– The Joint Core Strategy (JCS) is a partnership between Gloucester City Council, Cheltenham Borough Council, and Tewkesbury Borough Council, supported by Gloucestershire County Council. The JCS was formed to produce a co-ordinated strategic development plan| to show how this area will develop during the period up to 2031. and Local Strategies – Strategic development plans to show how the Districts will develop during the period up to 2031. – gfirst LEP Countywide Activity (targeted to need and not in other strategies and plans) Outcome Activity Baseline & target (population level outcome) Performance Measures (intervention or service level outputs and outcomes) Time (completion date) Resource (£ and funding source) Lead (organisation and officer) Time to realisation of benefits (1-3yrs; 3-5 yrs; Improving the wider factors that affect health and wellbeing (‘wider determinants’) Babies and Young Children develop well, are ready for, and transition successfully to, school tbc Baseline: 52% of children are judged to have achieved a good level of development, measured at the end of the foundation stage in the final term of the academic year in which a child reaches the age of five The percentage of children achieving a good level of development at the end of reception tbc GCC/ GCS / NHS GCC Sarah Hylton and Jane Lloyd Davis to formulate – awaiting decision on final outcome and activity Parents have the confidence and skills to support their child’s Parent Support Programme Review is completed and provides evidence for decision making Current parent support programmes Tbc Review of parent support programmes is completed and provides evidence for decision making by January 2016 Tbc GCC GCC Ruth Lewis
healthy development are reviewed for efficacy and for money Family Learning Programme in Children’s Centres Baseline? Target? Effectiveness of Family Learning Programme – 3 months and 6 month follow-up tbc GCC Joanna Jackson; Churchill Audi Improved employment opportunities and retention for young people; people with disabilities; people with mental health problems and older people Employability Learning using in house delivery team and external providers Baseline: 2014/15? Target? Increase the numbers of learners, including Adults with Learning Difficulties and Disabilities, who progress to or re-enter employment, who work for longer, who change their skills set, who embark on a new career or who progress into further training, volunteering or self-employment. Measured through the adult education progression survey completed 3 months after end of course Tbc Sally Lewis, GCC Adult Education Francis Gobey Karl Gluck More homes across the County are healthier and safer to live in. Cat 1 hazards removed as a result of interventions by local authorities Baseline: Number of cat 1 hazards across the county (taken from Housing Statistics return for each LA) Number and type of Cat 1 hazards removed Savings to NHS and society? Over the period of one (financial) year District council private sector housing teams Gloucester City Council Julie Wight
Target: Need to agree a target for Cat 1 hazards removed Helping people to live healthy lifestyles and make healthy choices (‘health improvement’) Outcome Activity Baseline & target (population level outcome) Performance Measures (intervention or service level outputs and outcomes) Time (completion date) Resource (£ and funding source) Lead organisation (officer) Time to realisation of benefits 3-5 yrs; 5-10+yrs) women will smoke at time of delivery Review stop smoking services as part of health behaviour review and retender stop smoking support from January 2017 Low birthweight term babies Smoking status at time of delivery Targets tbc January 2017 £ tbc (GCC. PH) GCC (Tracy Marshall) tbc / Temi to add any significant service improvement activity planned for pregnancgy for 2016 – 2017 i.e action plan that the service is working towards Targets tbc tbc £ tbc (GCC. PH) GCC (Tracy Marshall) tbc
Fewer people with mental health problems smoke Review stop smoking services as part of health behaviour review and retender stop smoking support from January 2017 / Temi to add any significant improvment activity planned for 2016 - 2017 Smoking rate of people with serious mental illness / Temi to propose KPI tbc £ tbc (GCC. PH) GCC (Tracy Marshall) tbc Fewer children aged 15 years smoke Extend delivery of ASSIST across all secondary schools Smoking prevalence age 15 years – regular smokers* (OPS equiv given no national data) tbc tbc £ tbc (GCC. PH) GCC (Tracy Marshall) tbc Fewer routine and manual workers smoke Review stop smoking services as part of health behaviour review and retender stop smoking support from January 2017 Tracy / Temi to add any significant improvement activity planned for 2016 - 2017 Smoking prevalence routine and manual persons aged 18 tbc tbc £ tbc (GCC. PH) GCC (Tracy Marshall) tbc Fewer people with long term conditions smoke Review stop smoking services as part of health behaviour review and retender stop smoking Tracy / Temi to propose / Temi to propose KPI tbc £ tbc (GCC. PH) GCC (Tracy Marshall) tbc
support from January 2017 / Temi to add any significant serivce improvment activity planned for 2016 - 2017 Children in Gloucestershire have improved oral health and the gap for high risk groups is reduced Develop a targeted oral health promotion plan in response to the 2015 oral health needs assessment Percentage of children with decay Hospital admissions: 0-19 y/o for extraction of 1+ decayed primary /permanent teeth Percentage of looked after children who had their teeth checked by a dentist Number of key oral health information sessions to parents in pre-schools/ schools located in areas of high need Number of toothbrushing packs distributed/supplied March 2016 £60k p.a. (GCC, PH) GCC Temi Folayan (tbc) Rates of breastfeeding are improved and gap between deprived and affluent areas is reduced Undertake a review of evidence for improving breastfeeding rates among groups least likely to breastfeed and develop multi-agency improvment plan Breastfeeding initiation Breastfeeding prevalence at 6-8 after birth tbc once plan in place Dec 2015 £47k p.a. (GCC, PH) GCC (David Squire) CCG Ford) Improved nutrition among pregnant women and Healthy Start review Uptake of Healthy Review completed Oct 2015 tbc GCC (Sue Weaver)
Protecting the population’s health from major incidents and other threat (‘health protection’) Outcome Activity Baseline & target (population level outcome) Performance Measures (intervention or service outputs and outcomes) Time (completion date) Resource (£ and funding source) Lead (organisation and officer) Time to realisation of benefits (1-3yrs; 3-5 yrs; Improved uptake of Childhood immunisations Targeted action in the five lowest performing GP practices in each Locality MMR 2nd Dose & Hib/Men C Birthday Card scheme with 5 worst performing practices Text messaging reminder service focus on 5 worst performing practices Targeted support for worst performing practices through facilitator practice visits. Q4 14/15 MMR uptake 95%< Hib/MenC Uptake 95%< GCC Public Health: Teresa Elizabeth Luckett, NHS England South 1-3
Improved cervical screening coverage Cervical Screening Pilot targeting Polish women under 30ys. Targeted work with practises (GP list cleansing for specific population) Breast Screening Campaign targeting under 60 commencing in October Q4 14/15 Q4 14/15 Cervical screening 80%< Breast screening coverage <75% GCC Public Health: Teresa Elizabeth Luckett, NHS England South 1-3 Improved sexual health outcomes in vulnerable communities (as identified in SHNA) Health Equity Assessment (Sexual Health) Participatory Needs Assessment Tbc Tbc GCC Public Health: Teresa Reducing the numbers of people living with preventible ill-health and dying prematurely (‘healthcare’) Outcome Activity Baseline & target (population level outcome) Performance Measures (intervention or service outputs and outcomes) Time (completion date) Resource (£ and funding source) Lead (organisation and officer) Time to realisation of benefits (1-3yrs; 3-5 yrs; Reduce differences in 75 mortality rate from all Review performance of new NHS HealthChecks at end of Q1 2015-16 Take up of the NHS Health Check programme (cumulative Tbc – PHE ambition is 66% uptake Mar 2016 £ (GCC, PH) GCC, PH (Sue Weaver), CCG (Matt Pearce)
cardiovascular diseases Pilot outreach NHS Health Checks Review commissioning of NHS HealthChecks percentage of those offered) Take up of the NHS Health Check programme (cumulative percentage of those eligible) Uptake by age, gender, deprivation and ethnicity) Set local targets by age, gender, deprivation and ethnicity?? Improving the management of high blood pressure in the community People from the most deprived areas are 30% more likely than the to have high blood pressure, and the condition affects some ethnic groups including black Africans and Caribbean’s Case finding for patients with hypertension via opportunistic checks, or NHS Health Checks or methodical review of caseload Implement a GP education programme improving skills of HCP’s in effective management of difficult hypertension in primary care Estimated total prevalence (diagnosed and undiagnosed) 2011 25.8% Recorded prevalence (diagnosed)13.8% 2012/13 Number of recorded patients with hypertension against expected prevalence by practice Mar 2017 Via Primary Care Offer 2016/17 Hannah Layton (CCG) 2-3
People are at increased risk of developing Type 2 diabetes. They are also at increased risk of other cardiovascular conditions Recorded pre diabetes 59,111 (estimated via HSE data) Improve outcomes for patient groups who have trouble accessing the health service in a traditional manner i.e. homeless people admitted to hospital The life expectancy of a street homeless person is 42 years compared with 74 for men and 79 for women Establish a clear pathway from hospital to safe discharge supported by community services Number of homeless people admitted to GHT Baseline data 13/14 125 individuals seen by Homeless Healthcare team Referrals to Time to Heal 14/15 of 155 individuals Referrrals to Time to Heal Reduced length of stay Reduced readmissions Reduced self-discharge Referrals to other services March 2016 Seeking to establish 3+2 year contract with closer alignment to GCC housing strategy CCG funded £££’s CCG Debbie Clark Helen Vaughan 1-3 years
Reduction in avoidable variation in care The existence of persistent unwarranted variations in health care contribute to health inequalities Use the principles of system leadership to understand the of a local community (i.e. Westgate corridor) and coordinate action around a particular health inequalities issue. Shifting focus from the patients that present most frequently in practices to the wider population that they serve Development of a community based approach to understand local variation in an area of high health need TBC Mar 2016 TBC Matt Pearce Becky Parish. Andrew Hughes (CCG) ??? (TBC) 1-3 years District Level Activity (targeted to need and aligned to priorities identified in the Locality Development Plans 2015 - 2017) Cheltenham – updated following Locality meeting on 7th September Outcome Activity Baseline & target (population outcome) Performance Measures (intervention or service outputs and outcomes) Time (completion date) Resource (£ and funding source) Lead (organisation and officer) Time to realisation of benefits (1-3yrs; 3-5 yrs; e.g. Families are prevented from needing high level support Cheltenham Inspiring Families Project. Cheltenham Borough Council e.g. the harm that alcohol causes
affected by financial worries support and the roll out of outreach support across the district Address local health inequalities through projects Deliver the Health Inequalities Fund supported projects and monitor impact Ongoing Funded by GCC HIF Forest of Dean Outcome Activity Baseline & target (population outcome) Performance Measures (intervention or service outputs and outcomes) Time (completion date) Resource (£ and funding source) Lead (organisation and officer) Time to realisation of benefits (1-3yrs; 3-5 yrs; Healthier and more active communities in general and targeted to areas of greatest need. (Use of Maiden and JSNA info) Delivery of GP referral schemes to include; Weight management, cardiac rehabilitation, respiratory rehabilitation, falls prevention, back care, Parkrun, health walks, health classes, buddy scheme and health promotion New participants through GP referral scheme Dependant on future funding sources £31K health inequalities grants GCC PH FODDC Tess Tremlett Gary Deighton Volunteers
New management of 5 leisure centres across the FoD district Baseline and target data needed Consessionary rates available for leisure members on a means tested benefit Free swimming for the over 75s and the under 8s Measured by uptake? Freedom Leisure (Andy Barge – FODDC) To improve the health and wellbeing outcomes for people for whom "wellbeing" services are most likely to address their needs To keep GP surgeries and patients informed about healthy living options Social Prescription Pathway Healthy living project 94 in year 2014/15 Numbers referred and the difference/impact made Will you set a target for this? How will you measure difference/impact made? Sept 2016 £47K CCG (Prime Ministers Challenge funding) £5K Locality Exec group FODDC Tess Tremlett Gary Deighton To provide advice, support and advocacy for of greatest need Service level agreements with VCS orgs: CAB Each contract has performance indicators that are reported against in quarterly monitoring report. 31 March 2016 All SLAs are reviewed FODDC budgets; £86,275K p/a FODDC Tess Tremlett
To reduce social isolation and support people in their own homes for as long as possible To support people of all ages and abilities to access ‘arts’ activities especially for those on low income To support young people especially those in most need of support Age Concern FoD (to deliver a hot meal service at home and provide befriending support) Artspace Provision of youth cafes/drop-in centres at Cinderford, Lydney and Newent Work with G3 – supported housing for young people annually and are subject to budget approval in February £7,641 p/a £9,731 p/a £13,592 p/a FODDC Malcolm Vine To provide transport for those who do not have their own access to transport The Community Transport project Lottery targets and set milestones October 2018 £310K Big Lottery FODDC Lena Maller Communities in the Forest of Dean are Community information and awareness raising sessions Baseline: 2014/15 delivery Number of sessions: Number of attendees: Reviewed annually against FODDC FODDC budgets FODDC Lena Maller
dementia friendly. Facilities, public spaces and houses are ‘dementia’ friendly New affordable housing developments and housing with care Target: To at least match previous years performance corporate priorities and budget FODDC Malcom Vine Prevention of homelessness Reducing the number of deaths during winter Good quality affordable Housing to those on low incomes Enabling older people to remain living safely in their own homes and to enable older and frail people FoDDC has a statutory duty to assist those who find themselves homeless Warm and well partnership Ensure that alternative accommodation is available for families and people so that B&B is avoided Safe at Home scheme and the disabled facilities grants Community Alarm service; Linkline service in the Forest and Careline service in the Cotswolds. FODDC Budgets FODDC Malcom Vine FODDC Malcom Vine FODDC Deb Hughes
Wellbeing of our community doesn’t start until April 2016? Improved Physical and Mental Wellbeing Promoting the Health & Wellbeing of our community Respiratory Rehab Classes Take up of Classes Number of clients attending the classes 2016 Internal Funding & class fees Stroud District Council Hannah Drew Residents in Stroud District on low incomes can improve their housing conditions and as a result prevent ill health and improve their wellbeing Healthy Homes Loan for low income households where a category one hazard* exisits. * defects in a home that threaten the health and safety of the occupants may be eligible 33% of occupiers live in a property with a category one hazard Uptake of loan by individual home owners Number of essential repairs* to homeowner’s properties in the Stroud District. Budget SDC £15,000 per property £200,000?? Stroud DC Jon Beckett Ensuring occupants are living in safe, healthy Mandatory Licensing Number of Mobile Homes, Caravan Sites, Houses in Multiple Occupation (HMO) licensed and inspected Number of homes inspected by an Environmental Health Officer to ensure standards are met and the home is safe with adequate facilites SDC Stroud DC Jon Beckett
Promote and Improve Energy Efficiency in the Home to reduce cold related illness which can lead to excess winter death Advice on saving energy, renewable technologies and financial assistance via the Severn Wye energy advice line Target 2050 loans of up to a maximum of £10,000 for energy efficiency improvements in the home. 15.7% of households in Stroud living in fuel poverty Reduction in the Excess Winter Death rate Number of households in fuel poverty reduced Number of properties solid wall properties insulated Number of properties connected to the gas main. Number of properties with energy efficiency improvements made SDC NHS GCC SWEA Stroud DC Jon Beckett Ensuring occupants are living in safe, healthy homes through improving housing conditions in the private rented sector Advice to landlords, tenants and agents on property letting standards especially overcrowding and housing conditions and fire safety. Landlord training days Fit to Rent Property Accrediation Scheme Enforcement or poor housing condtions to ensure property improvements are made where category one hazards are found 42% of occupiers in the private rented sector live in a home with a category one hazard . Number of category one hazards removed from private rented properties Number of properties accredited on Fit to Rent scheme SDC Stroud DC Jon Beckett Tewkesbury
Outcome Activity Baseline & target (population level outcome) Performance Measures (intervention or service level outputs and outcomes) Time (completion date) Resource (£ and funding source) Lead (organisation and officer) Time to realisation of benefits (1-3yrs; 3-5 yrs; Improving knowledge of, and links to VCS for all public sector partners Developing Social Prescribing as core business For Tewkesbury CCG: people accessing support via SP Number of cases managed, reduction in visits to GP December 2016 Tewkesbury: £5kpa Tewkesbury CCG (Jeremy Welch) Local Area/Asset Roll out LAC to all areas of the borough to support Place Programme Mapping/directory of services and assets October 2016 Core ASC budget ASC: Margy Fowler To support, encourage and enable the voluntary sector to increase participation in healthy lifestyles Increase number of volunteer sports/activity coaches New groups established and increase in participation Active People Survey Numbers trained/qualified March 2017 HIF budget to be agreed TBC (Neil Meynell) Operational Oversight for Delivery Plan: