Agenda item

The following persons will be attending the meeting to speak to the Committee on the matters indicated:-

Mike Gogarty (Director of Public Health) – What is the current state of health in Tendring as evidenced by the latest update to the Index of Multiple Deprivation and what actions is the County proposing, both itself and working with partners to help deliver improved health?

Mark Jarman Howe (Chair of the local Health Alliance) – to update on what the Alliance is and to identify the work programmes it is undertaking to deliver improved health in the Tendring area and how it is working to partners to achieve this?

Pam Green (Chief Officer North East Essex Clinical Commissioning Group) – what actions the CCG is undertaking as part of the Alliance to deliver improved health within Tendring?

The aim of the exercise will be to examine the plans for the locality of North East Essex (focussing in on Tendring) in respect of the developing Integrated Care System (ICS) here.  The ICS envisages integration including NHS bodies, local authorities, the voluntary sector and others working in the health and care sector to deliver positive change. The meeting will look at the progress to date and the short to medium term actions identified so as to identify whether the envisaged integration is appropriate, occurring and delivering the stated aims.  The ICSs, in partnership with local authorities, will (it is anticipated) increasingly focus on tackling the wider social determinants of health – like money, work, environment, housing - and health inequalities to reduce the differences in health and life expectancy between the richest and poorest. The meeting will consider to what extent this is occurring.  The implications of the changes for Clacton and Harwich hospitals will be a feature of this scrutiny.

The Committee was aware that the aim of this item was to examine the plans for the locality of North East Essex (focussing in on Tendring) in respect of the developing Integrated Care System (ICS). The ICS envisaged integration including NHS bodies, local authorities, the voluntary sector and others working in the health and care sector to deliver positive change. The Committee looked at the progress to date and the short to medium term actions identified so as to identify whether the envisaged integration was appropriate, occurring and delivering the stated aims. The ICSs, in partnership with local authorities, would (it was anticipated) increasingly focus on tackling the wider social determinants of health which included money, work, environment, housing and health inequalities in order to reduce the differences in health and life expectancy between the richest and poorest.

Councillor McWilliams, Portfolio Holder for Partnerships at the Council, was welcomed to the meeting for this item.

Mike Gogarty (Director of Public Health for Essex County Council) attended and provided the Committee with a presentation in regards to the current state of health in Tendring, as evidenced by the latest update to the Index of Multiple Deprivation, and what actions the County Council was proposing, both itself and working with partners to help deliver improved health.  In his presentation, he pointed out the increasing deprivation in Tendring; particularly since 2010, such that it was by far the most deprived District/Borough in Essex.  Within the District, by reference to previous District wards, the areas of highest deprivation were Golf , Pier, Rush Green, Alton Park, St Osyth & Point Clear and St Marys.   When looking at these areas by reference to Parliamentary Constituencies, Clacton as a whole was the 14^th most deprived Constituency out of 533 Constituencies in England in terms of employment.  The comparable position for education deprivation showed Clacton as 21^st worst Constituency.

Mark Jarman Howe (Chair of the North East Essex Local Health Alliance) also attended and provided the Committee with a presentation in regards to what the Alliance was and how to identify the work programmes it was undertaking to deliver improved health in the Tendring area and how it was working with partners to achieve that.  In his presentation, Mr Jarman referenced integrated neighbourhood teams as an intention to drive forward an enhanced community model of care.  The Alliance envisaged three neighbourhood teams for the District of Tendring; Tending West, Tendring East and Tendring South.  By reference to the former District Council Wards, the neighbourhoods would cover:

In view of the data from the levels of deprivation, as presented by Mike Gogarty to this meeting, the initial focus of the Alliance was to establish the integrated neighbourhood team in Tendring South.  In relation to integrated neighbourhood teams, Mr Jarman advised the Committee of the developing role of what was being style Primary care networks.  Key measurable reported to the Committee in respect of Tendring South (that the integrated neighbourhood team would seek to address) were:

·         Lower Life expectancy

·         Smoking prevalence

·         Fuel poverty

·         Deaths from preventable causes

·         Childhood development at age 5, GCSE achievement and excess weight.

Pam Green (Chief Officer for North East Essex Clinical Commissioning Group) also attended and provided the Committee with a presentation in regards to what actions the CCG was undertaking as part of the Alliance to deliver improved health within Tendring.

Following those presentations and information provided, Members asked questions which were responded to by Mike Gogarty, Mark Jarman, Pam Green and Councillor McWilliams (Partnerships Portfolio Holder), as appropriate.

In response to questions, Pam Green reported that the CCG was turning its attention to health service delivery at and from the Mayflower Health Centre in Harwich.  She also spoke about the £15m of investment (announced in early 2019) for Clacton Hospital and that the CCG was bidding for a further allocation of funds which it hoped to add to the announced investment. The nature of the approvals mechanism in the NHS meant that a decision on the allocation of the additional funds was not imminent.  The £15m would have to be spent within the next two years or it would need to be surrendered.  She also spoke about the reconfiguration of GP services in respect of Kennedy House, Kennedy Way, Clacton-on-Sea.

Following discussion, it was AGREED that the Committee would receive, in a year’s time, an update in terms of the progress made to reduce deprivation locally, to address key health measures including through the intended integrated neighbourhood team for Tendring South.  The update should also include the position on funding for primary care provision from the Clacton Hospital site and the operation of the reconfigured GP services from Kennedy House, Kennedy Way, Clacton-on-Sea.  The provisional Work Programme for 2020/2021 would identify these matters.