Boscombe Regeneration Partnership – Performance UpdateTheme - Health Period – October – December 2015 Item Lead – ADPH Bournemouth Vision:Boscombe is a place where people work together to help everyone lead healthier lives and provide support for those in greatest need.

Objectives: Reduce inequalities in health for the Boscombe population – specifically to reduce the gap in life expectancy for males from 10.3 years to less than 8.9 years (average for England) by 2016, and for females from 5.4 years to below 4 years by 2016Current gap is 9.2 years for males and 6.8 years for females (based on national deciles); based on local deciles gap is 10 years for males, and 4.4 years for females.To improve the quality of life for residents of Boscombe and where possible identify ways of measuring this in a meaningful way, working with partners

OBJECTIVE [As above]Aim Measurement of Success RAG

Status Trend Performance Update Frequency

Ensure health is a golden thread through the work of the Boscombe Regeneration Partnership

Health issues affecting the Boscombe population clearly identified in decisions and actions across theme groups

Green Improving

Health theme group to be strengthened with clearer TORs and membershipHealth issues clearly identified in minutes of regeneration partnership meetingsHealth and housing joint work programme under developmentDiscussions underway for a ‘health in all decisions’ approach at Bournemouth Council

N/A

Quarterly

Provide free health checks to identify people’s risk of heart disease, diabetes, kidney disease and stroke (40-75 year olds)

At least 20% of eligible adults in Boscombe to be invited for a check each year, with an uptake greater than 50%

Amber Improving

Performance at end of Q3 2014/15 was 858 invitations (cumulative, 2,420) and 275 checks (cumulative, 696) delivered (uptake 32 per cent). This is a steady improvement

Quarterly

quarter on quarter. Expected annual performance is 2,340 invitations and 1,504 checks. Procurement plan to source new community providers in development. Providence surgery piloting invitations for Health Checks for people with serious mental illness using the new Wessex Passport.

Improve take up of screening and immunisation programmes

Ensure performance on screening and immunisation programmes as measured by general practices serving the Boscombe population improves to meet national targets

Red Stable Screening and immunisation uptake data now published for 2012 for the six practices serving Boscombe.

Uptake is well below average for Bournemouth and England for all six practices for all three cancer screening programmes. Action plan now in place by Wessex Area Team.

Quarterly

Green Stable Uptake of childhood immunisations at 2 and 5 years for the Boscombe practices is similar to Bournemouth and England uptakes, except for MMR and meningitis where it is slightly lower (as of Q4, 2012/13). Awaiting update from PHE but they are currently unwilling to share practice level data.

Establish a brief interventions service in local GP practices for people at risk of harms to health due to alcohol

Numbers of people accessing brief interventions in local GP practices, and proportion reporting reducing their drinking

Green Improving

Locality-wide agreement on hosting the BIT service in primary care for the remainder of the CRI contract (March 2014). Service started 1 October with52 referrals to date from practices in Bournemouth East (including Boscombe Manor and Shelley Manor).

CRI service to be replaced with the new Health Improvement service provided by Optum from 1 April 2015.

Develop community champions to improve use of smoking cessation services in Boscombe

Minimum of 10 champions trained by Q3 2014

Total number of people quitting who were referred by a champion in 14/15

Green N/A 30 champions trained, 10 currently active.

18 referrals made, with 4 currently going through service.1 quit and now trained as champion.

Give every child the best start in life by developing a focus on early intervention in the 0-5 year period

Improve proportion of children in Boscombe achieving a good standard of development at age 5 from 34 per cent to 50 per cent by 2015.

Amber Improving

Gap between 20 per cent most deprived achieving a good level of development and rest of LA reducing from 29% to 27.7% in 2013.

Remaining indicators to be agreed with partners via work on Major Change Programme of the Health and Wellbeing Board.

Annually

Reduce impact of cold homes in Boscombe by funding insulation and heating improvements working with energy companies

Number of homes meeting target criteria with improvements completed TBA with Neil Short following national changes to scheme.

Green Stable Warmer homes scheme now live with 95 insulation measures (loft or cavity wall) installed in 70 properties across Bournemouth.Measures part-funded by GP Localities: East 14, Central 32, North 17.11 measures part-funded by Council.20 measures fully funded by utilities.No measures funded within Boscombe regeneration area to date.

Quarterly

Improve physical health outcomes of people with severe and enduring mental illness living in Boscombe

Number of people on SMI registers with documented evidence of an NHS Health Check and health plan.

Amber – draft objective

Stable Health passport for service users now agreed – looking to use this in key practices in Boscombe to support people to improve health.

Quarterly

Regenerate play area of King’s Completed scheme in place, from Amber Stable. Initial meetings with design Quarterly

Park next to school, working with Parks at BBC, Arts University Bournemouth, and local schools.

design to build. students have taken place at AUB. Project manager appointed, seeking contributions from other community players including AFCB.

Challenges for the Partnership to considerImpact of worsening inequalities due to income changes as benefits reforms start to have an impact – need clear idea about local actions to mitigate impacts and monitoring across all theme groups of potential groups most affected by changes

Spend Update£45,000 has been transferred to Bournemouth 2026 to support initiatives designed to reduce the gap in health inequalities in Boscombe£75,000 available via Section 256 agreement with Dorset CCG (all three Bournemouth GP localities)Process for allocating funding agreed at July 2013 meeting.

Spend approved as of December 2013:£20,000 for community smoking champions (funded from inequalities underspend)£11,500 for diabetes activation pilot (funded from CCG Section 256 funds for inequalities)£20,000 for warmer homes in Boscombe£12,500 for warmer homes in Boscombe (funded from CCG Section 256 funds for inequalities)

Boscombe Regeneration Partnership – Performance Update Guidance Notes

The Performance Update template has been developed to provide a mechanism to enable Boscombe Regeneration Partnership leads to report progress on how the Partnership is achieving its objectives of addressing the challenges and issues affecting Boscombe. The purpose of this document is to provide guidance so that this can be done consistently and effectively.

Please consider the following when completing your update:

SMART Targets: what are the Specific, Measurable, Achievable, Realistic and Time-bound goals that will be achieved for each objective?

Aim: what is being done to achieve these? Measurement of success: what will “success” look like when there is positive

impact on the aim being addressed? Performance Update: what is the current status of how we are performing against

the measure? In particular what action is being taken if progress is not on track? RAG Status - colour coding to visually highlight the status of how we are

performing against the measure based on the following: R Red Further attention and action required now to achieve the desired outcomeA Amber Action in progress. Achieving the desired outcome is incomplete but not an issue yetG Green On track, in progress or desired outcome achieved with no issues

Trend –what is our performance over time—is it heading in the right direction? This can be:

ImprovingDeteriorating Variable Stable

Identifying both performance status and trends will help us see beyond a snapshot of performance during the period and allow us to demonstrate if and when successful outcomes have been sustained.

Challenges for the Partnership to consider: What does the Partnership Board need to know or what can they do to address any roadblocks to success?

Spend update (if applicable): What is actual and projected spend vs. budget?

Frequency of reportingWithin your work stream you will want to monitor action plans regularly, but Performance Update templates should be completed and e-mailed to Sue Bickler on a two monthly basis.

Supporting Action plansWithin your area you may already have an action plan prepared. At a minimum this should clearly link your activities back to the vision, objectives and aims of the project theme. A template is available should you need this.

Please feel free to provide feedback on the templates or these guidance notes to:

Sue Bickler, Head of Community RegenerationTown Hall, Floor 3 - Room 103, Bournemouth BH2 6DY E-mail sue.bickler@bournemouth.gov.uk