Agenda item

This paper provides an overview of the progress in the delivery of the Health and Wellbeing Strategy (HWB Strategy) as of 18 November 2024.

Agenda item for: HWB, and Surrey Heartlands ICP

Agenda item for: HWB, and Surrey Heartlands ICP

Speakers:

Mari Roberts-Wood, Managing Director, Reigate and Banstead Borough Council / Chair of Prevention and Wider Determinants of Health Delivery Board (PWDHDB)

Lucy Gate, Public Health Principal, SCC / Co-chair of Mental Health: Prevention Board

Key points raised in the discussion:

1.        Priority 1: The Chair of the PWDHDB highlighted a partnership led by Active Surrey in Spelthorne’s Stanwell North and South neighbourhood, which was in the top 10% nationally for inactivity levels. Across Surrey, more than 50% of children did not meet the Chief Medical Officer’s activity guidelines.

2.        The Surrey Cancer Inequalities Programme addressed knowledge gaps in prevention, screening, early intervention, access to treatment, and patient experience, focusing on unrecorded qualities priority groups. Macmillan Cancer Support had recognised Surrey’s work for its national best practice.

3.        Challenges: funding for the Bridge the Gap prevention service was due to end. Active Surrey was awaiting a funding decision from Government on its Club4 service.

4.        Priority 3: The Chair of the PWDHDB noted SCC’s successful bid for approximately £1 million from SGN for a fuel poverty programme to support vulnerable residents, domestic abuse victims, disabled people, and carers.

5.        Opportunities: the new Surrey Against Domestic Abuse Strategy 2024-29 developed with the Domestic Abuse Surrey Expert by Experience Network, had been published. It aimed to transform the response to domestic abuse, focusing on prevention, victim and survivor support, and reduce perpetrator harm.

6.        Challenge: the coordinator roles were due to end in March 2025, which risked a gap in terms of vulnerable resident support, in turn putting pressure on the Household Support Fund. Additionally, the Serious Violence Duty funding was due to end in March 2025.

7.        The Chair expressed concern that the upcoming Fair Funding Review might not address service delivery costs.

8.        An HWB and Surrey Heartlands ICP member highlighted an expected pressure on the Adults, Wellbeing, and Health Partnerships directorate due to the loss of Bridge the Gap and Changing Futures funding.

9.        A HWB and ICP member expressed concern about late funding decisions affecting the VCSE sector, requesting more forward planning. Another HWB and ICP member suggested the HWB and Surrey Heartlands ICP review the upcoming NHS funding policy.

10.    The Chair deemed it appropriate to consider VCSE funding in the new year, once clarity on local government funding had been received.

11.    Priority 2: The Co-Chair of the Mental Health: Prevention Board (MHPB) highlighted the Severe Mental Illness (SMI) scenario modelling and audits conducted by SCC in partnership with Surrey Heartlands ICS and the Surrey and Borders Partnership. It showed an excess mortality rate for people with SMI compared with the national average. Reducing acute physical health demands for the SMI cohort could significantly cut costs. Several high impact interventions had been identified.

12.    The 20-29 age group had the highest prevalence of SMI and those in key neighbourhoods were more likely to live with SMI.

13.    A work plan for 2025/26 would be developed and presented to the MHPB which would align with the Surrey One System Mental Health Plan.

14.    A HWB and ICP member raised the need to ensure that the SABP understood its role in successfully delivering the plan.

15.    Assurance was given that the work plan of the Children and Young People’s Emotional Wellbeing and Mental Health Strategy 2022-2027 was being considered in relation to safeguarding.

16.    Concerns were raised about safeguarding for the 18-24 age group as C-SPA only applied to those under 18.

17.    Consideration was being given using cultural activities and creative solutions to support priority groups.

18.    The Health and Wellbeing Strategy Index was highlighted as demonstrating the outcomes and impact on residents. Two new additions had been taken from the Joint Neighbourhood Survey; proportion of residents who agreed that there were places where people could meet up and socialise in their local area; and proportion of residents who agreed that there were people in their local area who could provide help if needed.

RESOLVED:

The HWB and Surrey Heartlands ICP:

1.        Used the Highlight Reports to increase awareness of delivery against the HWB Strategy and recently published / upcoming JSNA chapters through their organisations.

2.        Noted the increased functionality of the HWB Strategy Index.

3.        Responded to the significant challenges which included the following: 

·      The unmet needs highlighted in the HWB Strategy Index Scorecard results for Spelthorne, SASSE 3 Primary Care Network (PCN) and Stanwell North Key Neighbourhood.

·      Critical funding issue for Surrey prevention programmes that have been evaluated locally as effective in addressing need and reducing demand but are not resourced beyond March 2025 including Changing Futures’ Bridge the Gap service.

·      Uncertain funding for several centrally funded physical activity programmes for children. Active Surrey is waiting for confirmation from central government.

·      Uncertainty about the level of Household Support Fund for Surrey in 2025/26.