Agenda item

11:00

The Board is asked to accept the report (HWB9) and discuss priorities for Prevention work in Oxfordshire.

Ansaf Azhar, Dr Kiren Collinson and Jackie Wilderspin presented a working draft of the Oxfordshire Prevention Framework (HWB9) which had been drawn together by assessing what the local prevention priorities were; what was being done already; how the gaps could be filled and what resources were available to achieve it. 

In introducing the report, Ansaf Azhar explained that the ICS was a fantastic opportunity to carry out prevention at a high level that was unique to the place.  For the very first-time place partnership was taking place with local organisations pooling resources and prioritising resources towards prevention, asking why people are being presented and what can be done upstream.  The prevention framework would look across the whole spectrum from Healthy Place Shaping to preventative services.

Dr Collinson explained that the prevention framework presented an opportunity to get prevention moving.  The framework had pulled together what the local need was, what the nationally recommendations were, what was already being done locally and what the gaps were.  Prevention was everyone’s business and needed to run through every work stream.  The framework would also help to solve health inequalities in the County.  The next steps were to work out what the priorities were and how to tackle them.

Jackie Wilderspin took the Board through the checklists that would enable the board to navigate through the evidence.  The check lists drew together all the elements that could be worked on for prevention, such as healthy life styles, socio economic factors or how services were designed and delivered to help people see how they could contribute.  She asked the Board to consider whether they would wish to see anything else added to the check lists.

The next steps were looking for processes to look at innovative and practical ways to turn the checklists into action, bringing actions to communities.

Dr Kiren Collinson stressed that targeting inequalities was at the heart of the framework, defining priorities and bringing it down to the small level where they could really start to make tangible change and that the leadership of the prevention framework would need to come from each organisation. She asked the Board for input on what the priorities should be and moved the following recommendations:

The Health & Welling Being Board is RECOMMENED to:

Ensure that the implementation of the Joint Health and Wellbeing Strategy (2019-24) in Oxfordshire delivers a wide-ranging prevention agenda so that each individual, organisation and partnership can play their part;

Set priorities for each year for the whole system to address, while also implementing business as usual and new initiatives at organisational level.

Councillor Hudspeth welcomed the framework and noted that the new Local Transport Plan 5 would be a good basis for delivering for clean air and reducing the need for people to be in their cars.  There were many schemes with segregated cycle and pedestrian facilities, making it safer for people to walk and cycle.

Lucy Butler welcomed the framework which made a huge area of work achievable.  She noted that there was some overlap with other priorities and expressed the need to look into how work in other areas could be aligned.

Lawrie Stratford welcomed the proposals and noted that the challenge would be monitoring outcomes and the length of time the it would take for the proposals to make an impact. 

Andrew McHugh welcomed the proposals.  He reported that he had spoken to the local police area commander with a view to footage from cycle dashcams being used to generate a warning letter to aggressive drivers.  In addition, he expressed the view that we should give notice to taxi drivers that in 5 years-time diesel vehicles would not be given a license and that some Chronic illness such as diabetes should be re-labelled to make it clear that with management of their condition, they could into remission.

Ansaf Azhar expressed the need to look at the cultures and values around prevention.  Ultimately, the success of the framework would rely upon residents taking it up, there was a need to move way from doing things to people, to doing things with people.  Reaching the most deprived areas of the county would require a culture shift and would be very difficult.  In addition, he felt that there was a need to look how to measure things to get real data and look at what locality level should be measured by looking at town and ward profiles.

Louise Pattern, agreed for the need to measure some things differently, but felt that there were some key metrics out there that could change quite quickly and could be used now and that by measuring some of those things it could give people the faith that it was working and the enthusiasm to do more.

Roz Pearce welcomed the proposals and particularly the emphasis on health and equalities.  She agreed that there were some metrics that could be measured but cautioned that it was long term and there was a need to earn the trust of communities and working with communities to find out what works for them.

Louise Upton endorsed the framework as an excellent approach and suggested that childhood obesity and diabetes would be the top issues to focus on as they were intrinsically linked in that they were caused by physical inactivity, which led into health place shaping.

Stuart Bell welcomed the project and paid tribute to the design of the framework.  He noted the links to the ICS project in helping to understand populations and pulling together health and care.  There was a need to define populations in Oxfordshire, using this inequalities method.

Yvonne Rees welcomed the proposals as an excellent opportunity for progressing the partnership Agenda with tangible joint working, enabling conversations and connectivity about what could be done better and joining up Agendas.

Ian Hudspeth welcomed the high level look at addressing health inequalities in Oxfordshire, particularly within the City and the momentum to start addressing those issues.

The Board thanked the officers for their report and AGREED the recommendations.