Agenda item

(To receive a report from David Stacey, Programme Manager, Strategy and Performance, which asks the Board to consider the approach to be taken for the development of the next Joint Health and Wellbeing Strategy)

Consideration was given to a report from David Stacey, Programme Manager, Strategy and Performance, which asked the Board to consider the approach to be taken for the development of the next Joint Health and Wellbeing Strategy.  It was noted that it would have a specific focus on the framework and principles on how evidence from the Joint Strategic Needs Assessment would be synthesised and prioritised into the themes and priorities for the next Joint Health and Wellbeing Strategy through adopting a systematic methodology.

It was highlighted that a statutory duty under the Health and Social Care Act 2012 required the Local Authority and its partner clinical commissioning groups to produce a Joint Health and Wellbeing Strategy (JHWS) for meeting the needs identified in the Joint Strategic Needs Assessment (JSNA).  The Board noted that the current JHWS was due to end in 2018, and that the review of the JSNA which was being undertaken would be expected to form the basis upon which a new JHWS would be developed.

The Board were advised that evidence had suggested that a prioritisation framework should be developed and should ideally contain five principle elements, which were:-

·         Stakeholder engagement;

·         A clear and transparent process;

·         Decisions based on clear value choices (underpinned by a sound evidence base); and

·         Selection of an agreed prioritisation methodology that takes into account the ranking/scoring of a range of factors, or criteria.

It was reported that there was a range of prioritisation tools available across the health and care sector.  It was noted that for the purpose of this exercise it was proposed that a variation on the multi-criteria decision analysis (MCDA) would be used.  The Board was advised that an initial nine proposed criteria had been drafted to potentially be taken into account in developing a prioritisation framework for Lincolnshire.  The nine criteria were as follows:-

·         Strategic fit with national and/or local policy and outcome framework;

·         Potential to reduce or improve health inequalities/equity;

·         Strength of evidence demonstrating better outcomes or being receptive to change;

·         Consideration of any economic evaluations undertaken to ensure value for money;

·         Likely magnitude of benefit relating to improved clinical and social  outcomes;

·         Scale of impact in terms of the number of people benefiting;

·         Public acceptability based on wider recognition of the priority by the population;

·         Unintended consequences based on risk of not investing/prioritising; and

·         Impact and likelihood to delay and prevent need through supporting prevention.

It was reported that statutory guidance published by the Department of Health set out who 'must' be involved and who 'should' be involved in the development of the JSNA and JHWS.  The report proposed that the following stakeholder should be involved in the initial prioritisation work which would inform the proposed priorities for the JHWS, which were:-

·         Member organisations of the HWB; and

·         Stakeholders who are invited to informal sessions of the HWB; and

·         Any other stakeholders identified in the engagement plan as having a high degree of interest and/or influence over the JSNA.

Some discussion was had with regard to how prioritisation would happen.  The Board was advised that this would be discussed further at the Informal Health and Wellbeing Board schedule for 12 July 2016, and it would then be formally agreed by the Board at its September meeting.

RESOLVED

            That the following proposals be agreed:-

·         That the prioritisation framework the HWBB adopted to develop the JHWS is rooted in the topics included within its JSNA;

·         The HWBB adopts the five core principles as detailed above, and set out in the report within which the development of the JHWS will be undertaken;

·         The HWBB adopts the nine criteria as detailed above are worked up into a formal prioritisation framework that can be used for the purposes of developing the JHWS for Lincolnshire;

·         The proposed stakeholders identified as being involved in the initial engagement on the prioritisation framework; and

·         The HWBB agrees the final prioritisation framework in September 2016 with a view to completing the prioritisation work by March 2017.