1. Dianne Gardner, Public Health Specialist
West Lancs Health & Wellbeing Partnership – Setting Priorities
‘Every citizen in West Lancashire will enjoy a long and healthy life’
Dianne Gardner, Public Health Specialist

2. does West Lancs Health and Wellbeing Partnership aim to do?
WHAT
does West Lancs Health and Wellbeing Partnership aim to do?
Bring key partners together to improve health and wellbeing outcomes
Agree shared priorities with a commitment to drive them forward together
Achieve the aim of joined-up, well-co-ordinated and jointly planned services and support
Share good practice, progress, changes…
Our ambition is that it will enable us to work better together to deliver real improvements to the health and wellbeing of West Lancashire's citizens and communities.

3. WHY work in partnership?
… our health and wellbeing isn’t created in isolation
10% Genetic
10% Health Care
40% Lifestyle
40% Socio-economic

4. can we identify our priorities?
HOW
can we identify our priorities?
BUILD ON WHAT’S WORKING WELL
LOCAL DELIVERY PLAN / STRATEGIC PRIORITIES
LISTEN TO, AND WORK WITH, OUR COMMUNITIES
DISEASE PREVALENCE
PRINCIPLES:
# Building resilience / asset based approaches # Tackling health inequalities

5. PRIORITY OPTIONS PROPOSED: HIGH IMPACT ACTIONS / SETTING SPECIFIC
1. SERVICE STOCKTAKE
To review the current services and opportunities available in West Lancs – Are they meeting needs? Are they accessible and well communicated?
2. WORKPLACE HEALTH
A priority in the Sustainability and Transformation Plan to reduce sickness absence and improve productivity. Is good practice shared? How are we improving the health of our workforce?
3. ROAD SAFETY
Killed and seriously injured casualties are significantly worse than the national average in West Lancs. Is there more we could do to tackle this statistic and the impact it has on our residents lives?
4. DOMESTIC ABUSE / VIOLENCE
West Lancs has recorded consistently high numbers of emergency admissions for violence. We need to consider the prevention and treatment as well as reviewing the services and pathways that support people and families who experience domestic abuse.
5. TARGETING AREAS
West Lancs experiences high levels of health inequalities and variances across the district. There are opportunities to build on focused activity in specific areas e.g. WELLSKEM, and share learning across the patch.
6. HOUSING
Suitable, good quality, accessible housing for all, including our vulnerable groups e.g. older people, homeless, domestic violence, is key to good health. This includes access to adaptations to enable independence within the community e.g. home improvements and adaptations, healthy home assessments.

6. PRIORITY OPTIONS PROPOSED: TOPIC / PATHWAY SPECIFIC 7. SELF HARM
West Lancs experiences higher than average levels of emergency hospital admissions for intentional self-harm and work is underway to map what is already being done to tackle this. Are there further opportunities for more to be done?
8. DEMENTIA
WL CCG are in the top 25% of CCG’s for the highest prevalence of dementia. The Dementia Action Alliance is being formed in the district with a view to raise the profile and map provision.
9. RESPIRATORY
Levels of smoking at time of delivery are worse than the England average.
WL CCG are in the top 25% of CCG’s for the highest prevalence of asthma plus our U75 mortality rate from respiratory disease is higher than the England average.
10. MENTAL WELLBEING
This is a priority in the Sustainability and Transformation Plan. There is an opportunity to focus on social prescribing and building community resilience to improve mental wellbeing as well as working with the Lancashire Suicide Prevention Group.
11. DIABETES
Diabetes prevention and service transformation is a priority in the STP. West Lancs has an average prevalence of diabetes but these are high levels and much more can be done to both prevent, and care for the disease.
12. ALCOHOL
The rate of alcohol-specific hospital stays among those under 18 is worse than the average for England. There were 665 alcohol-related hospital admissions during 2014/15 with 54 alcohol-related deaths.
13. OBESITY
Excess weight in 4-5 year olds 25.8% in 2015/16 (England 22.1%) yr olds similar to national average at 33.7%. % of physically inactive adults in 2015 was 33.9% (England 28.7%). Excess weight in adults 68.1% (England 64.8%).
OTHERS?

7. NEXT STEPS………
PLEASE COMPLETE YOUR 3 PRIORITIES ON THE SHEET AND HAND IN
The responses will be collated and considered at our next Partnership meeting, with the outcome fed back to you all.
THANK YOU