Agenda item

11:00

11:00

The Director of Public Health , Dr Jonathan McWilliam, will present a report (JHO7) updating the Committee on the process for refreshing the Oxfordshire Health & Wellbeing Strategy. The report also sets out the proposed newly updated indicators and measures to be included in the revised draft Strategy which is due to be submitted to the Health & Wellbeing Board on 17 July 2014 for approval.

The Committee is RECOMMENDED to:

(a)                 consider and comment on the process which has been put in place to refresh the priorities in the JHWBS; and to note that a report will be submitted to the 3 July 2014 meeting which will include the draft JHWBS to be presented to the Health and Wellbeing Board on 17 July 2014; and

(b)                  comment on the current priorities as set out in Appendix 2 of the report together with the indicators currently used to measure progress / demonstrate improvement: and to note that any  suggestions and comments for changing and developing the current list of priorities and indicators will be noted as part of the revision process.

Dr Jonathan McWilliam, Ben Threadgold and John Jackson formed a panel to respond to questions on a report (JHO7) which updated the Committee on the process for refreshing the Oxfordshire Health & Wellbeing Strategy, a revised version of which was due for submission to the Oxfordshire Health & Wellbeing Board on 17 July 2014 for approval. It also set out at Appendix 2 the current priorities and indicators which were used to measure progress/demonstrate improvement for performance management purposes at each meeting of the Oxfordshire Health & Wellbeing Board.

The views of the Committee were sought on some initial ideas for the revised version to include:

-                      Better Care Fund indicators to be included so that progress could be measured in implementing joint plans;

-                      Partnership issues that are included in the Clinical Commissioning Group 5 Year Strategy;

-                      Other priorities raised by other groups or organisations or through the period of consultation.

The Committee commented that there was a real question of where realism (due to financial constraints as a result of the ageing population) met aspiration on the plan. It was felt that the current configuration of Health could be a real issue over the next 5 years and would require more integration of Health and Social Care to support it. It was also felt that the Committee should think about creating a tool kit to ascertain where the real issues were for scrutiny.

A member commented that access to services could also be an issue, pointing out that one third of those people using self directed finance suffered from dementia. Those who were the most vulnerable mentally could have problems accessing services and one stop shops were required for everything. Another member added it was important to be clear on outcome-based commissioning for frail and elderly people with mental health problems.

In response to a comment on the requirement for data on age ethnicity, Dr McWilliam pointed out that standard of data was improving continually. Information on ethnicity was gleaned from the census and GPs were now recording information.

A member of the Committee commented that the number of targets in the current Strategy was too high, in particular those on educational attainment. Dr McWilliam responded that these fell into one of the most important  categories which was to provide a good start in life.

A member voiced concern in relation to priority 8.3 – ‘At least 65% of those invited for Health checks will attend (aged 40 – 74)’ – asking why the maximum age was only 74. Dr McWilliam responded that the age limit had been set by the Government. Actuaries would be reviewing the outcomes in the future in order to ascertain whether the health of the population had improved as a result of undertaking the health checks.

The Director for Social & Community Services  responded to a question about how it was ensured that the optimum numbers of extra care housing was built into the district council planning process. He explained that there was district council representation on the Health & Wellbeing Board and the targets were agreed by them also. He added that there had been good working between  the County and District planning teams and significant progress had been made since 2009 when there were 200 extra care housing places, currently there were over 900.

The Committee AGREED to:

(a)                   note that a report would be submitted to the 3 July 2014 meeting which will include the draft JHWBS to be presented to the Health and Wellbeing Board on 17 July 2014; and

(b)                 note the current priorities as set out in Appendix 2 of the report together with the indicators currently used to measure progress / demonstrate improvement: and to note that any  suggestions and comments for changing and developing the current list of priorities and indicators would be noted as part of the revision process.