Agenda item

To receive a report that presents final information on progress in delivering the Joint Health and Wellbeing Strategy: ‘Closing the Gap’. The responsibility for ensuring effective delivery of this strategy has been devolved to the Leicester City Joint Integrated Commissioning Board (JICB).

The Board is asked to note progress on the delivery of the Joint Health and Wellbeing Strategy and the areas of concern highlighted in the report and the response of the JICB to these (section 3.7).

Members received a report that presented final information on progress in delivering the Joint Health and Wellbeing Strategy: ‘Closing the Gap’. The responsibility for ensuring effective delivery of this strategy had been devolved to the Leicester City Joint Integrated Commissioning Board (JICB).

The Board was asked to note progress on the delivery of the Joint Health and Wellbeing Strategy and the areas of concern highlighted in the report and the response of the JICB to these (section 3.7).

Measures that had shown particular improvement relative to the baseline in the strategy were:-

Breastfeeding at 6-8 weeks – 62.1% compared to the baseline on 54.9%

Smoking in pregnancy – The decline experienced in 2013/14 has been reversed and the rate of 11.8% in 2014/15 and the early part of 2015/16 shows an improvement on the baseline.

Teenage conception rates - There had been a significant improvement from the baseline.

Diabetes – The Management of blood sugar levels had improved from 62% to 69.7%.

Carers’ receiving needs assessments - The 2015/16 data (45.4%) shows an improvement of over 140% from the baseline data.18.8%). 

Older people who are still at home 91 days after discharge from hospital into reablement - Performance had improved from 77.2% from the baseline to 91.5% in 2015/6.

Older people admitted on a permanent basis to residential or nursing care The rate of admissions had fallen from 763 per 100,000 to 653 per 100,000 since the baseline was established.

Dementia diagnosis rates - The percentage of patients diagnosed with dementia against the expected prevalence for the population had increased from the 2011/12 baseline of 52% to 88.2% in November 2015.

Measures which had shown deterioration from the baseline in the strategy were:-

Obesity in children in Year Six - The positive improvements through 2009/12 had not been sustained.  And the performance in 2014/15 had fallen below the previous ‘worst’ position in 2009/10.  However, the performance remained better than the Council’s comparator group average (experiencing a similar decline in 2014/15), but was below the England average.  The solutions to this issue were complex and effort continued to address them.

Smoking cessation - 4 week quit rates - The 2014/15 outturn data and year to date information for 2015/16 confirmed previously reported concerns about this measure.  This deterioration reflected a national decline in quit rates, largely attributed to limited national marketing, the increased usage of e-cigarettes and the difficulties in reaching / working effectively with entrenched smokers.  However, Leicester continued to out-perform its comparator authorities.  Leicester had a supportive framework towards the use of e-cigarettes.

Coverage of cervical screening in women - This had been considered as an area of concern by the Board previously.   Data published in November 2015 confirmed a year on year decline from the baseline in the strategy.  The marked decline in 2014/15 could be attributed in part to a change in recording methodology.  The drop in the England average was 4.3% with Leicester experiencing a 4.9% drop.  Leicester also continued to under-perform against both the England and our comparator averages.  Work continued with Public Health England and National Health England to understand the issues and to consider proposals to address them.

Following comments from Members it was noted:-

a)         The improvements in oral health in children under 5 years old was included within the strategy and significant improvements had been made in the last 3 years.

b)         The Council was now performing well nationally in relation to reducing the delays in the transfer of care from hospital to social care.

The Chair welcomed the report and thanked all those that had been involved collectively in the initiatives within the strategy.  The Strategy had been about making changes and significant improvements had been achieved through deliberate and targeted decisions and interventions.  The scale of progress had generally been pleasing.

AGREED:

The Board noted the progress the delivery of the Joint Health and Wellbeing Strategy and the actions that were planned.