Agenda item

This paper summarises the development of the priority implementation plans for each of the three priorities for consideration collectively along with the revised metrics that area also proposed. The summary plans for each priority are intended to be an additional appendix to the published strategy. The implementation plans provide a current view on the activity that is planned within the system to positively impact upon the individual focus areas identified in the strategy and the associated outcomes.

Sponsors:

Rod Brown - Head of Housing and Community at Epsom and Ewell District Council

Giles Mahoney - Director of Integrated Care Partnerships at Guildford and Waverley Clinical Commissioning Group (CCG)

Rob Moran - Chief Executive of Elmbridge Borough Council

Ruth Hutchinson - Interim Director of Public Health at Surrey County Council

Key points raised in the discussion:

1. The Head of Housing and Community at Epsom and Ewell District Council provided the Board with an overview of the Priority and raised additional points below:

·         Highlighted that it was important to tackle the Priority across all demographics rather than focusing solely on children.

·         Noted that a shared vision for those with ‘lived experiences’ was at the centre of the Priority.

·         That leadership from professionals in difficult areas was vital, such as the work by the Clinical Chair at North West Surrey CCG clarifying the milestones regarding dying a dignified death.

2. The Director of Integrated Care Partnerships at Guildford and Waverley Clinical Commissioning Group (CCG) provided the Board with an overview of the Priority and raised additional points below:

·         He noted the need for a broader out of service delivery to avoid isolating the Priority, and having proactive alignment between the both Surrey Heartlands’ and Frimley’s 5 Year Strategies on the transformation of local health and care services.

·         Praised the work of the Dementia Clinical Lead at Surrey Heartlands Health and Care Partnership in addressing the low diagnosis rates in Surrey through the formation of a dementia strategy group.

·         Fundamental to the prevention of mental health issues in adults was to ensure good emotional wellbeing in young people which was central to the Healthy Schools programme.

Dr Charlotte Canniff arrived at 1:14pm

3. The Chief Executive of Elmbridge Borough Council provided the Board with an overview of the Priority and raised additional points below:

·         Noted the importance of supporting children and vulnerable adults to gain life skills through the use of mentoring with older more experienced people.

·         That apprenticeships were an underused tool and a levy transfer working group would be established to maximise their benefits.

·         Noted Havering’s effective Social Progress Index (SPI).

Barbara Hertz and Hayley Connor arrived at 1:22pm

·         There needed to be greater clarity between partnerships and projects within the Priority such as the Employment and Skills Board, SPI working group and Children’s Programme Board - ‘Time for Kids’ had an obvious links.

4. In the discussion on the three priorities, the Chairman noted that continual resourcing was essential and that a more streamlined approach with partners was effective - noting that there were 45 charities in Surrey to address homelessness.
5. Members noted that it was important to have a clear understanding on who had responsibility over each of the three priorities and positively commented that it was good that children were more visible within the plans as ensuring the healthy lives of adults had a beneficial effect on children’s wellbeing.
6. The Interim Director of Public Health provided an overview of the revised metrics and explained that further engagement work on the metrics was needed to ensure accurate baseline data.
7. In response to a Member question on the inclusion of life expectancy variation, the Interim Director of Public Health noted that despite measuring inequality geographically it was important to not categorise certain areas as having better or worse life expectancies - measuring inequalities between the five population groups avoided that.
8. The Interim Director of Public Health explained that it was crucial to promote healthy life expectancy rather than focusing solely on the length and the Chairman noted that the category of deprivation within the SPI greatly influenced life expectancy.
9. A Member commented that some areas were not adequately covered by the metrics as only 1 of the 38 metrics was on self-reporting resident’s perceptions of health and wellbeing issues. The use of citizen panels were empowerment tools on their own care, in response the Chairman would look into those panels.
10. In response to a Member query on the process of changing metrics; the Interim Director of Public Health stated that the metrics were constantly evolving and urged the Board to engage with herself and work collaboratively with the public health team.
11. In response to a Member question on CPs, the Senior Responsible Officer, Surrey Heartlands explained that CPs were recruited via postcode, were geographically distributed and granted a donation to a charity.
12. In response to a Member question on accessing the metric data on Surrey-i, the Interim Director of Public Health explained that it was available on the a HWB strategy online dashboard.
13. A Member suggested to the Board that the member champions across the five population groups should meet to drive the metrics forward.
14. The Chairman commented that the metrics provided a good foundation and sense of direction and that Surrey County Council and Surrey Heartlands were working collaboratively to develop the metrics.

RESOLVED:

The Health and Wellbeing Board:

1. Approved the summary plans for incorporation into a refreshed published strategy to reflect the further refinement and development that has taken place since the publishing of the strategy.
2. Approved the revised set of metrics, where they have been finalised, for incorporation into an online public dashboard to be published early in 2020.
3. Agreed the mechanism for reporting and reviewing activity taking place within each priority area and the progress being achieved against the selected outcomes.
4. Supported the continued engagement and awareness of strategy, metrics and activity as currently described in the implementation plans by the constituent organisations and wider partners in Surrey.

Actions/further information to be provided:

The Chairman would look into the use of citizen panels to aid residents in self-reporting their perceptions of health and wellbeing issues.