Southwark shadow Health & Wellbeing Board Jan Southwark’s Health & Wellbeing strategy Jin Lim

Southwark shadow Health & Wellbeing Board Jan Our approach –Creative partnership –Co-ordination of strategic commissioning –Needs and asset based – be clear about where we are starting from –Take a broad perspective i.e. social determinates as well as health –Evidence based To support that the strategy will: –Be permissive –Add value to other strategies and plans, not duplicate i.e. sections of the Children & Young People’s Plan won’t be dropped into the strategy: just because something isn't in the strategy doesn’t mean its not important –Drive system change –Enable Board members to hold each other to account e.g. by setting out the key things which partners will do deliver on the vision and strategic objectives –It will recognise the budget situation and inform spending –Drive commissioning and joint working –Should set the approach to improving health & wellbeing across partners i.e. the whole system –Long term strategy, but with short term deliverables – manageable and focussed –Clearly defines success/outcomes and actions

Southwark shadow Health & Wellbeing Board Jan Our vision for Southwark is: Improve health and wellbeing, reducing health and wellbeing inequalities particularly for the most vulnerable Fair access to services that meet community needs and build resilience Children, adults and families living full and independent lives, enjoying good health and wellbeing

Southwark shadow Health & Wellbeing Board Jan Strategic objective 1 Tackle the root causes of ill health and wellbeing, improving the wider determinants of health & wellbeing, and reducing inequalities Strategic objective 2 Building resilience and enabling everyone, including the most vulnerable, to manage their own health & wellbeing and to live healthy lives Strategic objective 3 Enable every child to have the best start in life

Southwark shadow Health & Wellbeing Board Jan Key issues from the JSNA

Southwark shadow Health & Wellbeing Board Jan 2013 Some key JSNA messages While life expectancy is improving overall, health inequalities within the borough continue to widen Difference between the worst off and best off is 9.5 years for males and 6.9 years for females Main causes of early deaths are cancers (35%), circulatory disease (23%) and respiratory disorders (5%)

Southwark shadow Health & Wellbeing Board Jan 2013 Some key JSNA messages Key long term chronic conditions contributing to poorer health include diabetes and renal disease, hypertension, circulatory disease, poor mental health, serious mental illness and HIV Death rates from cancer have been falling but remain above the national average. 1 in 4 cancer deaths attributed to lung cancer. Estimated that around 85-90% of all lung cancers are caused by smoking. Immunisation rates across all ages need to improve significantly

Southwark shadow Health & Wellbeing Board Jan 2013 Some key JSNA messages Total numbers of HIV cases across Lambeth and Southwark account for quarter of all the HIV cases in England. In Southwark, half of newly diagnosed cases were diagnosed late. Late diagnoses have implications for treatment options and outcomes, transmission and treatment costs. Estimated 45% of the Southwark population drink more than the recommended daily alcohol intake on one or more days of the week. Particularly high rates of male mortality from chronic liver disease when compared to both England and London.

Southwark shadow Health & Wellbeing Board Jan 2013 Key areas for the JHWB Strategy Integrating the Marmot evidence based recommendations into the JHWBS Addressing wider determinants (eg employment, living standards, housing etc) Ill health prevention (smoking, obesity, physical activity, alcohol, sexual health & HIV) & early deaths Best start for children & young people Mental wellbeing & resilience 9

Southwark shadow Health & Wellbeing Board Jan Discussion Scenario: the Board is asked to comment on the alcohol strategy Based on the vision, objectives and JSNA headlines what is your response? Short overview of the strategy by Melvin Hartley

Southwark shadow Health & Wellbeing Board Jan Next steps Engage with the public and wider partners: –On the vision and strategic objectives –‘Deep dive’ into each strategic objective: What does the data tell us? What are the local priorities? What are the national drivers? What assets do we have? What actions are needed? Proposed strategy in place and the Board develops actions plans post April

Southwark shadow Health & Wellbeing Board Jan 2013 Discussion Tackle the root causes of ill health and wellbeing, improving the wider determinants of health & wellbeing, and reducing inequalities Building resilience and enabling everyone, including the most vulnerable, to manage their own health & wellbeing and to live healthy lives Enable every child to have the best start in life - What knowledge or expertise can the voluntary sector bring to the strategy/objective? - What should be the measures of success/desired outcomes? - What actions are needed? 12