Agenda item

(To receive a report from Semantha Neal, Assistant Director of Prevention and Early Intervention, and Phillip Garner, Programme Manager, Health Improvement, which invites the Committee to consider the performance of the provider in its first year of service)

The Chairman invited the following presenters to the meeting for this item:

·      Derek Ward, Director of Public Health;

·      Rachel West, Contract Manager;

·      Dan Rogers, Head of Service, Thrive Tribe; and

·      Andy Emerson, Head of Service Delivery, Thrive Tribe

The report shown on pages 127 to 144 of the agenda pack provided the Committee with an update on the Integrated Lifestyle Service (One You Lincolnshire).

In a presentation from the Thrive Tribe representatives, the Committee were reminded of the timeline from when One You Lincolnshire had launched in Lincolnshire.

It was reported that despite the impact of Covid-19 restrictions on the mobilisation of the contract, in year one the levels of referrals had been encouraging, with over 8,000 Lincolnshire residents having accessed   integrated lifestyle services.  It was highlighted that half of the referrals had been from primary care (49%); and that the majority of secondary care referrals (29%) had come from midwives into the smoking in pregnancy service; and that there had been 22% of self-referrals for smoking.  Information was provided regarding the referral pathways, it was noted that the majority of clients using the service were using it to stop smoking. 

The Committee noted that during Covid-19, essential services had continued to be delivered.  It was highlighted that as a result of the closure of leisure centres and gyms, the 'Other Room' had been created as an in-house platform to deliver structured sessions for all abilities; these included chair-based activity, yoga and "The Sweat Room" for more advanced users.  It was highlighted further that this had proven to be a valuable tool with over 800 people accessing the service to date.

It was highlighted that the pandemic had disrupted the use of sub-contractors with most of the work moving to the One You Lincolnshire Core Team, who had quickly adapted to a digital and virtual approach to delivering services.  It was highlighted further that the anticipated number of referrals from the NHS had not materialised, as many of the initially eligible clients groups had been shielding.  However, extending the self-referral pathway during Quarter 2 2020-2021 had been successful in opening up lifestyle support, when professional referral routes had been restricted.  Details of the referral distribution for Quarter 2 were shown in Figure 9 on page 143 of the report.

It was reported that there had been challenges, but One You Lincolnshire had shown great adaptability to continue service delivery during the pandemic and that the same approach would enable them to react and innovate further in response to challenges ahead, which were likely to arise during the remainder of the contract year and beyond.  Future developments to maximise service impact were highlighted as evaluating existing targets; introducing physical activity during pregnancy; developing of the community support fund to maximise opportunities for those in areas of deprivation; and exploring opportunities to increase support for the healthy ageing 60 plus population.

During discussion, the Committee raised the following comments:

·       That there needed to be more focus on the over 60 age group to ensure better health for retirement;

·       Some focus needed to be made regarding nutritional advice.  It was highlighted that sometimes conflicting advice was given as to what foods needed to be eaten to remain healthy.  The Committee was advised that the advice was to have a balanced diet, and that was a challenge.  The Committee noted that One You Lincolnshire continued to provide educational material concerning a balance diet and the risk associated of not following one.  The Committee noted further that at the moment One You Lincolnshire was delivering what it was commissioned to deliver, and that some funding might be available to expand provision to include more in relation to keeping fit and healthy;

·       Thanks were expressed to the presentation and to the quality of the info graphics contained within the slides presented.  The Committee also welcomed the feedback from the virtual case studies included in the presentation; and

·       One member enquired whether all pregnant women were given information regarding the scheme.  The Committee was advised that the service was offered by mid-wives currently to women who smoked; and that health in pregnancy support would be starting in April /May 2021.

The Committee extended their thanks to Thrive Tribe for their presentation and for ensuring that the service had continued throughout a very challenging year.

RESOLVED

1.    That the performance of the provider in its first year of service delivery be noted.

2.     That the proposed actions on service delivery and contracts; partnerships; and future development, as a result of the performance report be noted.