Agenda item

(To receive a report from Derek Ward, Director of Public Health, which asks the Board to consider the recommendations from Phase One of the Joint Strategic Needs Assessment (JSNA) prioritisation exercise. Alison Christie, Programme Manager will be in attendance for this item)  

The Board considered a report from Derek Ward, Director of Public Health, which provided a summary of the Joint Needs Assessment (JSNA) prioritisation exercise undertaken, and asked the Board to consider the recommendations detailed in Appendix A.

The Chairman invited Alison Christie, Programme Manager, to present the item to the Board.

The Board noted that the Health and Wellbeing Board (HWB) had a statutory duty to prepare a Joint Local Health and Wellbeing Strategy (JLHWS) based on the evidence of need identified in the Joint Strategic Needs Assessment (JSNA).

The Board was advised that the JSNA prioritisation phase had begun in early April with a desktop exercise to map all 36 JSNA topics according to their potential impact on the Lincolnshire population and the recent direction of travel.  It was noted that a prioritisation workshop had been held on 27 April 2023 with representatives from the organisations on the HWB to consider the outcomes from the desktop mapping exercise.  Appendix A to the report provided a summary of the JSNA prioritisation phase and made seven recommendations for the HWB to agree or provide a steer on.

Appendix B to the report provided details of the JSNA Prioritisation Workshop for the Board to consider.

During consideration of the recommendations in Appendix A, the following comments were noted:

·       Some concern was expressed that reference to children with Special Educational Needs (SEND) appeared to have been missed, that children and young people rarely featured in any of the recommendations; and that young people should be recognised as having health issues. The Board noted that a life course approach was being taken for all the priorities to reflect the new JSNA.  Officers agreed to look into reference to SEND after the meeting;

·       The need for Dementia Services to remain as a priority in the JLHWS. A representative from the Lincolnshire Partnership Foundation NHS Trust confirmed that they were happy for dementia to be absorbed into the mental health priority, as the mental health priority covered for all ages;

·       Some concern was expressed that fluoridation and extractions for children had not scored higher.  The Board noted that oral health was a priority from a public health perspective and that representation to the Secretary of State concerning fluoridation would be carried out irrespective of whether it became a priority for the JLHWS;

·       The need for Mental Health and Emotional Wellbeing, Healthy Weight and Physical Activity to remain as a priority;

·       That Drugs and Alcohol should not be included as a priority, as appropriate partnership governance and reporting mechanisms were already in place to provide assurance regarding this agenda; and

·       That Housing should continue to be a priority and should be renamed as Homes for Independence, as this fitted in to the existing agenda for this area.

RESOLVED

1.      That agreement be given by the HWB to the following recommendations presented in Appendix A:

·       Recommendation 1 – The revised JLHWS should have no more than seven priorities, therefore the JSNA topics receiving lowest support (numbered 8 to 13 in Table 2) should not be progressed as prioritied.

·       Recommendation 2 – Mental Health and Emotional Wellbeing, Health Weight and Physical Activity remain as priorities in the JLHWS.

·       Recommendation 5 – Considering aspects of the JSNA factsheet on Homelessness, Housing Standards and Unsuitable Homes and the importance to the health inequalities agenda, it is recommended that Housing and health remain a priority theme but re-named ‘Homes for Independence’.

·       Recommendation 7 – the revised JLHWS is developed using a life course approach to reflect the new JSNA.

2.      That the HWB steer on the following recommendations as presented in Appendix a be as follows:

·       Recommendation 3- Dementia remains a priority in the JLHWS as part of the Mental Health priority, as the decision is to follow a life course approach.

·       Recommendation 4 – Not to include Drugs and Alcohol as a priority in the JLHWS and confirm that appropriate partnership governance and reporting mechanisms are in place to provide assurance for this agenda.

·       Recommendation 6 – based on the outcome of the prioritization exercise, carers should remain a priority in the JLHWS.

·       The HWB agrees the next steps as set out in section 1.2 of the report.