Agenda item

Joint Health and Wellbeing Strategy (JHWS) 2016-19 Q2 Performance Report


The Board considered a report of the Head of Strategy, Transformation and Partnerships, Durham County Council that described the progress being made against the priorities and outcomes set within the County Durham Joint Health and Wellbeing Strategy (JHWS) 2016-19 (for copy see file of Minutes).


The Corporate Equality and Strategy Manager, Durham County Council gave a presentation that highlighted the following:-


·         Escalation Areas and Strategic Objectives

o   Smoking at the time of delivery – the figure had come down marginally from last year with 16.9% in County Durham compared to 10% nationally

o   Percentage of patients seen face to face second contact within 9 weeks of referral to CAMHS – the target of 90% had deteriorated with an increase in the number of people going through the system

o   Successful completion of drug and alcohol treatment – there had been a recent decline in performance which could be attributable to the transition to a new provider

o   Gap between the employment rate for those with a long-term health condition and the overall employment rate – an emerging issue in County Durham with overall improvement over the last few years.  However, there was a larger gap between healthy and unhealthy people.


The Chief Clinical Officer, DDES CCG asked if the indicators for drugs and alcohol had impacted on performance and was advised that there had been a lot of changes over the last six to nine months and the data was being gathered to learn from it.  The Director of Public Health said that there had been a lot of instability due to the previous provider failing and there had been a new provider procured.  Work was ongoing with long term opiate clients to tailor treatment for them based on age and gender which was expected to increase successful completions.


The Director of Operations Durham and Darlington, TEWV advised that they were working closely with the CCGs on early interventions.  They were seeking funding for two further placements that would help overcome the challenges.  With regards to the CAMHS data there had been a 12% increase in referrals from last year.  He confirmed that all patients had appointments and that the nine week wait had been a challenge.


Referring to mental health of young people, the Head of Children's Public Health Nursing, Harrogate & District NHS Foundation Trust informed the board that a lot of work was ongoing with children who were not referred to CAMHS.  The Director of Public Health commented that this area was a real concern and joint workshops had been held to look at pathways and the quality of services provided.


The Chairman, as a mental health champion, said that we should all strive to do more in this area and to continue to tackle the challenges.



(i)            That the performance highlights and areas for improvements identified throughout the report be noted.

(ii)          That the actions taking place to improve performance be noted, and any additional action planning required be agreed.

(iii)         That performance against the 2017/18 and 2018/19 Quality Premium Indicators be noted.

Supporting documents: