HWB Board 7 October 2013 - Joint HWB Strategy Plan Update ... Board 7 O… · Increase prevalence...

APPENDIX A

Joint Health & Wellbeing Action Plan Summary 2013-2016 2013

1

Priority 1: Improving and Protecting health & wellbeing

Outcomes:

i. Reducing the gap in health life expectancy

ii. Improve early years development

iii. Protect people’s health from major emergencies

26 Indicators: 21 SMART targets set

Target Leads: Director of Public Health, LBS

EHOS of Community Living, LBS

Sutton CCG, Dr B Hudson

Public Health England

Data Intelligence Leads: Research Intelligence Team, LBS

Public Health Commissioning & Analyst

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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group

Formal Multiagency sign up to SMART target

SMART target set

Monitoring Mechanism Agreed

PSED undertaken

Additional information

1a

Increase the number of 4 week & 12 week quitters

Yes by October 1

st

2013

Yes (performance monitoring group)

N/A 696 4 -week quitters for 13/14

Yes PMG Quarterly. DMT Public Health Dashboard every 2 weeks

To be refreshed by March 2014.

Risk: First year of a new provider, new structures post PH transition. Led by DPH

1b

Reduce the number of smokers known to be smokers at the time of delivery

Yes by October 1

st

2013


N/A To reduce the baseline performance (2012) by 3% by 2015

Yes PMG Quarterly



1c

Increase prevalence of 4-5 yr olds and 10-11 year olds being a healthy weight

By November 2013

No (to be formed as part of delivery plan)

No ( to be formed as part of delivery plan

Increase prevalence of target population as healthy weight by 1% by 2015

No ( to be formed as part of delivery plan

No (to be formed as part of delivery plan

In process of separating joint contract with Merton. To be decided by 16

th

September. Led by DPH

1d

Increase the uptake of NHS Health Check Programme.

By November 2013

No group monitored by commissioners

N/A Increase uptake to 55% by March 2014 Further target to be set, considering year on year improvement

Yes by commissioner quarterly. DMT Public Health Dashboard every 2 weeks

To be refreshed by March 2014

Led by DPH

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1e

Increase the proportion of school pupils travelling by sustainable means

Information to be made available by December 2013



Increase the proportion of school pupils travelling by sustainable means by 80% by 2017



Led by Eleanor Purser

1f

Increase the number of people achieving 12 wk improve in PA & Healthy Eating

Yes by October 1

st

2013


N/A Yes. 749 lifestyle goals 2013/14

Yes PMG Quarterly



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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group

Formal Multiagency

SMART target set


PSED undertaken


1g

Increase prevalence of breastfeeding

To be developed by January 2014

Sutton & Merton BF operational Group. To be developed by January 2014

yes Increase prevalence of breastfeeding at 6-8 week Health Visitor wk check

Sutton & Merton BF Strategy Steering Group

No to be undertaken by March 2014

Led by DPH

1h

Improve the quality of housing stock

No .To be developed by January 2014

Housing Strategy Group

yes Properties failing to meet the Decent Homes Standard 14.3% in 13/14

To be developed as part of delivery plan by January 2014

no to be undertaken by March 2014

Lead EHOS Community Living

1i

Improve the thermal efficiency of the Council housing stock



yes Average SAP (thermal efficiency) rating of Council housing stock to reach 70 by March 2014


no to be undertaken by March 2014


1j

Improve poor housing conditions in the private sector



yes Category 1 hazards (HHSRS) in the local authority area. To be set by March 2014


No to be undertaken by March 2014


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1k

Increase the number of Gypsy and Traveller families registered with GPs

No to be agreed by March 2014



Targets for 2014/15 and 2015/16 to be confirmed by March 2014




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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group

Formal Multiagency

SMART target set


PSED undertaken


1l

Increasing the prevalence of 4-5 year olds living in the most deprived areas of the Borough being a healthy weight

By November 2013



No, to be set by November 2013



In process of separating joint contract with Merton. To be decided by 16

th

September. Target lead DPH

1m

Increase prevalence of breastfeeding in more deprived areas


Sutton & Merton BF operational Group. To be developed by January 2014

yes To increase baseline performance by 5% by 2015

Sutton & Merton BF Strategy Steering Group

By March 2014 Target lead DPH

1n

Improve the number of children who are ready for school at five years (physical, emotional, behavioural and cognitive development

Plan within inspection & advisory service plan 2013-2014

No. To be delivered by individual schools

yes No. To be set by December 2013

To be delivered by individual schools

Target lead Simon Latham

1o

As above As above yes No. To be set by December 2013

By March 2014 Target lead Simon Latham

Have systems Yes. Minimum Yes. Emergency yes To have Yes EPIG To be DPH/

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1p

in place that have been tested to ensure effective and adequate surveillance of health protection risks and hazards

standards for London Delivery Plan

Planning Implementation Group

robust local EP plans and procedures which meet central guidance and local needs starting in 2013.

Quarterly. Oversight by Sutton Integrated Resilience Forum

performed as part of peer review audit of EP standards. By March 2014

Emergency Planning & Policy Manager Ian Kershaw

1q

Increase the population protected by vaccination and screening (this is a lead role for PHE &NHSE but LBS &SCCG will support & challenge PHE and NHSSE to improve performance)

yes Yes. Childhood immunisations taskforce

yes Increase the uptake of childhood immunisations year on year to 2016 target of 95% uptake for primary immunisations, MMR and preschool boosters

yes No. NHSE/PHE to be advised to perform by March 2014

NHSE & PHE to deliver target. LBS & SCCG will challenge

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1r

As above yes Yes. Pan London Flu Steering Group

yes Increase the uptake of influenza vaccination for those aged over 65 years and those with other long term illnesses that increase their risk of influenza year to 2016 a target of 75% uptake.



1s

As above NHSE/PHE to send LBS delivery plans by October 2013

NHSE/PHE to send LBS delivery plans by October 2013

NHSE/PHE to send LBS delivery plans by October 2013

Increase the percentage of women in the population eligible for cervical screening who were screened adequately within a specified period to 80%



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1t

Increase the number of adults leaving drug treatment free of dependence

Yes. Alcohol Harm reduction Strategy

Yes. Safer Sutton Partnership

yes Increase the number of drug users that left drug treatment successfully (free of drug(s) of dependence) who do not then re-present to treatment again within six months by 2% (by 2014)

Quarterly through partnership. Direct links to DPH/HWB


Target Lead DPH/Ian Kershaw

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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group


SMART target set


PSED undertaken


1u

Reduce the rate of increase of increase of alcohol related hospital admissions



yes Alcohol related hospital admissions to remain at or below current rate 1,831 DSR per 100,000 by April 2014



Target Lead Head of Planning & Performance /DPH

1v

Reduce underage sales of tobacco and alcohol



yes 30 premises inspected, 4 training sessions by March 2014



Target Lead Head of Planning & Performance /DPH

1w

Extending the National Food Hygiene Rating Scheme (NFHRS)

Yes. Business Regulation Plan

To be assembled by November 2013

yes 300 premises by the end of the financial year 2013/14

To be agreed as part of group planning by November 2013


Target lead Kim Stephens

1x

The number of premises with a rating of “Very good” under the NFHRS by April 2013

Yes. Business Regulation Plan

To be assembled by November 2013

yes Increase by 5% in 2013/14

To be agreed as part of group planning by November 2013 Also Annual Statutory


Target lead Kim Stephens Multidisciplinary BRS Team Leader

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reporting through LEAMS to Food Standards Agency

1y

To reduce workplace accidents

Yes ( HS Service plan with individual PIDS for projects)

No, delivered by Principal EHP, project progress reported to Head of Regulatory Services

Yes

To undertake 3 projects by 2013/14

Annual Statutory reporting through LAE1 return to HSE.

No. TBA by Match 2014

Target led by K. Nichols Principal EHP All planned work has been conducted for projects. From April 2014 review of new projects to be started.

1z

Public perception of safety




To set a target for 2014/15 based on a baseline questionnaire in 2013/14 by March 2014



Led by EHOS Community Living

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Priority 2: Improving the Health & Wellbeing of those who have illness or disability

Outcomes

i. Supporting people with long term conditions to live healthier lives

7 Indicators:2 SMART targets set

Target Leads:

Director of Public Health, LBS


Sutton CCG, Dr B Hudson

Public Health England


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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group


SMART target set


PSED undertaken


2a

Reduce unplanned hospitalisations for people with LTC

Information to be collected by March 2014



To set SMART target for 2014/15 with major hospital provider by March 2014



Target leads Sutton CCG (Drs Brendon Hudson & Chris Elliott)

2b

Increased identification of "at risk" registered patients (2 or more LTCs or 2 or more emergency admissions in last 6 months)




As above Information to be collected by March 2014


Target leads CCG (Drs Brendon Hudson & Chris Elliott)

2c

Increasing the proportion of patients feeling supported to manage their own conditions




85% in 2015



Target leads CCG (Drs Brendon Hudson & Chris Elliott)

2d

Monitor the housing needs of specific client

Information to be made available by



Targets for 2014/15 and 2015/16 and



Lead: EHOS Community Living

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groups with LTCs on the Housing Register

December 2013

December 2013

December 2013 13/14 baseline to be confirmed, by March 2014

December 2013 December 2013 (Simon Latham)

2e

Monitor the housing needs of specific client groups with LTCs that have been re-housed

Information to be made available by March 2014



Targets for 2014/15 & 2015/16 including 13/14 baseline to be set by March 2014.



Lead: EHOS Community Living (Simon Latham)

2f

Percentage of people with learning disabilities having an annual health check

No to be prepared by March 2014


Yes (CCG, Primary Care, LD Community Nursing)

No to be set by March 2014

Not formally, to be agreed by March 2014

No Leadership for SMART target to be agreed by March 2014. Current lead Patrick Hopkinson

2g

To increase the proportion of people with a learning disability living in settled accommodation




Increase to 75% by 2015



Lead: Simon Latham Operational lead: Social Inclusion Delivery Manager

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Priority 3: Improving Mental Health & Wellbeing

i. Improving the mental wellbeing of our children and young people ii. Improving the life chances of adults with mental ill-health

14 Indicators: 8 SMART Targets set

Target Leads:

Director of Public Health, LBS


EHOS Adults & Safeguarding

Sutton Joint Mental Health Commissioner

CYLD, Colin Stewart


CYLD, Colin Stewart

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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group


SMART target set


PSED undertaken


3a

Review & redesign CAMHS tier 1-4 redesign developing an outcomes based approach for new service

Within Children’s Services Improvement Plan

To be delivered through CaMHS team.

yes To be set post CAMHS review by October 2013

CYPLD reporting into Children’s Services Improvement Board

No: To be undertaken by March 2014

Data link: Colin Stewart

3b

Reducing absence rates in primary schools created by anxiety & emotional issues

To be delivered through individual schools

No (To be delivered through individual schools)

No. Target not yet set.

To be set in 14/15 Baseline set in 13/14 to be set by March 2014

School link inspectors and Borough attendance service.

No: To be undertaken by March 2014

Data link: Colin Stewart

3c For young people in the Youth Justice System the number who are in employment education & training

Yes. Youth Justice Plan & Raising Participation Readiness Plan

To be delivered through youth offending team

yes, Baseline and target to be set by the end of September 2013

Safer Sutton Young Peoples Board and Post 14 Progression & Transition Board. Quarterly monitoring

No: To be undertaken by date to be confirmed by October 2013

Lead: Colin Stewart Data required for target and baseline from DfE available from September 30

th 2013

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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group


SMART target set


PSED undertaken

Additional Information

3d

Increase access to community mental health services for people from BME groups

To be developed and agreed by Mental Health Delivery Group by September 30

th 2013.

Mental Health Delivery Group

Yes

25% of IAPT referrals from BME groups in 2014/15

Mental Health Delivery Group reporting directly to One Sutton Board. Meeting frequency of MHDG to be agreed by September 2013.

To be agreed and undertaken by Mental Health Delivery Group by March 2014.

Led by Sutton Joint Mental Health Commissioner

3e

Increase access to psychological therapies for people from BME groups

As above As above Yes

17% of referrals from BME groups in 14/15

As above To be agreed and undertaken by Mental Health Delivery Group by March 2014


3f

Improving recovery following talking therapies (all ages and over 65 yrs)


2013/14 44% 2014/15 50%



3g

Increase number of people with mental health


Set CPA target in 2014/15 contract by March 2014

As above To be agreed and undertaken by Mental Health


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on a Care Programmed Approach

Delivery Group by March 2014

3h

Reducing the rates of hospital admissions for mental health conditions

As above As above

Yes

Set target for 2014/15 by March 2014



3i

The proportion of persons in IAPT programme receiving psychological therapies


13% of people in IAPT programme have psychological therapy treatment in 2013/14 for depression and/or anxiety disorders



3j

Reduce the extent of homelessness amongst people with mental health problems

Within Housing Strategy

Homelessness

Prevention

Group

Homelessness approaches where mental health was the reason for vulnerability 2013/14 target to be confirmed

No Target to be set by December 2013

Housing Strategy Group , quarterly

To be undertaken by December 2013

Led by EHOS Simon Latham

3k

Reduce the number of people with mental health problems

Within housing strategy

Homelessness

Prevention

Group

Data from SHP and housing association evictions and approaches to

To be set by March 2014

Housing Strategy Group, quarterly



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evicted from social tenancies

the Housing Centre. Targets for 2014/15 and 2015/16 to be confirmed by March 2014

3l

% of people with mental illness and eligible for social care services have a personal budget by April 2013 and either receive direct payments to manage their care themselves, or the council manage their payments for them




100% to MH to have budgets by 2014



Led by EHOS, Keith Skerman

3m

The number of people with mental health problems living in settled accommodation

Information to be made available by January 2014



Proportion of adults receiving secondary mental health services in settled accommodation increased to 85% in 2013/14



Led by EHOS Keith Skerman

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Priority 4: Empowering & Supporting Local Communities

Outcomes

i. Promoting Independence, Choice and Control ii. Empowering and supporting local communities and groups to encourage friends and family members to become networks of

support (creating social capital and social connectedness)

12 indicators: 4 SMART Targets set

Target Leads:

EHOS, Victoria Lawson, LBS

Royal Marsden, Ann Howers


EHOS, Health & Wellbeing, LBS

EHOS, EHOS Planning & Transportation, LBS

Sutton CCG

3n

More people diagnosed with dementia




1042 newly diagnosed with dementia by March 2014



Led by EHOS, Keith Skerman

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Unique Indicator

Indicator Title

Delivery Plan

Delivery Group


SMART target set


PSED undertaken


4a

Commission an NHS 111 service as a source of information and advice to enable people to remain independent in their own home

N/A N/A N/A 111 service has been set up (Achieved)

N/A No Sutton CCG Sue Roostan, Director for Commissioning. Change in provider will be required before the end of November 2013 as the current provider will no longer be an NHS 111 provider.

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4b

Develop and implement an information and advice strategy

Within information and advice strategy

Community wellbeing programme board Social Services IT project board

yes Increase use of Voluntary sector information and advice service by 40% by 2015 Improve access to information for users and cares to 90% by 2015 Increase proportion of people accessing information via the internet by 75% by 2015

To HWB via CWP Board,

Led by Jan Underhill Information officer supporting target to be recruited by March 2013. Programme Manager –Andrew Clarke

4c

Adaptations made to private sector housing

Plans Within housing strategy

LB Sutton Housing Strategy Group LB Sutton ‘SHARM’ group

yes no LB Sutton Housing Strategy Group, quarterly



4d

Adaptations made to social sector housing

Within housing strategy

LB Sutton Housing Strategy Group

yes no LB Sutton Housing Strategy Group,



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LB Sutton ‘SHARM’ group

quarterly

4e

Extent of fuel poverty




Targets to be set by March 2014




4f

Availability of housing support




No. To be set by March 2014




4g

Complete an analysis of the needs of Suttons voluntary and community sector.




Analysis to be completed by March 2014.



Led by EHOS Victoria Lawson

4h Support new volunteers into suitable roles

No (leads have identified planned processes for target delivery)

No (however

part of

Strategic

Partner

Programme

work and will

be monitored

closely

through these

arrangements)

yes >600 new volunteers in 2014/15

yes No (to be agreed)

Toni Walsh, Sutton CVS/Victoria Lawson

4i Agree and develop Community




By September 2013 Community



Toni Walsh, Sutton CVS/Victoria

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Wellbeing Programme

December 2013

December 2013

December 2013 Wellbeing Programme developed including project plan and communication and engagement plan

December 2013

December 2013

Lawson

4j 90 mothers estimated to be part of service in 2013/14




Outcomes and outputs of FNP in 2013/14 to be notified when agreed



Ann Howers, Royal Marsden/Dr Brendan Hudson

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4k Increase the percentage of people that have good social contact




Targets to be set in 13/14 By March 2014



Exec Head of Service, Community Wellbeing & Health Partnerships (Jan Underhill)

4l Facilitate local communities to develop neighbourhood plans linked to community wellbeing programme




In at least two areas, one Hackbridge, by 2013/14



Target lead EHOS Planning & Transportation (Eleanor Purser)

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HWB Board 7 October 2013 - Joint HWB Strategy Plan Update ... Board 7 O… · Increase prevalence...

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