Hinckley & Bosworth Health & Wellbeing Partnership Strategy

Hinckley & Bosworth Health & Wellbeing Partnership Strategy A way to a healthier lifestyle

Refreshed February 2018 Foreword The purpose of this document is to set out the overall ambition for improving the health and wellbeing of communities in Hinckley & Bosworth, the underpinning priorities, and our approach in working towards achieving this.

Bill Cullen Chief Executive, Hinckley & Bosworth Borough Council & Cllr Keith Nichols Chair of Health & Wellbeing Partnership Executive member for culture, leisure, tourism and town centres for Hinckley & Mike Sandys "Working in close partnership with Bosworth Borough Council Leicestershire’s Director of Public Health key health sector professionals and "The health and wellbeing of our local the voluntary sector is essential if we "I applaud this approach being communities and residents plays an are to continue in our journey to undertaken by the locality. The quest important role in making Hinckley and reduce health inequalities within the to improve the public’s health starts Bosworth a borough where people Borough of Hinckley & Bosworth". with personal responsibility which is want to live and work and where local then supported by a wide range of business can prosper. This Strategy professionals, volunteers, family and aims to direct people toward making friends". healthier lifestyle choices as well as championing health inequality across our area”.

2 This high level strategy should be read in conjunction with the complimentary supporting report titled ‘Health & Wellbeing in the Borough’.This report provides additional detail and supplementary information, which predominately targets our local Health professionals. Contents 1. The Health of the Borough 2 Local delivery arrangements 4. Principles 3. Ambition of the Partnership 5. High level priorities 7. Challenges and opportunities moving forward 6. Key achievements 8. Conclusion 1. The Health of the Borough 9. Key contacts Broadly speaking the health of Hinckley and Bosworth is not dissimilar to that of Leicestershire. • Life expectancy for both men and women is higher than the England average but the life expectancy gap between the least and most deprived areas of the Borough is 4.7 years for men and 4.9 years for women • 4.6% (England 5.5%) of the local population classify their general health as bad or very bad with17% (England 17.6%) having a limiting long term illness or disability • Public Health England monitor 32 key health indicators (31 in 2014) and these are published annually (2014 Health Profile) and RAG rated. Currently Hinckley & Bosworth BC are rated as significantly better than the England average in 15 of these, significantly worse than the England average in 3 and not significantly better or worse in the remainder (13).

Areas where we are better than the England Areas where we are worse than the England average (selection of some of the 15) average Deprivation Obesity in adults Drug misuse Excess weight in adults Children in poverty Recorded diabetes Under 75 mortality - cancer Obesity in year 6 children “In 2013, 702 people participated in the GP health referral scheme ” Hinckley & Bosworth Health & Wellbeing Partnership Strategy

3 2. Local delivery arrangements

Local strategic and operational delivery is coordinated by the Hinckley & Bosworth Health & Wellbeing Partnership (HWP). This multi agency partnership oversees the delivery of health and wellbeing priorities, monitors and challenges performance, and reports to the Hinckley and Bosworth Local Strategic Partnership (LSP), as one of the Borough’s key delivery partnerships delivering on the broader community plan priorities. There are a number of sub groups with supporting delivery plans for each of the health and wellbeing priorities. Key Partners on the HWP include: • Leicestershire County Council, Public Health • West Leicestershire Clinical Commissioning Group • Health watch Leicestershire • Voluntary and Community Sector • Hinckley & Bosworth Borough Council 3. Ambition of the Partnership To improve the health and wellbeing of people in the 4. Principles of the Partnership Hinckley and Bosworth Borough, and to reduce the • To continuously consider the wider social, environmental and economic inequalities in health experienced by some social factors that inﬂuence health and wellbeing, including housing, groups or people living in geographical areas of employment and the environment, and, greater social need. Ultimately, working in partnership • To work in eﬀective partnership, within budgetary constraints to target to provide ‘a way to a healthier lifestyle’. our limited resources to those who are in greatest need. • To enable integrated working and commissioning across these areas “By 2030 it’s estimated that • To enable targeted collective action where we can have the most 2,600 people in the Borough impact, based on local evidence, but informed by national policy will have dementia • To adopt a Think Family approach to improving health & well being ” • Where feasible adopt an early, pro active, intervention and prevention approach Hinckley & Bosworth Health & Wellbeing Partnership Strategy

4 5. High level priorities * Priority Expected Outcomes Better Care Coordinated service response to urgent need Together A reduction in emergency A&E admissions A reduction in the number of residential or other long term care admissions An increase in people living independently in their own homes for longer An increase in local services to provide low key but essential support to facilitate this e.g. befriending and sitting service Reducing obesity To reduce currently significantly high obesity and excess weight in adults in children and To maintain and further reduce obesity levels in children adults If sustained over time a reduction in health inequalities and NHS treatment costs for associated illness e.g. Type 2 Diabetes Promoting Improved resilience in terms of the everyday challenges of life wellbeing and Stronger communities and individuals good mental Improvement in children’s lifestyles as vulnerable parents increase their confidence health Reduced treatment costs Supporting our Increased resilience and quality of life ageing population Increased numbers living independently in their own homes for longer Reduced social isolation and loneliness Reduced hospital/care admissions following falls in the home Reduced winter deaths Reducing the Reduced numbers of people ‘binge-drinking’ misuse of alcohol Reduced numbers of hospital admissions that are specifically caused through alcohol Reduced numbers of hospital admissions from alcohol related harm Reducing smoking Improved health outcomes for the ex-smoker Less second hand smoke related illness especially in children and young people from smoking households Reduced illicit tobacco trade Positive impact over time in health inequalities Sizeable reduction in associated NHS treatment costs Supporting Further reductions in the number of teenage conceptions 19.6 % of adults in Hinckley “ teenage parents Increase in the number of younger people accessing education and work related opportunities and Bosworth binge drink ” Decrease in the number of terminations Improved quality of life Positive impact on health inequalities over time Hinckley & Bosworth Health & Wellbeing Partnership Strategy

5 * Based on local health data (from previous page)

The strategy reflects the priorities as detailed in the Leicestershire Health and Wellbeing Board strategy 2013-16 www.leics.gov.uk/leicestershire_health_wellbeing_strategy.doc One of the key pieces of work being driven forward is the Better Care Fund plan. This will result in changes to the health and social care services in Leicestershire over coming years. Planned improvements include: 6. Key achievements • More services provided outside of hospital which operate on a 24/7 basis The HWP are proud of its positive track record in achieving outcomes aimed at • Joined-up health and wellbeing services to give better co-ordination and reducing health inequalities in the Borough. access to information, health and advice in communities Below is a summarised list which captures just some of our successes to date: • A joined-up response (within 2 hours), for those who need urgent assistance, • Production of Directory of Services – raising awareness of all community based but do not need to go to hospital services across the Borough and how to signpost/refer to them • More effective, timely and joined-up support to help people leaving hospital • Coordination Staying Healthy Grant Scheme – an allocation of money to all • More people with long-term conditions benefiting from coordinated care, districts based on population which is to impact against identified health priorities planned in advance, across agencies • Locality approach to Mental Health coordination – results in a closer awareness of local groups and needs and facilitates direct action • Development of Dementia Care support material – we have taken a local approach to this resulting in a resource that will be available to local people and marketed outside of the Borough • Physical Activity & Sport Commissioning – Targeting work on areas in the Borough where there is an identified priority and ensuring an impact on the health priorities wherever this is possible and practical • The Lightbulb project is to integrate practical housing support, adaptations and other informal support into a single support service for older people that is tenure neutral, stigma free and shaped around an individual’s need – not an organisations threshold or capacity. The services to be aligned to Lightbulb include aids and equipment, affordable warmth, occupational therapy assessments, handy person schemes. The aim is to have a single point of contact, single assessment and single case management of an older persons housing related issues. Hinckley & Bosworth Health & Wellbeing Partnership Strategy

6 7. Challenges and opportunities moving forward

The single biggest challenge will be to retain service delivery within the wider partnerships budgetary constraints. The HWP and its partners will target its limited resources to those who are in greatest need. The commissioning of services is changing. Making a difference and obtaining 8. Conclusion value for money are just two key areas which are being considered by the key commissioners i.e. Public Health and West Leicestershire Clinical The accumulated evidence tells us that in many ways Hinckley and Bosworth Commissioning Group. experiences health and lifestyle issues broadly similar to those across Leicestershire and parts of England although in some cases significantly worse or better. The Engaging the voluntary sector to play an enhanced role in the delivery of Borough has an ageing population that looks set to increase significantly over the services is an exciting opportunity. The recent changes to our local voluntary coming years and that we have a high level of carers, many ageing themselves, sector arrangements including revised governance and coordination, provides providing significant levels of unpaid care to a significant number of people with a Hinckley & Bosworth with a sound platform. limiting illness or disability. This Strategy will be reviewed on a biennial basis by the Partnership. As the new Public Health structures and processes unfold we will see more opportunities develop in Hinckley and Bosworth around the work of Public Health delivery. There are in place already commissioning agreements with Public Health, West Leicestershire Clinical Commissioning Group and Leicestershire and Rutland Sport delivering Borough wide and targeted interventions improving health outcomes for communities and individuals. There is no denying that there remains much to be done to make the improvements necessary across the full range of health priorities. These can only be delivered through multi agency collaboration. We should take heart though that through national and local strategies significant progress has been made in reducing health inequalities. It is through taking a long term and consistent approach that this has been achieved and similar successes can be had by adopting this approach. The Hinckley & Bosworth Health & Wellbeing Partnership has a strong leadership and receives support from the local and regional health sector. Locally we are in a positive position, with a solid platform allowing us to seek improvements and efficiencies with regard to health provision, leading to a way to a healthier lifestyle. Hinckley & Bosworth Health & Wellbeing Partnership Strategy

7 9. Key contacts

Useful websites: www.hinckley-bosworth.gov.uk/healthmedicaladvice www.leics.gov.uk/index/public_health/about_public_health.htm www.westleicestershireccg.nhs.uk/ www.healthwatchll.com Contact: Simon Jones, Cultural Services Manager tel 01455 255699 email: [email protected]

“The population of Hinckley & Bosworth aged over 60 is estimated to increase by around 70% by 2030. ” This high level strategy should be read in conjunction with the complementary supporting report titled ‘Health & Wellbeing in the Borough’.

Hinckley & Bosworth Health & Wellbeing Partnership Strategy