Agenda item

To discuss the draft Local Health and Wellbeing Strategy.

The Board received an update from David Bowater (Senior Corporate Manager). The item covered the following matters:

• It was noted that the Wiltshire JSNA had been updated and published in Autumn 2022 and that this had informed the development of the draft JLHWS as well as the feedback from the workshop which took place on 1 December 2022. Additionally, it included input from a steering group that incorporated public health, social care, NHS and Healthwatch Wiltshire representatives to shape its structure and priorities.
• It was outlined that the JLHWS was a statement of medium-term goals and would work and be consistent with the themes within the Council business plan as well as linking to delivery through the Wiltshire Integrated Care Alliance.
• The strategy would feed through into the Integrated Care Strategy and Joint Forward Plan and would be an iterative process with due regard to other strategies and would evolve over the following 6 weeks to provide improved accountability for delivery from Board partners against objectives.
• The next steps were outlined in Appendix 2 as well as the meetings and deadlines. Individual partners were encouraged to take the strategy as well as the survey through their Boards with a view to bringing the strategy back to the Health and Wellbeing Board for the March meeting alongside the latest ICS strategy.
• The JLHWS would have a 10-year timeline but could be revisited within that timeframe should the Board need to.
• Attached to the minutes was the consultation survey on the Wiltshire health and wellbeing strategy, which was encouraged to be shared with others as appropriate with responses to be sent to David.bowater@wiltshire.gov.uk  by 15 March 2023.

Comments were received in relation to the following points:

·       Positive feedback was received for the report, with emphasis placed in reference to young people and the report’s reference to the first 1000 days of a child’s life.

·       It was questioned whether greater emphasis could be given to partners such as the military.

·       It was suggested that on page 90 of the report that staff are added to the discussion around how the current health and care system is under pressure as staff are currently confused by the ongoing change.

·       It was suggested that it would be helpful to know where extra money would be placed if there was to be any, to which it was clarified that from a Council perspective this would be included within the budget.

·       The private sector and landlords were identified as a big issue, with there being a lot of transient people who do not feel connected to their local community due to having to move around regularly.

·       It was suggested that in relation to the diagram on page 81 of the agenda, that there would be something to be gained from a similar diagram that considered wider determinants that drive health and care need.

·       The use of data was discussed, how it could be used to identify trends in the future.

·       It was stated that the strategy could be an opportunity to engage with communities in a coordinated fashion.

Decision – The Wiltshire Health and Wellbeing Board accepted the following recommended proposals:

i)                The Wiltshire Health and Wellbeing Board approved the draft JLHWS at Appendix 1 for public consultation and would consider the feedback at its meeting in March.