Agenda item

To provide a performance update on the key priorities of the Health and Wellbeing Board.

Ruksana Sardar-Akram, Best Start in Life, Aidan Kirkpatrick, Healthy Hearts, Fiona Inston, Happier Minds, Public Health Lancashire County Council provided the Board with an update on work to address the three key Board priorities.  Each priority within the report provided detailed information on:

·  Background

·  Performance Review (Appendix 'A')

·  Forward Look

·  Opportunities for Collaboration/Advocacy of the Board

Best Start in Life

Best Start in Life has been recognised by the Health and Wellbeing Board and the Children and Young People Families as a key strategic priority area.  As previously highlighted inequalities exist which strengthens the case for having a focus on giving children the very best start and improving the outcomes for babies, children and their families.  Further information regarding the update of early education funded places at (Appendix 'B').

Following the presentation, the following comments/issues were discussed:

·  A service review has taken place and taken into consideration views of stakeholders, service user, parents and families and localised groups.

·  Further work is being commissioned in priority areas such as access to dentists, supervised teeth brushing, healthy start vitamins, focus on breastfeeding.

·  The Board would welcome feedback on the campaigns that are happening and how successful they have been regarding Best Start in Life at future meetings.

Healthy Hearts

A Lancashire Healthy Hearts Programme was set up in Spring 2022 which was in line with the National Best Practice Framework which encompasses the following seven thematic workstreams:

i)  Tobacco

ii)  Alcohol

iii)  Physical activity

iv)  Supporting healthy weight

v)  Food diet and nutrition

vi)  Health in all policies approach

vii)  Cardiovascular risk modification

The Board noted that one of the key successes over the past nine months since the Board last received an update is the production of a Tobacco Free Strategy (Appendix 'C') for Lancashire and South Cumbria.  There are four key priorities:

i)  Working together as a system for a smoke free tomorrow

ii)  Action to address health inequalities

iii)  Making Smoke Free the new normal

iv)  Lancashire and South Cumbria – A United Voice against tobacco harm

It was noted that this is the most important element of the Healthy Hearts programme and forms part of the forward look for the next six-month.  Further information can also be found in the report.

Following the presentation, the following comments/issues were discussed:

·  In terms of the Tobacco Free Strategy, a Tobacco Free Strategy Steering Group is being established across the 12 districts to support local implementation and discuss further ways of implementing smoke free establishments both in the NHS and the Council.

·  To engage with the Care providers as a whole system, in terms of the implementation the Tobacco Free Strategy across care homes in Lancashire and then devise an action plan to move forwards.

·  To encourage healthier lifestyles from a very early age to prevent hospital admissions later in life and be aspirational for people in Lancashire.

Happier Minds

The Board noted that mental health and wellbeing through the whole life course is influenced by many components including, social, economic and environmental factors.  The Happier Minds programme is a partnership and system leadership approach to addressing five key strands of work:

i) Emotional and self-care

ii) Loneliness and social isolation

iii)   Dementia

iv)  Alcohol and drug use

v) Self-hard and suicide

The Board were informed that an Integrated Care System (ICS) dementia strategy is being developed and an associated action plan.

Following the presentation, the following comment was raised:

·  9 November 2023 a partnership event is taking place in Preston and Fiona Inston, Public Health, Lancashire County Council invited Board members to attend.  Further information regarding this will be circulated by Sam Gorton, Democratic Services, Lancashire County Council.

Resolved:  That the Health and Wellbeing Board:

i)  Considered the performance update and endorsed the areas  identified as opportunities for collaboration and advocacy of the Board.

ii) Endorsed the Tobacco Free Lancashire and South     Cumbria Strategy 2023-2028, and it's four key priorities   (Appendix 'C').

  iii) Sam Gorton, Democratic Services, Lancashire County   Council to circulate information regarding the Partnership   Event to be held on 9 November 2023 to Board members.