Table 1: Main points from the consultation feedback, the Health & Wellbeing Boards views & proposed action You said The HWB We did VISION We support your vision but think it needs to encourage healthier lives. ‘Take out the part about living longer – not much help if we’re in poor health I suggest the vision should be to live healthier longer etc.’ Agreed – living healthier lives is really important & is key to our focus on preventing ill health & problems. Change the vision to reflect that – the vision has been amended to include healthier lives. Should we identify those people who need help most or should we apply the Strategy equally? ‘Prioritising delivery – resources allocation in areas of greatest health inequality would be helpful Not sure I like the final clause regarding communities with the poorest health as it could be viewed as negative I wonder if ‘especially in communities with the poorest health’ should be replaced with in all communities?’ We have a legal duty to reduce health inequalities & we are determined to do that in Nottinghamshire. We know that we can only do that by focussing on those people who most need support. We have changed the language to identify areas of greatest need. The vision needs equal recognition of physical & mental health. ‘Physical & mental health go hand in hand. Attention need to be paid to BOTH in order to be well.’ We agree. During the consultation events we heard suggestions that including ‘happier’ would make that connection within the vision. We have changed the vision to include an aspiration for people to have happier, healthier lives & will maintain our interest in physical & mental health. APPROACH The approach is good but it could be clearer. ‘You need to use plain speaking’ ‘Language is unclear’ ‘Could be plain englished’ We would like our Strategy to be clear, understood & accessible to everyone in Nottinghamshire. We have reworded the approach to make the language more accessible.
A community led approach is really important. ‘I think that this approach could enable and empower individuals and communities to take ownership of their own wellbeing and some interest in that of their community. Give the community & voluntary sector a greater role. Needs to be bottom up not top down’ We agree – this is a key part of our approach. We want to enable communities to be responsible for their own health & wellbeing & will work with partners to achieve this. While the Strategy will be across the whole of Nottinghamshire we will be working with partners to implement locally driven plans to deliver our vision. The voluntary & community sector is a key partner in delivering the Strategy. ‘ITS VITAL THAT YOU ENGAGE WITH THE VOLUNTARY SECTOR. How do smaller VCS organisations get their voice heard? Improve communication.’ We agree. We have always recognised the importance of voluntary & community organisations in improving health & wellbeing. We have tried to engage with them, & all of our partners through the stakeholder network but we will review this as part of a wider governance review during the implementation of the new Strategy. A governance workshop will be held early in 2018 to consider the best way to involve & collaborate with our partners in delivering the Strategy & in improving health & wellbeing. The Board needs to be the focus for health & wellbeing in Nottinghamshire. ‘Partners may not be aware of what others areas are doing Stronger links to health services improved communication and joint working is evidentially needed.’ We agree. Our role is to provide leadership across the county & to provide the coordination required to deliver our vision & Strategy. We want this to be reflected in our approach & seen throughout the lifetime of the Strategy. We have extended our approach to include coordination & will consider how we will deliver this during implementation. AMBITIONS Transforming care services is already an established work programme elsewhere. This ambitions is essential for us to deliver our legal duty to enable integration & support closer working. We want all of our ambitions to be clear & identifiable for Nottinghamshire we will change how this ambition is described. Ambition 4 will be described as ‘working together to improve health & care services’.