Basingstoke and Deane Borough Council

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A Shared Plan to Improve Health and Wellbeing in Basingstoke and Deane 2013 to 2016

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

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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.

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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.

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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

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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 of family plans supported family plans of the Supported Families where poor health is a risk factor for the family

Partnership Outcome 2 More people have access to networks and groups in their community (What difference do we that can support their own behaviour change want to make?) Approach SUPPORT SELF HELP Actions We will work with local groups to enhance peer support in the community (How will we make a difference?) focussing on young families, older people and people with mental health needs Type of Project Outputs Partnership Work with community planning groups to share Number of groups engaged Projects local health data and generate ideas to address Number of initiatives implemented (What will we do, who issues will lead and how will we know it is Dementia Friendly Communities Pilot scheme Number of premises signed up to the scheme successful?) Number of people with dementia enrolled on the scheme Expand Village (and urban) Agent schemes Number of agents

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Making it happen

Leadership The Health and Wellbeing Partnership will take collective responsibility for delivering the actions it has identified in this Plan through the leadership of the Chairman. Each of the three priority outcomes has a lead partnership representative to drive forward the projects with other delivery partners and sub groups as appropriate, including the Older People’s Partnership, Basingstoke Sport and Physical Activity Alliance and the Local Children’s Partnerships.

Project plans will be developed, monitored and evaluated, with progress reported quarterly to the Partnership.

The Partnership will also act as an advocate, encouraging other organisations to make their own contribution through core activity or further joint working to improve health and wellbeing in Basingstoke and Deane in its broadest sense.

Measures of success By the end of the life of this Plan we hope to have achieved changes that contribute to improved health outcomes in the borough. We will know if we have been successful if:

Relevant indicators Source of evidence (Headline measures of what we hope to achieve in Basingstoke and Deane over the life of the Plan) The % of population exhibiting lifestyle risk factors relating to Health profile - ↓ obesity, smoking and alcohol consumption improves from being actual/modelled worse than the Hampshire average to being better than the data of specific Hampshire average conditions People feel they have enough information to help them look after New feedback ↑ their own health and wellbeing or to access services when needed mechanism required The difference in health outcomes between the areas with the Health Profiles - ↓ highest and lowest indices of deprivation is reduced area data

Monitoring and reporting progress Progress against the Plan will be reviewed by the Health and Wellbeing Partnership at its quarterly meetings. Partner organisations will report to their respective internal management boards as appropriate. Annual updates will be made to the Basingstoke Area Strategic Partnership as required and information made available on the council’s website.

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Financial Resources There is no specific budget available to the Partnership to fund the actions, but a greater willingness to explore pooling existing operational budgets by partner organisations will improve opportunities and value for money. Applications will also be made to external grant sources. Not all actions require funding; some focus on the need to communicate and work together more effectively, using existing resources in a more coordinated way to achieve improved health outcomes.

Equalities Considerations Public authorities have a Public Sector Equalities Duty under the Equality Act 2010 to consider and address equality issues in all their functions, insofar as is relevant and proportionate.

The Act protects people from being treated less favourably because of certain characteristics. These are known as ‘protected characteristics’ and include: Age Disability Race Sex (gender) Gender reassignment Marriage and civil partnership Pregnancy and maternity Religion or belief (or lack of belief) Sexual orientation

The main aims are to: • Eliminate unlawful discrimination, harassment and victimisation • Advance equality of opportunity between people from different groups; and • Foster good relations between people from different groups

The council has also selected to consider the issue of potential discrimination by virtue of residents living in rural areas and economic disadvantage.

The Shared Plan has been assessed under the council’s Equality Impact Assessment procedures (EIA). The EIA is a systematic way of looking at services or policies in order to ensure that they are meeting the aims of the Public Sector Equalities Duty.

Since the Plan is seeking to reduce health inequalities, some actions are targeted at specific groups which have been identified as being disadvantaged in terms of their health, or risk of poor health, and who will therefore be treated differently to other residents. The EIA has shown a range of differentially positive impacts on groups with protected characteristics and no negative impacts. The Plan and projects will be kept under review as they are developed to ensure this is maintained.

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Appendix 1 Outcomes Diagram for Health and Wellbeing in Basingstoke and Deane

Overarching Strategic Outcomes Hampshire Health and Wellbeing Strategy

Starting Well Living Well So every child can thrive Empowering people to live healthier lives

Ageing Well Healthier Communities Supporting people to remain independent, have choice, Helping communities to be strong and control and timely access to high quality services support those who may need extra help

Priority Outcomes For Basingstoke and Deane

Reduce lifestyle driven Enable healthy ageing and plan for Improve outcomes premature deaths, illness services for the older population, relating to mental and disability including support to address the health and wellbeing forecast increase in dementia

Reduce inequalities by Support more community Increase personal improving health outcomes action, companionship and local responsibility for health and for the most vulnerable decision making wellbeing, helping people to residents make informed choices

Partnership outcomes Specific outcomes where the Partnership wishes to focus its contribution

TARGETED SUPPORT SELF HELP UNIVERSAL More people with multiple health More people have access AWARENESS risk factors such as smoking, to networks and groups in There is increased access to obesity, inactivity, hazardous their community that can information about healthy drinking and dementia have access support their own lifestyles, local services and to focussed support behaviour change community activities

Partnership activity and delivery

Coordinate a support Work with local groups to Develop a communications programme focussing on enhance peer support in the strategy to promote regular geographic areas or specific community focussing on young health messages for residents populations where people are families, older people and based on the Change for Life more likely to have multiple risk people with mental health needs campaign and enhance the links factors between health and community

Individual project / programme delivery through collaborative working

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Enquiries about the Shared Plan for Health and Wellbeing should be directed in the first instance to:

Marion Short Wellbeing and Community Manager Community Services Basingstoke and Deane Borough Council Civic Offices London Road Basingstoke Hampshire RG21 4AH

[email protected] 01256 8444844

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Published by Basingstoke and Deane Borough Council on behalf of Basingstoke and Deane Health and Wellbeing Partnership.

Telephone 01256 844844 www.basingstoke.gov.uk [email protected]

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