Health Strategies in Action

Districts at the Heart of Health

Improvement

Menu for Today

• What influences health and wellbeing

• What's the role of Districts?

• How things are working in Leicestershire and Blaby around H&WB

Contributors to Health Outcomes

Smoking 10%

Diet/Exercise 10%

Alcohol use 5%Poor sexual health

5%

Health Behaviours 30%

Education 10%

Employment 10%

Income 10%

Family/Social Support 5%Community Safety 5%

Socioeconomic Factors 40%

Access to care 10%

Quality of care 10%

Clinical Care 20%

Environmental Quality 5%

Built Environment 5%

Built Environment 10%

Health and Wellbeing• A home• A purpose• Friends

Housing Matters

• From Rose to Black to Marmot....

Source: Appleyard D, Lintell M. The environmental quality of city streets: The residents' viewpoint. Am Inst Plan J 1972;38:84-101

Friends Matter

Friends and acquaintances increase in areas of light traffic density

How Districts Support Delivery of the Public Health Framework

The Leicestershire Approach• A wider strategic approach to deliver better

outcomes in our place – around issue and place• Visible leadership around culture and healthy

challenge• Pragmatic doing • Strategic priorities, structures and roles

Leicestershire's Partnership Structures – Simplified!

Theme Commissioning Boards Specialist Groups Localities

Com

mis

sion

ing

Boa

rd

-Exe

cutiv

e

Health & Wellbeing

Community Safety

Local Enterprise Partnerships

Children & Young People

Environment

Staying HealthyIntegrated Commissioning

Prevention & Early InterventionSubstance Misuse

JSNA Steering Group

Flood RiskWaste & Cleaner, Greener

Natural & Historic Environment Climate Change

Cross-cutting themesHousing, Planning, Infrastructure

Stronger Communities Transport

Sport & Physical ActivityVoluntary Community Sector

RuralHousing Services

Hinckley and Bosworth

North West Leicestershire

Blaby

Melton

Market Harborough

Oadby and Wigston

Charnwood

*Community Budgets are specific time-limited cross-service projects that demonstrate the Leicestershire Together ways of working

Community Budgets*• Families with complex

needs• Alcohol & Drugs• Access to Services

Pulling it all together in Blaby…

• Leader of Council is Chair of County Health & Wellbeing Board

• I am the County Lead for District Council Chief Executives for Health and Housing

• District Council Health Leads meetings

• Blaby District Staying Healthy Forum

• GP Locality meetings hosted by BDC

• Public Health officer working from BDC

• CCG officer working from BDC

Blaby District Staying Healthy Forum

• Purpose:- Work with partners to reduce health inequalities in the District

- Co-ordinate, identify gaps, secure resources & deliver

Staying Healthy Forum - Priorities

(based on JSNA):- Ageing Population- Obesity & Healthy Weight- Teenage Pregnancy &

Sexual Health- Substance Abuse - Smoking & Tobacco Control

- Mental Health & Wellbeing

Blaby District Staying Healthy Forum

• How do we measure progress?- Key indicators for each of the 6 Priorities- Monitored at quarterly forum meetings - Sub-groups to focus on delivery

• Examples of recent work:- Local Health Services Brochure- New website launched - www.blabystayinghealthy.co.uk - Mental health awareness training delivered to 27 front line staff- Investigating excess winter deaths - Homefinder website- www.homefinder.uk.com- Health Action Plan- Etc etc

Using the DCN Guidance / Structure

1) The Wider Determinants of Health:

- Planning- Housing- Benefits- Community Safety

2) Health Improvement:- Smoking Cessation- Alcohol & Substance Misuse- Healthy Eating & Physical Activity

3) Health Protection:- Disease Control & Food Safety - Contamination & Emergency Planning- Air & Noise Pollution

4) Corporate Actions:- Making Every Contact Count (MECC)- Supporting Leicestershire Families

(SLF)- Council Reports- Staying Healthy Forum

Are You a Chadwick or a Snow or Doesn't it Matter?

Just the start of the journey…

Any questions?