To consider a report by the Director of Public Health.
Minutes:
The Board acknowledged that prevention was
integral to Public Health Dorset’s Integrated Care System Plans and all that it was
trying to achieve, as well as being critical in both local authority’s corporate strategy in how these were applied and how their priorities would be
delivered.
Members were provided with a Public Health
Dorset perspective on progress in transforming the Dorset System approach to
prevention over the previous 5
years, which set out a high level strategy
for the Service and how it could
support what was to be done going forward.
Our Dorset - the Dorset Sustainability and Transformation Plan – had been published
in 2015 and included Prevention at Scale as a key programme to help reduce
demand within the system as well as improving population health and wellbeing:
by encouraging healthier lifestyle options before there was a need for more
evasive NHS interventions. Although there was ongoing prevention work across
the system, this was not able to always be readily coordinated or any degree of
consistency, with there being a need for all that was necessary to be readily
available and accessible.
The two Authority’s respective Health and
Wellbeing Boards had given consideration to what was necessary to have a more
co-ordinated, sustainable and effective prevention approach across the system,
resulting in a portfolio of work, organised into four programmes:
·
Starting
Well,
·
Living
Well,
·
Ageing
Well and
·
Healthy
Places.
The contribution Public Health Dorset made
to this was in being responsible for delivery of key preventative projects,
integral to the Business Plan, with them providing a supportive or facilitative
role in assisting with the delivery of those services by other partners within
the system. Whilst good progress had been made, there had been challenges due
to interdependencies with other portfolios of work, shifting timelines and
priorities across the system and the inevitably finite resource within the
system to deliver change. How this was being applied since the inception of the
two new authorities was acknowledged with there being a critical need to embed
prevention within the two new councils’ ways
of working and all that it did. So as to have a strategy that was able to meet
the need of the two Unitary Authorities, a rationalisation of the ICS Plan was
necessary so that it remained purposeful.
As both Councils were now firmly
established, with corporate strategies developed and the ICS plan updated, it
was seen to be opportune to take stock and refresh the approach taken to
prevention, with Public Health Dorset identifying three main areas of focus
going forward:
• Local authority
transformation
• Improvements and transformation
within the Public Health Dorset
and LiveWell Dorset services
• Support to the
Integrated Care System and prevention embedded
within the NHS.
Members considered the appendix to the report
to be very helpful in their better understanding of what Prevention at Scale entailed
in seeing how this was being delivered, the way it was being delivered and why
it was being done. With the aim of establishing stronger and healthier communities,
members asked that consideration be given to ensuing that health was integral
to housing and planning policy considerations. It was acknowledged that the LiveWell initiative was instrumental in what could be
achieved and renewed publicity would be given to its benefits. The Board were pleased
to see the satisfactory progress being made in how Prevention at Scale was
being delivered, and how community based access to this contributed towards
this.
Resolved
1) That progress made of the Prevention at
Scale initiative to date and that a stocktake of progress made in accordance
with the Public Health England suite of interventions and what it had achieved
be noted and endorsed.
2) That discussion at the ICS System
Leadership Team be supported, so as to clarify how outstanding initiatives
identified the stocktake might
be addressed under Our Dorset, Looking
Forwards – the refreshed plan
for the system.
3) That a high level strategy be approved for
Public Health Dorset that focused on the three broad areas of:
• Local authority
transformation
• Internal
improvements and transformation within the Public Health
Dorset and LiveWell Dorset service
• Support to the
Integrated Care System and ensuring prevention
continues to be
embedded within the NHS
Reason for
decision
To ensure the
benefits of the Prevention at Scale initiative were realised and maintained so
that it achieved what it was designed to do.
Supporting documents: