Developing the Health and Wellbeing Strategy for Bristol

1. Developing the Health and Wellbeing Strategy for Bristol Nick Hooper and Pat Diskett

2. Process • Summer 2012, a sub group established by the Health and Wellbeing Board (HWB) to develop a draft • Early consultation on principles and potential priorities • Stakeholder Conference 3 Oct 2012 • Key themes emerging • VCS event today • HWB discusses a draft • 12 week public consultation period commences when the draft is agreed • Between April and May 2013, the HWB agrees the Strategy

3. JSNA 2012: Key evidence • Population change • Economy and Deprivation • Children and young people • Adults and older people • Health inequalities • Lifestyle & Health improvement • Healthy City • Service Landscape and Service Utilisation Website: www.bristol.gov.uk/jsna

4. Challenges • The Strategy builds on local evidence in the JSNA, but it has to stay focussed • It is about what we need to do and how we do it • Realities about developing strategy in the current environment • Challenges of changing the status quo • Thinking about how the HWB needs to add value

5. Bristol Health and Wellbeing Board: A Strategy for Bristol

6. Principles • Shifting services and resources towards the prevention of ill health • Giving children the best start in life • Reducing inequalities and protecting people in vulnerable situations • Reducing unnecessary demand for services • Empowering people and communities to help themselves • Focussing on the individual, not the organisation, streamlining commissioning and aligning budgets more closely • Improving the quality and safety of services • Services that are innovative, streamlined and look to focus on moving activity ‘up-stream’

7. 3 key outcome areas • Bristol is a city of healthy, safe and sustainable communities (Wider Determinants of Health) • Health and Wellbeing are improving and health inequalities are reducing ( tackling the biggest causes of health inequalities) • People get high quality support when and where they need it (services that integrate around the individual – joint commissioning where possible)

8. Themes emerging from Stakeholders • Embedding public health objectives in planning and transport, tackling income inequality, restorative justice, preventing mental ill-health, housing, vulnerable families, reducing risk of CVD (cardiovascular disease) and cancer, reducing smoking and obesity, positive lifestyles, for young people, children with complex needs, integrated family support, supporting independent living, choice and control, improving patient experience, avoiding emergency admissions, appropriate and improved support for highly complex and vulnerable groups

9. Role of the HWB • Duty to promote integration – challenge all commissioning plans in relation to the strategy • Influencing other agendas, such as planning and transport • Holding to account delivery on priorities • Has the potential to be the key strategic body for health and care

10. Wider Determinants of Health

11. Secondary Care and Specialist Services Primary Care and Interface services Prevention, Risk Assessment and Targeted Interventions Health and Wellbeing Board Children and Young People Adult Health and Social Care HealthWatch People and Patients, Carers, Communities and Services (inc. Acute, VCS etc) CCG Functions NHS CB Functions Public Health Commissioning Wider Determinants of Health Health and Wellbeing Strategy and JSNA From JSNA to Health and Wellbeing Strategy?