Developing the Health and Wellbeing Strategy for

Bristol

Nick Hooper and Pat Diskett

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

JSNA 2012: Key evidence

Population changeEconomy and DeprivationChildren and young peopleAdults and older peopleHealth inequalitiesLifestyle & Health improvementHealthy CityService Landscape and Service UtilisationWebsite: www.bristol.gov.uk/jsna

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

Bristol Health and Wellbeing Board: A Strategy for Bristol

VisionImproving opportunities for all who live, work or learn in Bristol to lead a healthy, safe and

fulfilling life

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’

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)

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

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

Wider Determinants of Health

HealthWatch People and

Patients,Carers,

Communities and Services (inc. Acute,

VCS etc)

CCG Functions

NHS CB Functions

Wider Determinants of Health

Public Health Commissioning

Children andYoung People

Adult Health andSocial Care

From JSNA to Health and Wellbeing Strategy?

Secondary Care and Specialist Services

Primary Care and Interface services

Prevention, Risk Assessment and Targeted Interventions