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Basingstoke and Deane Borough Council A Shared Plan to Improve Health and Wellbeing in Basingstoke and Deane 2013 to 2016 1 Contents Foreword Page 3 About the Health and Wellbeing Partnership Page 4 About the Shared Plan for Health and Wellbeing Page 5 Setting the context Page 6 Challenges and Priorities for Basingstoke and Deane Page 7 How will the Health and Wellbeing Partnership contribute? Page 8 Making it happen Page 10 Appendix 1 Outcomes diagram for Health and Wellbeing in Basingstoke and Deane Page 13 References Hampshire’s Joint Health and Wellbeing Strategy 2013-2018 http://www3.hants.gov.uk/healthandwellbeing/healthandwellbeing-board-info.htm Hampshire Joint Strategic Needs Assessment www.hants.gov.uk/jsna Demographic and Health Profile summary of Basingstoke and Deane 2011 Census Summary Factsheet.pdf Health Profiles - 2 - About the Health and Wellbeing Partnership The Health and Wellbeing Partnership has been formed ‘to provide local leadership to create a framework for health and social care that meets the needs of the residents of Basingstoke and Deane in the 21st century.’ As of April 2013, representation on the Partnership comprises the following organisations: • Basingstoke and Deane Borough Council (Community Services, Residents Services) • Basingstoke Area Children’s Strategy Group / Local Children’s Partnerships • Basingstoke Disability Forum • Basingstoke Sport and Physical Activity Alliance • Basingstoke Older Person’s Partnership • Basingstoke Voluntary Sector Forum • Children’s and Adolescent Mental Health Service • Hampshire County Council (Adult Services, Children’s Services, Public Health) • Hampshire Hospitals NHS Foundation Trust • Hampshire Wellbeing Services • North Hampshire Clinical Commissioning Group* • Patient Participation Group • Southern Health NHS Foundation Trust • St Michael’s Hospice *It is noted that a number of Clinical Commissioning Groups (CCG) serve the population of Basingstoke and Deane. While North Hants CCG covers the majority of the borough, the population in some parts is covered by West Hants CCG, Newbury and District CCG or North and West Reading CCG. The outcomes described in this Shared Plan are outcomes for the whole borough to be achieved through improved collaborative working among all relevant partners and agencies, including the relevant CCGs. We aim to: • influence behaviour and environments to improve health and wellbeing • reduce health inequalities among the population of Basingstoke and Deane by improving access to information and support among those at risk of highest levels of mortality and chronic illness • address local health and wellbeing priorities identified through evidence of need in Basingstoke and Deane • encourage innovative ways of partnership working • focus on projects where partnership working adds value and which are not the sole responsibility of one organisation The partners have agreed to place the key principles of the Basingstoke Area Strategic Partnership (BASP) at the heart of the work of the Partnership, with a particular drive to build strong relationships and common purpose. - 4 - About the Shared Plan for Health and Wellbeing It is recognised that there are many factors that influence an individual’s health and sense of wellbeing – those personal and social factors that affect how we feel about where we live and what we can do. ‘Personal well-being describes people’s experiences of their positive and negative emotions, satisfaction, vitality, resilience, self-esteem and sense of purpose and meaning. Social well-being is made up of two main components: supportive relationships, and a feeling of trust and belonging. Together they form a picture of what we all really want: a fulfilling and happy life.’ (New Economics Foundation) The ways in which society protects public health, provides housing, prevents crime and disorder, manages neighbourhoods, raises aspirations and education attainment, empowers communities, cares for the environment, promotes economic development and plans for future growth all play an equally important role in determining whether an individual is content with life. The Partnership will be an advocate to encourage the consideration of health outcomes as an integral part of delivering services in these areas. The Shared Plan for Health and Wellbeing focusses on health improvement through community based activity. It is intended to be mainly delivered by primary and secondary health care providers, the local authorities at county and borough level delivering statutory and discretionary health provision and the broad range of voluntary sector organisations providing health and social support services, working with relevant communities. From a resident’s perspective, the main priority is to have the right level of opportunity, information, choice, care, treatment or intensive support according to their need, regardless of who provides the service. This includes the need for individuals to take greater personal responsibility for managing their own health and for community networks to offer a greater degree of social support to encourage self-help. To achieve this, the different providers of services need to understand what each other offers and how a resident can access the relevant support at the time they need it. Partners of the Basingstoke Area Strategic Partnership have committed to a Neighbourhood Renewal Strategy which aims to ensure that by 2025 no-one living in Basingstoke and Deane is disadvantaged by where they live, and the borough council has set out a four year council plan 2013- 2017 which includes as one of its priorities ‘Supporting active, healthy and involved communities’. This Plan, endorsed by the Basingstoke Area Strategic Partnership, will help to achieve these objectives. - 5 - Challenges and Priorities for Basingstoke and Deane The Hampshire Joint Strategic Needs Assessment and local health and demographic profiles provide information on a range of health conditions among residents across the county. Health in Basingstoke and Deane is generally better than the England average and efforts need to be sustained to ensure this continues. The Health and Wellbeing Partnership has also drawn from this data a range of key characteristics which present particular challenges for the borough: • There are a number of conditions where rates in Basingstoke and Deane are generally worse than the Hampshire average: Obesity in children (Year 6) Teenage conceptions Hospital stays for self-harm Prevalence of binge drinking Death rates from lung disease linked to smoking Adult obesity Hospital admissions for diabetes Hospital admissions for knee replacements Mortality from cardio-vascular disease • Basingstoke and Deane will experience a rapid rate of growth among the over 65s. • There is a significant difference in the prevalence of life limiting conditions between the areas of lowest and highest indices of deprivation, leading to life expectancy being 5.5 years lower for men and 4.4 years lower for women in the most deprived areas than in the least deprived. Having assessed this information and sought views from other key stakeholders through conference feedback and workshops, the Basingstoke and Deane Health and Wellbeing Partnership has identified six priorities. These set out what needs to be addressed in the borough and the ways in which the collective effort of all agencies and organisations that have an impact on health improvement are encouraged to work. Achieving these outcomes is not the sole the responsibility of the Health and Wellbeing Partnership. Priority health improvement outcomes for Basingstoke and Deane What: 1. Reduce lifestyle driven premature deaths, illness and disability 2. Enable healthy ageing and plan for services for the older population, including support to address the forecast increase in dementia 3. Improve outcomes relating to mental health How: 4. Reduce inequalities by improving health outcomes for the most vulnerable residents 5. Support more community action, companionship and local decision making 6. Increase personal responsibility for health and wellbeing, helping people to make informed choices - 7 - How will the Health and Wellbeing Partnership contribute? The Partnership has identified three specific areas it wishes to focus on to contribute to the borough’s overall health improvement priorities. These are shown as outcomes for the Partnership, together with examples of associated actions to help achieve them. An action plan for the Health and Wellbeing Partnership will accompany this Shared Plan. Partnership Outcome 1 More people with multiple health risk factors such as smoking, obesity, (What difference do we inactivity, hazardous drinking and dementia have access to focussed support want to make?) Approach DELIVER TARGETED SUPPORT Actions We will coordinate support programmes focussing on geographic areas or (How will we make a specific populations where people are more likely to have multiple risk factors difference?) Type of Project Outputs Partnership Projects Offer healthy lifestyle drop in sessions run Number of health trainers by health trainers in community settings in Number of sessions run (What will we do, who areas with poor health outcomes will lead and how will we Number of people attending for advice know it is successful?) Promote the NHS Healthcheck programme Number of activities available to GPs to refer to for people aged 40-74 and extend referral Number of referrals from GPs to activities opportunities for those with health risks Offer health improvement solutions for Number
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