, to get as much from the Leicestershire pound as possible, jointly.

An outcome based approach is key. Mike confirmed five key areas:

1. The people of Leicestershire are able to take responsibility for their own health and wellbeing
2. The gap between health outcomes for different people and places has reduced
3. Children and young people in Leicestershire are safe and living in families where they can achieve their potential and have good health and wellbeing
4. People plan ahead to age well and stay healthy and older people feel they have a good quality of life
5. People know how to take care of the mental health and wellbeing of themselves and their family

Mike is in the process of producing a delivery plan, a draft of which will be available at the end of April. Mike to forward draft plan when available.

Full presentation can be accessed at Appendix 3.

·      Group 1: Dementia / Mental Health

·      Group 2: Diabetes / Healthy Weight

·      Group 3: Substance / Alcohol Misuse

Attendees were split into the three health priority themed groups, in order to identify key achievements from the last 12 months. At the end of the discussion each group lead fed back to the whole group on key achievements, in addition to identifying possible challenges going forwards.

Summary of findings from all three groups can be found in Appendix 4.

Attendees split into three working groups to discuss their organisation’s priorities for 2017/18, whilst being mindful of the Red and Amber rated health issues identified in Mike Sandys’ presentation. All groups were given access to the 2016 Health Profile documentation.

At the end of the discussion each group lead fed back to the whole group on their identified priorities for 2017/18, together with the support required from the HWBB and its partner organisations.

One of the borough’s key priorities continues to be Diabetes, however it was noted that the increase in numbers may be down to an improved identification process in place by GPs and health professionals.

Summary of findings from all three groups can be found in Appendix 5.

One key area identified by the Oadby and Wigston HWBB during 2016/17 was the need to help Public Health reduce the number of admissions to hospital. All will be aware of last winter’s crisis experienced at many hospitals, including Leicester, where low-risk patients were clogging up A&E departments. We aim to do this by helping to educate local people to seek help early rather than late; as a first point of contact by using the 111 helpline; using the Walk in Centres; or taking advice from their local pharmacist. As well as supporting people to avoid ill health through prevention, intervention e.g. promotion of healthy lifestyles. It was noted that we all should be working towards encouraging a healthier community, where communities and individuals help themselves.

In addition, and in preparation for next winter, the HWBB aims to encourage more residents to take up the free flu jab and other preventative measures by using a range of communication methods to get the message out.

The final 2017/18 HWBB priorities will be confirmed once all data has been fully analysed.

The next meeting of the O&W HWBB will be in July 2017, however all dates will be confirmed to core group members and partner organisations after the OWBC AGM in May 2017.