To receive Report No.168/2018 from the Director for Public Health.

Report No. 168/2018 was received from the Director of Public Health. The purpose of the report was to inform the Panel of the process and development of the new Joint Strategic Needs Assessment (JSNA) and to seek views in relation to, areas where further analysis would be helpful in the future and the draft recommendations made.

During discussion the following points were noted:

·         The JSNA was in essence an encyclopedia of information that helped to inform the Council’s decision making.

·         The draft chapters had already been presented at the Health and Wellbeing Board meeting on 18 September and the Children and Young People Scrutiny Panel meeting on 20 September 2018. Discussions at these meetings had highlighted the need to add to the chapters any available data which could indicate whether Rutland residents were getting equity of access to provision or not, as currently the chapters referenced LPT (Leicestershire Partnership Trust) services.

·         Members at previous meetings had also requested that the Ageing Well chapter focused on more positive aspects and that the mental health chapter be developed further by including information regarding the use of and access of mental health services by residents of Rutland.

·         After general comment on the age of the data included in the draft JSNA, the Director of Public Health assured Members that the most up to date available data would be included in the final document.

·         Officers would try to include some specific data on those who first language was not English and how this potentially impacted on them accessing both mental and physical health services. The Director for People (DAS) and the Portfolio Holder for Health would seek reassurance that the CCG service providers were sensitive to this fact.

·         The employment figures cited on page 95 of the Mental Health chapter were incorrect and would be amended.

·         Members felt that Rutland residents employed in agricultural services should be highlighted as a vulnerable group in the Mental Health chapter.

·         Any numbers less than 5 should be suppressed in order to avoid any potential identification of individuals.

·         Officers would ask the LPT what the government’s ambition to eliminate inappropriate out of area placements for those in need of a mental health acute bed would mean in practice for Rutland residents and whether they would get equity of access with Leicestershire residents.

·         Support for deaf and hearing impaired residents had been identified as an unmet need in the mental health chapter but no reference had been made to those with sight disabilities. A sight disability could mean that screening and health appointments were missed if letters were not supplied in large print. The impact of not being able to drive and having to rely on often inadequate public transport also affected the day to day lives and therefore physical and mental health, of those with a sight disability.

·         The mental health of grieving families was not referenced in the report, particularly for those affected by suicide or a sudden death of a loved one. The Director of Public Health commented that the STOP Suicide campaign would look to provide bereavement counselling for families of suicide victims.

·         Reference to military personnel would be added to the mental health chapter.

·         Officers agreed to update the overarching chapter on Rutland’s population with more useful comparisons to statistical neighbours rather than national averages.

AGREED

The panel;

1.    NOTED the report and ENDORSED the approach to the development of the new JSNA and the publication of the chapters.

2.    OFFERED views on the draft chapters, particularly in relation to the recommendations