One West Lancashire Health and Wellbeing Partnership

Refresh Workshop– 20th January 2014

Ormskirk College, Hants Lane.

Attendance

  1. Andy Ascroft
/
  1. Puala Jones
/
  1. Tracy Sutton

  1. Amanda Capper
/
  1. Vicky Attwood
/
  1. David Tilleray

  1. Carol Sharples
/
  1. Andrea Gilbert
/
  1. Donna Studholme

  1. Sue Turner
/
  1. Dee Mitten
/
  1. Eleanor Maddocks

  1. Hajra Sardar
/
  1. Cllr Carolyn Evans
/
  1. Greg Mitten

  1. Anna Bailey
/
  1. Katie Wightman
/
  1. Joanna Stark

  1. Kevin O'Hara
/
  1. Karen Thompson
/
  1. Hilary Abernathy

  1. Paula Jones

Facilitators: Gulab Singh & Jane Thompson
Apologies: County Cllr Lorraine Beavers, Cllr Bridget Hilton, John Nelson & Amanda Maddocks

Section One: Setting the Scene – Gulab Singh

Purpose of the Workshop

  • Review of Progress made in year one on WL H&WB action plan.
  • Refresh Action Plan with alignment to Lancashire’s Health & Wellbeing Delivery Plan Three Key themes:
  • Starting Well,
  • Living Well and
  • Ageing Well.
  • To receive feedback H&WB themes and workshop priorities [18/10/2013]
  • Review of:
  • Terms of Reference
  • Governance structure
  • Membership and Principles
  • Agree models of working for theme groups / sub groups
  • Scope 2014 priorities
  • Set dates for 2014.

Objectives for the Workshop

By the end of the session we will have:

  • An insight into the progress made with the draft West Lancashire Plan
  • Agreed priorities for 2014 West Lancashire Health & Wellbeing Plan
  • Have an understanding of the various partners' roles and governance arrangements
  • Agree a model of working for West Lancashire H&WB Partnership
  • Discussed future membership of the partnership.

Setting the Scene

West Lancashire Health Profile – Health Needs (based on 2013 health profile)

•The health of people in West Lancashire is varied compared with the England average.

•Life expectancy figs for West Lancashire Males is 78.5 yrs and Female 81.7yrs – females Life Expectancy significantly worse than England's average.

•England LE for males = 78.9 years and females 82.9 years

•The Life Expectancy gap in West Lancashire - is 9.1 years lower for men and 7.0 years lower for women in the most deprived areas of West Lancashire than in the least deprived areas.

•IMD for West Lancashire [Deprivation wards] - Deprivation is better than England average, however, there are areas in West Lancashire that are amongst the 20% least deprived areas nationally

•About 3700 children live in poverty

•West Lancashire mortality rates for cancer, heart disease and strokes is NOT significantly different from England average .

•West Lancashire has higher rates of Alcohol-specific hospital stays (under 18) & Hospital stays for alcohol related harm - than England average

•The rate of road injuries and deaths is significantly worse than England average.

•People diagnosed with diabetes is significantly worse than England average.

•Breast feeding initiation and smoking in pregnancy is significantly worse than England average.

•Adults smoking is significantly higher than the England rate*

•Hospital stays for self-harm are significantly higher than the England rate*

•Incidence of malignant melanoma is significantly higher than the England rate*

[*] updated profile from 2013.

Public Health England Priorities

  1. Helping people to live longer and more healthy lives by reducing preventable deaths and the burden of ill health associated with smoking, high blood pressure, obesity, poor diet, poor mental health, insufficient exercise, and alcohol
  2. Reducing the burden of disease and disability in life by focusing on preventing and recovering from the conditions with the greatest impact, including dementia, anxiety, depression and drug dependency
  3. Protecting the country from infectious diseases and environmental hazards, including the growing problem of infections that resist treatment with antibiotics
  4. Supporting families to give children and young people the best start in life, through working with health visiting and school nursing, family nurse partnerships and the Troubled Families programme
  5. Improving health in the workplace by encouraging employers to support their staff, and those moving into and out of the workforce, to lead healthier lives
  6. Promote the development of place-based public health systems

Purpose of West Lancashire Health & Wellbeing Partnership

•Is to lead, support and maximise partnership contributions to increase healthy life expectancy

•narrow health inequalities between those who live in the poorest and most affluent parts of the West Lancashire by:

–promoting healthier communities,

–improving experience of people using health and care services

–improve sustainability and reduce demands across services

West Lancashire Health & Wellbeing Partnership Priorities for 2013-14

  1. Physical Activity & Exercise
  2. Healthy Eating [Weight management]
  3. Public Mental Health & Wellbeing [Stress Management]
  4. Screening programme & NHS Health Checks
  5. Alcohol
  6. Affordable Warmth
  7. West Lancashire Health Network
  8. Links with Children Trust Actions
  9. VCSF Grant Scheme [ CCG]

Some gaps based on health profile:

  • Substance misuse – Tobacco
  • Community Resilience
  • 2009 Dementia Friendly programme
  • Children and LTCs

Section Two: Review of Progress Made in Year One – Action Plan – Presented by Theme Leads.

  1. Public Mental Health & Wellbeing -Stress Management [Carol Sharples]

The theme has 8 actions; Carol Sharples took over theme programme part way into delivery phase. The focus has been on have a major event, the outline of the event will include:

Pathways and working together -Multi - agency support and referral process

Mental Health Azheimer’s Disease and Dementia -

Community support servicesDomestic violence

Residential careCommunity Mental Health Team

West Lancs CarersDrug and Alcohol Team

Specialist Asessment servicesAge UK well-being centre

Community connectorsMere brook

Nutrition advisors

Market place with Speakers

Activities -

Treatments – JaySample exercise

Garden Mere BrookGolf

MindfullnessSky larks

Other actions within this theme require reviewing.

  1. Cancer Screening Programme /Tobacco / NHS Health Checks & Bowel Cancer [ Andrea Gilbert]

Action 2.1:

  • Has been completed with a task group including CCG/PH/Local Councillor/Sadiq. Poor uptake was identified by the CCG in relation to bowel cancer in areas of Skelmersdale.
  • Work started with local councillor who is getting volunteers / community groups in target population to promote taking up of bowel cancer screening .
  • Hope to work with Skem taxi firm to help cascade bowel cancer messages by using posters and business cards.
  • Return of 'Health Bites' established, community groups receiving bowel cancer messages from volunteers.
  • Also had CVS Screening Health event , where we looked at the barriers and by March a promotional campaign will be underway.
  • Health Checks / Tobacco – public health

Action 2.2:

  • Public health structure does not have individual screening programme leads.

Action2.3:

  • Collated list of awareness weeks / national campaigns which is on the CVS website and promoted through the six weekly CVS update, which goes out to 387 individuals / organisations.

Action 2.4:

  • Tobacco – public health.
  1. West Lancashire VCSF Health Network [Vicky Attwood]

Action 3.1:

  • Had 4 events, which included; Mobilising the community; Screening; Mental Health & Care closer to home / Affordable Warmth.
  • Work generated e.g. mental health event – new forum being developed 40+ orgs
  • Mental health training

Action 3.2:

  • Website updated weekly
  • Health updates every 6 weeks.

Action 3.3:

  • Health Champions application and new structure in process, working with Edge hill University, public health and CCG.

Action 3.4:

  • Assets based approaches – website developed.
  • CCG investment into VCFS
  • Small pots funding
  • Training provided.
  1. Alcohol [Greg Mitten]

Action 4.1:

  • RRR launched in March 2013 with 50 participants
  • West Lancashire ARK project
  • Empower Me

Action 4.2:

  • Urban recovery launched in Tanhouse
  • VCFS [WL CVS] funding plus
  • Police & Crime Commissioner funding
  • Rural hub?
  • Good links with Farm Fellowship [Tarleton]

Action 4.3:

  • Embedded in RRR approaches.
  • West Lancs members in County forum.

Action 4.4:

  • Work with provider organisations on going with RRR

Future:

  • Building recovery in community through: RRR & other VCFS; Providers and Commissioners.
  1. Healthy Eating -Weight Management [Andy Ascroft]
  • To date the group has met 3 times and includes input from WLBC, CFG, SCFI, LCFT and Homeinstead.
  • Delivered added value – YES as a forum to meet; NO in relation to delivering additional actions/ activity.
  • Do we need a Healthy Eating group in WL?
  • Yes as a forum
  • Need to better understand profile for healthy eating/ diet/ nutrition/obesity in WL.
  • Need to be clear what priorities we contribute to – much more focussed.
  • Support delivery of core business of organisations due to limited capacity for additional activity.
  • Do we need an actual group for this – or a working group focussing on 1 task for 12 months e.g. profile for WL
  1. Affordable Warmth [ Donna Studholme]

Action 6.1:

  • Approximately 100 people contacted that had a accessed 2012 /13 WHHP interventions.

Action 6.2:

  • 297 referrals relating to winter and affordable warmth.
  • 2014 WLBC – WH initiative agreed with Help Direct as the 1st point of contact

Action 6.3:

  • Use of Age UK " Spread The Warmth" national campaign in literature
  • Use of LCC " Are you prepared for winter" Help Direct campaign
  • Use of NHS Keep warm, keep well

Action 6.4:

  • No progress

Action 6.5:

  • No WHHP fund for 2013-14

Action 6.6:

  • No progress

Action 6.7:

  • Help Direct in GP Practice – pilot at County Road
  • Tried and tested models in Lancaster / Chorley / Preston & South Ribble
  • Funds required to formalise.

Action 6.8:

  • 142 new clients
  • 24 people receiving warm homes discount
  • April to December 2013 an additional £259,584 attacked to West Lancashire

7. Physical Activity & Exercise [Mark Forster]

No input was available from the group.

  1. Children Trust Actions [ Anna Bailey]

Public Health has inherited 9 actions to lead on under Priority 4 Reducing Risk Taking Behaviours of West Lancs Children's Trust Action Plan. These are;

  1. Formulating a new action plan to include alcohol and substance abuse issues
  2. Developing a consistent approach with systematic delivery of age and culturally appropriate sex and relationships and substance misuse education across primary, secondary and special schools
  3. Improving access to sexual health and substance misuse services
  4. Work with partners to improve Mental Health and Wellbeing
  5. Work with partners to reduce Sexual Exploitation
  6. Identify recourses that promote online safety and awareness of safe/appropriate online use
  7. Improve outcomes around sexual health and relationships
  8. Domestic abuse
  9. Identify interventions to improve self-esteem and emotional wellbeing

Children's Trusts are currently undergoing a "review" as yet we don’t know the final outcome but changes are likely to include a less meetings and the alignment of themes groups for example, Working Together with Families and Early Support are likely to merge.

Next Steps - To develop actions that are;

  1. Measurable
  2. Impact of the populations health and well being
  3. Informed by intelligence and data – what do the JSNA and the Public Health profiles tell us are the issues for West Lancashire

Section Three: Feedback on 18th October Workshop to link County Delivery Plan: Greg Mitten and Katie Wightman

  1. Framework starting well, living well and ageing well is supported by West Lancashire partnership, link through public health, CCG, WLBC, WL H&WB Group – joined up and linked priorities.
  2. Health & Wellbeing delivery plan, agreed to:-
  • Review priorities for 2014 /15
  • Review structure ( partners, VCFS/ CCG/ public health/WLBC/ LCC/ One West Lancs thematic groups)
  • Communications
  1. Role of Public Health
  • Capacity?
  • Mapping of LCC provision (e.g. adult social services & children & YP services & working together with families).
  1. Role of CCG
  • Local health priority setting
  • Partnership links with public health, WLBC, LCC
  • Partnership with primary / community / acute
  • Linking health & care e.g. care closer to home.
  1. Reporting of delivery to One West Lancashire.
  2. Next Steps:
  • Clarity of structure
  • Communications
  • Mapping / Plan / Action

Starting Well:

  • Lots of activity, but not linked or reported?
  • Gaps ? Infant mortality and support for children with LTCs

Actions / Questions:

  • Mapping of activity across sectors
  • Structure for reporting – potential role for public health.

Living Well:

  • Lots of activity, but not linked or reported?

Actions / Questions:

  • Mapping of activity across sectors
  • Structure for reporting – potential role for public health.
  • Health works Awards is this still available?
  • Role of public health ?

Gaps

  • Improving outcomes with for people with learning disabilities.

Ageing Well:

  • Lots of activity, but not linked or reported? [Join with living well?]

Gaps

  • Loneliness
  • Long Term Conditions
  • Dementia
  • Reducing A&E admissions and direct admissions to nursing homes.

Section Four : Group Work; DRAFT Meeting Principles - Gulab Singh& Jane Thompson

A draft document was tables which captured key requirements of an effective partnership, responsibilities and governance arrangement. In groups delegates were asked to critique the document and below are the responses.

  • Duration and Schedule - Meetings are held every 8 to 10 weeks on Wednesday at10am - duration 2 hours. There are 10 hours of meeting time per year to complete the business of the West Lancashire H&WB Partnership. In addition there will be theme group meeting to progress the actions within the plan.
  • Chairing – The Chair will be appointed by 'Partnership' and will be required to:
  • Chair all the meetings until the Terms of Reference are reviewed and / or other structures that may supersede the current provision, this will ensure continuity.
  • The Chair will be responsible for effective time management during the meeting, and setting the agenda for future meetings.
  • Be responsible for ensuring that business of the partnership is focused on the health & wellbeing issues/ concerns impacting on the residents of West Lancashire and that all partners play an active role.
  • To representing the Partnership at other health & wellbeing meetings across Lancashire, including One West Lancashire Board.
  • To advocate for and promote the work programme of the Partnership.
  • A Vice Chair will be appointed to provide cover.
  • Appointment will be made by the partnership members.
  • Theme Coordinator
  • Will have an understanding of the priority area.
  • They will coordinator the programme of work in collaboration with stakeholders and partners and ensure the actions agreed by the West Lancashire Health & Wellbeing Partnership are implemented.
  • They will take responsibility for providing timely progress reports to West Lancashire Health & Wellbeing Partnership.
  • They will provide updates to the West Lancashire Health & Wellbeing Partnership on emerging programmes of work link to their theme.
  • Meeting Support –
  • The to be confirmed will provide West Lancashire H&WB Partnership with coordination and administrative support.
  • They will receive agenda items, apologies and reports as per the schedule prior to each meeting and will compile the minutes and circulate after each meeting.
  • Ensure no main agenda items can be tabled on the day unless there is an urgent reason for doing so and agreed by the Chair.
  • Ensure that the approved minutes will be disseminated to One West Lancashire Board members, West Lancashire Elected members and placed in the public domain.
  • Coordinate key presentations for each meeting agreed by the partnership.
  • Agenda Items and Reports - All proposed items for the agenda that are in addition to the scheduled reports should be sent to the confirmed will provide West Lancashire H&WB Partnership with coordination by 15 working days before the meeting. The agenda will be circulated by 10 working days before the meeting.
  • Communication:
  • Every partnership member is required to communicate the business of the meeting to its own organisation and other stakeholders that they represent.
  • To develop effective working relationships with other strategic partnerships.
  • To ensure that the West Lancashire H&WB Partnership seek, listen to and act upon the views of its members on key issues related to health & wellbeing.
  • West Lancashire Health & Wellbeing Work Plan:
  • Every partnership member is required to have a duty to cooperate with the partnership and lead on the development of and implementation of work plan and support integrated working.
  • To determine the direction and priorities for the sub groups/working groups
  • To oversee the development and monitor the delivery of action plans to achieve the outcomes.

Section Five: Group Exercise – West Lancashire H&WB Partnership Plan 2014

An exercise was undertaken to introduce a new template which captured the priorities and under the three County Health & Wellbeing themes of Starting Well, Living Well and Ageing Well.Groups were asked to start completing the template using the current plan to:

  • List any action that need retaining
  • Capture any new actions within the priority themes
  • To test the template as appropriate tool for creating the 2014 Plan.

A number of partly completed templates were returned, using the action plan reference numbers. A number of theme leads requesting more time to complete the exercise within their theme groups. Gulab agreed to create template action plan with the suggested revised themes and send this out to everyone to complete prior to the next workshop.

Section Six: Conclusion

On reviewing the flip charts, templates and feedback from group discussions, a number of emerging points / issues have been generated from the workshop. Some require acknowledgement, whilst other points require further work. I have tried to capture as accurate as possible, but accept that there may be a different interpretation.

  1. A great deal of good work is taking place, but it is dispersed even within the themed area, we need to celebrate the achievements made to date.
  1. Consider the number of actions within some themes and the structure to support delivery.
  2. Need to revisit each theme / actions to consider its purpose within the plan and alignment with new drivers such as health profile. Some of the emerging suggestions from the group work, alongside consideringemerging themes in health profile to help set priorities.

Proposed themes: