The Health and Wellbeing Board Chair’s highlight report Document “K” summarises business conducted between Board meetings.  January’s report brings the Living Well for longer update and updates from the Board’s sub groups (ECB – Executive Commissioning Board and ICB – Integration and Change Board).

Recommended-

That the information in the report (Document “K”) be noted.

                                                                        (Pam Bhupal – 01274 431057)

The Health and Wellbeing Board Chair’s highlight report Document “K” summarised business conducted between Board meetings.  January’s report brought the Living Well for longer update and updates from the Board’s sub groups (ECB – Executive Commissioning Board and ICB – Integration and Change Board).

It was reported that in relation to Living Well for Longer the latest available data (2015-17) showed:

·         that life expectancy for people in Bradford District was increasing, after previously showing signs of improvements starting to level off.

·         Life expectancy at birth for a male born in the District is now 77.7 years, and for a female born in the District life expectancy was now 81.6 years.  These were both the highest figures recorded for the District. Life expectancy remained below the average for England and the region for both males and females, however because improvements had been larger in Bradford the gap between Bradford and England/Y&H had narrowed slightly in 2015-17.

·         Life expectancy was not a short term measure of health and wellbeing; changes occurred over many years. However, the small increase observed in the District compared well compared to other parts of the region where only a small number of local authorities had seen an increase in life expectancy.

·         Recently published data on healthy life expectancy showed a less positive picture. Healthy life expectancy had fallen for both males and females. In 2015-17 healthy life expectancy at birth in males fell to 60.4 years in Bradford District. This was the lowest value recorded and remained below the average for England (63.4 years). For females, healthy life expectancy at birth fell to 59.0 years in 2015-17. As with males, this was the lowest value recorded and remained below the average for England (63.8 years).

It was reported that some caution was, however, needed when interpreting the data on healthy life expectancy; the data, in part, drew on self reported health status from the Annual Population Survey, and so year on year variation was expected. Once this variation had been accounted for there had been no significant change in healthy life expectancy over recent years. This, however, in itself is an important finding, as a key outcome for the District is to increase the number of years a person can expect to live in good health.

Members were informed that because healthy life expectancy had not improved and life expectancy had increased, this meant that although people could expect to live longer, they were likely to spend more years in poor health.

It was reported that in relation to the Executive Commissioning Board update  the work on Autism would be provided to Senior Management Team. 

In relation to the Integration and Change Board (ICB)

·         It met on 21^st December. The Board focused on Population Health Management, development of local partnership and delivery arrangements through the two Health and Care Partnerships, and business planning. Additionally progress was made in relation to business continuity planning related to Brexit, programme alignment and ensuring all relevant partners connected to the revised Children’s services improvement planning arrangements.

Specific decisions and agreements included;

·         Establishment of a single joint arrangement for the development of Population Health Management capability across our system. Linked to this ICB clarified the mandate for this group and clarified the investment to be made into Population Health Management.

·         Investment into Digital 2020 capacity, in line with previous decisions.

·         Review of joint programmes of work to ensure aligned to strategic priorities, and all to have a clear SRO link back to ICB.

·         Commitment of communications resources into a joint programme to ensure comprehensive communication and engagement in place strategy

In relation to the Executive Commissioning Board:

·         ECB met on 10th January 2019, the main focus of the meeting being the work within the Council’s Health and Wellbeing Department. The Board welcomed the presentation from Impower which focused on the demand management approach and how that aligns with the system vision of Health, Happy and at Home. The Board supported the focus of the next phase of work looking at the interface between Health and Social Care and how outcomes for patients can be improved by applying a demand management approach.

·         An update of the BANDs service for people with Autism was provided, as well as an update on the financial position of the Better Care Fund and the improved Better Care Fund. A detailed report, including the year end position will be presented back to the Board in May. The Council’s consultation on the budget proposals was also shared with the board.

·         Meetings are scheduled monthly with the next meeting to be held on 14th February. The Board will be participating in an externally facilitated workshop, focusing on the effectiveness of the Board and its work plan for the coming 12 months.

Resolved-

That the information in the report (Document “K”) be noted and that the refreshed Joint Strategic Needs Assessment data be included in the quarterly monitoring of the Joint Health and Wellbeing Strategy logic models.

Action:           Director of Public Health