Health and Wellbeing Board

Health and Wellbeing Boards are a central concept in the government’s reform of health and social care which is outlined in the Health and Social Care Bill 2011. The vision is that the Board will act as the main strategy forum for health, social care and public health in the County; bringing together colleagues from the county council, district and borough councils, the NHS, public health and social care.

“Living in Warwickshire” survey: First results now available…

Warwickshire’s Health and Wellbeing Board agreed to sponsor a large scale survey of local people which focussed on issues around ‘Living in Warwickshire’, including health and lifestyle issues.

25,000 surveys were sent out and 7,617 completed surveys were returned, which was over 50% higher than our target response rate.

Warwickshire mapSome of the key headline results are as follows:

  • 6% of respondents self-reported that their general health was either poor or very poor.  This is in line with figures from the 2011 Census.  However, only 28% of stated that their health was very good, in contrast to the equivalent figure of 47% from the Census results.
  • Nearly half of people have an alcoholic drink once a week or more, whilst just over 15% are abstainers. Just over one in ten respondents would like to cut down on their current level of drinking.
  • Nearly half of all respondents were either fairly or very worried about day-to-day budgeting and the cost of living, with just over half fairly or very worried about longer-term financial planning.
  • More than one in ten stated that they had been feeling close to other people over the previous two weeks either rarely, or none of the time.
  • Further headline findings can be found in the paper to the January Health & Wellbeing Board meeting.

Next steps

  • More detailed analysis of the survey results is now underway and will be presented at the March 2014 Health and Wellbeing Board meeting.
  • A small number of follow-up focus groups are being planned, to explore some of the underlying issues raised from the survey in greater depth.
  • The full results and key findings from the survey will be disseminated amongst the County Council, partners and the public as part of the Board’s wider communications and engagement plan. It will also inform analysis for the JSNA and any future refresh of the Health & Wellbeing Strategy.

Feedback from the Joint MoU and Francis Report workshop, Tuesday 26th November 2013

Francis reportThe workshop was the Warwickshire Health and Wellbeing Board’s  joint event with the Health and Social Care Overview & Scrutiny Committees and Healthwatch Warwickshire.

It provided an opportunity to discuss the roles of the three functions and their mutual relationships, with a specific focus on the implementation of Sir Robert Francis’ recommendations in relation to NHS services. Representatives from Warwickshire County Council’s Social Care Services and the county’s 3 Clinical Commissioning Groups – Warwickshire North, Coventry & Rugby and Warwickshire South – shared their plans in response to the quality issues they have identified in Warwickshire following the publication of Sir Francis’ Report on the Public Inquiry of the Mid Staffordshire NHS Foundation Trust. They reassured the participants that progress is being made.

The event was attended by over 50 delegates from across the health and wellbeing partnership, including elected members, NHS and County Council leaders and independent Healthwatch representatives.

Early discussions have led to the development and unanimous endorsement of a joint Memorandum of Understanding between Warwickshire Health and Wellbeing Board, Healthwatch Warwickshire, Children and Young People Overview & Scrutiny Committee and the Adult Social Care and Health Overview & Scrutiny Committee.

This work has been recognised by Public Health England and the Local Government Association as a pioneering example of good practice.

A detailed report from the event will be available soon.

Alcohol Implementation Plan Refresh, Friday 17th January 2014

DAAT logoOn the 17th January, Warwickshire Drug and Alcohol Action Team are hosting ‘Warwickshire’s Big Conversation on Alcohol’.

The aim is to bring together practitioners from all services affected by alcohol to refresh and revitalise the Warwickshire Alcohol Implementation Plan.

The event will be opened by Ron Ball, Police and Crime Commissioner for Warwickshire who understands that tackling alcohol will reduce crime and disorder. Other speakers include Dr Steve Brinksman, Clinical Lead for Substance Misuse Management in General Practice and special guest Kevin Kennedy, star of Coronation Street and ‘We Will Rock You’, who has written about his experiences of drinking to excess and his recovery.

The afternoon session will give delegates an opportunity to influence the implementation plan with support from colleagues from Public Health England.

Feedback from the Regulatory Services Workshop, Thursday 12th December 2013

Regulatory Services WorkshopThe workshop was a joint event with Coventry and Warwickshire Regulatory Services and Public Health departments to discuss and explore “Joint action to address the wider determinants of health”. The event provided an opportunity to reflect on the progress made over the last 12 months and also a CPD day for delegates to learn about the roles of the different departments and how they help contribute to improving the health of the population.

Over 100 representatives from public health, planning, licensing environmental health, transport, trading standards and housing attended, along with District/Borough and County Councillors and members of the Health and Well Being Board.

The event is currently being evaluated but some of the initial feedback has been positive. Some of the key points are summarised below:

  • Attendees welcomed the opportunity to come together with partners from regulatory services across the two counties and share knowledge and good practice.
  • The majority of respondents to the feedback questionnaire were initially attracted to the event by the content of the agenda and networking opportunities. The respondents also reported that the workshop met their personal objectives.
  • When asked what they would like to see included at next year’s event, respondents commented that they would like to hear more practical examples of joint working between public health and regulatory services.

Warwickshire Safeguarding Children Board 10th Annual Conference: Safeguarding Children and Young People from Sexual Exploitation

WSCB logoWSCB’s annual conference this year, which was held on 12th December, featured a programme designed to support the implementation of the WSCB CSE strategy, agreed in May 2013.

This included an opportunity to hear about what is known at the moment in relation to the extent and spread of CSE in Warwickshire, hearing from Barnardos, who have a long track record of working to tackle CSE, and learning about the approach taken in another local authority which has had a high profile police investigation and trial. Some important messages about hearing young people were shared by a member of the Children in Care Council and there was a presentation about preventative work being done by Respect Yourself in Warwickshire.

The conference heard about the diversity of ways young people (and increasingly, children) can be targeted and groomed, and the importance of professionals and parents being alert to warning signs and confident about how to respond when they become aware of them.  Interventions are required at an early, preventative stage as well as in relation to the higher risk presentation of a young person deeply involved in exploitative activities.  A thought provoking piece of video was shared, made by Barnardos in consultation with young people working with one of their projects, reminding professionals that we all work with, or know about children who are being sexually exploited.  This is available to view here:  http://www.barnardos.org.uk/nisafechoices

The Problem Profile presented by Warwickshire Police identified CSE in all districts and boroughs of the County, but the level of identification is currently believed to be low.  WSCB is working with the JSNA to undertake a CSE needs assessment to inform future service delivery.

Further information about CSE is available on the WSCB website, including the Warwickshire interagency CSE procedures, and a link to the PACE e-learning course.  http://www.warwickshire.gov.uk/wscb

Warwickshire Joint Strategic Needs Assessment (JSNA) – update

JSNA logoA paper that was taken to the Adult Social Care & Health Overview & Scrutiny Committee on the 4th December 2013 outlined the JSNA’s progress over the last 12 months.  In particular, the report summarised the annual update published in May 2013, the establishment of the JSNA Commissioning Group, the ongoing website development and the needs assessment projects and work streams which are currently underway or in approval stages, as part of this programme.

The report also reviewed the use of the JSNA. The County Council, Clinical Commissioning Groups and Districts and Boroughs are using the JSNA and found it has been a key document in informing partners’ priorities.

In terms of future plans, the next JSNA Annual Update is scheduled for March 2014 and work will continue on a range of specific needs assessments.   A full review of Warwickshire’s JSNA priorities is due in spring 2015.  This will involve an audit and evaluation of the process so far, in conjunction with a full round of consultation and engagement with key stakeholders.

The full report is available here.

Tobacco Control Update

Local Government Declaration on Tobacco Control

The Local Government Declaration on Tobacco Control will be launched at the House of Commons on Wednesday 11 December 2013. The declaration commits local authorities to take concerted action to protect their communities from the harm tobacco causes. As Leader of the first County Council to sign up to the Declaration, Cllr Izzi Seccombe will be speaking at this event.

Smokefree Warwickshire Alliance

The Smokefree Warwickshire Alliance is being re-launched and will be chaired by Warwickshire County Councillor Angela Warner.  A steering group is being established to oversee and advise on the strategic direction of Tobacco Control in Warwickshire and will meet for the first time in the New Year. 

To support this work, training is being provided on Thursday 21 November on an improvement tool, called (CLeaR) Challenge, Leadership and Results, which has been specifically designed for use by Local Authorities, Tobacco Alliances and Health and Wellbeing Boards.  This enables a comprehensive review of our local action to tackle tobacco against the latest evidence-based practice.  Some people attending the training will become assessors for CLeaR but the training has been adapted to give attendees the opportunity to obtain a wider view of tobacco control in general, an update of activities at national and local level and an understanding of how the CLeaR model and assessment process will support high quality effective tobacco control within their organisation.

There are still a few places available at the event, which will take place in the Judge’s Lodgings, Warwick from 9.30am to 1.00pm. Please email sueweston@warwickshire.gov.ukto reserve a place

Effective and comprehensive tobacco control can lead to considerable savings for society.  It is estimated that each year in Warwickshire smoking costs in the region of £135.8 million which includes the cost of cleaning smoking materials litter, output lost from early deaths, smoking related fires in homes, cost of lost productivity from smoking breaks, lost productivity from smoking-related sick days, costs to the NHS.