Agenda item

The received a report and presentation, introduced by Laurie Mott, Senior Strategy & Performance Manager which provided an update on the outcomes framework. The report allowed the Board to drive delivery and be sighted on key outcomes and indicators. The indicators link to the outcomes identified as part pf the plan for the Borough – Doncaster Growing Together (DGT)

The report provided a view of new information available since the last board update in November 2018, and also, presented further detail on specific sections of the framework.

The updated indicators information was provided in Appendix A to the report together with a summary of the current local policy context to show the Councils response to the new trends. This was included to support the forward planning process for the Board. It was noted, that those areas with deteriorating performance and inadequate policy responses were areas that the Board may wish to consider in more detail in the future.

Discussion took place on the following Indicators and Outcomes:-

·         Healthy Life Expectancy – in both men and women it had improved over the last 5 years. In men, it is no longer significantly worse than the England average. However, it remains significantly worse for women than the England average. It was reported that on the whole, Doncaster people will live longer.

·         People using Adult Social Care Services – Members were advised that there had been a significant drop, which was an area that requires improvement and perhaps learning from other authorities/organisations on best practice. It was, noted, that IPSOS Murray had conducted a survey, which stated that less than 50% of service users used the internet. For future reporting, a figure alongside the percentage would be useful. Paul Tanney, Chief Executive St Leger Homes commented that there was evidence that sometimes some of the aging tenants just require somebody to talk too.

·         Children in low income households – Members were advised that following the index published 3 weeks ago which showed that 22.7% of 0-15 year olds in Doncaster were living in a low income household. Doncaster was the 37^th most deprived area in England with the most affected areas being in the west of the borough. The Chair asked that the Board be supplied, with the figures per ward.

·         Childhood Obesity – It was advised that there had been a sharp rise of childhood obesity in reception age, which showed significantly higher than the national rate

·         Children in Care – Whilst the report showed the number increasing since 2014 and it remained significantly higher than the national rate. However, it was reported that this may be changing the curve. In any statistical group, if a number was poor, it can change the picture significantly.

·         Lifestyle factors – As the report indicates, smoking and alcohol remains significantly high. However, it was noted that with regard to smoking, the gap was narrowing. It was advised that the service were good at getting people to quit but find it difficult to identify and stop new smokers.

·         Ageing well – Admissions for falls have gone up and Flu vaccinations have improved in Doncaster to 74%. This remains below the national target albeit by 1%. Initiatives were in place in relation to the prevention of falls.

·         In relation to cancer, it was advised that the service were confident in improving early diagnosis. However, there were more people with cancer. It was noted that there were a number of initiatives in place.

Discussion took place on whether the Board should focus on addressing two or three outcomes, considering what was achievable and realistic. It was noted that adding value on two or more outcomes creates good typography. However, it would be beneficial also to assess locality variations whilst being consistent with the Place Plan. It was suggested that by looking at peer groups, there may be something to learn. It was reported that there needed to be some dialogue and thinking around how the Board contributes towards the outcomes and to be prepared to shift resources around in order to deal with some of the bigger issues being faced.

            RESOLVED that the Board:-

(1)        noted and commented on the updated information contained            within the Health and Wellbeing Board Outcomes Framework            particularly the Well Being and Prevention areas; and

(2)        consider focussing on two or three specific areas and build on          using locality data. Further discussion on this take place at the    Workshop – Development session on the 5th December, 2019.