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HEALTH, SOCIAL CARE AND WELLBEING STRATEGY FOR RHONDDA CYNON TAFF 2011-14 CONTENTS INTRODUCTION ............................................................................................. 1 WHAT IS THE HEALTH, SOCIAL CARE AND WELLBEING STRATEGY? .... 2 THE CONSULTATION PROCESS .................................................................. 3 OUR VISION .................................................................................................... 4 OUR VALUES .................................................................................................. 5 OUR APPROACH ............................................................................................ 5 OUR ACHIEVEMENTS SO FAR ..................................................................... 9 OUR THEMES FOR 2011-14 ........................................................................ 12 THEME 1 ....................................................................................................... 13 PROMOTING HEALTHY LIFESTYLES AND PREVENTING ILL HEALTH ... 13 i REDUCING HEALTH INEQUITIES - FAIRER OUTCOMES FOR ALL ............................ 15 ii. HEALTHY LIFESTYLES .................................................................................................. 16 iii. ALCOHOL AND DRUGS ................................................................................................ 19 iv EMOTIONAL WELLBEING ............................................................................................. 20 v WORK AND HEALTH ....................................................................................................... 21 THEME 2 ....................................................................................................... 22 PROMOTING INDEPENDENCE AND PROTECTING THE VULNERABLE .. 22 PEOPLE WITH A LEARNING DISABILITY ........................................................................ 27 PEOPLE WITH MENTAL HEALTH PROBLEMS ................................................................ 28 PEOPLE WITH CHRONIC CONDITIONS .......................................................................... 30 OLDER FRAIL PEOPLE ..................................................................................................... 31 PEOPLE AFFECTED BY THE MISUSE OF DRUGS AND ALCOHOL .............................. 32 PEOPLE WITH A PHYSICAL DISABILITY AND/OR A SENSORY IMPAIRMENT ............ 33 CARERS ............................................................................................................................. 35 THEME 3. ...................................................................................................... 36 IMPROVING SERVICES AND JOINT WORKING ......................................... 36 IMPLEMENTATION ....................................................................................... 41 INTRODUCTION Welcome to the third Health, Social Care and Wellbeing (HSCWB) Strategy for Rhondda Cynon Taff (RCT), covering the period 2011-2014. It is a statutory requirement that Rhondda Cynon Taff County Borough Council and Cwm Taf Health Board produce this Strategy to show how we will drive forward improvements in the health and wellbeing of our local population. Enjoying good health and avoiding harm is a priority for us all as individuals, families and communities. However, many factors which influence our health are outside the control of the Local Authority and Health Board on their own. There are a range of other partners who also have an important part to play, including other statutory and voluntary organisations, the independent sector, service users, carers, community groups and of course our staff. We therefore set up the RCT Health Social Care and Wellbeing Partnership in 2004 to oversee the development and delivery of the Health, Social Care and Wellbeing Strategy. The Partnership has added value to the work of individual agencies and although we are proud of what we have achieved together, there are always further improvements that can be made. The approach of the HSCWB Partnership has been to address a broad range of factors that influence health and wellbeing, including employment, housing and transport, as well as considering the specific needs of groups such as older people and people with mental health problems. Many of our communities suffer from high levels of deprivation and lifestyles which do not support good health. The HSCWB Strategy has motivated and engaged partners in addressing these issues together. However, health improvement is a long term process and there is still much to do. The economic challenges facing the country will impact on individuals and communities in RCT as well as putting severe pressure on all public sector budgets. It is therefore more important than ever that we focus on the outcomes we want to achieve. In addition to the work undertaken by the HSCWB Partnership, individuals, too, have a responsibility to look after and take more control over their own health. We need to encourage and support people and communities to be able to do this, getting rid of the barriers that stop people leading a healthy life. If we are to promote healthy lifestyles and provide high quality, sustainable services in the future that promote independence, whilst also protecting and supporting those in the greatest need, we must change the way we work and use our resources. The HSCWB Strategy sets out how we intend to do this and our priority areas for improvement and action. In developing and finalising this Strategy, we have taken account of all the comments made as part of the consultation exercise. Thank you for taking the 1 time to tell us what you agreed with and the issues which are important to you, your families and communities. We have reflected on your views and have made reference to these throughout the document. We will continue to keep you informed of progress in implementing the new plan which will only be a success, as many of you pointed out, if we all work together. Together we can make a positive difference to the lives of everyone in Rhondda Cynon Taff. Dr C D V Jones C.B.E Councillor R Roberts Chairman Leader Cwm Taf Health Board Rhondda Cynon Taf County Borough Council WHAT IS THE HEALTH, SOCIAL CARE AND WELLBEING STRATEGY? The Health, Social Care and Wellbeing Strategy is a three year plan which is about everybody. It is not just about treating and caring for people who are ill, although that is of course an important element, but it is also about keeping everyone fit and independent, helping people to participate fully in life. This means that the Strategy must not only consider the physical and mental health problems people may have but also the range of factors that can influence their health and wellbeing. These include living, working and environmental conditions as well as social, cultural and leisure opportunities. All of these elements contribute to people’s health and wellbeing and also help make our communities strong and sustainable. The HSCWB Strategy is a statutory plan which identifies our aspirations and commitments in relation to health and wellbeing in Rhondda Cynon Taff. In producing this plan however, we are mindful of the Welsh Assembly Government requirement that the HSCWB Strategy should concentrate on two significant elements – • reducing inequities in health that are unfair and avoidable • improving the provision, quality, integration and sustainability of services provided by both the NHS, Local Authority and other partners 2 THE CONSULTATION PROCESS Guidance from Welsh Assembly Government states that a diverse and wide range of partners must be consulted and involved in the development and monitoring of the HSCWB Strategy. In October 2010, the Partnership Board therefore approved an Engagement Plan which outlined the approach to be taken to ensure that public engagement and community involvement was as inclusive and meaningful as possible. A formal 12 week consultation period was required to consult on the draft strategy. However, it was also expected that there would be ongoing engagement with the public, staff and stakeholder organisations throughout the whole process and in a range of ways. In RCT, engagement to help inform the drafting of the consultation document was undertaken in the Big Bite event in Pontypridd in the summer of 2010, at the 50+ Life is What you make it event in Llantrisant in the Autumn, with LHB staff at an event in the Royal Glamorgan Hospital, with the LHB Stakeholder Reference Group and with a range of partnership groups including those established as part of the Third Sector’s HSCWB Forum. The formal consultation process took place between 30th December 2010 and 25th March 2011. The draft Strategy consultation document was made available electronically in both English and Welsh, together with a questionnaire to collect responses. The document was distributed widely using the databases of partner organisations and other stakeholders to reach as many groups and individuals as possible, including some whose needs are sometimes neglected or not fully met by mainstream services. Copies were made available in Braille and as audio discs in response to requests from service users through RNIB. In addition to presentations at meetings and specific events with opportunities for workshop discussions, a variety of methods were used to communicate as widely as possible, including the use of partner organisation newsletters, websites and the local media. An edition of the HSCWB magazine LIVING was used to provide a summary

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