To receive Report No. 161/2018 from Mike Sandys, Director of Public Health.

Report No. 174/2018 was received from the Director of Public Health and gave an update to the Board on the progress being made in updating and renewing the Rutland Joint Strategic Needs Assessment (JSNA).

During discussion the following points were noted:

·         Five of the seven chapters of the draft JSNA were almost ready but two chapters, Mental Health and Ageing Well needed further work.

·         Members were asked to consider whether Rutland was getting fair access to current mental health services.

·         The Ageing Well chapter listed the prevalence of various diseases but needed to add what was being done in terms of prevention, including broader social services to prevent isolation and whether the diseases diagnosed were being treated in the correct environment.

·         Deprived children who received a free school meal performed worse than other year 1 pupils in the phonic screening check, one of the measures of a good level of development, but Rutland figures for this measure were in line with expected national levels.

·         The figure of zero for home educated children in Rutland was questioned but it was explained that anything below five tended to come out as a zero.

·         It was noted that the figures for obesity levels were still rising and that this should be something that was tackled because of the implied health outcomes.

·         The number of people killed in a road traffic accident was significantly higher than the national average but could be attributed to the fact that the A1 ran through Rutland.  The number recorded was for fatalities in Rutland rather than for Rutland residents.

·         The Community Safety Partnership work had embedded road safety but the grant went down each year so preventative work became more difficult.

·         A broad comment was made that some of the data in the draft chapters eg, the reablement figures in Ageing Well were out of date. Figures needed to be as up to date as possible to make sure that the correct gaps in service, in the right places were identified.

·         The Ageing Well chapter tended to be very negative and it was suggested that the more positive aspects be built on. Exercise should be seen as the ‘miracle drug’ that would enable all generations, not just the elderly, to live healthier lives.

·         It was suggested that the outputs of the JSNA be shared with other bodies, such as the Community Safety Partnership, as appropriate.

·         The projected figure attributed to air pollution should be rewritten to state that it was a modelled figure rather than an actual figure as there was no actual (as stated on a death certificate) data to support this.

AGREED:

The Board,

1.    Advised on the the draft versions particularly in relation to the unmet needs and gaps, and recommendations and ENDORSEDthe publication of the chapters.

2.    ADVISED on the scope of the ‘Mental Health’ chapter in order to develop this further by including information regarding the use and access of mental health services by residents of Rutland, including difficulties or barriers in doing so.

3.    ADVISED on the scope of the ‘Ageing Well’ chapter in order to develop the chapter further by including information regarding hospital discharge and delayed transfer of care; and to develop the focus on Ageing Well and on physical and mental wellbeing.

4.    AGREED to provide any individual detailed comments on the draft chapters by 5^th October 2018.