PAPER E


Purpose : for discussion


Committee:     PARTNERSHIP BOARD FOR HEALTH AND WELL-BEING


Date:               13 SEPTEMBER 2001


Title:               ISLE OF WIGHT COMMUNITY STRATEGY

 

REPORT OF THE DIRECTOR OF SOCIAL SERVICES & HOUSING

 

 

SUMMARY

 

This paper provides an update on the development of the Council’s Community Strategy.

 

BACKGROUND

 

Work is underway to develop the Community Strategy for the Isle of Wight, which will set an over-arching ten year vision for the Island. The purpose of the Community Strategy is to provide a framework for enhancing the quality of life of the local community and contribute to the achievement of sustainable development through out the country, through action to improve the economic, social and environmental well-being of the Island and its people. The Department of Transport, Local Government and the Regions has set four objectives for Community Strategies:

 

§  Local communities must be able to feed their aspirations, needs and priorities into the strategy

§  The strategy will provide a vehicle to co-ordinate the actions of the Council and the public, private, voluntary and community organisations that operate locally.

§  The strategy will focus and shape existing and future activity of these organisations so they effectively meet community needs and aspirations.

§  The strategy must contribute to sustainable development, locally and more widely.

 

It is anticipated that community strategies will have four components:

§  A long-term vision for the area focussing on outcomes to be achieved

§  An action plan identifying shorter-term priorities and activities that will contribute to the achievement of long-term aims

§  A shared commitment to implement the action plan

§  Arrangements for monitoring and review and progress reporting to the local community.

 

All other local plans such as the Health Improvement and Modernisation Plan, the Unitary Development Plan, the Children’s Services Plan and the Local Transport Plan will link to the Community Strategy

 

TIMETABLE

 

The proposed timetable for development of the local strategy is:

 

Consultation programme, including events targeted at hard-to-reach groups

October/November 2001

 

First draft of strategy completed

End of December 2001

 

Formal consultation

January – March 2002

 

Formal approval of strategy

March – April 2002

 

Implementation of strategy

April 2002 onwards

 

 

CONTENT OF THE STRATEGY

 

Key themes have been identified for the strategy and conveners are leading work in each of these areas:

 

§  Health and social care – Charles Waddicor

§  Social inclusion – Alan Kaye

§  Learning – David Pettitt

§  Regeneration – David Main

§  Housing – Jim Isles

§  Tourism – Simon Dabell

§  Transport – Peter Tuck

§  E Island – convenor under discussion

§  Rural issues – John Wibberley – identified as a cross-cutting theme to be covered in all groups.

 

It is felt there are two aspects relating to health and social care that need to be covered within the strategy, the vision for health and social care services and programmes to improve health and well-being. The second element will need to be a cross-cutting theme that will run throughout the chapters of the Strategy. A briefing paper has been prepared for the Conveners of all the other groups to ensure the determinants of health are comprehensively covered throughout the document as it is developed by the different working groups. This paper covers such areas as:

 

§  Housing – tackling homelessness, promoting home safety checks and reducing fuel poverty

§  Social inclusion – promoting uptake of full benefit entitlements, affordable leisure opportunities to encourage healthy exercise and healthy eating on a low income initiatives

§  Learning – supporting the development of parenting skills, providing opportunities for life-long learning and inter-generational projects and increasing knowledge about health and healthy lifestyles.

§  Regeneration – promoting healthy and safe workplaces and developing regeneration schemes which strengthen social support and build individual and community capacity.

§  Tourism – encouraging the development of tourist facilities which are accessible to disabled people and promoting smoke-free environments in tourist facilities

§  Transport – maximising funding for rural transport initiatives, promoting green travel plans and encouraging the development of walking buses to encourage children and parents to walk to school..

§  Environment – promoting all IW Council buildings as smoke-free environments.

 

 

 

THE ROLE OF THE PARTNERSHIP BOARD FOR HEALTH AND WELL-BEING

 

Partnership Board members are asked to discuss the key issues and challenges facing both health and social care services and agree a vision for service development over the next ten years. A draft list is attached below for consideration. Views are also needed regarding the priorities for improving health and well-being and these may well need to be set down as challenges to other group conveners to ensure their action plans address the core social and economic determinants of health appropriately. The draft Social Inclusion Statement for the south-east region, published recently by the Government Office for the south-east identifies that “70% of the determinants of people’s health are outside the realm of the NHS”. The Council and other local organisations have an important role to play if health and well-being are to be significantly improved locally.

 

The list of issues and proposals will go forward to the Conveners’ Group at the end of September who are co-ordinating the production of the draft strategy. These outputs, together with those from other conveners will form the basis for the first phase of public consultation on the strategy. As work on the strategy progresses, it is anticipated that Island Strategy Group and the Partnership Board will act as the key groups for debate, agreement and endorsement of the health and social care components of the Community Strategy.

 

KEY ISSUES AND CHALLENGES FOR THE HEALTH SERVICE OVER THE NEXT TEN YEARS

 

The overall priority is to manage services within the resources available to us.

 

We have identified five priority areas with specific elements for action:

 

IMPROVING HEALTH

 

§  Reducing smoking – multi-agency approaches, supported by the health service to reduce smoking and promote smoke-free environments

§  Promoting health in all settings, including healthy schools, healthy workplaces and healthy prisons

§  Reducing abuse of drugs and alcohol

§  Reducing health inequalities on the Island

§  Reducing teenage conception

 

SAVING LIVES

 

§  Our Healthier Nation target areas – CHD, mental health, cancer & accidents

 

FAST AND CONVENIENT SERVICES

 

§  Implementing the National Service Frameworks, the National Cancer Plan and Valuing People strategy

§  Improving waiting times in hospital and primary care, including bed management initiatives

§  Developing care pathways & more holistic approaches to care, including integrated assessments

§  Encouraging appropriate use of the NHS & social care system , including use of NHS/Care Direct.

§  Improving access to NHS dentistry

 

CARING FOR VULNERABLE PEOPLE

 

§  Keeping older people healthy

§  Promoting independence, developing rehabilitation services and care outside hospital and improving stroke services

§  Developing flexible support for carers

§  Developing more flexible community support for vulnerable people, including those with mental health needs and people with learning disabilities

§  Managing transitions between child and adult services more effectively.

§  Managing the market for residential, nursing home and domiciliary care, to ensure adequate capacity for local needs, including workforce planning and skills development.

 

MODERNISING STRATEGIES

 

§  Quality of care including food in hospital, cleanliness, single sex accommodation.

§  Taking forward clinical governance

§  Developing the information and communications technology capacity in the NHS & social care system, including on-line booking, electronic transmission of results and telemedicine.

§  Managing and planning the workforce to meet changing needs.

 

Members are asked to discuss these proposed priority areas.

 

Contact point: Charles Waddicor, Director of Social Services and Housing, ( 520600

 

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                                                                         C WADDICOR

                                                     Director of Social Services and Housing