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Southwark’s Health & Wellbeing strategy
Jin Lim
Southwark shadow Health & Wellbeing Board
Jan 2013
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Our approach
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Creative partnership
Co-ordination of strategic commissioning
Needs and asset based – be clear about where we are starting from
Take a broad perspective i.e. social determinates as well as health
Evidence based
To support that the strategy will:
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Be permissive
Add value to other strategies and plans, not duplicate i.e. sections of the Children & Young
People’s Plan won’t be dropped into the strategy: just because something isn't in the strategy
doesn’t mean its not important
Drive system change
Enable Board members to hold each other to account e.g. by setting out the key things which
partners will do deliver on the vision and strategic objectives
It will recognise the budget situation and inform spending
Drive commissioning and joint working
Should set the approach to improving health & wellbeing across partners i.e. the whole system
Long term strategy, but with short term deliverables – manageable and focussed
Clearly defines success/outcomes and actions
Southwark shadow Health & Wellbeing Board
Jan 2013
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Our vision for Southwark is:
• Improve health and wellbeing, reducing health and
wellbeing inequalities particularly for the most
vulnerable
• Fair access to services that meet community needs
and build resilience
• Children, adults and families living full and
independent lives, enjoying good health and
wellbeing
Southwark shadow Health & Wellbeing Board
Jan 2013
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• Strategic objective 1
Tackle the root causes of ill health and wellbeing,
improving the wider determinants of health & wellbeing,
and reducing inequalities
• Strategic objective 2
Building resilience and enabling everyone, including the
most vulnerable, to manage their own health & wellbeing
and to live healthy lives
• Strategic objective 3
Enable every child to have the best start in life
Southwark shadow Health & Wellbeing Board
Jan 2013
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Key issues from the JSNA
Southwark shadow Health & Wellbeing Board
Jan 2013
Some key JSNA messages
• While life expectancy is improving overall,
health inequalities within the borough
continue to widen
• Difference between the worst off and best off
is 9.5 years for males and 6.9 years for
females
• Main causes of early deaths are cancers
(35%), circulatory disease (23%) and
respiratory disorders (5%)
www.southwarkjsna.com
Southwark shadow Health & Wellbeing Board
Jan 2013
Some key JSNA messages
• Key long term chronic conditions contributing to
poorer health include diabetes and renal disease,
hypertension, circulatory disease, poor mental
health, serious mental illness and HIV
• Death rates from cancer have been falling but
remain above the national average. 1 in 4 cancer
deaths attributed to lung cancer. Estimated that
around 85-90% of all lung cancers are caused by
smoking.
• Immunisation rates across all ages need to
improve significantly
www.southwarkjsna.com
Southwark shadow Health & Wellbeing Board
Jan 2013
Some key JSNA messages
• Total numbers of HIV cases across Lambeth and
Southwark account for quarter of all the HIV cases
in England. In Southwark, half of newly diagnosed
cases were diagnosed late. Late diagnoses have
implications for treatment options and outcomes,
transmission and treatment costs.
• Estimated 45% of the Southwark population drink
more than the recommended daily alcohol intake
on one or more days of the week. Particularly
high rates of male mortality from chronic liver
disease when compared to both England and
London.
www.southwarkjsna.com
Southwark shadow Health & Wellbeing Board
Jan 2013
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Key areas for the JHWB
Strategy
• Integrating the Marmot evidence based
recommendations into the JHWBS
• Addressing wider determinants (eg employment,
living standards, housing etc)
• Ill health prevention (smoking, obesity, physical
activity, alcohol, sexual health & HIV) & early
deaths
• Best start for children & young people
• Mental wellbeing & resilience
Southwark shadow Health & Wellbeing Board
Jan 2013
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Discussion
• Scenario: the Board is asked to comment on the alcohol
strategy
Based on the vision, objectives and JSNA headlines what
is your response?
Short overview of the strategy by Melvin Hartley
Southwark shadow Health & Wellbeing Board
Jan 2013
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Next steps
• Engage with the public and wider partners:
– On the vision and strategic objectives
– ‘Deep dive’ into each strategic objective: What does the
data tell us? What are the local priorities? What are the
national drivers? What assets do we have? What
actions are needed?
• Proposed strategy in place and the Board develops actions
plans post April
Southwark shadow Health & Wellbeing Board
Jan 2013
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Discussion
• Tackle the root causes of ill health and wellbeing, improving the
wider determinants of health & wellbeing, and reducing inequalities
• Building resilience and enabling everyone, including the most
vulnerable, to manage their own health & wellbeing and to live
healthy lives
• Enable every child to have the best start in life
- What knowledge or expertise can the voluntary sector bring to the
strategy/objective?
- What should be the measures of success/desired outcomes?
- What actions are needed?
Southwark shadow Health & Wellbeing Board
Jan 2013