Health and Wellbeing Board	18 January 2023
Report of the Consultant in Public Health, City of York Council

Framework for the Action Plan and Population Health Outcomes Monitor of the new Joint Health and Wellbeing Strategy 2022-2032

Summary

1. This report presents a suggested framework for an Action Plan and Population Health Outcomes Monitor for the new Joint Health and Wellbeing Strategy 2022-2023.

2. HWBB members are asked to consider and comment on this framework, prior to it being populated for the first time at the March 2023 Health and Wellbeing Board

Background

3. The HWBB’s new Joint Health and Wellbeing Strategy 2022-2023 was developed throughout 2022. Its high-level goal is to reduce the gap in healthy life expectancy between groups in the city.

4. Ambitions and Goals in the Strategy were identified using the evidence in the JSNA, through workshops and through public engagement, a process which is explained directly in the Strategy itself (‘How we made this Strategy’).

5. The strategy sits alongside two other major city strategies for the city (the Economic Strategy and the Climate Change Strategy).

Next steps

6. In order that the HWBB can be assured that the strategy is making a difference, we propose two documents are regularly produced:

i. Action Plan

ii. Population Health Outcomes Monitor

7. Action Plan: the suggested framework for the action plan is at Annex A to this report. It is proposed that it covers the first two years of the strategy’s lifespan. The plan is focused around the ten big goals set out in the Joint Health and Wellbeing Strategy. Once populated it will also show how identified actions link to the six big ambitions contained in the strategy. Additionally, there are columns to show timescales for an action, the lead HWBB member for the action, and if the action has cross over benefits with the Economic and Climate Change strategies.

8. The action plan will be a living document with lead HWBB members for the actions being asked to provide regular progress updates. At this stage it is suggested that each of the ten big goals should have 2 or 3 actions identified for delivery in the first 2 years of the strategy.

9. Actions will be identified in conjunction with the relevant HWBB members and other colleagues they identify across the first months of 2023.

10. Population Health Outcomes Monitor: a draft scorecard has been developed and is at Annex B to this report. This is linked to the ten big goals and is designed to provide board members with a holistic view of whether the strategy is making a difference to the health and wellbeing of York’s population, using outcome data rather than data on what health and care services are ‘doing’. We have deliberately chosen a small but broad number of indicators, enabling board members to avoid either ‘flying blind’ (not enough data) or ‘flying in a blizzard’ (too much data).

Consultation and Engagement

11. As a high-level document setting out the strategic vision for health and wellbeing in the city, the new Health and Wellbeing Strategy capitalised on existing consultation and engagement work undertaken on deeper and more specific projects in the city. Co-production is a principle that has been endorsed by the HWBB and will form a key part of the delivery, implementation, and evaluation of the strategy

12. If approved by the HWBB the draft action plan will be populated in consultation with HWBB member organisations and those leading on specific workstreams that impact the ten big goals.

13. The draft performance management framework has been developed by public health experts in conjunction with the Business Intelligence Team within the City of York Council.

Options

14. There are no specific options for the HWBB in relation to this report. HWBB members are invited to comment on the draft action plan and performance management framework so that further work on these can take place. Specifically, we would like the board to consider:

i. Will the proposed action plan framework enable us to plan the right actions, and will the proposed outcomes monitor enable us to know if it’s working?

ii. How many actions should be prepared for each of the 10 goals across the first 2 years of the strategy (suggestion is 2 or 3)

iii. How often would HWBB members like to be updated on progress against the actions and the status of the Population Health Outcomes Monitor?

iv. How do we ensure ownership of the actions in the plan by all organisations?

v. How do we maximise the co benefits between actions designed to improve health and wellbeing, and actions falling out of the Economic and Climate Change Strategies?

Implications

15. It is important that the priorities in relation to both the current and any new joint health and wellbeing strategy are delivered. Members need to be assured that appropriate mechanisms are in place for delivery. The Terms of Reference for the Health and Wellbeing Board and its governance arrangements will be reviewed together with its relationship to the new NHS partnership arrangements in the coming months.

Recommendations

16. Health and Wellbeing Board are asked to:

i. Comment on the draftaction plan at Annex A and the draft performance management framework at Annex B, specifically in relation to the questions outlined in section 13.

ii. Overall approval to proceed with the two documents is sought so that final versions can be presented to the board in March 2023.

Reason: To ensure that the Health and Wellbeing Board fulfils its statutory duty to deliver on their Joint Health and Wellbeing Strategy 2022-2032.

Contact Details

Author:	Chief Officer Responsible for the report:
Peter Roderick Consultant in Public Health, City of York Council	Peter Roderick Consultant in Public Health, City of York Council
	Report Approved		P	Date	05.01.2023
Specialist Implications Officer(s) None
Wards Affected:		All	P
For further information please contact the author of the report

Annexes:

Annex A: Draft action plan

Annex B: Draft performance management framework