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Joint Health and Wellbeing Strategy

NB We recommend that you read the Joint Health and Wellbeing Strategy or Executive Summary before answering these questions.

Part 1: Health and Wellbeing Priorities

Joint Health and Wellbeing Strategies should set priorities that tackle the needs identified in the Joint Strategic Needs Assessment (JSNA). Review of the JSNA and conversations with patients, professionals and other partners have helped us to identify four priorities that we believe have the potential to make the biggest and fastest improvements to health and well being over the next five years. These are:

1. Supporting good mental health for all

2. Supporting children, young people and families to have the best possible start

3. Addressing the rising tide of long-term conditions

4. Building a sustainable health and social care system that is fit for the future

To what extent do you agree that the Health and Wellbeing Board has chosen the right issues to focus on for the next five years?

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Q2	What else should be a priority for the Health and Wellbeing Board for the next five years?

Part 2: The Priorities in more detail

Priority 1: Good mental health for all

Mental health disorders have a significant impact on the ability of people to lead fulfilling lives and contribute to society. Locally mental health is the most common reason for absence from work and the borough had the the 2nd highest population with severe and enduring mental illness known to GPs in the country in 2013. People with mental health problems also face significant physical health problems and live significantly shorter lives as a result. We have identified a range of actions we will take to deliver good mental health for all in the Joint Health and Wellbeing Strategy.

Q3	What action should we take to make a real and lasting impact on people's mental health and wellbeing?

Q4	How can you/your organisation support the Health and Wellbeing Board to ensure there is good mental health for all in the borough?

Priority 2: Giving children, young people and families the best possible start

A child's early experiences have a huge impact on their long-term health and wellbeing. Compared to elsewhere, Kensington and Chelsea has poor rates of uptake for childhood immunisations, significant proportions of children living in poverty, high rates of child obesity and high rates of tooth decay in children under five. Support is provided at this stage of life from maternity services, health visitors, GPs, children's centres and many others but it is not always joined up around the needs of children and families. We have identified a range of actions we will take to give children, young people and families the best possible start in the Joint Health and Wellbeing Strategy.

Q5	What action should we take to support the health and wellbeing of children, young people and families?

Q6	How can you/your organisation help ensure children, young people and families have the best possible start?

Priority 3: Addressing the rising tide of long term conditions

Because of advances in care and treatment of long-term conditions (LTCs) like hypertension, cardiovascular disease and diabetes, people are living longer. But this care and treatment is consuming an ever greater proportion of resources. Care for LTCs presently accounts for 55 per cent of GP appointments, 68 per cent of outpatients and Accident and Emergency appointments and 77 per cent of inpatient bed days nationally. It is estimated that £7 out of every £10 spent on health and social care in England is associated with the treatment of people with one or more LTC in England and this is projected to increase to around 18 million by 2025. We have identified a range of actions we will take to address the rising tide of long-term conditions in the Joint Health and Wellbeing Strategy.

Q7	What action should we take to prevent, identify and support people to manage their long-term conditions?

Q8	How can you/your organisation support the Health and Wellbeing Board to address the rising tide of long-term conditions?

Priority 4: Delivering a high quality and sustainable health and social care system

We know that the current system of health and care can be confusing for patients, families and careers. As our population gets older and more people develop long-term conditions our system is becoming less able to cope with the changing needs and expectations of the people it serves. Our current health and care system is unsustainable. Across North West London, if we continue as we are currently doing, there will be between £0.5 bn and £1.1 billion financial gap in our health and care system by 2021. We have identified in the Joint Health and Wellbeing Strategy a range of action we will take to deliver a high quality, sustainable health and care system including addressing challenges relating to the health and care workforce, physical infrastructure, technology and finance.

Q9	What should we do to deliver a sustainable health and social care system that is fit for the future?

Q10	How can you/your organisation support the Health and Wellbeing Board achieve this ambition?

Part 3: Supporting Principles

We know that in order to deliver the change we need, we will need to take action across a number of areas. This is why we have developed supporting principles that will underpin our work for the next five years:

- Upgrading prevention: we will support people who are mostly healthy with the information and tools they need to stay well and maintain healthy lifestyles

- Enabling independence, community resilience and self-care: we will promote and encourage our communities to be more actively involved in their own health and wellbeing and enable everyone to take a greater role in management and maintenance of their health and care conditions of others where appropriate.

- Tackling the wider determinants of health: related to the prevention principle, we will work to ensure that the environment into which people are born, grow, live, work and age supports them to stay well and make healthy choices

- Making community, primary care and social care an effective front line of local care: we will work to ensure the right support is provided closer to home enabling people to stay well in their homes and communities

- Delivering integration and service reform: we will work to ensure that when people do need to access health and care services that those services are joined up around their needs and the needs of family members and carers

Q11

To what extent do you agree that we have chosen the right principles to guide our work for the next five years?