Archived decisions
Hampshire County Council
Policy and Resources Scrutiny and Select Committee Item
11 April 2005
PUBLIC HEALTH
Report of Cllr Ellis & Cllr Roberts
Officer Contact: Share D'All, Chief Executive's Department.
e-mail: [email protected] Tel: 01962 846634
1. Summary
The objective of this topic was to examine the current and potential role of Hampshire County Council in the promotion of public health and the health of it's employees and recommend what the Council's approach should be.
2. The Issues:
From a quick review of the work currently being undertaken across all the departments of Hampshire County Council we are already engaging in many projects, initiatives and activities that are designed to improve the health of Hampshire's population, as well as projects and services directed at maintaining and improving the health of our own staff.
Much of the work is being undertaken in partnership and is being done in line with our current Corporate Objectives. It is not co-ordinated across the organization nor measured for it's overall impact, although our LPSA2 targets will support work in this area.
The Policy & Resources Scrutiny & Select Committee have looked at the `Choosing Health' White Paper and had a presentation from Mike Gill (Regional Director of Public Health for the South East Health Observatory) which has resulted in recognizing that:
· The health or our communities is core to the work of the County Council and that reduction of the current `health inequalities' that exist in our communities are key to many of the strategic aims of the Council. It is also a key theme in Hampshire's Community Strategy and Local Strategic Partnerships.
· The County Council is well placed to act as leader in the field of proactive preventative work in the area of health involving communities.
· Whilst the National Health Service is the natural provider of services for those who are unwell and is currently a primary provider of preventative work in the area of health, there is a lot of pressure on NHS budgets at present which is likely to increase the demand to prioritize the improvement of reactive services.
· There is potential to increase the overall impact of our work through taking a more strategic approach
· The revised Corporate Performance Assessment framework includes Healthier Communities so there will be an expectation for us, as an organization, to take a lead and be measured against our success in this area.
3. The Recommendations:
For the above reasons we recommend that the Cabinet requests that the Policy Unit undertake some work to look at how Hampshire County Council might develop a strategic and coordinated approach to Public Health.
It is our recommendation that this work should:
· Take into account all the valuable work already being undertaken across the Council in a number of departments and partnerships (Many of which are summarized in Appendices 1 & 2 which were both formerly presented to the February P&R SS Committee)
· Be developed to align with the public health themes already present in:
o Our PSA targets
o The Community Strategy
· Take into account our responsibilities to both the Community and to our own staff
· Develop an approach which:
o gets the full benefit from a strategic alignment of work we do to reduce ` health inequalities' as well as develop positive and healthy life choices
o is forward thinking and invests in the future, not just with money but in setting up the necessary infrastructure for positive change
o includes targets and mechanisms for clear measurement of ongoing and long term impact so that money can be well targeted
· Look at how we could access support from funding that is likely to become available in this area to take any agreed approaches forward.
Background Papers: (Section 100 D - Local Government Act 1972)
The following documents disclose facts or matters on which this report, or an important part of it, is based and has been relied upon to a material extent in the preparation of this report.
NB the list excludes
1. Published works
2. Documents which disclose exempt or confidential information as defined in the Act.
Title: File:
None
MAP of HAMPSHIRE COUNTY COUNCIL WORK RELATED TO PUBLIC HEALTH
Examples of Work Currently Happening in Departments
SOCIAL SERVICES | ||
Oakridge project (Basingstoke) |
The project's aim is to provide leisure and recreational activities for older people in a centre which will also provide comprehensive information on all services available with the aim of keeping older people at their optimum level of fitness and well being. Won an award for modernisation and partnerships. |
Christina Sell |
Hampshire's Project for the Innovation Forum |
A new project is being developed jointly between the NHS and the County Council to promote the well-being of frail older people and reduce their need for emergency services - especially emergency hospital stays. Other agencies such as voluntary and housing agencies will be invited to take part as the project develops. The project is being undertaken as part of the work of the Innovation Forum of `excellent' local authorities. The project involves deploying nurses and social workers within specific primary care practices to work proactively with older people who are most at risk. The aim is to work with the older people and their families to reduce these risks and promote independence. |
David Browning |
The Guides to Care at Home and Residential Care. |
These two free guides provide information and advice to people who wish to remain living at home or are looking to find a local residential home. Information includes where to get help to keep safe at home, getting out and about, state benefits and gives information about local services such as good neighbour schemes. |
Michelle Jameson, Communications Manager |
Carers Schemes |
It is known that carers are more likely to experience ill health as a direct result of their caring role. As a result, one of the drivers in commissioning support services for carers is improving health through relieving stress. The services we commission with Carers Together in Hampshire (county-wide voluntary organisation) include relaxation days where carers attend and access a range of complementary therapies and activities such as dance and head massage. These are held throughout the county.
All other services, including support and advocacy, respite care and information, production of literature and the Carers Helpline, address improving a carers' situation and therefore contribute proactively to reducing the risk of ill-health. |
Maria Milton, Commissioning Officer, Carers telephone 01962 847 268 |
Drop in Centres |
The Alzheimer's Café in Farnborough provides an example of proactive intervention for people with Alzheimer's, dementia and their carers and family. The first to be opened in England, the Alzheimer's Café follows a care model developed in the Netherlands that facilitates well-being and good health with people with dementia and their carers.
The Café provides a space where people with dementia and / or their family and friends can be together in a safe, welcoming environment, in the company of other carers, volunteers and health and social care professionals, for the purpose of emotional support, education and social interaction. By meeting together and talking about the problems that having dementia brings, persons and families can better manage their own situations. Making the illness 'discussable' gives the person with dementia the feeling of being able to influence his/her situation.
The Café is supported by HCC Social Services Health and health partners in Rushmoor and Hart and has approximately 65-75 attendees each month. |
Kandy Redwood, Carers Support Worker telephone 01252 314 221 |
Occupational Therapy |
Promoting personal independence and safety is critical leading a full life - it is known that if people have information and early access to minor pieces of equipment/adaptation their ability to lead an independent life is increased. Accidents which could lead to increased demands on health and social care are prevented. The Occupational Therapy Direct Service is a new service which handles all enquiries for Occupational Therapy - the service supports people to identify their own needs gives information and can fast track access to certain items of equipment and minor adaptations without the need for home visit. People who have more complex needs are identified and referred to the area Occupational Therapist for full assessment. |
Angela Watwood |
Sensory -Early Intervention |
The developing early intervention service in sensory services is based on the principle that people who have good information from which they can identify their own needs together with peer support at an early point remain independent and active. This service involves 1:1 Sessions; drop in clinics and a programme of group sessions linking with Health and voluntary agencies. As this service is developing across Hampshire research is also being undertaken to assess its effectiveness. |
Angela Watwood |
4. PROPERTY BUSINESS & REGULATORY SERVICES | ||
Healthy Eating Campaign (Regulatory Services) |
The focus is on giving the public the information they need to make a healthy choice. Business already gets leaflets, visits and letters so the new key target group is the consumers. The Campaign includes: · Credit card chart · Leaflet · Promotional campaign · New website at www,hants.gov.uk/food Also links with HC3S to improve school meals. |
Paul Berryman |
5. RECREATION & HERITAGE - Delivering improvements in public health through preventative health initiatives | ||
Activehearts |
Improving the quality of life for elderly residents in Hampshire County Council's care homes and day centres through an ongoing, annual arts events programme organised by the Arts Service and funded by HCC Social Services. (Some 1,400 participatory arts/crafts workshops and 700 quality, professional performances have been enjoyed by residents in all 26 county run care homes and day centres for the elderly. Evaluation has shown that the sustained continuity of such arts provision has a direct benefit to the well being of the residents and day centre clients, both as a palliative and preventative measure. ) |
Nadine Fry and Steven Pugh, Arts Service |
Home Library Service |
The County Library reaches over 2000 housebound people in their own homes and is planning to increase that number, and enhance the quality of the service in various ways. For example, through closer working with Social Services to develop the information provision side of the service. |
Nick Coe |
Reading Groups for Visually Impaired People (VIPs) |
Hampshire Library Service was the first to set up reading groups specifically for VIPs, using multiple copies of unabridged audio books. There are now 6 groups in the county which meet regularly, with more planned. They provide an opportunity not only for reader development but also for social interaction and general exchange of information about matters relevant to people with a sight loss. In 2004, members of all the VIP reading groups were invited to an event at Chawton House. |
Nick Coe |
IT training for VIPs |
The 300+ free public access computers in libraries, which make up the People's Network, all now have special software to make them accessible to blind and partially sighted people. In Fareham Library, weekly classes are run specifically for VIPs in how to operate the software. Similar classes will shortly be starting at Alton Library and at other libraries later in the year. |
Nick Coe |
Reminiscence Collection |
A Reminiscence Collection of books, newspapers, sound recordings, photographs, games and other items is maintained at South Ham Library and made available for loan anywhere in the County. Library staff deliver reminiscence sessions both in libraries and in locations outside in the community, such as care homes. Planned development of the Library's reminiscence work in 2005 through closer links with the Museum Service. |
Ann Stoker |
Travellers |
The Library Service has established a partnership with the Traveller Education Service to develop links with Traveller communities in the North and South of the County. Some of the key issues for Travellers which the Library Service is keen to help address are basic skills and health education. |
Chris Woodward |
Skills for Life Collections |
Across the county there are now a number of collections of essential skills resources for tutors and students and 'rapid reads' i.e. easy readers. Our work here is part of the national 'Vital Link' initiative which seeks to embed libraries at the heart of basic skills education and ensure that libraries serve all members of the community. |
Ruth Paddock |
Guided Walks programme and maintenance of 3,000 miles of footpaths and Rights of Way |
Hampshire Paths Partnership has been involved in a Healthy Walking initiative through partnership with the New Forest District Council and the NHS Primary Care Trust. The purpose of this initiative is to encourage people to take regular exercise by identifying short circular walks close to residential areas which are easy to walk and follow. The Guided Walks booklet promotes Healthy Walking throughout Hampshire by way of using the rights of way network, Country Parks, Nature Reserves and other sites. Healthy walks have been included since the early 90's working in partnership with all NHS Primary Care Trusts, to include those walks organised by them. The guided walks booklet over the course of a year has some 1300 walks organised for people to enjoy through out Hampshire's Countryside, Towns and Cities. The booklet flyer is sent to all Doctor's Surgeries and is used by doctor's for their patients. The rights of way network is maintained for local people to take regular exercise within their local community. |
Marilyn Meeks |
Sports development and grant funding coaching and officiating |
Hampshire's Sports Development team aims to support and develop Hampshire's Sporting Infrastructure and play its part via the nationwide Active Sports Programme. Aiming to provide opportunities for everyone to Start, Stay and Succeed in Sport and to develop sports skills that can be enjoyed throughout life. |
Julie Amies |
Outdoor Activities Centres |
New residential facilities at Tilebarn and Calshot will increase the capacity for more young people to have the opportunity to experience and enjoy the environment and outdoor activities |
Stuart Nundy |
Reminiscence work in Residential homes |
Through the Activearts programme above |
Sue Wright |
Volunteer opportunities in countryside conservation projects |
A number of conservation projects at countryside sites involve volunteers in active, physical work in the outdoors. E.g. Hampshire Paths Partnership involving local communities in improving local footpaths, Blackwater Valley Conservation volunteers, Titchfield Haven Volunteers etc. |
Peter Curbishley |
Cycling in Hampshire |
Partnership of the Countryside Service, Sports Service and Environment department to provide and promote on and off-road cycle routes in Hampshire, cycling events and the development of cycle hire initiatives |
R&H and Environment |
Community Support Service |
Provides funding and advice to local community organisations and facilities through which many other opportunities are provided for people to lead active lives involved in learning and physical activities in their local community |
Margaret Plumridge |
National Physical Activity Target |
The Sports Service is leading on the Local Public Service Agreement 2 target of increasing physical activity across Hampshire. Initiatives will be delivered through the Hampshire and Isle of Wight Sports Partnership and our own Community Support Service which has strong links with community organisations throughout Hampshire. |
Julie Amies |
Healthy Hampshire |
An embryonic initiative that will engage communities across Hampshire and encourage local people to participate in a healthy, active lifestyle. |
Jo Hale |
Workplace Activities Officer |
Supported financially by Sport England this post is responsible for the design, implementation and monitoring or a sporting activities programme for County Council staff to promote healthy lifestyles through stress-reducing activity in the workplace. |
Sharon Hall |
6. EDUCATION | ||
The National Healthy School Standard |
We now have 385 of the 540 Hampshire Schools signed up to the healthy school process. Using a whole school approach to raise achievement, reduce health inequalities and promote inclusion schools choose to work on a range of specific themes including citizenship, drug education, healthy eating, safety, sex and relationships education, PSHE and physical activity. Once signed up schools are encouraged to engage with young people, include the whole staff and link with the local community. Schools have used the standard to improve the school and the health of the pupils. |
Glynis Wright Healthy Schools Coordinator |
Education overview |
There is a co-ordinated response through the Health Review Committee to the promotion of healthy lifestyles in schools. The Education Department is either leading or contributing to or working with partners in a range of initiatives. The focus is on the physical health of children. · Health Schools Award Scheme · Promotion of "5 a Day Fruit" project for infant age pupils · Promotion of "Water is Cool" project across all schools and out of school clubs · Encourage secondary school pupils to claim free meals · Develop and promote information on healthy lunch boxes · Support the target of 60% of schools to have a School Travel Plan by 2006 to encourage walking and cycling to school · Support all schools to be linked to an Active School Partnership · Support the Active Spot target for the number of young people progressing to a club environment and achieving 32-35% regular participation There will also be significant contributions through the PSHE curriculum in all schools. The QCA website would provide a link to guidance and materials for schools. |
Terry Rath |
Drug Advisory Response Team (DART) |
This team has worked with over 600 young people in Hampshire schools over the last 4 years, offering support, advice and guidance to young people involved in, or at risk of being involved in substance misuse. The three DART workers are based in the three Local Education Offices and are managed by the EOTAS service. |
Jack Cawthra |
Educational Psychology Service |
This contributes to children's health primarily in relation to mental health issues. Examples include: 1. Framework for Enhanced Individual Pastoral Support - training supervising and evalutating the work of school staff in supporting vulnerable children 2. Emotional literacy for learning support assistants - training learning support assistants to engage with children with emotional and behaviour difficulties to better understand and respond to their needs. A write up appeared in the last issue of Hampshire Now 3. Sexuality issues for children and young people with disabilities - tailoring sex education to the needs of children with sensory or physical impairments |
Clifford Turner |
Portage Plus |
An initiative that intervenes to ameliorate pre school challenging behaviour to maximise access to pre school education. A report was sent to all members recently for information. |
Janet Hoff |
Youth Service |
One of the five curriculum priorities is encourage young people to lead healthy lifestyles. Most projects will have as part of their programme health education as a main activity including,: self image; healthy eating and lifestyles; sex and relationship education. We have a range of work supporting the health education of young people: 1) Youth Counselling: In most districts the youth service supports youth counselling, advice and information projects, where much of the work centres on the mental health and well being of young people. 2) Teenage Pregnancy Strategy: The service supports work to meet a number of objectives in the teenage pregnancy strategy. 3) Sexual Health: A sexual health and relationships policy is currently being established. 4) Outdoor Education: This is used as an effective approach in youth work, developing their physical health and is a key aspect of project such as the Duke of Edinburgh's Award. 5) Drug Education: The service has a development worker for drugs education and a drugs education and managing drugs related incidents policy. 6) Young Carers: The service employs youth workers to support young carers and much of this work focuses on their health needs. 7) Youth Council: We support the County Youth Council and much of their agenda is around health issues. |
Malcolm Rittman |
ENVIRONMENT | ||
School Travel Plan |
Promoting personal fitness by working with schools to encourage students to walk and cycle particularly for their journeys to and from school. |
Jon Foley |
MIRACLES (Multi Initiatives for Rationalised Accessibility and Clean Liveable EnvironmentS) |
Improving air quality in Winchester by reducing traffic and promoting personal fitness by introducing a scheme whereby members of the public can hire bicycles to encourage use of cycling in Winchester. Winchester is one of 19 cities throughout Europe where integrated measures to overcome the environmental problems caused by traffic congestion is being demonstrated and evaluated. This work has been part funded by the European Union under the CITIVAS (City Viatlity Sustainability) programme, which was developed to implement bold, innovative and integrated action for radical improvement of urban transport. The MIRACLES project was conceived under the CITIVAS initiative. Winchester's involvement in MIRACLES commenced in February 2002, to run for four years. MIRACLES also involves the cities of Rome, Cork and Barcelona. Stakeholders in the project include the County Council, Winchester City Council, and the University of Southampton. The main aim is to introduce integrated demonstration projects to improve energy efficient transport and encourage a shift from motorised to non-motorised transport, thereby reducing emissions and improving air quality. The MIRACLES project is closely linked with Winchester Movement and Action Plan and Clean Zones. The project is delivering a range of innovative measures including reducing emissions on the bus fleet, improved bus services, a Bikeabout scheme, reduced parking charges for clean vehicles and general awareness raising. These measures form part of the Winchester Air Quality Action Plan and the outcomes will be used to provide advice and guidance to other cities throughout Europe. |
Ken Laughlin |
Energy from Waste |
Awaiting further information |
Paul Archer |
Road Casualty Reduction |
Reducing road casualties on Hampshire's roads in support of the Government's targets to reduce these significantly by 2010. We are doing this through ongoing and increased programmes of road safety engineering and education and training, with support for Hampshire Constabulary's enforcement programmes |
Tim Cheesebrough |
Promoting Cycling |
Continuing to promote cycling as a healthy alternative to the car for journey's to work, shopping, leisure and school through promotional activity and the delivery of appropriate infrastructure improvements. |
Tim Cheesebrough or Peter Savidge |
7. HUMAN RESOURCES | ||
Separate report on work with HCC staff attached |
Jackie Wright | |
CHIEF EXECUTIVES | ||
Swimming Club |
Swimming club based in Winchester for 110 staff of Hampshire County Council |
Colin Hinxman |
Report on Public Health from the HR Department
Health and Wellbeing Unit
Officer Contact: Jackie Wright
1. Introduction
1.1 HCC continues to expect more of its employees as it strives to meet its Corporate and Community strategies and pressures resulting from issues such as The Children Bill and the Gershon Report and; as the standards to be achieved in maintaining `Excellent' status are raised. The impact on employees will be increased pressure which may in turn result in increased incidence of stress and/or sickness absence.
1.2 The Dept. of Health Choosing Health strategy highlights the aims of "improving working conditions to reduce the causes of ill health related to work; and promoting the work environment as a source of better health." It emphasizes "the importance of people making healthy choices and the relationship between those choices and their environment." It goes on to say that " Work is a very important part of that environment. Having a job, and having a job in a healthy environment will improve or hinder ... [those choices]"
2. Health and Wellbeing
2.1 The Health and Wellbeing strategy aims to address these issues. It is underpinned by the following High Performance Model

Performance
2.2 High performing organizations recognize that success requires an integrated performance management approach. Sustained service improvement is achieved as a result of people being `well managed' and being capable, both physically and mentally, of consistent performance and action, coping with additional pressures and ongoing change whilst bringing fresh ideas and innovation to the workplace.
The HSE Management Standards for tackling stress identify the following aspects of work which impact upon employees; Demands, Control, Support, Relationships, Role, Change. The County Council is already addressing these issues through such initiatives as Leading Success and PDRs. An holistic
approach is needed to ensure that the working environment is designed for high performance. Effort is needed in providing "Well " people and "Well" environments.
2.4 The traditional focus, i.e. that of absence management, is too narrow and reactive as it concentrates on how to bring people back to work once they are off work. What is required is a fundamental shift in focus to enabling people, especially those at work to be well and stay well, which will impact positively on productivity, quality of services and ability to cope with change.
2.5 The vision for the Wellbeing Unit is that we will continue to provide the re-active services which encompass both existing occupational health services and counselling support through Esl, and additionally take a more pro-active approach to raising awareness of, promoting and supporting general wellbeing (covering both mental and physical health) and improving our working environments. Some of these aims will be delivered through existing services in departments outside HR e.g. PBR offer office planning and R&H offer environmental assessments - by bringing such services together they will understand the impact they can have on the environment and deliver against the wellbeing aims. Whilst a firm strategy has yet to be agreed the Wellbeing Unit is likely to be developed along the following lines:
Occupational Health |
Employee Support |
General Health & Wellbeing |
Performance Environments |
Health Screening *Pre-employment *In-employment Ill Health Assessments (Referral) Rehabilitation
Pro-active services Health Surveillance and promotion of workplace risks |
Counselling
Pro-active services Mediation |
Health Promotion * Corporate * Bespoke inc. links with R&H sports promotion project
Individual Wellbeing Assessments Personal Coaching Stress Prevention and Management |
High Performance Reviews Co-ordinating activities for performance environments inc. office layout; air quality; lighting; noise; plants |
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Reactive Proactive
2.6 Close working ties with Safety will ensure that "workers are more involved in taking decisions that affect their health and safety" and are aware of, understand and address the risks to health in the workplace - this is a key driver for the Health and Safety Commission.