Purpose of the report: To provide the Health and Wellbeing Board with an update on progress against the ‘Developing a Preventative Approach’ priority in the Joint Health and Wellbeing Strategy since the Board’s last update in January.
Minutes:
Witnesses:
Catherine Croucher, Public Health Consultant, Surrey County
Council
Bryn Strudwick, Surrey Fire and Rescue
Key
points of discussion:
1.
Officers noted that the emphasis of this Priority
Update on prevention had shifted in this update towards the
Sustainability and Transformation Partnership (STP) programmes and
the development of their prevention plans.
2.
The air quality achievement and outcome was
highlighted by officers, noting the establishment and work of the
Surrey Air Alliance to raise the awareness and impact of air
quality on physical and mental health.
3.
It was noted that road traffic, and the consequences
of, was the primary area of concern regarding air quality. It was
stressed that a behavioural change regarding the use of motor
vehicles was required and was being promoted.
4.
Members questioned recycling and waste disposal
methods used, and noted that the Surrey Waste Plan suggested that
it would use incineration methods to remove some waste. It was
suggested by Members that this could have a detrimental impact upon
air quality and should be monitored by the service. Officers agreed
to look into this.
5.
It was questioned by Members whether the service
formulated a data set of key areas at risk from poor air quality
and whether this was available to the public. Officers noted that
this was in development and that it would be shared with the Board
upon completion.
6.
Members asked what this impact of the Surrey Air
Alliance would be on District and Borough Authorities and
questioned whether they were sufficiently engaged with this group.
Officers stressed that Borough and District Authorities were key
partners in the Surrey Air Alliance and that they were well engaged
with the group.
7.
Members stressed that hospitals would need to be
engaged as a key partner, due to the high levels of emissions that
are put out by them. It was noted by officers that hospitals were a
key part of this initiative and that energy sustainability was an
aspect of the work on the sustainable hospitals model.
8.
District and Borough
Members noted that air quality was a key aspect of local plans, but
that there were no specific targets included.
9.
The work around the Surrey Fire and Rescue Service
as a health asset was outlined by the representative of Surrey Fire
and Rescue Service. It was noted that there had been collaborative
work undertaken with partners to engage with falls prevention. It
was noted that the “Safe and Well” visits had been
implemented with the aim of alleviating issues in a number of high
risk areas including falls prevention, non-emergency (Telecare)
response service and referrals of high risk vulnerable adults. It
was highlighted that there was a high uptake for this
service.
10.
It was noted that the formulation and implementation
of new locality hubs was in progress resultant of the success of
the current service.
11.
The witness for the Fire and Rescue Service stressed
that there was no identified county-wide support for the
utilisation of the Fire Service as a health asset and that there
was a requirement for a Surrey-wide consensus across all partner
organisations. They noted that CCGs would need to be a key part of
this plan and that a business case was being developed with STPs
with the potential requirement for support from the Health and
Wellbeing Board to aid in finding Surrey-wide consensus in
future.
12.
Members requested more detail regarding the
development of the non-emergency (Telecare) response service pilot
in Elmbridge and whether details of the use of technology could be
circulated to the Board. Members also stressed that the provision
of Telecare could be improved.
13.
Witnesses from Surrey Fire and Rescue noted that a
paper had been submitted to Public Health and the six Surrey CCGs
for approval to encourage the use of the Fire Service as a health
asset. Members noted that the Health and Wellbeing Board would
explore opportunities with commissioners of service to use the Fire
Service as a health asset.
14.
Officers highlighted the links between the Surrey
Healthy Weight Strategy and the work undertaken in the prevention
of Cardio Vascular Disease (CVD). It was noted that the Surrey
Heartlands STP was undertaking a programme of early prevention
work. Secondary prevention was also highlighted as a key priority,
explaining that routine checks on this were being undertaken and
creating positive results.
15.
Members stressed that there was a requirement to
look at the wider determinants of health and the public choice
aspect of the causes of CVD in eating habits and awareness of
health issues. Officers noted that this was a long term goal, but
that the service was looking at any potential quick wins to help
alleviate CVD issues.
16.
Members questioned the consistency of treatment of
CVD across all STPs covering Surrey. It was stressed that coverage
of service must be maintained equally across the STPs and that the
Health and Wellbeing Board should engage with the three STPs to
ensure consistent practice.
17.
Officers noted that there had been an individual and
environmental change with regard to the use of tobacco, noting that
many public sector organisations had implemented smoke free grounds
and were encouraging smoke free home environments.
18.
The service noted that they and the Surrey STPs were
working in close partnership with Surrey Police to resolve the
issue of illicit trade in tobacco, alcohol and drugs.
19. Members stressed that the next steps outlined in the report regarding prevention did not indicate a timescale for implementation, and noted that they would like to see additional impetus on some of these problems. It was noted that some of these actions could be undertaken by April 2019 and that a timescale for completion of these actions would be provided to the Board at a later date.
Actions/ further information to be provided:
None
RESOLVED:
That the Health and Wellbeing
Board agreed to:
1.
Ask that the Surrey Air Alliance report to the
Health and Wellbeing Board as part of the next Prevention Priority
Update to suggest key priorities for air quality in
Surrey.
2.
That the Health and Wellbeing Board would explore
opportunities with commissioners of service to use the Fire Service
as a health asset.
3.
That there is an update provided in nine months to
update the Board on work undertaken and give an indication of
timescales.
4. That more work is undertaken with NHS organisations to explore how to use Fire as a health asset.
Supporting documents: