Health and Wellbeing Strategy to tackle the big killers
Four key statistics highlight health issues facing the county which are being addressed as part of the Nottinghamshire Health and Wellbeing Board’s Health and Wellbeing Strategy 2018-2022.
The strategy aims to boost the health and wellbeing of all residents in the county through more joined up thinking and closer working between bodies across health and social care. The statistics are:
1. Smoking in Pregnancy is 50% higher in parts on Nottinghamshire than the national average
There are two smoking in pregnancy groups in Nottinghamshire that look at the key issues, monitor ongoing performance and deliver against action plans to reduce the numbers of pregnant smokers. The stop smoking service Smokefreelife Nottinghamshire works with midwives to help women to quit.
2. Some areas of Nottinghamshire have a population which is on average 69% overweight
The Health & Wellbeing Board will work with district councils and local businesses to develop the Healthy Options takeaway scheme and help give customers more choice for healthier food.
3. Hospital admission rates for alcoholic liver disease in Nottinghamshire is 47.7 per 100,000 population, which is higher than the England average of 34.8 per 100,000 population
Nottinghamshire Public Health commission a substance misuse service from Change, Grow, Live (CGL) which includes an alcohol hospital liaison team which assesses the needs of patients admitted for alcohol conditions and put in place a comprehensive plan of care. On discharge, care is continued by CGL in the community in order to reduce hospital re-admissions, promote recovery and improve health and wellbeing. Partner agencies also support the most vulnerable families and individuals where alcohol is identified as an issue.
4. We have engineered activity out of our lives and now need to reach out to the most inactive to design localities with built in opportunities to return the balance
The Board will work with Active Notts to understand why people find it hard to be physically active and develop local solutions to develop more active communities. We will bring together transport planning with local districts to better develop initiatives and improvements to encourage people to walk and cycle rather than drive – which also helps improve air quality.
Life expectancy is a key indicator of the health and wellbeing levels which have been discovered as part of a joint strategic health needs assessment for Nottinghamshire, referenced in the strategy. The assessment shows people in Rushcliffe live on average 8.5 years longer than people in deprived areas of Mansfield, Ashfield and Bassetlaw. There is a bigger gap – over 14 years - in healthy life expectancy across the county which is a measure of how long people live on average without disability or major health conditions.
Councillor John Doddy, Chairman of the Nottinghamshire Health and Wellbeing Board, at Nottinghamshire County Council, said: “There is a huge amount of work already underway across Nottinghamshire to improve health and wellbeing which supports the delivery of our shared vision.
“With our strategy we want to focus on the issues which need a partnership approach. Our vision is working together to enable the people of Nottinghamshire, from the youngest to the oldest, to live happier and healthier lives in their communities, particularly where the need is greatest.
“We know that people’s health and wellbeing is mostly influenced by where they live, what they eat, their jobs, communities and family relationships and we believe that’s where we can have the biggest impact.”
The overall strategy has numerous aims including focusing on prevention – helping people and communities to support each other, preventing problems from arising and using our influence to make sure that improving health and wellbeing is everyone’s responsibility.
In order to make this vision a reality there are four ambitions within the strategy: to give everyone a good start in life, to have healthy and sustainable places, to enable healthier decision making and to work together to improve health and care services.
The Health and Wellbeing Board is a statutory committee of Nottinghamshire County Council, and Board membership includes county councillors, the Directors of Adult Social Care, Children’s Services and Public Health, along with representatives of the local Clinical Commissioning Groups and the local Healthwatch. In Nottinghamshire the Board also includes representatives from the local district councils, the Police and Crime Commissioner and NHS England.