Agenda item

(To receive a presentation from David Stacey (Programme Manager, Strategy and Performance) which provides details of the further development of the Joint Health and Wellbeing Strategy for Lincolnshire, following the engagement feedback)

Consideration was given to a presentation by David Stacey (Programme Manager – Strategy and Performance) which provided details of the further development of the Joint Health and Wellbeing Strategy for Lincolnshire following the engagement feedback.

The presentation included the following information:-

·       Joint Health and Wellbeing Strategy (JHWS) Timeline;

·       Background;

·       Approach;

·       Mental Health and Emotional Resilience – Children and Young People;

·       Adult Mental Health;

·       Carers;

·       Physical Activity;

·       Housing;

·       Dementia;

·       Obesity;

·       Safeguarding;

·       Common Areas;

·       Key Messages;

·       Potential Governance; and

·       Delivering the JHWS.

The presentation explained the principles of the timeline and the framework criteria set for the timeline.  Stakeholder engagement was essential in order to build public and patient confidence in the process and decisions would be made based on clear value choices underpinned by a sound evidence base.

The findings of the JHWS engagement had been presented at the Board in September 2017 where it was agreed that further work would be undertaken on the 'stand out' JSNA priority areas.  This work would give further consideration to some of the key themes which had emerged from the engagement process and included prevention and early intervention; collective action across a range of organisations; tackling inequalities and equitable provision of services; and the ability to deliver transformational change to improve health and wellbeing.

It was reported that it was proposed to hold HWB-led Network Events to build leadership and drive change.  These events would support multi-agency partnership working and collaborations which had been suggested following discussions with the Carers leads.  The events were intended to provide key messages that HWB and JHWS should be at the forefront of leading a system shift towards joint commissioning for prevention.

In delivering the JHWS, it was proposed to align this to the JSNA as a continuous process.  This would not, therefore, be a fixed strategy covering a specific timeframe period but an iterative process of prioritisation to reflect changing needs over time.  The vision required a change in thinking to view the JHWS as an ongoing process which set out visions and outcomes rather than a static document, much like the JSNA.

During discussion, the following points were noted:-

·       Although Active Lincolnshire was noted within the presentation that they were the lead for the work around Physical Activity, it was confirmed that there were also other active providers;

·       There was an opportunity for the JHWS to also act as the Children and Young People Plan for Lincolnshire.  It was noted, however, that the there was no specific mention of safeguarding of children within the JHWS.  It was explained that there was a statutory requirement by the Department of Education (DfE) to have a Children and Young People Plan but that this did not need to be separate should all the statutory requirements already be in one plan.  To avoid criticism by Ofsted, particular mention of safeguarding and safety of children and young people would have to be included, whether as a separate topic or as a 'golden thread' running throughout the JHWS.  Safeguarding elements would also include Adults.  The Board was happy to ensure that this element was incorporated into the JHWS and asked officers to look at ways to do this;

·       In addition to safeguarding, further discussion took place in regard to ensuring that the underpinning of safety and security for wellbeing in general be somehow included into the JHWS.  The Board supported the need to include safeguarding as a cross cutting theme.  It was reinforced that it was the responsibility of the members of the Lincolnshire Health and Wellbeing Board to promote the health of the residents of Lincolnshire where required and, to this end, the Local Authority's execution of enforcement duties and powers;

·       In relation to Potential Governance, it was agreed that a specialist in each field would be required to lead on the group, for example the Physical Activity Alliance;

·       It was reported, however, that Active Lincolnshire were also looking to set up a group as they had done a considerable amount of data collection work and, although it was acknowledged that this was for their own strategy, it was suggested that links could be made to share data and avoid duplication;

·       A suggestion was made to amend 'Embed prevention in integrated Neighbourhood Teams across all JHWS priorities', as a potential JHWS theme, to 'Embed prevention in integrated locality working across all JHWS priorities';

·       A more formalised governance arrangement was to be implemented for this strategy which would include regular progress reporting to the Board.  Regular reviews and updates to the strategy would be made following prioritisation discussions as and when required.

RESOLVED

1.    That the presentation and comments of the Board be noted; and

2.    That the statutory requirements for safeguarding be amended to be more obvious throughout the document.