Agenda item

The current set of Health and Wellbeing Strategy (HWBS) metrics were finalised following the launch of the strategy in May 2019. These have been updated within the strategy dashboard to reflect the latest available data and some examples are referenced where there have been more significant changes in these current outcome measures. The latest available update is largely from 2018/19 due to national publishing schedules so does not factor in the expected impact that the pandemic will have had.

Alongside updating the data, a review the current HWBS metrics is proposed. This is intended to better reflect the impact of the pandemic and ensure the additional local work that is in progress, including the work relating to health inequalities, is incorporated and reviewed longer term by the Health and Wellbeing Board and its member organisations.

Witnesses:

Ruth Hutchinson - Director of Public Health (SCC)

Key points raised in the discussion:

1.    The Director of Public Health (SCC) noted that:

·         The Surrey 10 Year Health and Wellbeing Strategy (HWBS) metrics were finalised following the launch of the strategy in May 2019 and had since been revised and condensed into thirty-eight metrics which were publicly available online via the Tableau dashboard on Surrey-I.

·         Many of the indicators were updated annually whilst others could be refreshed on a more frequent basis.

·         There had been some significant change in some outcomes which would be reviewed by the relevant priority oversight board or groups as well as the need to review the Key Performance Indicators (KPIs).

·         Presented a screenshot of the dashboard, categorised by the three Priorities, the Focus Areas and Population Groups with various indicators, graphs showing the trend overtime and the comparison with other areas such as the South East and England.

·         The over-arching metrics of life expectancy and healthy life expectancy were measured every three years, highlighting the 2017-2019 data for England, the South East and Surrey for men and women which had increased. However in Surrey there was a significant gap of over ten years for women and men between healthy life expectancy and life expectancy which varied between wards.

·         Provided an example of smoking rates in routine and manual workers in Priority One in which there was a continued decrease in overall prevalence but there had been an increase in smoking amongst routine and manual workers in Surrey compared to the South East and England.

·         Work was underway to review and align the Surrey-wide HWB outcome metrics with more granular data: the Surrey Index, the Local Recovery  Index and the Local ICS Health Inequalities Indicators (part of the NHS recovery workstream post-pandemic), the metrics would be updated in 2021 to also include community safety.

2.    A Board member noted the need to update the metrics and sought reassurance that they would not be changed as the importance of metrics was to track change through consistent measuring.

-       In response, the Director of Public Health (SCC) noted the need to review the current metrics to ensure a systematic approach by the priority delivery boards and the use of contemporaneous data, and would ask her colleagues in the priority boards to emphasise that approach.

Michael Wilson CBE joined the meeting at 2.42pm

3.    The Board member further noted that changing the results towards more positive outcomes in some areas would be difficult, however the decrease in the percentage of people with learning disabilities in settled accommodation was within the scope of public authorities to tackle quickly.

-       In response, the Director of Public Health (SCC) noted that delivery of the metrics was a mixed picture so it was vital to align the metrics with the KPIs as part of the delivery of the HWBS.

RESOLVED:

1.    Noted those areas where we are seeing change in outcomes reported and ensure priority delivery boards have oversight, specifically where there is significant change.

2.    Agreed to the review of the current HWBS metrics to reflect the work that has been stood up over the past year, particularly with regards to the Local Recovery Index, the new Surrey Index (which has emerged from the work on the Social Progress Index) as well as the Surrey Heartlands Health Inequalities workstream under the Recovery Board.

3.    Supported collaboration between organisations represented to ensure local and countywide measures align and can be built into a suite of dashboards that enable a common picture of progress to be shared across Surrey.

Actions/further information to be provided:

1.    The Director of Public Health (SCC) will liaise with the colleagues on the priority boards to emphasise the need for a systematic approach to metrics.