Agenda item

This report consolidates feedback on the review and refresh the Surrey Health and Wellbeing Strategy completed through June (stage 1) and July (stage 2, an informal private Board meeting 8 July 2021). The result is a revised set of Priorities, Outcomes, Priority Populations, System Capabilities and new, internal Programme Management guidance.

Witnesses:

Ruth Hutchinson - Director of Public Health (SCC)

Key points raised in the discussion:

1.    The Director of Public Health (SCC) highlighted:

·         That the Board was at Stage Three of Four regarding the Health and Wellbeing Strategy refresh.

·         That Stage One was conducted in June 2021 whereby the reframed priorities, outcomes, system capabilities and priority populations were approved - a slight revision was contained in Appendix 1 as noted in the first recommendation.

·         That Stage Two was conducted in July 2021 whereby the principles and the empowering communities agenda was reviewed - which linked to tackling health inequalities.

·         That Stage Three sought approval of the principles and programmes as discussed at the private informal Board meeting in July, whereby the three guest speakers - Lord Nigel Crisp KCB, Hazel Stuteley OBE, Dr Gillian Orrow - led a workshop challenging the Board to look at how it could create the conditions for health improvement.

·         The challenge considered at the private informal Board in July was how to move from a system led ‘top down’ approach to a community led ‘inside out’ approach. 

·         The Population Intervention Triangle which had been adopted by the health inequalities work programme, it was proposed that the Board adopt it as part of its Strategy to reduce health inequalities through: community-led, civic-led and service-based interventions; also fulfilling the requirements within the NHS Long Term Plan.

·         That the key questions and feedback from the private informal Board in July, such as building on the Board’s existing strengths were incorporated into the refresh and the ten draft Strategy implementation principles had been updated and converted into Internal Programme Management Guidance, with the following new principles ‘four Cs’ for endorsement under the second recommendation: community capacity building, co-designing, co-producing and community led action.

·         Recommendations three and four underpinned the work across the three Priorities through two commitments to action: the enhanced partnership effort to work creatively with communities particularly in areas with the poorest health outcomes, and the exploration of the system-wide adoption of the Health in All Policies approach to which the Local Government Association had offered support. 

·         That Stage Four would commence in October-December to discuss and approve the governance arrangements, the details of the implementation plans and the new Health and Wellbeing Strategy metrics.

2.    A Board member drew attention to the connection between the first recommendation concerning the community work in relation to areas of deprivation and the ongoing work around poverty - including child poverty - whereby it was vital to address the areas with the greatest deprivation; noting the need to ensure an explicit interconnected approach between the two. 

RESOLVED:

1.    Endorsed (informally) the Strategy’s revised Priorities, Outcomes, Priority Populations, System Capabilities and new, internal Programme Management guidance.

2.    Endorsed (informally) the set of core Principles for Working with Communities for incorporation into the Surrey Health and Wellbeing Strategy.

3.    Endorsed (informally) an enhanced collaborative effort to work creatively with those communities in geographic areas of deprivation with the poorest health outcomes - with the Executive Director of Customer and Communities (SCC) asked, on behalf of the system, to coordinate with colleagues and produce a fuller proposition for the next Board meeting.

4.      Supported the exploration of the adoption of a Health in All Policies (HiAP) approach across the Surrey system, with a report on its potential roll out across the Surrey system to be brought to the next Board meeting.

Actions/further information to be provided:

None.