Hull Public Health 

The Deep, Hull The Guildhall, Hull King William Statue, Market Place, Hull City Hall, Hull Spurn Lightship, The Marina, Hull

 

 


Background

From the Local Government Association, "The Health and Social Care Act 2012 establishes Health and Wellbeing Boards (H&WB) as a forum where key leaders from the health and care system work together to improve the health and wellbeing of their local population and reduce health inequalities. Health and Well-being Board members will collaborate to understand their local community's needs, agree priorities and encourage commissioners to work in a more joined-up way. As a result, patients and the public should experience more joined-up services from the NHS and local councils in the future. Each top tier and unitary Local Authority established its own Health and Well-being Board in shadow form from April 2012 with Boards taking on their statutory functions from April 2013. The Health and Social Care Bill mandates a minimum membership of a local elected council member, representatives of the local Healthwatch organisation, local clinical commissioning group (CCG), director for adult social services, director for children's services and director of public health".

The Boards will have responsibility for producing a Joint Strategic Needs Assessment (JSNA). JSNAs provide local policy-makers and commissioners with a profile of the health and well-being needs of the local population. The aim of JSNAs is to improve commissioning and reduce health inequalities by identifying current and future health trends within a local population. For more information see What is a JSNA?

The boards are also responsible for producing a Joint Health and Well-being Strategy (JHWSs). Priority areas identified from JSNAs are key for the development of joint strategies which in turn feed into commissioning plans. As part of the prioritisation process, H&WBs will also need to look at which areas need de-prioritisation and de-commissioning. The strategic direction of implementation and service delivery for health and wellbeing boards is outlined in the joint strategy documents.

Further information on Hull's Health and Wellbeing Board may be found here, wile a list of meeting dates and minutes from previous meetings is available here.

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Local Health and Wellbeing Board Strategy 2014-2020

The Health and Wellbeing Board Strategy has recently been updated, and the new 2014-2020 strategy is now available. This new strategy has strong links with the City Plan, as well as with the Hull 2020 vision.  There are three broad overarching outcomes outlined in the strategy:

1. The Best Start in Life
2. Healthier, Longer, Happy Lives
3. Safe and Independent Lives

Within the strategy it is acknowledged that

"This strategy cannot be delivered without the commitment of everyone who lives or works in Hull and cares about its future. The strategy sets out how WE can work together to reduce health inequalities and improve people's health. It describes where we want to get to and how we will do it."

The 2014-2020 Health and Wellbeing Strategy, Hull - Healthier Together, is available here.

The latest Public Health Outcomes Framework (PHOF) local analyses for PHOF indicators that are also perfomance measures in the Health and Wellbeing Strategy 2014-2020 may be found here, while the scorecards for the performance measures within each overarching outcome may be found here.  All the local analyses of PHOF indicators are available here.

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Outcome 1: The Best Start in Life

Rationale:

What happens in early years has a life long impact. Giving every child the best start in life is crucial to reducing health inequalities accross the life course. Healthy and informed parents who have control over their own wellbeing will have healthier babies and raise healthier children.

Children who are ready for school will be able to get the most out of their education and fulfill ther potential. Building emotional resilience will help children handle the pressures of growing up and give them the right knowledge and skills to overcome challenges.

Families who make healthy lifestyle choices will thrive.

Ways the Health and Wellbeing Board will know they are making a difference:

  • More mothers will have improved physical health and self-reported mental wellbeing

  • More parents will be able to choose to work

  • More families will be living in decent homes

  • More children will be ready for school and have language and social skills to flourish in the school setting

  • All children and young people will enjoy improved health and wellbeing

  • More children and young people will feel they have control over their lives and the choices they make.

  • More young people will leave formal education with qualifications and skills to fulfill their aspirations for work and life

  • What will the Health and Wellbeing Board do?

  • Focus resources on identifying risks and interveniong early to improve maternal health and wellbeing

  • Seek to improve the availability of affordable child care in order to maximise parental choice

  • Work with Housing Services to influence the quality of all housing stock and promote the availability of affordable homes

  • Focus resources to promote positive parenting skills and ensure provision of good quality early years education for every child

  • Focus resource on early help and intervention for all families that is timely, accessible and appropriate for their circumstances

  • Work together with partners to focus resources towards creating an environment for children and young people that builds self-esteem and resilience


  • Outcome 1 performance measures will include:

  • Smoking status at delivery

  • Excess weight in 4-5 and 10-11 year olds

  • Under 18 conceptions

  • Fuel poverty

  • Child develiopment at age 2-2.5 years

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    Outcome 2: Healthier, Longer, Happy Lives

    Rationale:

    Everyone should have the same opportunity to have the same life expectancy no matter where they live. People with long-term conditions can have a full live. Mental wellbeing is as important as physical health and mental illness should not mean worse physical health or reduced life expectancy. The key to a healthier life comes from feeling in control, being involved in the community, being able to make choices, to access secure employment, being socially connected and being fulfilled. People who are involved in decision-making about their lives tend to feel healthier and happier.

    Ways the Health and Wellbeing Board will know they are making a difference:

  • More people will be in good quality, secure jobs and earning at least the minimum income needed for healthy living

  • More people will be active, skilled and knowedgeable, making positive lifestyle choices and viewing good health as desirable

  • Our city will comprise sustainable communities where barriers to participation hacve been removed and people feel connected, involved and valued

  • More people will be living and working in safe, energy efficient environments, buildings and homes, breathing cleaner air and travelling in safer streets

  • What will the Health and Wellbeing Board do?

  • Take a "health first" approach to tackliong worlessness by promoting opprtunities for peopole to be fit for work and fit in work

  • Support initiatives that create and provide access to quality sustainable jobs

  • Work together to promote the "Hull Responsibility Deal" among employers and achievement of "Accredited Living Wage Employer" status throughout the city

  • Work together to create an envioronment that promotes physical activity and active transport ion everyday settings for all ages

  • Focus on prevention and early detection of ill health (especially conditions stongly linked to health inequalities)

  • Work together to improve access to healthy and affordable food

  • Ensure people understand the benefit of positive life choices and know how to access information and seek early support to change

  • Aim to create a smoke free generation

  • Develop and maximise the use of existing assets in our people, places and communities

  • Maximise the health benefits and legacy of the City of Culture 2017

  • Explore the establishment of a Hull/Humber Fairness Commission

  • Focus resources on creating opportunities to maintain and improve mental wellbeing and reduce social isolation

  • Work together to create, sustain and improve an environment that promotes physical and metal wellbeing across all settings


  • Outcome 2 performance measures will include:

  • Self reported wellbeing

  • Alcohol related admissions to hospital

  • Smoking prevalence in adults

  • Proportion of physically active and inactive adults

  • Entrenched worklessness rate

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    Outcome 3: Safe and Independent Lives

    Rationale:

    Everyone should have the same opportunity to feel safe and fulfilled no matter what his or her circumstances. Many people of all ages are living with conditions or situations that mean they need extra support to get the most out of life.

    There is good evidence that people who have control over their care and support are better able to live safely and independently in their community. This then reduces the burden of ill health for individuals, their families/carers and the health service and enables people to live full and satisfying lives.

    Ways the Health and Wellbeing Board will know they are making a difference:

  • More people will be confident and competent in managing their own health and wellbeing

  • More people will be living safely and independently in the community

  • More people will have control over their care and support needs, up to and including end of life

  • More people will be receiving the minimum income for healthy living and will be managing their finances well

  • Communities and individuals, including the most vulnerable, are better prepared to cope with severe events that impact on health and wellbeing (e.g. weather, climate change and health emergencies)

  • What will the Health and Wellbeing Board do?

  • Work with partners to ensure services are integrated, high quality and accessible in ways that offer people appropriate choices

  • Work with partners to promote self-care, reablement or mutual support in community settings so this is viewed as the norm and reduce reliance on residential or home care

  • Ensure timely and appropriate support to families and carers of all ages

  • Ensure that individuals can plan their care, organised around care hubs, with people who work together and have a shared understanding of the person's needs

  • Encourage a culture across organisations that celebrates diversity, encourages respect and has a zero tolerance on that crime

  • Work with partners to ensure the design of the built environment discourages crime and the fear of crime

  • Where appropriate, ensure provision of specialist and adapted housing that is fit for purpose

  • Promote activities that seek to build connections between generations to tackle loneliness

  • Support the continued development of an "age friendly" city

  • Aim to identify our most vulnerable citizens and work with them to address their specific needs

  • Support "Fuel, Food and Finance" anti-poverty initiatives that help people minimise the health and impact of welfare reform and cost of living rises (e.g. imitiative that enable people to prevent, manage or recover from debt)

  • Work with partners to seek assurance on adaptation, emergency preparedness, response and recorvey


  • Outcome 3 performance measures will include:

  • Older people's perception of community safety - safe in local area after dark

  • Suicide rate

  • Life expectancy

  • Injuries from falls in people aged 65 and over

  • Avoidable emergency hospital admissions

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