To receive a presentation on the above titled item.

Teresa Salami Oru gave a presentation on the above titled item. The Joint Strategic Needs Assessment (JSNA) looked at current and future health and social care needs along with wider social factors, this data was then used to inform planning, commissioning of health, wellbeing and care services. Members were told that the JSNA had been developed in partnership and had been led by RBWM Public Health and was supported by a multi-agency task and finish group. It had been intended that there would be a focus on needs and assets and equipping the borough for the future. As part of the proposed structure it was noted that there had been a pan-Berkshire collaboration in the creation of the digital platform. The digital platform would provide real time data by utilising national and local open data sources. The data could be filtered, viewed by geographical region or downloaded. It was highlighted that the platform would be capable of layering several data sets at once and there would be an option to add or link in with local data sets. Members were shown the digital platform demo site and were shown various functions available within the site.

The Board were informed that there had been a JSNA Stakeholder event where over 80% of participants agreed with the priorities already identified. Key themes of the event were prevention, accessibility to services and integration. Participants fed back that there were barriers to JSNA use which included, accessibility, difficult to understand words and rationale. It was suggested that solutions should include awareness, more stakeholder engagement and publicity of services. Analysis of the JSNA so far had shown identified priorities across the life course as mental health, immunisations, prevention, cardiovascular disease, obesity, cancer and health inequalities. The data set also showed that the needs of older people were focussed on immunisations, cancer, falls, age-related macular degeneration; needs of adults (35-59 year olds) were cardio vascular disease, mental health emerging lifestyle challenges, alcohol and inequalities; children needs included immunisations, autism, obesity, accident and emergency 0-4 year olds, self-harm, children living in poverty and low birth weight.

As part of the JSNA emerging data it was highlighted that the key driver for needs identified was unhealthy and risky lifestyles. Other information highlighted to the board included trends, use of outdoors for exercise, inequalities (for e.g. smoking in certain groups), accessibility of services/integration, increases in service demand, opportunities to work with partners to address issues, consideration for prevention at scale (e.g. Make every contact count- MECC). It was noted that the HWB would receive updates in January and April 19 on the progress made to date and that the 2018-2021 JSNA would be signed off by July 2019.

Kevin McDaniel, Director of Children’s Services (AFC) queried whether the work surrounding 0-19 year olds with autism and number of referrals could be part of a wider piece of work with MECC. It was noted that collaborative work was needed to gain support and to have a wider understanding of the issues for those who did not meet the needs to be referred onto CAHMS. Councillor Airey suggested that the video clip shown as part of the presentation be shared with local schools. Councillor Airey also stated that it was important to retain data sets for ward areas as the ward boundaries would be changing as a part of the boundary review. It was also queried whether the data would be linked to other services or form part of a data feed for other work streams. It was confirmed that the data would form part of the Service Plan for the Senior Management Team (SMT). It was also noted that aligning the data to the new ward boundaries would be challenging but that some interim work would be done to support Councillors in the run up to the elections.  The Director of Public Health was aware that this would be an integral piece of work in order to retain data.