Agenda item

To receive a report by Alison Christie (Programme Manager – Health and Wellbeing), which provides the Committee with an update on the Lincolnshire's refreshed Joint Strategic Needs Assessment and the new Joint Health and Wellbeing Strategy.  Chris Weston (Consultant in Public Health) will be in attendance for this item)

Consideration was given to a joint report from Alison Christie (Programme Manager – Health and Wellbeing) and Chris Weston (Consultant – Wider Determinants of Health), which provided the Committee with an update on the Lincolnshire's refreshed Joint Strategic Needs Assessment (JSNA), which had been made publically available on the Lincolnshire Research Observatory from 9 June 2017.

It was highlighted that a report concerning the development of the Joint Health and Wellbeing Strategy (JHWS), including the Engagement Plan had been considered by the Committee at its 15 March meeting.  The Committee noted that the issue raised by the Committee at the above said meeting concerning neurological conditions had been taken on board and was being actively pursued.

In guiding the Committee through the report presented, the Consultant – Wider Determinants of Health advised that Local Authorities and Clinical Commissioning Groups (CCGs) had an equal and joint duty under the Health and Care Act 2012 to prepare a JSNA and JHWS through the Lincolnshire Health and Wellbeing Board (HWB).

In March 2016, the HWB had agreed proposals for a fundamental review of Lincolnshire's JSNA, and that the 35 topics in the 2011 JSNA formed the basis of the review.  As a result of a multi-agency Steering Group made up of representatives from each of the four CCGs, Adult Care, Children's Services, Public Health, Healthwatch Lincolnshire, District Councils and the voluntary sector had been established to oversee the review programme.  The said review had begun in April 2016 and had concluded in April 2017.

It was highlighted that in response to feedback from stakeholders, four topics from the 2011 JSNA had been removed, these were Personalisation; Residential and Nursing Care; Life Expectancy and Youth Work.  The Committee noted that the Childhood & Weight problems topic had been merged the Adult Obesity to form an All Age Obesity topic.  In addition, the Committee was advised that five additional topics had been added and these were Autism; Dementia; Domestic Abuse; Financial Inclusion and Mental Health and Emotional Wellbeing of Children and Young People.

The Committee were provided with a short presentation, which allowed the Committee to view the online web resource which was available on the Lincolnshire Research Observatory.  It was highlighted that a one page summary document ('topic on a page') had been produced for each topic using infographics and graphs to provide key fact and messages in an accessible and user friendly format.

In conclusion, the Committee was reminded that the HWB had a statutory responsibility to produce and publish a JSNA for Lincolnshire and to use the evidence to inform the priority setting for the JHWS.  The Committee was also invited to establish a working group to meet in early July to gather the views of the Committee as part of the prioritisation process for the development of the next JHWS for Lincolnshire which was due to be published in April 2018 and cover the period 2018/2023.

During discussion, the following points were raised:-

·         One member enquired as to why mental health & emotional wellbeing of children and young people and domestic abuse had been included as individual topics.  Officers advised that the JSNA covered wellbeing as well as health related issues.  The Committee was advised further that the suggestions had come from the Community Safety Partnership.  It was further highlighted that there was lots of cross referencing to mental health issues in other topics.  A further point raised was that children and young people should have support available to them to help them cope with increasing pressures;

·         One member enquired as to the extent of district council involvement on the HWB, particular reference was made to the involvement of Boston Borough Council.  The Committee noted that there was a District Council representative on the HWB, as well as county councillors who were also district councillors.  Officers also confirmed that seven Joint Health and Wellbeing Strategy Public Engagement Events had been arranged across the County, the nearest event to Boston would be in Spilsby.  Officers confirmed if there was demand for an event in Boston, then one would be arranged.  The Committee noted further that there was a survey open to all available on the website;

·         Some concern was expressed as to whether there was adequate care for those with neurological conditions and that there needed to be improvements in this area;

·         The need to support early intervention, as this approach saved money and provided better quality of life.  One member highlighted that over the last twelve months funding had been reduced/ceased to some organisations providing preventative support.  Particular reference was made to the lack of support for dyspraxia and to individuals who had gone through long term domestic abuse;

·         The need for the JSNA to be accessible.  Officers advised that there was to be a newsletter available to everyone; and that this could be accessed from a subscription box located on the front page of the JSNA web-page.  Officers also confirmed that over a 1,000 people had attended various stakeholder events.  It was further highlighted that information had been circulated through the CCGs to GPs; and to core members of the HWB to circulate further;

·         A lack of knowledge amongst clinicians with regard to mental health issues; and

·         One member enquired as to what the outcomes had been relating to the 2011 JSNA, and the impact this had when commissioning health services.  It was highlighted that all commissioning plans were considered by the HWB.  It was highlighted further that the County Council and Clinical Commissioning Groups had a statutory duty to have regard to the JSNA when making commissioning decisions.  The County Council's Executive and Scrutiny report templates include a section requiring the report owner to evidence how the JSNA has been taken into account.

The Health Scrutiny Officer agreed to circulate a copy of Joint Strategic Needs Assessment presentation, plus Hyperlinks to relevant webpages, plus a copy of the Joint Strategic Needs Assessment Summary Report to all members of Committee.

RESOLVED

1.    That the updated Joint Strategic Needs Assessment for Lincolnshire be received.

2.    That agreement be given to the establishment of a working group to meet in early July 2017 to gather the Committee's views as part of the prioritisation process for the development of the next Joint Health and Wellbeing Strategy for Lincolnshire due to be published in April 2018 and cover the period 2018-2023.

3.    That Councillors Mrs P F Watson, J Kirk, Mrs K Cook, M A Whittington and C J T H Brewis be nominated members of the above said working group.