Agenda item

This presentation is provided for the Panel by the Bath & North East Somerset, Swindon & Wiltshire Integrated Care Board.

Laura Ambler, Place Director, B&NES, Swindon & Wiltshire Integrated Care Board introduced this report to the Panel and highlighted the following areas from within it.

Integrated Care System - Purpose and functions

The purpose of ICSs is to bring partner organisations together to:

• Improve outcomes in population health and healthcare

• Tackle inequalities in outcomes, experience and access

• Enhance productivity and value for money

• Support broader social and economic development.

BSW Integrated Care System -  How the BSW ICS is made up

Integrated Care Alliances (ICA) x 3

• Place-based partnerships of NHS, councils, community and voluntary organisations, local people, carers

• Lead the design and delivery of integrated services at place

BSW Integrated Care Board (Statutory NHS organisation)

• Develops a plan for meeting the health needs of the population,

• Manages NHS budget

• Arranges for the provision of health services in BSW

BSW Integrated Care Partnership (Statutory committee)

·  Formed between the ICB and local authorities

•  A broad alliance of organisations concerned health and wellbeing of the population

• Author of the Integrated Care Strategy

• Advocate for innovation, new approaches and improvement

Local Authorities x 3

• Responsible for social care and public health functions and other services for local people and businesses.

She referred the Panel to page 34 and the ‘Integrated Care Strategy on a page’ with its three key objectives.

·  Focus on prevention and early intervention

·  Fairer health and wellbeing outcomes

·  Excellent health and care services

BSW Care Model

·  Personalised Care

·  Healthier Communities

·  Joined-up Local Teams

·  Local Specialist Services

·  Specialist Centres

If we are successful we will see long-term improvements:

·  An overall increase in life expectancy across our population

·  A reduction in the gap between life expectancy and healthy life expectancy across our population

·  Reduced variation in healthy life expectancy by geography, deprivation, ethnicity and other characteristics

B&NES ICA – Priority work areas and themes

Four key priorities that run across all of our themes

·  Workforce (or people and culture)

·  Improve population health and reduce health inequalities

·  Design and implement integrated neighbourhood teams

·  Redesign community services

The role of the B&NES Health and Wellbeing Board is to set the vision to improve health and reduce health inequalities within the B&NES population.

• The Health and Wellbeing Strategy (H&WBS) is based on meeting needs identified in the Joint Strategic Needs Assessment (JSNA), referred to locally as the Strategic Evidence Base.

• The H&WBS sets out the Board’s strategic direction for B&NES population level outcomes and four broad high-level priorities for system partners to operationalise.

• The H&WBS has an implementation plan which gives further detail on the actions that organisations will take place to address those priorities.

• There are three actions in this plan that are the responsibility of the ICA to lead on. They have been identified as actions that align particularly well with the role of the Board’s terms of reference, and that directly align with the ICA priorities and actions in the BaNES Locality Implementation Plan:

? 3.3 Strategic approach to social prescribing- (ICA’s priorities 2,3 and 4 and relevant cross cutting themes)

? 4.4 Improve access to physical and mental health services for all ages via the development of Integrated Neighbourhood Teams (INTs), community-based specialist services and our specialist centres. ICA’s priorities 1, 2,3 and 4 and relevant cross cutting themes)

? 4.5 The NHS, LA, Third Sector and other partners to increasingly embed prevention and inequalities action into their planning and prioritisation. (Cross referenced to ICA’s priorities 2 and relevant cross cutting teams)

Councillor Paul Crossley asked if topics such as smoking and vaping and enabling people to eat well would be addressed in the work of the strategies. He added that this work would be particularly important in recognised areas of inequality.

Laura Ambler replied that within the priority to ‘Improve population health and reduce health inequalities’ is a measure known as Core 20+5 and this focuses on the 20% of a population who are the most deprived. She added that they are already aware that 1 in 4 manual workers smoke in B&NES and therefore this has a significant impact locally and it is recognised as a priority.

She added that in terms of encouraging members of the public to eat well then some forms of educational programming can be considered and these could provided by our third sector partners.

The Director of Public Health commented and agreed that smoking is a known problem within B&NES and a priority to be addressed. She added that a theme to be focussed on for the priority mentioned was Cardio Vascular Disease. She added that the use of vaping by young people was a cause for concern and would like them to be discouraged as much as possible. She said that for adults using vapes this would be seen as better for them than smoking if they were not able to stop totally.

Councillor Paul Crossley asked what support is available for children who have suffered from the death of a parent.

Laura Ambler replied that within B&NES there is a Carer’s Network and that she is building a relationship with them with regard to our Young Carers and the support that they can receive in terms of emotional health & wellbeing, mental health and bereavement. She added that this work would also be addressed through the design and implementation of the integrated neighbourhood teams.

Councillor Dave Harding commented regarding improving cardio vascular health and stated that British Heart Foundation now recognise that Covid and post Covid complications are increasing incidents of heart disease and worsening cardio vascular health. He asked if there was any work that was taking place to research this further.

The Director of Public Health replied that she would need to find out further information about Long Covid Clinics and the provision through the Health Service of support for people that have ongoing conditions in relation to Covid.

Laura Ambler added that they would need to look at the available evidence base, any changes in population and what might have caused them and bring information back to the Panel in due course.

The Panel RESOLVED to note the update.