1. Prevention and Independence update Public Health1

2. Update Overview of mapping of current provision
Emerging model for prevention
Key workstreams – Prevention & Independence

3. Mapping of existing provision
Mapping undertaken of prevention services – primary, secondary, tertiary
Both statutory services and external provision
Gaps in information (VCS, external providers)
Provides snapshot overview of provision and does not reflect quality or performance

4. Mapping conclusions
Difficult to pinpoint specific ‘gaps’ due to the complex nature of individual cases   
Does not consider demand management implications / capacity issues 
Mapping needs to inform development of the prevention model and be used to develop a complete directory of services of current prevention services  
Pathways between social care and the range of services in existence need to be strengthened

5. Emerging model for prevention
Rationale
High level of deprivation across the town and the variation in health inequalities between wards
Growing austerity measures impacting on service provision, often leading to deterioration of poor health and the subsequent demand management issue  
Significant work within public health around remodelling preventative services has taken place over recent months, including the decommissioning of some services
Evidence suggests that individuals often present with multiple issues, therefore there is a greater need for integrated services

6. Health and Wellbeing Hub
Operated from a town centre location that has the opportunity to combine the following :
integrated ‘one-stop-shop’ approach
increased access and uptake of a wide range of public health preventative commissioned services, such as weight management and nutrition, physical activity, smoking cessation, mental and sexual health services;
a social prescribing offer which will strengthen the skills and ability of the voluntary and community sector to respond to increased demand
enhanced offer for clients with complex needs requiring a pathway of enablement support
broader support services from housing providers, Job Centre Plus, Citizen’s Advice Bureau and voluntary/community groups all providing in-reach support and advice
Timescale for completion and transition of services – July-September 2016

7. ‘Social Prescribing’ model

8. Prevention & Independence key workstreams
Information, advice and advocacy
Targeted and enhanced prevention
Assistive technology
Intermediate care
Major and minor adaptations
Stronger communities and asset based approach
Falls Prevention