1. The Leeds Joint Health and Wellbeing Strategy 2016+ Explaining the approach to creating the refreshed Joint Health and Wellbeing Strategy for Leeds and seeking early views for its development

2. What is a Joint Health and Wellbeing Strategy? Who writes it? The 3 Clinical Commissioning Groups and Local Authority in Leeds have a ‘equal and joint statutory duty’ to produce and publish a Joint Strategic Need Assessment (JSNA) and a Joint Health and Wellbeing Strategy (JHWS). This duty is discharged through the Leeds Health and Wellbeing Board. Joint Health and Wellbeing Strategy Joint Strategic Needs Assessment A strategic plan, based on outcomes to set priorities and commissioning intentions Builds the evidence base to understand needs and assets in Leeds What should it do? Set the outcomes which partners want to achieve Set local priorities for joint action Analyse the wider perspective of wellbeing Identify areas for joint action between organisations Identify priorities to influence commissioning within organisations Have a particular focus on inequalities and the groups with the worst health outcomes. Be based on robust evidence, primarily from the Joint Strategic Needs Assessment

3. Where does the Joint Health and Wellbeing Strategy ‘fit’ amongst other policy and strategy ? There are a number of local and national strategic plans which direct what gets done in Leeds. The Joint Health and Wellbeing Strategy should: Link to other strategies Build upon them by joining them up between organisations and other agendas Influence the contents of other strategies There have also been a number of changes in policy and legislation which should be considered in the new strategy. NHSE Five Year Forward View Children’s and Families Act 2014 Care Act 2014 No Health Without Mental Health Health and Social Care Act 2012 PHE ‘From Evidence into Action’ Cities and Local Government Devolution Bill CCG 2 Year Commissioning Plans CCG 5 Year Commissioning Plans Children and Young People’s Plan Drug and Alcohol Strategy Leeds Mental Health Framework Making Leeds the Best City to Grow Old Action Plan Leeds Growth Strategy Leeds Core Strategy Leeds Learning Disability Partnership Board Strategy And many more……

4. The Current Leeds Joint Health and Wellbeing Strategy 2013-15 ‘Leeds will be a healthy and caring city for all ages, where people who are the poorest, improve their health their fastest.’ People will live longer and have healthier lives People will live full, active and independent lives People’s quality of life will be improved by access to quality services People will be involved in decisions made about them People will live in healthy and sustainable communities Vision 5 Outcomes 15 Priority Areas | 22 Indicators | 5 Commitments Format Clarity Coverage Specificity Deliverability What feedback people have given about it:

5. Evidence: What do we know from the JSNA about population health?  Get more information and intelligence about communities in Leeds on the Leeds ObservatoryLeeds Observatory  Read the Executive Summary of the Joint Strategic Needs AssessmentExecutive Summary  Life expectancy for people in Leeds is 80.5 years. For males this is 78.6 years and for females this is 82.4 years.  21.3% of adults (aged 16+) smoke.  19.7% of Year 6 children are obese.  Over 150,000 people in Leeds live in areas that are ranked amongst the most deprived 10% nationally, and this represents over 20% of the city’s population.  33,205 (20.7%) children in Leeds are classed as living in poverty by the government. In three Wards within the city, over 40% of children are classed as living in poverty.  Population trends suggest working age population supported by the council with moderate or severe learning disabilities will increase by around 7.5% between 2014 and 2020.  The birth rate has increased from 7,500 per annum in 2000/1 to around 10,000 per annum in the last 5 years.  In 2014 it is estimated that there are 8,700 people with dementia in Leeds. This is likely to increase to 12,000 in 15 years’ time.  The 2011 Census shows that over 125,000 people (16.8% of the population) feel they have a long-term illness.

6. What is the plan for producing the next Leeds Health and Wellbeing Strategy? The JHWS 2016+ will be published after the March meeting of the Health and Wellbeing Board. The Health and Wellbeing Board will lead on writing the new strategy. During this there will be 2 stages of engagement; an initial stage to seek early views to contribute to the writing of the strategy and second stage which will seek comment on the contents of the strategy itself.  Health and Wellbeing Board workshop, drafting and prioritisation  Begin the writing of the strategy based on initial research stage  Consider format of the strategy document  Begin 6-8 week engagement on contents of strategy August September October November December January  Evidence from the JSNA  Evidence from other engagement activities  Identification, clarification and challenge of the priorities  Seek early views to contribute to the strategy  Identify areas of strategic alignment February March  Finalising the strategy based on engagement and feedback  Health and Wellbeing Board editing and sign-off  Publication and launch  Communicating key messages  Inclusion in commissioning strategies  Progress monitoring and reporting  Health and Wellbeing Board discussions and decisions Early understanding and views for JHWS Refining the Strategy Design and Production Delivery April onwards

7. Recap Principles for the Leeds Joint Health and Wellbeing Strategy 2016 Joint duty of the 3 Leeds Clinical Commissioning Groups and Leeds City Council, and published by the Health and Wellbeing Board Will set the priorities for improving health in Leeds Will identify areas for joint working between organisations Will influence commissioning decisions Based on evidence Will involve the engagement of a wide number of people and stakeholders Approach in Leeds Health and Wellbeing Board will publish the new strategy in March 2016 Will build upon and add to the previous strategy 2013-2015 Refreshed strategy will maintain a focus on wellbeing and the wider determinants of health. It will look to make new connections across the city and give renewed direction to how healthcare is organised, beyond the current strategy. The Health and Wellbeing Board will seek early views from people until November 2015 and then pursue wider engagement on the detail of the strategy from December 2015.

8. Seeking Early Views The Health and Wellbeing Strategy is currently in its first stage of engagement. The Health and Wellbeing Board is therefore seeking initial views which can contribute to the strategy. It is interested in views around the following themes: 1. What views do you have on the content of the 2013-2015 Joint Health and Wellbeing Strategy?2. What views do you have on the priorities for people’s health and wellbeing in Leeds across all ages? 3. What views do you have on the priorities for what health and wellbeing services should be like in the future? What could we do more of / less of? 4. Any other comments which you would like the Leeds Health and Wellbeing Board to take note of as they write the next strategy. Feedback on these views will be considered alongside all of the other consultation and engagement activities which are undertaken across health and social care in the city. The Health and Wellbeing Board will use these views to contribute to a first draft of a refreshed strategy. The Board will ask for more views on this draft strategy in January 2016.

9. Contact If you would like to get in touch about the next Joint Health and Wellbeing Strategy then please get in contact via healthandwellbeingboard@leeds.gov.uk or visit www.inspiringchangeleeds.org/leedsjhws2016healthandwellbeingboard@leeds.gov.uk www.inspiringchangeleeds.org/leedsjhws2016