Waltham Forest

The Place for a Good Life

Our Vision

A borough that promotes health and wellbeing

by giving young people and adults the best start

in life, building resilience and providing adults

with opportunities to fulfil their potential.

Our Goals• A good start in life for children

• Early childhood

• Building skills and resilience and

Good educational achievement

– School Age

• Good employment and work opportunities• Working Age and Family building

• A safe, cohesive community where residents participate actively• Retirement Years

• Prevention

• A sustainable environment that makes healthy choices possible

Focus of the Joint Health

and Wellbeing Strategy

TK2

Slide 4

TK2 a new circle for Citizens???Tehmoor Khan, 01/06/12

Why We Need a Health and Well

being Strategy

Health Inequalities Exist between Waltham

Forest and West London and Within WF

Largest Influence on Health is

Getting Worse

A Strategy Informed by JSNA

Early Years (0-5)

Skills Development (5-19)

Employment and Work (20- 65)

Retirement (65+)

Infant Mortality A Healthier, Fairer Waltham

Health Inequalities

Best Start in Life 2012-15

• Educational attainment and skills development

Education Improvement Strategy

Healthy Schools Initiative (maintenance)

• Crime and fear of crime (inc domestic violence) Enough is Enough – Anti-Gang Strategy 2011-2014 Sustainable Community Strategy

• Reablement and Independence

Joint Older People Strategy -

Full of Life 2010-13

Early Intervention Best Start in Life 2012-15

• Sexual health and teenage pregnancy A Healthier, Fairer Waltham Forest – Health Inequalities Strategy Sexual Health Strategy (under development)

• Employment, Unemployment & Benefits Enterprise, Employment and Skills Strategy 2009-2014

• Carers Joint Carers Strategy 2010-2015

Child Poverty Child Poverty Strategy 2009-2020 (currently being refreshed)

• Mental health and child wellbeing • Emergency admissions/ ambulatory care sensitive conditions (COPD and other respiratory conditions)

Tobacco Strategy 2012 – 2015 (under development)

• Social Inclusion Joint Older People Strategy - Full of Life 2010-13

School Readiness Best Start in Life 2012-15

• Gangs Enough is Enough – Anti-Gang Strategy 2011-2014

• Infectious diseases (HIV and TB)

• Seasonal flu Joint Older People Strategy - Full of Life 2010-13

Emergency hospital admissions

Best Start in Life 2012-15

• NEETs • Mental Health

• Dementia Joint Dementia Care Strategy 2010-2015

• Childhood obesity Obesity Strategy 2012-2015 (under

development) Sustainable Modes of Travel to School Strategy 2009 School Meals Strategy 2011-2014 Open Spaces Strategy

• Family Building inc troubled families

• Life expectancy CVD, Cancer, Diabetes (prevention, early diagnosis and variation in management) Cancer Strategy 2012-2015 (under development)

Diabetes Strategy 2012-2015 (under development) Obesity Strategy 2012-2015 (under development) Tobacco Strategy 2012 – 2015 (under development)

• Falls Joint Older People Strategy - Full of Life 2010-13 Falls prevention strategy 2012-

2015 (under development)

HEALTH IN ALL POLICIES

Spatial planning (e.g. licensing) ~ Health Impact Assessment

INTEGRATION

Working together to reduce duplication and improve services

TK3

Slide 8

TK3 to include Autism Strategy amd Benefits Business PlanTehmoor Khan, 01/06/12

Waltham Forest The Place for a Good Life

Themes

Prenatal School Age Working Age Retirement Pre-school Family Building

Theme 6. PREVENTION

Theme 7. A Sustainable Environment that Enables Residents to Take Control

of their Health and Lives

Theme 2 Best Start in Life

Theme 4 Good Employment and Work Opportunities

Theme 3 Building Skills and Resilience and Good Educational Achievement

Theme 5 A Thriving Retirement

Theme 1. Healthier Fairer Waltham Forest

Waltham Forest’s Health Inequality Strategy

Overarching Framework

Healthier Fairer Waltham Forest

Theme: Prevention• “Make health everyone’s business”

– leadership for health

– Embed health improvement across all services and

settings in Waltham Forest.

• Lifestyle behaviours are laid down across the life course,

starting during pregnancy. Alcohol, smoking, diet and

exercise are the main lifestyle behaviour risk factors that

influence development of the biggest killers -

cardiovascular disease, cancer and respiratory disease -

in Waltham Forest.

• Planning decisions and spatial planning to change

environments encourage people to lead healthier lives

• Focus on place

Themes: Early Years and School

Age: Best Start in Life Strategy

Theme: Working Age and

Family Building• Crime and fear of crime (inc domestic violence)

• Enough is Enough – Anti-Gang Strategy 2011-2014

• Employment, Unemployment & Benefits

• Enterprise, Employment and Skills Strategy 2009-2014

• Family Building in troubled families

Health issues: Mental Health, life expectancy, CVD, Cancer, Diabetes (prevention, early diagnosis and variation in management), Infectious diseases (HIV and TB)

Emergency admissions/ ambulatory care sensitive conditions (COPD and other respiratory conditions)

Retirement Years: Active Ageing

50+ full of Life Strategy

Make Waltham Forest a place where people can thrive as

they age

• Promote and support the independence, health and wellbeing of people over 50

• Focus on prevention, early detection and management of chronic disease in the community

• Recognise and celebrate the contributions over 50s make to community lives

• Make Waltham Forest responsive to the needs of people over 50

Health issues: Enabling Independence for Falls, Dementia

End of Life

Our Guiding Principles and Approach

• Put residents at the heart of everything we do

• Deliver services according to need, protecting the most vulnerable

• Deliver value for money

• Focus on the whole system, determinants of health and on prevention - Make Health Everyone’s business

• Adopt a life course perspective, focusing on key life stage transitions

• Work in partnership and deliver improved results together -break down silo working for joint commissioning

• Address need closest to home, while prioritising quality

• Start with Evidence of Best Practice

Current Issues

(to be regularly

reviewed)

Health(Commissioning)

Provider(Whipps Cross &

NELFT)

Public Health

Social Care(Children & Adults)

THE HEALTH & WELLBEING BOARD PRIORITIES

ONEL supporting

Clinical Commissioning

Groups as they inherit

commissioning

responsibilities

Sponsored by

ONEL / GPs

Improving services

and outcomes for

Looked After

Children

Sponsored by Children

and Young People

Services

Addressing the issue

of obesity in

Waltham Forest

Sponsored by NELFT

A multi-agency

response to the

OFSTED and CQC

inspection

Sponsored by Children

and Young People

Services

Implications of the

Olympics on Health

& Social Care

Services in Waltham

Forest

Sponsored by LBWF

Promoting an Integrated approach to Health & Social Care; which supports Prevention, Personalisation, Safeguarding

and Reduces Inequalities. Proposals will be developed by the Joint Commissioning Board, Informed by User Groups;

and Scrutinised by Board members if they do not fall within the Borough’s strategies. This will ensure the Best Possible

Outcomes for our Residents

Health & Wellbeing Board Cross-Cutting Themes

Enabling Adults to

maintain their

independence and

place in the

community

Sponsored by Adult Social

Care Services

Merger of Barts and

The London,

Newham and

Whipps Cross NHS

Hospitals Trusts

Sponsored by

Whipps Cross

To improve the

outcomes of care for

people with longer

term conditions across

all client groups and

agesSponsored by

ONEL / GPs

Increase the

opportunities for

residents to be

healthy, starting with

a focus on teenage

pregnancySponsored by

Public Health

Reduce the number

of smokers in

Waltham Forest

Sponsored by

Public Health