Agenda item

13:00

Representatives from the Oxfordshire Clinical Commissioning Group and Oxfordshire County Council will attend to give an overview of the Health & Wellbeing Board’s priorities and respond to questions from the Committee on the work of the Health & Wellbeing Board.

Representatives from Oxfordshire County Council and Oxfordshire Clinical Commissioning Group will present an overview of the performance against targets in the Oxfordshire Joint Health and Wellbeing Strategy 2016-17 and proposals for new outcome measures in the revised 2017-18 Strategy for discussion and comment. A summary list of the proposals is attached at JHO11.

Any recommendations from the Committee will be shared with the Oxfordshire Health and Wellbeing Board in July, where the 2017-18 Strategy will be discussed and agreed.

Tan Lea, Benedict Leigh and Jackie Wilderspin, Oxfordshire County Council, attended to present an overview of the performance against targets in the Oxfordshire Health & Wellbeing Board’s Strategy 2016 – 17 and proposals for new outcome measures for new outcome measures in the revised 2017-18 Strategy for discussion and comment. All comments would be shared with the Oxfordshire Health & Wellbeing Board (HWB) at their meeting in July.

The Committee’s comments for the HWB are listed below:

Overarching comments

·         A graphical representation of the data and trends for these indicators could be helpful – to show how big the issue is and whether it’s getting better or worse.

·         Ensure the wording of targets makes it clear what is being measured.

·         Need a way demonstrate whether performance is improving over time, to show that we are always moving forward – i.e. if we’re always using last year’s performance as a baseline.

·         It was important for the Health & Wellbeing Board to do a regular ‘deep dive’ on a chosen target in order to ascertain where the issues lie.

Comments on each priority in turn were:

Priority 1

·         Child and Adolescent Mental Health Services (CAMHS) – the focus on lead times should continue.

·         It would be useful to have some context alongside the data that is presented.

·         The targets seem to be very low – should we be more ambitious?

Priority 2

·         2.3 – Educational Attainment – The Committee requested feedback once the baseline had been agreed.

·         2.6 – out of county placements.  The target should be reviewed and should be achievable – the numbers have been increasing steadily, rather than reducing as planned.

·         Should we be monitoring the rate of care leavers to compare with the number of people entering care and monitor how they fare on leaving care? It seems important to tell the whole story.

Priority 3

·         3.3 and 3.4 –  Children in need or on Child Protection Plans.  The Committee asked why we would want to reduce the number of children subject to a Child Protection Plan or the number of social care referrals – should the focus instead be on the nature of the circumstances behind the referral and on tackling the factors affecting this at a much earlier stage?

Priority 4

·         4.1 – Narrowing the gap in school attainment.  The Committee suggested that the national average be made available when published to see how Oxfordshire compares. If there has been a reduction in the rating, then this needs to be made clearer.

Priority 5

·         5.6 – 18 week waits.  The waiting time for treatment following a referral is very long – should we have a more ambitious target? It would be more valuable to look at the number of people where the 18 week deadline has been breached.

Priority 6

·         6.5 – People with mental illness in employment.  This seems a very low target, but if we’re doing better than the national average, should we display this on the table? Also need to be clear whether the percentage target represents the people in employment or the target rate of increase.

Priority 7

·         How do the DTOC figures compare nationally?

Priority 8

·         Clarified that OCC is responsible for reporting on 8.2 & 8.3 (NHS Health Checks) because Public Health commission this – perhaps this can be made explicit?

Priority 9

·         9.1 – Childhood obesity.  Expand on which districts are good performers and which are below the target. Suggestion that this Committee should hear from district councils on the work of Health Improvement Partnership Board.

Priority 10

·         Clarified why the indicator for fuel poverty is still to be decided.

Priority 11

·         11.4 – Immunisation for Human Papilloma Virus.  We should be able to see previous year’s data, including first dose uptake, on HPV.