Issue - meetings

Harpal Aujla (Specialty Registrar in Public Health) presented the item and raised the following points: 

·        NHS England required all local authorities to produce a strategy by March 2022 to show how we're going to tackle inequalities locally but WCC’s strategy was done with Coventry  

·        The aim of the strategy was to obtain health equity across Coventry and Warwickshire (resolve unfair differences between ethnicity groups), reduce health inequalities (every relevant piece of council work to resolve health inequalities) and challenge the system as a whole 

·        Health inequalities in Warwickshire included life expectancy which was slightly higher than the national average (79.9 compared to 79.6 for men and 83.6 compared to 83.1 for women). However, there was a big gap in life expectancy between deprivation areas and non-deprived areas. Deaths in deprived areas class as avoidable  

·        The King’s Fund Health Equality model showed that not just health behaviours could be addressed to tackle health inequalities and wider determinants like lifestyles, places, communities and an integrated care system need to be looked at. To do this, major programmes were done with Coventry  

·        Work with NHS England was done to create Core 20 +5 which became embedded across the system. Core 20 are the most deprived 20 groups in in the country and this would be one element of tackling health inequalities. The +5 are the five clinical areas (maternity, early cancer diagnosis, severe mental illness, chronic respiratory disease and hypertension)  

·        The plus group could be locally determined so work was done with the local place partnerships to ask them what their plus groups were. These included travellers, people with learning disabilities and people in rural isolation.  

·        For ethnic minority communities, a quick analysis was done to look at the 20 nationally most deprived areas and fewer ethnic minorities were in deprived areas in Warwickshire compared to the rest of the country 

·        Children at risk was being worked on but it could be more locally determined whereas the Core 20 +5 groups had been predetermined, however this was still being worked on because of evidence gathering for each section  

·        Early cancer diagnosis in Coventry & Warwickshire had 52.7% of cancers diagnosed at stage one or two but the goal was 75% by 2028. Ethnicity was not recorded with this 

·        The NHS set out five key priorities, but Coventry and Warwickshire wanted six high impact actions to get a long term focus and capture things like inclusion and workforce development 

·        The model to achieve everything was called ‘levelling up health’ which will narrow down the authorities’ goals with different tools. This will target disadvantaged communities with a health equity audit assessment tool to be embedded in all health strategies  

Following several questions from Councillor Jonathon Chilvers, Harpal Aujla stated that life expectancy recently ‘tailed off’ but it was not clear whether the deprivation gap was growing or not. The gap with health inequalities did grow though. Dr Shade Agboola confirmed that the pandemic made the health inequalities between the most and least deprived in the population  ...  view the full minutes text for item 4

Harpal Aujla (Specialty Registrar in Public Health) presented the item and raised the following points:

· NHS England required all local authorities to produce a strategy by March 2022 to show how we're going to tackle inequalities locally but WCC’s strategy was done with Coventry 

· The aim of the strategy was to obtain health equity across Coventry and Warwickshire (resolve unfair differences between ethnicity groups), reduce health inequalities (every relevant piece of council work to resolve health inequalities) and challenge the system as a whole

· Health inequalities in Warwickshire included life expectancy which was slightly higher than the national average (79.9 compared to 79.6 for men and 83.6 compared to 83.1 for women). However, there was a big gap in life expectancy between deprivation areas and non-deprived areas. Deaths in deprived areas class as avoidable 

· The King’s Fund Health Equality model showed that not just health behaviours could be addressed to tackle health inequalities and wider determinants like lifestyles, places, communities and an integrated care system need to be looked at. To do this, major programmes were done with Coventry 

· Work with NHS England was done to create Core 20 +5 which became embedded across the system. Core 20 are the most deprived 20 groups in in the country and this would be one element of tackling health inequalities. The +5 are the five clinical areas (maternity, early cancer diagnosis, severe mental illness, chronic respiratory disease and hypertension) 

· The plus group could be locally determined so work was done with the local place partnerships to ask them what their plus groups were. These included travellers, people with learning disabilities and people in rural isolation. 

· For ethnic minority communities, a quick analysis was done to look at the 20 nationally most deprived areas and fewer ethnic minorities were in deprived areas in Warwickshire compared to the rest of the country

· Children at risk was being worked on but it could be more locally determined whereas the Core 20 +5 groups had been predetermined, however this was still being worked on because of evidence gathering for each section 

· Early cancer diagnosis in Coventry & Warwickshire had 52.7% of cancers diagnosed at stage one or two but the goal was 75% by 2028. Ethnicity was not recorded with this

· The NHS set out five key priorities, but Coventry and Warwickshire wanted six high impact actions to get a long-term focus and capture things like inclusion and workforce development

· The model to achieve everything was called ‘levelling up health’ which will narrow down the authorities’ goals with different tools. This will target disadvantaged communities with a health equity audit assessment tool to be embedded in all health strategies 

Following several questions from Councillor Jonathon Chilvers, Harpal Aujla stated that life expectancy recently ‘tailed off’ but it was not clear whether the deprivation gap was growing or not. The gap with health inequalities did grow though. Dr Shade Agboola confirmed that the pandemic made the health inequalities between the most and least deprived in the population worse.  ...  view the full minutes text for item 4