Agenda item

At the March Health and Wellbeing Board, a prototype of the Index was demonstrated outlining the Index and demonstrating the development of impact metrics that will enable an understanding of how effectively we are delivering the HWB Strategy across its Priority Populations and Outcomes to reduce health inequalities. An update of the progression of this work is presented, outlining further features and additional geographic levels. 

Witnesses:

Ruth Hutchinson - Director of Public Health, SCC
Uma Datta - Assistant Director, Data and Insights, Public Service Reform, SCC

Richard Carpenter - Senior Analyst, Data and Insights, Public Service Reform, SCC

Key points raised in the discussion:

1.    The Chair noted that the Priority Two architecture was there, but partners needed to supply the information so it could be populated.

2.    The Director of Public Health (SCC) noted that the Health and Well-being Strategy Index aimed to enable an understanding of the long-term collective progress against the Strategy’s mission about reducing health inequalities through the three Priorities. Each Priority had agreed outcomes and the Index being publicly available ensured transparency to residents in whether the outcomes were reached; pulling out the data for the Priority Populations was a challenge. The Index was high-level, it focused on the long-term impact indicators therefore it did not contain the short/medium term indicators of the forty-one programmes against the three Priorities; progress on programmes was included in the Highlight Reports.

3.    The Assistant Director, Data and Insights, Public Service Reform (SCC) noted that since the prototype was presented to the Board in March, the Index had developed and had been further populated. The Index was currently a view of the indicators across the priorities for which there was robust data available. The Index was live and could be viewed at two levels of geography currently.

4.    The Senior Analyst, Data and Insights, Public Service Reform (SCC) provided a demonstration of the Index noting that:

·         It would be published on Surrey-i, the Index opened onto a welcome page which outlined its purpose. The two levels of geography currently were District - demonstrated in March - and now Ward, each with their own tab. They were working on the Primary Care Network geographies and other health-based geographies to be online by the beginning of October.

·         Accessing the District tab provided a scorecard for the eleven boroughs and districts in Surrey via the map. The scorecard provided the overall performance and ranking one to eleven, the performance of the three Priorities, the outcomes under the Priorities and the indicators within the outcomes. Zero was the worst score and one hundred the best score - from red to green via quintiles. The titles of the outcomes had been shortened due to the limited space; to be updated. Hovering over the coloured circles provide more detail on each indicator such as historical data/trends.

·         Accessing the Ward tab provided a scorecard for the 187 wards via the map or drop-down menu. There were fewer indicators at Ward level currently as much of the data was not yet added ; that was a work in progress and support was needed in terms of adding more to the Index. The ranking was from one to 187. For example, Court ward (Epsom and Ewell) did well on Priority One, outcome two and a few of the outcomes under Priority Three.

·         The Priority Populations tab included four indicators that has not yet been accessed to include in the Index at lower-level geography. Historical data was included comparing the Surrey Value with the Comparison Value; two of those were compared against the England figure and two against the South East figure. It would be updated to include definitions.

·         The Overarching Indicators tab included life expectancy and healthy life expectancy at birth, and the inequality data for both. For 2021, the life expectancy for females was 84.6 years compared to 81.3 years for males and there was less inequality between females living in deprived and less deprived areas compared to males. The data for the inequality in healthy life expectancy was similar for males and females; to be updated with the new census data.

5.    The Chair asked whether there was a tutorial on the Index available on the Surrey County Council website. The Senior Analyst, Data and Insights, Public Service Reform (SCC) noted that he had recorded a video demonstrating the Index and would share that with the Committee Manager (SCC) to circulate to the Board, alongside annotated screenshots to help navigate around the Index.

6.    The Chair asked how the Surrey Data Strategy and the Index were aligned. The Assistant Director, Data and Insights, Public Service Reform (SCC) noted that regarding Surrey County Council’s Data Strategy, a key workstream was insight development and the Index was included in the development of the tools and intelligence to provide that insight to inform decisions.

7.    The Chair noted the request of Board members to provide feedback on how their organisations might find value in or use the Index and asked whether the Board members’ organisations were aware of what information was needed from them and whether something could be circulated. The Assistant Director, Data and Insights, Public Service Reform (SCC) noted that she would circulate to Board members what information was needed.

8.    The Vice-Chair thanked officers for their work on the Index; it would be a powerful tool to see the impact of what was being delivered across the system. As the new Executive Director - Adult Mental Health, NHS Surrey Heartlands, she would like to meet with officers to discuss Priority Two perhaps with the conveners and the chair of the MHPODB to understand and unblock data blocks. She asked whether the item presenters could attend the Surrey Heartlands ICB to provide the presentation on the Index. The Assistant Director, Data and Insights, Public Service Reform (SCC) welcomed that offer to speak to the ICB and would liaise with her. The Senior Analyst, Data and Insights, Public Service Reform (SCC) added that the Index would be updated annually, the power of it would be to see change and areas, indicators or outcomes where it was improving or getting worse; to unpick the inequalities down to lower-level geography.

9.    The Chair highlighted that because of the recent electoral reviews, the new wards had not yet been included in the Index; to be updated in due course.

RESOLVED:

1.    Reviewed the Index and provided feedback.

2.    Would promote awareness of the Index within their organisations to enable its continuous development using partners’ expertise/data.

3.    Would promote awareness of the Index within their organisations and externally to enable a common understanding and assessment of progress against the HWB Strategy.

Actions/further information to be provided:

1.    The Senior Analyst, Data and Insights, Public Service Reform (SCC) will share the recorded video demonstrating the Index with the Committee Manager (SCC) to circulate to the Board, alongside annotated screenshots to help navigate around the Index.

2.    The Assistant Director, Data and Insights, Public Service Reform (SCC) will circulate to Board members what information was needed regarding the request of Board members to provide feedback on how their organisations might find value in or use the Index.

3.    The Vice-Chair as the new Executive Director - Adult Mental Health, NHS Surrey Heartlands will meet with officers to discuss Priority Two perhaps with the conveners and the chair of the MHPODB to understand data blocks.

4.    The Assistant Director, Data and Insights, Public Service Reform (SCC) will liaise with the Vice-Chair around attending the Surrey Heartlands ICB to provide the presentation on the Index.