health and wellbeing strategy - bracknell...

Health and Wellbeing Strategy

Bracknell Forest Borough Council October 2007

Bracknell Forest Borough Health and Well-Being Strategy October 2007

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Health and Well-being Progress and Key Dates Sheet Version Action Outcome Date Other

Report to CMT

to commence Strategy

Agreed November 2006

Action VN/KB

V1 Draft Strategy Draft Strategy prepared (with gaps)

January 2007 Action KB

Assistant Directors Discussion session

Comments provided at meeting and in writing.

February 2007 Action VN

v2 Incorporate AD’s comments and comments from Councillor Birch

Changes made March 2007 Action: KB

v3 Working Draft to CMT

Comments made.

March 2007 Comments did not incorporate those of the Director of Education, Children’s Service & Libraries. Separate meeting arranged for April.

v4 Incorporate CMT comments

Changes made March 2007 Action VN/KB

v5 Incorporate PCT, DECSL and other CMT comments

Changes made April 2007 VN For circulation to theme partnerships and Health O+S

v5.1 Further drafting changes, PCT comments

Changes made May 2007 VN

V5.2 Incorporate further internal comments, formatting changes, post-CMT 9/5.


V5.3 Changes pre-Executive


V5.4 Post-Exec changes

Changes made June 2007 VN

V5.5 Incorporate consultation responses

Changes made September 2007

KB

V5.6 Post CMT Changes September 07 VN


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Contents

Foreword.................................................................................................................... 3 Executive summary.................................................................................................... 4 1 Introduction......................................................................................................... 5 2 A vision for health and well-being in Bracknell Forest......................................... 7 3 Determinants of health and levels of need........................................................ 12 4 The Council’s impact on health and well-being................................................. 14 5 Role of direct service providers......................................................................... 22 6 Key health issues in Bracknell Forest ............................................................... 28 7 Priorities and action .......................................................................................... 36 9. Further information ........................................................................................... 55

Figures: 1 Determinants of Health 2 Triangle of Needs 3 Council work areas which impact on Health and Well-being 4 The provision of health services in Bracknell Forest borough 5 Health amenities 6 Age profile of Bracknell Forest 7 The number of people aged 65+ in Bracknell Forest by 2021 8 Life expectancy of Population (2000) 9 Age standardised average years of life (under the age of 75) by cause 2002 - 2004

Appendices: 1 Bibliography 2 Local Area Agreement Outcomes


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Foreword As the Deputy Leader of the Council and Executive Member for health, I am pleased to introduce the first Bracknell Forest Borough Council Health and Wellbeing Strategy. Bracknell Forest is a great place to live and work; it’s a healthy place, too. Our health is improving but we know that we need to act now to improve health outcomes in the future. The Council delivers a diverse range of services and activities which impact upon the health and well-being of our residents. For the first time, this document brings together those areas of the Council’s work which impact on health and well-being into a single framework. This strategy will guide the Council as it tackles our major public health and well-being challenges, such as smoking, physical activity, healthy eating and access to services. I am pleased that this strategy is supported by our partners including the Berkshire East Primary Care Trust. We will continue to work closely with all our partners to continue to improve the health and well-being of those who live and work in the Borough. Councillor Dale Birch Deputy Leader of the Council and Executive Member for Adult Services, Health and Housing


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Executive summary This strategy aims to improve the health and wellbeing of all who live and work in the

borough. The document set out an overarching, co-ordinated framework for the Council’s

activities related to health and well-being, and recognises the many diverse activities

undertaken by the Council which impact upon health and well-being. Implementation of the

strategy will help to close gaps in health inequalities.

The strategy sets out a health profile for residents in the Borough, and identifies that there

are a wide range of factors that influence health and well-being. It also recognises that many

plans and strategies that have an influence on health and well-being, are already in place,

including those prepared with other partners.

The strategy identifies and brings together a number of overarching priorities for action.

These priorities will act as ‘hooks’ from which more detailed priorities and actions will be

developed and delivered.

These priorities, and the strategy as a whole will be subject to periodic review.


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1 Introduction 1.1 The Bracknell Forest Borough Health and Well-being Strategy aims to protect

and promote the ongoing improvement in people’s health and well-being and sustain

Bracknell Forest as a healthy place to live, work or visit. The strategy seeks to set

the agenda for health and wellbeing issues in the borough. These issues extend

beyond issues of illness and disease and are influenced by the environment,

economic activity, social isolation, social deprivation, lifestyle and a range of other

issues. By implementing the strategy, supported by a joint strategic needs

assessment, we hope to tackle gaps in health inequalities. For the purposes of this

Strategy, ‘well-being’ is defined as ‘a state of being well, happy or prosperous’.1

1.2 Bracknell Forest Borough Council can improve and protect the health of

people living, working or visiting the Borough by providing services, working with

public bodies, other local authorities and health service providers, through the

promotion and implementation of policy, and having effective monitoring and

enforcement practices in relation to the appropriate legislation and standards. Whilst

health and lifestyle choices are often up to the individual, the Council has a role in

providing a healthy environment and promoting and encouraging healthy lifestyle

choices, as well as in helping residents to deal with specific aspects of health..

1.3 By increasing good health, this strategy will contribute towards economic

prosperity. A strategy identifying the Council’s commitment to improved health and

wellbeing will impact on improving the overall levels of health of the employees of

businesses in the Borough.

1.4 This Strategy has been prepared in consultation with the Bracknell Forest

Partnership, local health and voluntary organisations and the Health Overview and

Scrutiny Panel. Considerable contribution has come from the Berkshire East Primary

Care Trust which is responsibility for engaging with the local population to improve

health and well-being, and for commissioning health care to meet identified needs.

1.5 Through implementation of this Strategy, the Council will seek to achieve real

and measurable improvements in the health and well-being of residents. The

Strategy provides a co-ordinated approach to ensuring that Council activities

contribute towards health improvements and to reducing health inequalities. It

1 Oxford English Dictionary, 2005


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provides a mechanism to ensure a co-ordinated approach to improving access to

services provided by the Council and with other partners.

Where does the strategy fit?

1.6 Many existing Council plans and strategies, and those we have prepared with

our partners, relate to the protection or improvement of different areas of health

related functions or services. This strategy aims to be an overarching framework

which sets out the Council’s overall priorities for health and ensures that there is

consistency between documents. The strategy fits closely with the Sustainable

Community Plan and is linked to existing and emerging plans and strategies

produced by the Council.

1.7 The purpose of this Strategy is therefore to:

• Set out a shared context and vision for health and well-being across the

Borough

• Identify shared priorities for improving health and well-being

• Provide a tool for all Council Departments when working with our

partners

• Improve communication with the public about health and well-being

issues

Partnerships

1.8 The Council recognises that the delivery of improved health and well-being is

carried out by a range of organisations working in partnership. This Strategy seeks to

create a framework to ensure that those partnerships work effectively to deliver

health improvements in the Borough. The Council takes pride in its effective

partnership working, and this approach is central to the delivery of improvements to

health and well-being.


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2 A vision for health and well-being in Bracknell Forest

2.1 The Council has already committed to a vision of improved health for

residents through the Bracknell Forest Sustainable Community Plan and Children

and Young People’s Plan. The Bracknell Forest Borough Sustainable Community

Plan was published in October 2005 by the Bracknell Forest Partnership, the local

strategic partnership for Bracknell Forest. The Partnership’s vision for Bracknell

Forest is:

“In 2015 the community of Bracknell Forest will be self-confident, socially cohesive, economically buoyant and renowned for its “can do” attitude. Living and working in Bracknell Forest will mean having an excellent quality of life. Local people will be safe and healthy. They will have a home that meets their needs and be able to travel easily around the borough, particularly by public transport. The distinctive, quality environment of Bracknell Forest will be enhanced and the community and learning will be valued throughout people’s lives”.

2.2 To deliver this vision, the community plan indentifies a number of priorities,

many of which impact directly or indirectly on the health and wellbeing of the

community. Priority 3, in particular, relates to ‘Improving health and well-being’.

Through the Community Plan a commitment has been given by agencies to

continuing to work together to seek improvements to and health inequalities as well

as to support and encourage people to take responsibility for their own health.

2.3 The Council agreed twelve interim Corporate Themes for the period

2007/2008. These have been refreshed by the new administration and replaced with

4 priorities underpinned by a series of key objectives and specific actions as set out

below. Priority 3 is to ‘promote health and achievement’.. .

2.4 One of the Objectives identified to meet this Priority is ‘to improve health

and well-being’ with a specific action identified: ‘developing and implementing a

comprehensive health strategy for the Borough, in partnership with the PCT

which identifies clear priorities for improving health and well-being’.


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2.5 A number of other plans and strategies supported by the Council also contain

visions of improved health and well-being, for example the Supporting People in

Bracknell Forest Strategy (February 2005) and the Housing Strategy 2005 - 2008.

2.6 The Council supports the following statement of future health set out in the

Community Plan.

By 2015, people will live longer, healthier lives.

2.7 In support of this statement, the Council will:

Work to ensure that people have the opportunity

and facilities to live more of their life in good health.


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2.8 The Council has identified the following objectives:

Objectives:

1 To improve and maintain the infrastructure and environment to

promote health and well-being.

2 With our partners, to identify clearly the health and well-being needs of

the whole community so that these are a significant factor considered

by the Council and other partners in reviewing and planning funding

and service needs and in forward work programmes.

3 To optimise the use of resources between partners locally to ensure

that adequate resources are made available to support health. This

will involve influencing commissioning decisions as well as ensuring

that resources are used to best effect such as through improving

access to facilities and communications.

4 To promote health education (through the personal, social, and health

education in every school and centre’s curriculum)

5 To support people and communities to take responsibility for their own

health and enable healthy choices to be made.


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2.9 In delivering these objectives, the Council will have regard to the following key

values:

Key Values:

Involve partners, communities and individuals in the planning and review of

services

Promote equality of access to services

Promote optimum service delivery, ensuring that services are accessible,

effective, efficient and appropriately delivered

Provide integrated services across the Council and with partners

Recognise the value and role of carers and the voluntary sector in the

provision of health care.

Measuring Success

2.10 The key multi-agency partnership in the Borough is the Bracknell Forest

Partnership. This brings together at the local level different parts of the public,

private, community and voluntary sectors.The Partnership has responsibility for

delivering a set of priorities for action set out in a Local Area Agreement (LAA). In

Bracknell Forest, the LAA contains a range of outcomes, many of which will impact

upon the health and well-being of residents. LAA Priority 3 relates specifically to

Health and Well-being and seeks to meet the following outcomes:

• Help older people with dementia to remain longer in the community rather

than long-term institutional type care

• Improve the health and well-being of people over the age of 75 who have

complex chronic disease by providing care as close to home as possible

• Promote better health and emotional well-being for all children and young

people

• Reduce health inequalities within the local area


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• Increase levels of physical activity

• Implement a prevention charter for children and young people’s services

• Provision for vulnerable children and young people

• Positive activities for young people.

2.11 These and other LAA outcomes are linked to the priorities in the Action Plan

at the end of this document.


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3 Determinants of health and levels of need

Determinants of health

3.1 Many different factors have an important influence on health and well-being.

While health and social services make a contribution to health, most of the key

determinants of health lie outside the direct influence of health and social care, for

example, education, employment, housing, and environment. The diagram below

presents the determinants of health in terms of layers of influence, starting with the

individual and moving to wider social, economic and environmental issues. Section 4

illustrates how the work of the Council can influence many of these determinants.

Figure 1: Determinants of health

Source: Dahlgren G and Whitehead M (1991) Policies and Strategies to promote social equity in health. Stockholm, Institute for Futures Studies.


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Needs 3.2 The “triangle of needs” diagram below (Figure 2) shows the different levels of

care, each of which involve a range of agencies. The Council’s greatest role is in

Level 1 in setting policy frameworks to promote good health and in ensuring a safe

and healthy environment as well as specific initiatives such as promoting physical

activity. The Council will have links to all levels of the triangle and one of the roles of

this Strategy is to promote effective linkages between partners at all levels.

Figure 2: Triangle of needs


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4 The Council’s impact on health and well-being

4.1 The work of the Council influences the health and well-being of residents in a

variety of ways as shown in the examples below. Existing plans and strategies are in

place to deliver these services and some of these are identified. The list of relevant

strategies should not be taken to be exhaustive and some will obviously be replaced

or updated over time.

4.2 Areas of the Council’s work which impact upon health and well-being are

summarised in Figure 3 below:

Figure 3: Council work areas which impact on health and well-being


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4.3 Further information on services can be found at www.bracknell-forest.gov.uk

Physical activity

4.4 Regular physical activity is an important part of a healthy lifestyle. This is

against a backdrop of increasing evidence that current levels of physical activity for

the population of England are well below desirable levels, and forecasts of increases

in the proportion of people defined as obese. Local levels of activity are identified in

Section 6.

4.5 Through its leisure, planning, schools and other services, the Borough

Council can enable people to take part in a wide range of sporting and leisure

activities and ensure that people have access to good quality open space. Through

the adoption and implementation of planning policies the Council can ensure that

new development is planned in a sustainable manner, so that, for example there is

good access to local facilities which encourages opportunities for walking and

cycling.

4.6 As the Highway Authority, the Council is able to implement schemes and

initiatives which encourage the use of healthier modes of travel through for example

new cycle paths and Walk to School week. A reduction in the use of motorised

transport also has implications for improving air quality.

Relevant local plans and strategies:

Bracknell Forest Borough Local Plan, 2002

Local Transport Plan 2

Bracknell Forest Borough Local Development Framework

Sustainable Community Plan 2005

Local Area Agreement2 2007 – 2010

Air Quality Strategy

Parks and Open Spaces Strategy

Sports Development Strategy

Children and Young People’s Plan

2 A Local Area Agreement (LAA) is a three year agreement between Central Government and

the key partners working together in an area to deliver public services (through the Local Strategic Partnership).


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Community care

4.7 Through the provision of social care, the Council can support the well-being of

adults and children providing personal support, care and protection. The key groups

of service users are families, children, older people, those with a disability or long

term illness, and people with mental health problems. Adults Services and

Children’s Social Care assess the needs of people against eligibility criteria and

enable the provision of various supporting services such as home care, residential

and day services to help people stay independent and to support carers, as well as a

range of services to support families. The Health White Paper and the new

Commissioning Framework for Health and Wellbeing will determine how this is

secured.

4.8 The Council’s social care activities engage directly with mental health issues.

However, all aspects of the Council’s activities have an effect on mental health. For

example, an excellent physical environment, access to housing and employment,

and the promotion of physical well being can all influence mental well being.

4.9 Through its Crime and Disorder Reduction Team, the Council, along with

other partners, seeks to reduce crime and enhance the community’s sense of well-

being. The team undertakes initiatives to reduce the fear of crime, to reduce the harm

that the misuse of drugs and alcohol can cause, and brings together resources to

keep people safe.


A Strategy for Mental Health Services in Bracknell, April 2002 (Berkshire Healthcare NHS

Trust, Bracknell Forest Borough Council, Bracknell Forest PCT)

Better care, Higher Standards 2004 (Bracknell Forest PCT, Bracknell Forest Borough

Council)

Supporting people in Bracknell Forest 2005/6 to 2009/10

Local Area Agreement 2007 – 2010

Bracknell Forest Borough Housing Strategy

Children and Young People’s Plan

Community Safety Strategy


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Education

4.10 Education and health are linked. The Bracknell Forest Children and Young

People’s Plan sets out a wide range of action to promote health and wellbeing. At a

strategic level, access to good educational facilities helps to ensure that children

have the best opportunity for healthy lives by increasing educational attainment and

longer-term prospects for employment and independence, and by providing the

means to make informed choices about individual lifestyles later in life.

4.11 Education can build self esteem and equip children and young people with

the skills to adopt a healthier lifestyle. One key contribution towards health and

wellbeing is educating young people about the importance of a healthy diet. This is

through a number of initiatives including the Healthy Schools Programme. The

council also has a critical role in addressing the needs of vulnerable groups, including

performing as corporate parent for looked after children.

4.12 Life-long learning opportunities also enhance the ability to secure

employment opportunities and improve personal well being.


Bracknell Forest Children and Young People’s Plan (2006 – 2009)

Adult and Community Learning Plan (2004 – 2007)


Access to Education for Children and Young People with Medical Needs

Local Area Agreement 2007 - 2010

Health and safety

4.13 By monitoring and ensuring compliance with legislative requirements the

Council is able to ensure that people live and work in a safe and healthy

environment. Services include ensuring that food is fit to eat and that premises meet

accepted hygiene standards, that goods are safe to use, buildings are constructed to

accepted safe standards, and are constructed safely and that the quality of the local

environment is protected. The Council also has a role in planning and implementing

health promotion campaigns for example in relation to cutting smoking and improving

diets, and a duty to monitor local air quality.


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Food Law Enforcement Plan 2006 – 2007

Health and Safety Law Enforcement Plan

Housing

4.14 Access to housing is a key determinant of health. The Council can improve

the quality and choice of housing available for tenants and residents through housing

services, for example working with partners and developers to increase the supply of

affordable housing, and providing, with others, support for those who are in need.

The Council also directly affects the quality of housing available for its many tenants

and has intervention powers where necessary to ensure homes are fit for purpose

and properly insulated.


The Housing Strategy



Supporting people in Bracknell Forest 2005/6 to 2009/10

Standards for Houses in Multiple Occupation 2006

Homelessness Strategy 2005 - 2008

Local Area Agreement 2007 -2010

Youth Justice Plan

Sustaining economic prosperity

4.15 Improvements to the overall health of the local population bring benefits to the

local economy through the provision of a healthier workforce and through for

example reduced amount of time lost through illness. The Council can also

encourage and promote a wider range of job opportunities and investment in the

Borough, for example through the regeneration of Bracknell Town Centre, thereby

bringing improved income to households and improved training and skills (the “Grow

Our Own” project is central to skills and learning). The Council also controls the

provision of facilities for the Borough’s population – for example influencing the

number and type of schools, playgrounds and community facilities.


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Bracknell Town Centre Masterplan

Bracknell Forest Borough Local Plan 2002


Transport and travel

4.16 As the Highway Authority, the Council is able to implement road safety

schemes and promote road safety initiatives. These include improvements to reduce

road traffic accidents, and safety improvements for pedestrians and cyclists, for

example through the Safer Routes to School initiative, and through safe road design.

Initiatives such as Green Travel Plans serve to encourage the use of healthier means

of travel.

Relevant local plans and strategies




School travel plans

Social cohesion and culture

4.17 The Council can improve perceptions of well-being by encouraging people to

become involved in, and feel a part of, their local community. This can be achieved

through the design, layout and location of new development, schools PSHE

programmes, measures to bring communities together, and the provision and support

of community, cultural and leisure facilities. The ability to get to local facilities helps

to prevent feelings of isolation and can improve mental well-being.


‘All of Us’ – Strategy for Promoting Social Cohesion 2004-2007 and 2007-2010

The Bracknell Forest Cultural Strategy


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Climate Change

4.18 A number of possible health impacts of climate change have been identified.

These include:

• Less cold-related winter deaths;

• More heat-related summer deaths;

• Fire deaths;

• Death and injuries caused by melted roads, buckled rails etc;

• Death and injuries caused by falling trees and debris, and

• Spread of disease.

4.19 The Council takes the impact of climate change seriously. Recently the

Council signed the “Nottingham Declaration on Climate Change”, which

acknowledges the increasing impact of climate change on the local communities. It

also commits the Council, with its partners and communities, to develop plans to

address the causes and impacts of climate change according to local priorities. The

Council is currently preparing a Borough – wide Climate Change Strategy,.

4.20 Whilst the emergency services are able to deal with most emergency

incidents within the Borough, the Council must plan for incidents beyond the normal

capacity of the emergency services, many of which would, should they occur, impact

upon health and well-being. The Council has prepared an Emergency Plan which

identifies clearly how any such incident would be dealt with, and the role that the

Council would play in assisting and co-ordinating a response.


Bracknell Forest Borough Council Emergency Plan, July 2007.





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The Natural Environment

4.21 Access to, and the quality of, the natural environment can be a significant

factor influencing physical and mental well-being. The Council has an influence on

the natural environment, and through the ‘greening’ of the urban environment through

implementation of planning policies; through maintenance and improvement of parks

and open spaces, and through working with partners.

Relevant Local Plans and Strategies:




Parks and Open Space Strategy

The health of our employees

4.22 As a major employer, the Council can promote the health of its own

employees through health and safety policies, good work practices, provision of an

occupational health service and counselling service, and promoting alternative

modes of travel to the car.

Partnership working

4.23 The Council has developed partnerships for action with for example, the

voluntary sector, local health services and other bodies to provide better services and

outcomes. For example, the Health and Social Care and Children and Young

People’s partnerships contain representatives from organisations including the

Council, the Primary Care Trust, Thames Valley Police and voluntary groups. The

partnerships seek to provide high level strategic direction to improve the well-being of

the people living in Bracknell Forest.

4.24 The effectiveness of these partnership groups and successful collaborative

working are central to in delivering continued health improvements to residents.

Other partnership groups focus on practical delivery including the Berkshire East

Joint Strategic Commissioning Board and the Local Safeguarding Children Board.

This Strategy will enable the Council to engage with partners with clarity and

purpose.


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5 Role of direct service providers

5.1 Health and well-being services are provided by a range of organisations,

working together. In addition to the Borough Council, this includes the Primary Care

Trust, the Police, and a range of supporting voluntary groups and individuals. Figure

4 illustrates examples of the different levels of provision in the Borough.

5.2 Bracknell Forest Borough is served by the Berkshire East Primary Care Trust

(PCT), which also covers the boroughs of Slough and Windsor and Maidenhead. The

role of the PCT is to3:

• Assess the health needs of the local population and develop an insight into

local healthcare needs;

• Commission the right services, for instance from GP practices, hospitals and

dentists, to meet these needs and ensuring these services can be accessed

by everyone who needs them, taking into account patient choice;

• Make sure that the organisations providing these services, including social

care organisations, are working together effectively;

• Improve the overall health of the local community, and

• Listen to patients views on services, through a range of channels, and acting

on them

Figure 4: The provision of health in Bracknell Forest borough

3 Source – www.berkshireeast-pct.nhs.uk


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ORGANISATION ROLE South Central Strategic Health Authority Primary Care Trusts Berkshire East Primary Care Trust

Acute trusts

General Practitioners Optometrists Pharmacists Dentists Community Hospitals Community services

Heatherwood & Wexham Park Hospitals NHS Trust

Royal Berkshire & Battle Hospitals NHS Foundation Trust

Frimley Park Hospital NHS Foundation Trust

Mental Health Care Trust

In-patient services Out-patient services A&E Maternity

Berkshire Healthcare NHS Trust Specialist mental health Learning disabilities Substance misuse

Ambulance trusts South Central Ambulance Service NHS Trust

999 calls, Transport Services

Bracknell Forest Borough Council

Services to support adults, children, families & those with a disability or long term illness Environmental protection Leisure facilities (formal/informal) Public safety/health protection Safe travel Decent housing standards Crime prevention Infrastructure to support a healthy community. Teenage pregnancy service Schools support and services

Voluntary sector Transport

Patient support Fundraising Care in the Community

Independent sector Nursing homes Residential Homes Private hospitals Dental clinics Care at home Pharmacies

Thames Valley Police Crime prevention Public Order Traffic management

Royal Berkshire Fire and Rescue Service

999 calls, fire safety initiatives and protection


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5.3 The PCT has three community hospitals, King Edward VII Hospital in

Windsor, St Mark’s Hospital in Maidenhead, and Upton Hospital in Slough. District

General hospital provision for residents is provided mainly by Heatherwood &

Wexham Park Trust at Wexham Hospitals NHS Trust, The Royal Berkshire and

Battle Hospital NHS Foundation Trust in Reading and Frimley Park Hospital NHS

Foundation Trust, Frimley.

5.4 Within Bracknell Forest, PCT-owned facilities at Skimped Hill Health Centre in

the centre of Bracknell and Great Hollands Health Centre provide a range of

community services including Community Dental Services, phlebotomy, Speech and

Language therapy, Cascade (Drug information), , Physiotherapy and Smoking

Cessation. An outpatient unit at Fitzwilliam House provides facilities for cardiology, a

chest clinic, gastroenterology, and elderly clinic, orthopaedics, pain management and

plastic surgery as an outreach service from Heatherwood & Wexham Park Hospitals

NHS Trust. In addition, the Borough is served by 13 general practices (see Figure 5)

5.5 The proposed redevelopment of Bracknell town centre includes provision for

enhanced health facilities. The Council supports these proposals and will work

closely with partners to deliver the best for residents. Similarly, a health facility is

identified within the new neighbourhood being built at Jennetts Park, Bracknell and

the Council will work with partners to ensure that an appropriate facility is provided.

Changes to health services

5.6 There are significant changes in the way that health care services are

delivered to residents in the future. In January – April 2007, the PCT consulted with

residents to find out, ‘what the users of health services and taxpayers in East

Berkshire want and need from the NHS in the coming years.’ The information has

been used to help the PCT develop a strategy for the purchase of healthcare on

behalf of residents (called ‘commissioning’) that best meets their (residents) needs4.

4 Berkshire East Primary Care Trust Commissioning Strategy 2007 - 2011


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5.7 The Commissioning Strategy identifies 10 ‘Directions of Travel’ that will be

developed further by the PCT. These are:

1. Supporting need

2. Commissioning treatments that work

3. More preventative work

4. Work with people

5. Go local

6. Improved local facilities – such as specialist GP centres

7. More choice

8. Ensuring quality

9. New types of service

10. Reallocation of resources

5.8 The PCT will consult further on the development of models of care that will

inform service redesign.

5.9 In addition, the Heatherwood and Wexham Park Hospitals Trust (HWHT) is

currently reviewing its options for modernising healthcare facilities in the Thames

Valley, particularly with regard to hospital provision at Heatherwood and Wexham

Park.

5.10 The HWHT is currently preparing an Outline Business Case (OBC) for the

redevelopment of hospital facilities. The benefits of the business case extend beyond

provision of improved accommodation and include taking the opportunity to update

the model of care as part of the East Berkshire wide “Right Care, Right Place”

programme

The OBC includes the following options for HWPH redevelopment;

Option A Do nothing

Option B Do minimum

Option C Rebuild both Heatherwood And Wexham Park

Option D Single acute centre at Heatherwood

Option E Single acute centre at Wexham Park

Option F Single acute centre on a new site

Option G No acute hospital in East Berkshire


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5.11 The outcome of the commissioning strategy and review of hospital provision

will have a significant impact on the way that residents access health services in the

future. Considerable work is being done to commission services jointly across

partner organisations.


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Figure 5: Health amenities


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6 Key health issues in Bracknell Forest

6.1 This section sets out the local context in which the Strategy has been

developed, identifying those health issues of particular relevance to the Borough and

feedback from residents surveys. Action JSNA1 identifies that the Council and the

Primary Care Trust will prepare a Joint Strategic Needs Assessment. This will

provide a more detailed analysis of data to show the health and well-being status of

communities within the borough. It will support directions of change which will seek to

ensure local communities are involved, identify and reduce inequalities and increase

social inclusion.

Bracknell Forest as a place to live and work

6.2 Bracknell Forest is a Hi-Tech success story. Part of the buoyant Thames

Valley, the borough has seen high levels of population growth (the second fastest in

the UK 1991-2001) with more growth underway, including a £750m transformation of

Bracknell town centre. Information in this section includes work done by Local

Futures commissioned by the Bracknell Forest Partnership.

6.3 Average earnings are amongst the highest in the country (fourth highest when

compared with a comparator group of Thames Valley local authorities) and

productivity is twice the national average (£40k gross value added per head in 2004

compared with £21k in the South East).Productivity is high (11th out of 408 districts in

Great Britain. In short, Bracknell Forest has one of the leading economies nationally,

largely driven by the knowledge industries.

6.4 Economic performance is underpinned by education and skills which compare

well with the national picture. Unemployment is low (1.1% at February 2007,

compared with a national figure of 2.61 and South East rate of 1.64).

6.5 The population in the Borough is younger than average. The average age in

the borough is 35.33 years making Bracknell Forest the 388th “oldest” out of 408 in

Britain where 1st is the oldest.

6.6 Bracknell Forest performs well above the national average in respect of the

proportion of knowledge workers in the workforce, ranking 36th out of 408 nationally.


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Prosperity is far in excess of the average, with the district ranked 14th out of 408 in

Britain (based on income, car ownership, and house price).

6.7 Levels of crime are low, with the borough ranking 180th out of 354 districts in

England (1st has the highest crime levels). The borough is a safe place to live and

work in.

6.8 The largest settlement in the borough is Bracknell town. This is a former New

Town which has brought opportunities for healthy living, including a comprehensive

network of footpaths and cycleways, a significant open space standard in all

developments (4.3ha per 1000 head of population, the second highest standard in

England). 20% of the borough is forest and 20% if of nature conservation importance.

6.9 With over 25 arts centres and theatres within 30 minutes drive time, plus

London 30 miles away, the borough offers a high quality of life.

Health analysis

6.10 The population of the Borough is generally young but is ageing. Although the

profile of the Borough is generally younger than the national average, there is an

increasing proportion of older people.

Figure 6: Age profile of Bracknell Forest

Source: ONS


30

The projected population in the next 15 years (2006 to 2021) shows an increase of

38.5% in those aged 65+. The population aged 85 and over (who often require a

greater level of support) will increase by 50% over the same period. In general terms,

increasing age is associated with an increased prevalence of disability and ill health.

This trend may result in increased demands on existing health services and social

care support and hospices. These population forecasts also take account of

migration patterns, including for example, out migration following retirement.

Figure 7: Numbers of people aged 65+ in Bracknell Forest by 2021

Source 2003-based Sub national population projections

6.11 The distribution of health/ill-health in populations is determined to a large

extent by inequality in access to income, wealth, good housing, education,

employment and a healthy environment. Populations that are deprived of one or

more of these determinants experience worse health than people who are less

deprived. Bracknell Forest has generally low levels of deprivation. In the Indices of

Deprivation 2004, Bracknell Forest was ranked at 319 out of 354 local authorities in

England, where 1 was the most deprived area and 354 the least deprived.

6.12 However, there are specific ward areas which exhibit some aspects of

deprivation when compared to surrounding local authorities in Berkshire. These are:


31

• Priestwood ward has the lowest level of income and the highest level

of unemployment of all wards in Bracknell Forest, and ranks 13th and

10th respectively for these in Berkshire.

• Crowthorne and Priestwood wards have the worst score in the PCT on

the "health" domain, and are ranked 6th and 7th respectively in

Berkshire. This should be considered along with the demographic

concentration of older people in the Priestwood and Garth wards.

• St. Mary’s, Bullbrook and Great Hollands South wards are the most

deprived in the PCT on the "housing" domain and are ranked 35th,

36th and 37th in Berkshire.

6.13 Life expectancy is increasing in South East England. Over the past 10 years,

the average life expectancy has also been increasing in Berkshire, with the largest

increase of 5% observed in Bracknell Forest. The life expectancies for all other local

authorities in Berkshire have increased by approximately 3% over the same time

period. Bracknell Forest ranks 110th out of 408 districts in Great Britain.

• Although there is an increase in life expectancy, not all of the ‘extra’ years are

spent in good health. The difference between life expectancy and healthy life

expectancy is an estimate of the number of years a person can expect to live

in poor health.

• In 1981 the expected time lived in poor health for a male was 6.5 years. By

2001 this had risen to 8.7 years. Females can expect to live longer in poor

health than males. In 1981 the expected time lived in poor health for a female

was 10.1 years, rising to 11.6 years in 2001.


32

Figure 8: Life expectancy of population (2000)

Source: Berkshire Public Health Network, data Supplement 2003 to Annual Public Health Report

6.14 Bracknell Forest is a predominantly white community. However, the

proportion of the population categorised as non-white doubled between 1991 and

2001 and more recent evidence suggests that this figure is growing significantly.

People from different ethnic backgrounds have different health needs. Additional

services and information may need to be directed to the needs of specific ethnic

communities.

6.15 The greatest causes of death in Berkshire are from circulatory diseases

(which include heart disease and stroke) and from cancers. Bracknell Forest follows

this trend with circulatory diseases accounting for 59% of the recorded causes of

deaths, and cancers accounting for 28% during the period 1998 - 2000.

6.16 These can be influenced by lifestyle changes including exercise, diet,

smoking and alcohol use.

70

72

74

76

78

80

82

84

Bracknell Forest

Reading Slough West Berkshire

Windsor and Maidenhead

Wokingham South East England

Male Female


33

Figure 9: Age standardised average years of life lost (under the age of 75),

by cause, 2002-2004

Source: EB PCT

6.17 Over the next twenty years the Borough is currently required to plan for an

additional 11,000 dwellings to be built. The additional population will require

associated health and social care facilities along with opportunities for leisure and

open space. The health impacts of additional development on existing residents and

the quality of life for new residents through for example, the mix of uses, layout and

design of new homes and levels of open space will be issues to consider ensuring

that health and well-being is protected and improved.

6.18 Nationally, levels of obesity are rising. The proportion of people aged 16+

classified as obese in England was 21.4% (source: PCT - General Health Survey and

ONS Census 2001). Synthetic estimates5 on Lifestyle factors in Bracknell Forest

identify percentages of the population of the Borough who are estimated to be obese

5 Synthetic estimates are based on a model and represent the expected prevalence of a

behaviour given the demographic and social characteristics of that area. Confidence intervals are wide for this data and hence interpretations should be made with caution.

Age standardised average years of life lost (under the age of 75), by cause, 2002-2004

0

20

40

60

80

100

120

140

160

180

200

All

malig

nant neopla

sm

s

All

circula

tory

dis

ease

CH

D

Accid

ents

Suic

ide &

inju

ry

undete

rmin

ed

Str

oke

Chro

nic

liv

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dis

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and c

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SY

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ENGLAND Berkshire East Bracknell Forest UA RBWM UA Slough UA


34

as between 17.8% and 25.9% (based on lowest and highest ward estimates) given

the characteristics of the local population.

Obese adults aged 16 or over, by local authority area: %

Bracknell Forest 21.5

Slough 22.5

Windsor and Maidenhead 18.0

South East 20.0

England 22.5

Source APHO and DH 2006

6.19 Significant factors affecting obesity are diet and physical activity. In 2006, a

BF1500 survey (see paragraph 6.22) identified that 28.6% of respondents eat ‘five or

more’ portions of fruit and vegetables in a typical day. 27.2% reported that they eat

less than two portions a day with 4.1% of those eating less than one portion a day.

Synthetic estimates indicate that the proportion of adults eating five portions of fruit

and vegetables is between 23% and 35.6% (based on lowest and highest ward

estimates). Regarding exercise, only 3.4% of all respondents ‘take part in a physical

activity of moderate intensity for more than 15 minutes at a time’, ‘five or more times

a week’, whilst 11.2% do this ‘three or four times a week’. When asked ‘what lifestyle

change would have the greatest benefit on their health’ over a third (36.6%) of all

respondents referred to ‘more exercise’.

6.20 The English average for the number of smokers aged 16+ is 26.5% (source:

PCT - General Health Survey and ONS Census 2001). A similar estimate for

Bracknell Forest from the same source is that 18.3 to 18.6 % of the population aged

16+ are smokers.

Adults (aged 16 or over), who smoke

(by local authority area):

%

Bracknell Forest 23

Slough 25

Windsor and Maidenhead 19

South East 24

England 26

Source APHO and DH 2006


35

6.21 The 2006 BF1500 survey identified that 15% of respondents reported that

they smoked. Synthetic Estimates on Lifestyle factors in the Borough on smoking

identify percentages of the population of the Borough of smokers of between 15%

and 29% for each of the Wards. Whilst the proportion of smokers in the Borough is

less than the national average it still represents a significant number of individuals.

Residents’ views

6.22 In September/October 2006, the Council undertook a Health Consultation

using the Bracknell Forest 1500. The purpose of this survey was to gain information

on issues relating to ‘health’. Respondents were asked their views on issues

including: GP and Dental Services, NHS Direct, the PCT and lifestyles.

6.23 Relevant information from this survey is referred to both above and in other

sections of this document.

6.24 Last year, the Children and Young People’s Partnership published its

Children and Young People’s Plan 2006-09. This wide-ranging document was based

on a comprehensive needs analysis. This provided information about the needs of

children and young people living in Bracknell Forest. This data underpins the actions

set out in this strategy.


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7 Priorities and action

7.1 The Council has already committed to a number of improved health outcomes

through the Sustainable Community Plan, the Corporate Themes and the Local Area

Agreement as well as through other plans and strategies including those mentioned

in Section 4 above. These outcomes are reflected in the following priority areas.

7.2 In January 2006, the Government published the White Paper, ‘Our Health,

Our Care, Our Say’. It sets out a vision to provide people with good quality social

care and National Health services in the communities where they live. The White

Paper aims to:

• Change the way these services are provided in communities and make them

as flexible as possible.

• Provide a more personal service that is tailored to the specific health or social

care needs of individuals.

• Give patients and service users more control over the treatment they receive.

• Work with health and social care professionals and services to get the most

appropriate treatment or care for their needs.

7.3 The ‘Choosing Health’ White Paper (2004) describes the key principles for

supporting the public to make healthier and more informed choices for health

improvement. It identifies six national priorities for improvement:

• Smoking Cessation

• Obesity (healthy eating and physical activity and promotion)

• Sexual health

• Mental health

• Sensible use of alcohol

• Health inequalities

7.4 The purpose of this Strategy is to establish overarching priorities which will

act as ‘hooks’ from which more detailed priorities and actions will be developed and

delivered. Some of this detail may already be adequately provided in existing plans

and strategies but will also be developed through any review of these and through

the development of additional initiatives. It should be noted that just because an

issue is not specifically identified in this section does not mean that no action is being


37

taken on it. Similarly, the priorities should not be seen in isolation. Improving lifestyles

for example, can impact on the health of both older people and children and young

people.

7.5 The Council’s priorities for improving health and well-being are influenced by:

• the overall vision

• local priorities and needs

• existing commitments

• national guidance/legislation

• statutory requirements and responsibilities

• local demographic and health issues

• funding availability

• partnerships/Sustainable Community Plan/Local Area Agreement

7.6 The Council’s priorities for health and well-being are set out in the attached

Action Plan and are related to the overall objectives of this Strategy. In summary the

priorities are divided into the following:

• Older People;

• Children and Young People;

• Mental health and Well-being;

• Lifelong Learning;

• Community Cohesion;

• Environment;

• Joint Strategic Needs Assessment;

• Access to Services;

• Common Assessment Framework;

• Health Impact Assessment6;

• Partnership working;

• Physical Activity;

• Tobacco;

• Healthy eating;

• Safety, and

• Substance and alcohol misuse

6 Health Impact Assessment is commonly defined as a procedure by which a policy,

programme or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population. It is designed to inform and influence decision-making and to reduce health inequalities.


38

8 Implementation, Monitoring and Review

8.1 The implementation and review of the Health and Well-being Strategy will be

overseen by the Public Health Working Group (PHWG), comprising representatives

from the Borough Council and the Berkshire East PCT. The PHWG will report to the

Health and Social Care, and Children and Young People’s Strategic partnerships.

Where there are areas of underperformance by one or more partners this will need to

be addressed through the Public Health Working Group and parent partnerships, and

through the Local Area Agreement performance monitoring processes as

appropriate.

8.2 The Council recognises that this is the first Health and Well-being strategy for

the borough, and an early review would help to keep the focus sharp. Emerging

issues will affect the strategy, including the preparation of the South East England

Health Strategy which is due to be published in October 2007, and work being

carried out by the Berkshire East PCT to develop models of care that may lead to

service redesign.

8.3 The majority of actions in this Strategy are already in existing plans and

strategies and will have targets and target dates already agreed. This Strategy also

identifies additional actions. The Council will work with partners to agree appropriate

targets and timescales. In any case, the Council will expect all actions to be

addressed by 31 March 2009.

8.4 As set out in the following Action Plan, the Council will undertake a review of

the Strategy on an annual basis with the first to take place in 2008/9. It is anticipated

that by this first review, discussions will have taken place with appropriate partners

regarding links with existing, or the creation of additional targets which can be used

to measure the success of the strategy. This will also involve the establishment of

baseline data to ensure that the impact of the actions in this Strategy can be

assessed. Any review will also be informed by progress on the Joint Strategic Needs

Assessment.

8.5 In support of Action HIA1, the ‘Impact Assessment’ section of the Council’s

decision making reports will also include consideration of health issues.


39

Health and Well-being Strategy Action Plan

Priority Issue Priority Actions Lead Department: Links to Objectives

Links to LAA outcomes where applicable(see Appendix 2)

Older People As set out in Section 6 of this Strategy the proportion of older people is set to increase in the Borough. OP1. The Council will work with Berkshire East PCT to implement the Older People’s Commissioning Strategy 2007 – 2011. This contains the following priorities:

• Better prevention and early intervention for improved health, independence and well-being

• More choice and a stronger local voice for individuals and communities

• Tackling inequalities and improving access to services

• More support for people with long term needs

OP2. The Council will prepare and implement an Older People’s Strategy

Social Services and Housing Chief Executive

Objective 1 Objective 5

3.01 3.02 3.04


40

Children and Young people

The health impact of early development and education will affect outcomes later in life. Priority areas for the health and well-being of children and young people are identified in the Bracknell Forest Children and Young People’s Plan prepared by the Bracknell Forest Children and Young People’s Strategic Partnership7. CYP1. The Council will deliver in partnership the commitments in the Children & Young People’s Plan relating to the health of children and young people, in particular set as priorities: To enjoy good physical and emotional health and live a healthy lifestyle so that: 1. All children and young people in Bracknell Forest have improved mental health and emotional wellbeing 2. Parents and carers make health choices for their child during pregnancy and throughout childhood 3. Children and young people understand the benefits of healthy eating and physical activity

Education, Children’s Service and Libraries

Objective 1 Objective 2 Objective 4 Objective 5

1.01 1.02 1.03 1.04 3.03 3.07 3.08

7 Membership includes Bracknell Forest Borough Council, NHS Organisations, other Children’s and Community Organisations and other agencies. The Partnership reports to

the Bracknell Forest Partnership Board.


41

4. Young people have a good understanding of sexual health and contraception 5. Children and young people know about the impact of substance and alcohol misuse, and fewer choose to misuse drugs or alcohol. 6. Children and young people looked after are healthy. 7. Achieve economic wellbeing: Enabling children and young people to overcome socio-economic disadvantage to achieve their full potential in life. Teenage pregnancy CYP2. The Council will work with partners to raise children and young people’s awareness and understanding of sexual health and contraception through schools.

Mental health and well-being

Mental ill health can have a wide ranging impact on people’s lives. Stressful circumstances, making people feel worried, anxious and unable to cope, are damaging to health. Low self esteem, social isolation and lack of control of balance between work and home life are all contributing factors to individual health. The Bracknell Forest Mental Health Strategy seeks to:

Social Services and Housing/Education, Children’s Services and Libraries

Objective 1 Objective 2 Objective 3 Objective 5


42

“Improve the quality of mental health Services for the people who use them, their families and carers and the wider community of Bracknell Forest.” Priority areas are:

• Access and Community Treatment

• Activity and Occupation

• Accommodation and Placements

• Underpinning Programmes

• Mental health promotion

• Improvements to Child and Adolescent Mental Health Services

• Commissioning services from health providers

Lifelong Learning

LL1. Increase the number of lowest skilled adults, non, employed and under-employed adults to access learning, training and employability skills, by focusing on: a)50+ age group b) those not in employment, education or training c) carers d) lone parents e) adults with mental health problems, disabilities and learning difficulties

Education, Children’s Services & Libraries/Social Services and Housing


1.06

Community Cohesion

The Council will work to support an active and thriving community sector and to create the


7.07


43

conditions for stronger, cohesive communities.. Access to housing CC1 Work with partners to ensure that all new developments contain a mix of housing in accordance with the Council’s policies CC2 The Council will increase the number of homes that meet the Decent Homes Standard CC3 Increase the number of affordable homes built in the Borough in accordance with the Local Area Agreement. CC4 Design new housing to meet the specific needs of the Borough’s population. Fear of Crime CC5 The Council will work to reduce the fear of crime through safety initiatives, through the design and layout of new development and through development in Bracknell Town Centre. Community/recreational facilities CC6 Improve community cohesion through culture and sport in accordance with the targets set out in the Local Area Agreement.

Social Services and Housing/Environment and Leisure Social Services and Housing/Environment and Leisure Environment and Leisure/Chief Executive

Objective 5 4.01 7.05


44

Economic Development

CC7 Implement the Councils policies in relation to economic development CC8 Deliver the Council’s LAA agreement commitments to support economic development and enterprise.

Environment and Leisure/Chief Executive Environment and Leisure/Chief Executives

Environment E1 Maintaining and improving a good quality

built and natural environment

E2 Further improve the standards of open spaces and the visual environment within the Borough E3 Develop a new Parks and Open Space Strategy E4 Develop strategies in relation to nutrition in partnership with Berkshire East PCT e.g. ‘Catering for Health’ and ‘Safe Food’ awards. E5 Reduce the effects of noise, contamination and air quality on health and well-being, including through awareness and promotions such as ‘Noise Action Day’

Environment and Leisure

Objective 1 Objective 3 Objective 4

3.05


45

E6 Support partners in targeted speed reduction campaigns.

Strategy Review SR1 The Council will undertake an annual

review of this Strategy.

Public Health Working Group

Joint Strategic Needs Assessment

A Joint Strategic Needs Assessment (JSNA) is the means by which Primary Care Trusts and local authorities will describe the future health, mental health, care and well-being needs of local populations and the strategic direction of service needed to meet those needs. The JSNA will be used to identify the health and well-being status of the local community, to define where inequalities in the borough exist, and shape future services to deal to reduce inequalities and increase social inclusion. JSNA1 In line with emerging national policy, the Council will work with the PCT to prepare a Joint Strategic Needs assessment to inform the next review of this Strategy. JSNA2 Work with the PCT to ensure that geographical priorities within the Borough are taken into account.

Social Services & Housing/Education, Children’s Services and Libraries


3.04

Annual Public AHR1 In association with the Director of Objective 2


46

Health Report Public Health (EBPCT) the Council will produce an annual public health report for the Borough starting in 2007/8.

Public Health Working Group

Objective 3

Access to Services

Access to existing services is a key issue with local residents. Access relates to the ability to get appointments, for example with GPs, and to the location at which health services or treatment takes place, and the ability to reach that location. For young children and their families, services will increasingly be available at or through the six children’s centres being developed around the borough. There is also a need to work with health providers not only to ensure that the existing population of the Borough has good access to facilities, but also to recognise that the Borough will be accommodating additional growth which needs to be adequately provided for in relation to health provision. AS1 To work with the PCT to maximise the provision of health facilities in Bracknell Town Centre by 2010.

AS2 To work with the PCT to optimise the provision of facilities at Jennetts Park.

Chief Executives/ Environment and Leisure/ Social Services & Housing/Education, Children’s Services and Libraries

Objective 1 Objective 2 Objective 3


47

AS3 To provide a policy framework that would support the operation of hospices and promote palliative care. AS4 To review options with the Berkshire East PCT to improve access to and increase provision of health facilities in the Borough, and improved Accident and Emergency. AS5 To develop and implement effective joint commissioning arrangements with the PCT for all client groups. AS6 Work with the PCT to improve access to health centres including: AS7 Improve access to Wexham Park Hospital in accordance with the Local Area Agreement. Improving care pathways AS8 Increase outpatient facilities in the borough AS8 To work with the Berkshire East PCT in the planning and delivery of new housing to ensure that the provision of health facilities matches the needs of existing and new population. AS9 To promote integrated record

6.02


48

keeping and the use of compatible ICT systems AS10 To work with Berkshire East PCT to maximise the Council’s influence in shaping services, and to ensure that there is equality of services across the PCT area. AS11 Through the Health and Social Care Partnership to work with partners to improve discharge arrangements from hospital. AS12 Ensure that the right services are commissioned for local needs AS13 Ensure that providers make services as accessible as possible and use resources most effectively

Common Assessment Framework

CAF1 Development of a Common Assessment Framework by the Council and health services for use with children and young people. This is an initiative of the Children and Young People’s Strategic Partnership.

Education, Children’s Services and Libraries.


Health Impact Assessment

It is important to think about the effects policies and projects have on health, and in particular, how they can reduce health inequalities. New policies and projects,

Chief Executives

Objective 2


49

where health is not a primary objective, may have major implications on the health and well-being of people. Health Impact Assessment can ensure that the health and well-being of people likely to be affected by such policies and projects is maintained and enhanced. The Council will: HIA1 Consider the introduction of the requirement for a Health Impact Assessment on new and revised policies.


50

Partnership Working

PW1 The Council will review existing partnerships including the role of the Health and Social Care Partnership Board to ensure that Terms of Reference and representation is the most effective to deliver the priority health needs.

Chief Executives


Physical Activity

The benefits of a physically active lifestyle include improved heart health, reduced cholesterol, reduced levels of stress, weight maintenance, improved self esteem, prevention of osteoporosis and improved mental health. Priorities are: PA1 To increase the levels of physical activity within the Borough through the promotion of physical activity initiatives, the layout, location and mix of uses in new development and through the provision and maintenance of formal and informal recreational facilities.

PA2 Increase the percentage of 5 – 16 year olds who spend at least 2 hours a week on high quality PE and School Sports to 85% by 2008 PA3 Increase the number of schools participating in the Healthy Schools

Environment and Leisure Education, Children’s Services and Libraries Education, Children’s Services and

Objective 1 Objective 2 Objective 3 Objective 4 Objective 5

3.05 6.03


51

Tobacco

Programme (healthy eating and physical activity form 50% of the assessment criteria)

PA4 Increase the percentage of adults participating in at least 30 minutes of moderate sport or activity on 3 or more days a week (national recommendation) PA5 Deliver GP referrals to sports and fitness facilities (in partnership with the PCT) PA6 Reduce the percentage of journeys to school made by car PA7 Improve access to leisure facilities and in particular, to:

- develop opportunities for vulnerable groups to access ‘mainstream’ facilities - increase membership of the ‘leisure saver’ scheme

Tobacco control action focuses on preventing the initiation of smoking, smoking cessation and promoting smoke

Libraries/Environment and Leisure Environment and Leisure Social Services & Housing Education, Children’s Services & Libraries/ Environment and Leisure Environment & Leisure/Social Services & Housing



52

Healthy Eating

free environments. T1 To promote smoking awareness and cessation initiatives delivered by the PCT

T2 To implement and enforce new provisions in relation to smoking in work or public spaces Poor diet is a significant factor in the development of a number of diseases including coronary heart disease, diabetes and some cancers. HE1 To promote education and awareness around the health benefits of good nutrition and diet. HE2 To ensure that school meals achieve national nutritional standards (in partnership with the PCT)

Environment & Leisure/ Education, Children’s Services & Libraries/Social Services & Housing Environment & Leisure/Social Services & Housing Social Services and Housing/Environment & Leisure Education, Children’s Services & Libraries


3.03


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Safety Substance and alcohol Misuse

Public health and safety initiatives to reduce accidents will include: S1 To promote road safety initiatives

S2 To promote drink driving initiatives

S3 To promote the development of safe access to the built environment for all

S4 To promote initiatives that reduce the risks of falls and injuries for Older People S5 To promote home safety initiatives S6 To promote safety in the workplace The Council will: SM1 Work with Berkshire East PCT to promote prevention and support initiatives including educational awareness of the harmful effects of substance and alcohol misuse. This will include work through the DAAT and Health Schools Initiative. Partnership working through the Local Safeguarding Children Board will be important.

Environment & Leisure Environment & Leisure Environment & Leisure Social Services & Housing/Environment & Leisure Environment & Leisure Social Services and Housing/Education Children’s Services & Libraries

Objective 4 Objective 5 Objective 2 Objective 3 Objective 4 Objective 5

7.03 7.04 7.05 7.06


54


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9. Further information

9.1 For further information on this strategy or the work of Bracknell Forest

Borough Council please contact:

Victor Nicholls

Assistant Chief Executive

Bracknell Forest Borough Council

Easthampstead House

Town Square

Bracknell

Berkshire

RG12 1AQ

[email protected]

9.2 Information on the work of the different council departments can be found at

the Borough Council’s website at www.bracknell-forest.gov.uk

The Council would like to thank the following partners for their contributions in preparing this Strategy: Berkshire East Primary Care Trust Bracknell Forest Children and Young People’s Strategic Partnership Bracknell Forest Cultural Partnership Bracknell Forest Environment Partnership Health and Social care Partnership Board Health Overview and Scrutiny Panel Heatherwood and Wexham Park Hospitals NHS Foundation Trust NHS South West PPI Forum Public Health Working Group Warfield Parish Council


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Appendix 1: Bibliography

Berkshire East Primary care Trust, Commissioning Strategy 2007 - 2011 Berkshire Healthcare NHS Trust, Bracknell Forest Borough Council, Bracknell Forest PCT, A Strategy for Mental health Services in Bracknell, April 2002 Bracknell Forest Partnership, Bracknell Forest Local Area Agreement, 2007 - 2010 Bracknell Forest Partnership, Sustainable Community Plan Bracknell Forest Borough Council, Access to Education for Children and Young People with Medical Needs Bracknell Forest Borough Council, Adult and Community Learning Plan Bracknell Forest Borough Council, Air Quality Strategy Bracknell Forest Borough Council ‘All of Us’ – Strategy for Promoting Social Cohesion Bracknell Forest Borough Council, Bracknell Forest Cultural Strategy Bracknell Forest Borough Council, Bracknell Town Centre Masterplan Bracknell Forest Borough Council, Children and Young People’s Plan 2006 – 2009 Bracknell Forest borough Council, Emergency Plan, 2007 Bracknell Forest Borough Council, Food Law Enforcement Plan Bracknell Forest Borough Council, Health and Safety Law Enforcement Plan Bracknell Forest Borough Council, Homelessness Strategy 2005 - 2008 Bracknell Forest Borough Council, Housing Strategy Bracknell Forest Borough Council, Local Plan 2002 Bracknell Forest Borough Council, Bracknell Forest Borough Local Development Framework (various documents) Bracknell Forest Borough Council, Local Transport Plan 2 Bracknell Forest Borough Council, Parks and Open Spaces Strategy Bracknell Forest Borough Council, Sports Development Strategy Bracknell Forest Borough Council, Standards for Houses in Multiple Occupation Bracknell Forest Borough Council, Supporting People in Bracknell Forest, February 2005 Bracknell Forest Borough Council, Youth Justice Plan


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Appendix 2: Outcomes from the Bracknell Forest Local Area Agreement 2007 - 2010 Promoting learning and training for all ages

1.01 Improve the Chances of Looked After Children 1.02 Attendance and exclusions from school 1.03 Raise further the attainment of pupils in Key Stages 3 and 4 1.04 Raise further the attainment of pupils in Key Stages 1 and 2 1.05 Support Borough wide school improvement initiatives including

SEN, support staff training and ICT 1.06 Enable lowest skilled adults access to learning and training Improving health and well-being

3.01 Help older people with dementia to remain longer in the community rather than long-term institutional type care

3.02 Improve the health and well-being of people over the age of 75 who have complex chronic disease by providing care as close to home as possible

3.03 Promote better health and emotional well-being for all children and young people

3.04 Reduce health inequalities within the local area 3.05 Increase levels of physical activity 3.07 Provision for vulnerable children and young people 3.08 Positive activities for young people Providing decent and affordable housing

4.01 Increase the delivery of affordable housing Improving travel and transport 6.02 Improve the accessibility to Wexham Park Hospital 6.03 Reduce the percentage of journeys to school made by car Promoting community safety

7.03 Improve community safety and health and well-being by improving safety in the home

7.04 Reduce crime 7.05 Reassure the public by reducing the fear of crime 7.06 Reduce the harm caused by illegal drugs 7.07 Build respect in communities and reduce antisocial behaviour

health and wellbeing strategy - bracknell...

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