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Bury Health and Wellbeing Board

Why do we have a Health and Wellbeing Board?

Bury Health and Wellbeing Board (the Board) has been operating in shadow form since May 2011. From April 2013, it became a statutory committee of Bury Council.  The Board brings together senior leaders from across Bury Council and the NHS with elected members, HealthWatch, and representatives from the voluntary and community sector, to set out a vision for improving health and wellbeing in the Borough.

Under the Health and Social Care Act 2012, upper tier Councils in England must establish a Health and Wellbeing Board. 

The vision of Bury's Health and Wellbeing Board is to:

“Improve health and wellbeing through working with communities and residents to ensure that all people have a good start and enjoy a healthy, safe and fulfilling life.”

Representatives from across the Bury community have come together to form the Health and Wellbeing Board to support and encourage partnership arrangements for health and social care services. Our representatives include: Bury Council, Bury Clinical Commissioning Group, Bury Community Safety Partnership, Bury Healthwatch and Bury's Third Sector. [See links on the right hand side to find out more about these organisations].

The Board will set the direction for the future design and delivery of local health care, social care and public health. Our agenda includes the health and wellbeing of adults, children and families, as well as wider areas that impact on health such as housing, education and the environment.

Many factors affect our health and wellbeing.  What makes a person “well” can involve many different factors, including physical and mental wellbeing, employment, environmental factors, social circumstances, adequate housing and economic factors.

Everyone has the right to good health.  Unfortunately, there are huge differences in levels of physical health, mental health and wellbeing across our borough.  The greatest challenge we face is to tackle inequalities and this remains central to all that we do. 

We know we are faced with significant financial pressures whilst customer expectations and demand for services is rising.  There is also a very real responsibility on individuals to also help with this in self-caring and looking after themselves too.  Team Bury, our local strategic partnership, is fully committed to collaborative working at a Greater Manchester level around Public Sector Reform.  This work is focused on developing ways of improving outcomes for customers and efficiently using resources through integrated approaches.  We recognise the journey ahead may be challenging, but we also welcome the opportunities it will bring.

Bury Health and Wellbeing Board Dates

The future meeting dates are detailed below. 

All meetings will be held at Bury Town Hall and members of the public are welcome to attend. Each meeting will feature a Public Question Time to allow members of the public to ask questions relating to the work of the Board.

Board Dates

Thursday 23rd November 2017          2:00 - 4:00pm

Thursday 21st December 2017          6:00 - 8:00pm

Wednesday 14th February 2018        2:00 - 4:00pm

Parking

Parking is available in Belle Vue Terrace Car Park BL9 0SY, Q-Park, Knowsley Place, Knowsley Street, Bury BL9 0SW and other places in and around Bury Town Centre.  Please report to the Elizabethan Suite when you arrive and you will be directed to the Venue.

Disabled facilities

Lifts and disabled toilet facilities are available. Please advise if you have any additional needs.

 

Priority 1 of the Health and Wellbeing Strategy- Starting Well

The Lead for Priority 1 is Karen Dolton, Interim Executive Director of Children, Young People and Culture.

The Board responsible for successful delivery of Priority 1 is the Children’s Trust Board. For further information in relation to the Children's Trust Board and the Safeguarding Children’s Board please see links to the right hand side.

Why this is important

Focusing on pregnancy and the first few years of a child’s life ensures that children can be given the best possible start for their physical, educational and emotional development which will help them realise their potential and flourish throughout their lives.  Prevention, intervening early and supporting parents in the first phase of a child's life represents a key opportunity to break the cycle of deprivation, disadvantage and poor outcomes across the life course.

Strengthening the relationship between infants and parents/guardians has a strong impact on both physical and mental health. Parenting is the single largest factor implicated in a range of health and social outcomes for children, notably accident rates, substance misuse, teenage pregnancy, truancy, school exclusion and underachievement, child abuse, employability, juvenile crime and mental illness.

Identifying those in need of help and support,  intervening early and addressing the whole family's needs is crucial to a child's development and realising our aspiration for laying the foundations for future life. Giving every child the best start in life was the most important of all the policy recommendations for reducing health inequalities in The Marmot Review.   It was also identified as the highest priority locally from the consultation on this strategy.

Karen Dolton

Priority 2 of the Health and Wellbeing Strategy - Living Well

The Lead for Priority 2 is Lesley Jones, the Director of Public Health.

Why this is important

Maintaining a healthy lifestyle is essential for good health and wellbeing.  Smoking, poor diet, physical inactivity, alcohol and drug misuse are risk factors for a range of long-term health conditions, such as, cardiovascular disease, diabetes, some cancers and dementia. 

Unhealthy lifestyles contribute to the major causes of deaths in Bury of cardiovascular disease, cancer and respiratory diseases and to early deaths.  Smoking-related illnesses are the main preventable cause of early death in Bury. The rate of smoking related deaths in Bury is worse than the average for England, representing around 334 deaths per year. (Bury Health Profile 2014).

In Bury, life expectancy is lower than in England.   Lifestyle factors are key drivers behind health inequalities. 

There are links between unhealthy lifestyles and poor mental health with obesity, alcohol misuse and higher levels of smoking all linked to mental ill-health.  Leading a healthy lifestyle can have positive impacts on all aspects of health and wellbeing - physical, mental and emotional – and can offer resilience to stressors in life.  Physical activity is a good example of this and it can significantly improve confidence and self-esteem.

It is recognised, however, that it is not always easy to adopt a healthy lifestyle and there are many factors affecting that.  These could range from lack of information to support individual choices to wider environmental factors, such as the availability and price of alcohol, unhealthy food and tobacco products.  It is vital, therefore, that we maximise all opportunities at policy, service and individual levels to facilitate well-informed and supported individuals, able to influence and sustain their own health and wellbeing within healthy environments.  We also know that many behaviours are set in childhood and it is important to target action that supports children and their families to start and sustain healthy lifestyles.

Lesley Jones

Priority 3 of the Health and Wellbeing Strategy - Living Well with a Long Term Condition or as a Carer

The Lead for Priority 3 is Julie Gonda, Interim Executive Director for Communities and Wellbeing.

Why this is important

It is estimated that 45,000 adults in Bury have at least one long term condition.  Long term conditions are those that cannot currently be cured but can be managed variously with medication, support services and therapies, and self care strategies, such as maintaining a healthy lifestyle.  They include diabetes, heart disease, dementia, mental health conditions, chronic obstructive pulmonary disease (COPD) and some neurological conditions. 

People living in more deprived communities are at greater risk of developing a number of conditions but are less likely to be diagnosed early thus having poorer health outcomes.  Long term conditions are more likely in older age and some, such as diabetes, are more prevalent in ethnic minority communities. The number of people living with more than one condition also increases with age.  Those with long term conditions are two to three times more likely to experience mental health problems than the general population.[i]

The consequences of long term conditions can be life-changing and even devastating for some people and their families without the right support in place.  Some people may struggle to seek or remain in work and they may become dependent on benefits.  Roles they undertook within their family life and social activities may cease. Having the right support, retaining choice and control, confidence and self-esteem are all vital in self management of a condition, maintaining independence and coping with everyday life.  Adopting self care approaches, such as maintaining a healthy lifestyle, utilising available technologies and meeting one's wellbeing needs are also important. 

Carers are vital in providing physical, practical and emotional support.  However, carers providing support for 50 hours a week or more are twice as likely to be in poor health as those not caring. 

The Carers Trust defines a carer as ‘someone of any age who provides unpaid support to family or friends who could not manage without this help. This could be caring for a relative, partner or friend who is ill, frail, disabled or has mental health or substance misuse problems’[ii]. Data from the 2011 census tells us that, in Bury, there are 19,954 people providing some form of unpaid care. This is 11% of the population and is an increase of 723 individuals in the last 10 years.

To support unpaid carers within our borough, the Carers Strategy Group developed the Adult Carers Strategy for Bury 2013-2018. The four main aims of this strategy are to strengthen:

  1. Identification and recognition;
  2. Realising and releasing potential (continuing with career and/or educational attainment;
  3. A life outside of caring;
  4. Supporting carers to stay healthy.

For more detailed information, go to http://www.bury.gov.uk/index.aspx?articleid=4903

[1] NHS Inform, Long Term Health Conditions and Mental Health available at: http://www.nhsinform.co.uk/MentalHealth/Wellbeing/Long-Term-Health-Conditions  [1] www.carers.org.

Julie Gonda

Priority 4 of the Health and Wellbeing Strategy - Ageing Well

The Lead for Priority 4 is Julie Gonda, Interim Executive Director for Communities and Wellbeing.

Why this is important

We live in an ageing society where the number of older people is set to increase.  Many older people live independent and fulfilling lives, feel they are in good health and, on the whole, experience a good quality of life.  For some, however, ageing will lead to an increased risk of multiple health problems, feeling lonely and isolated, and increased health and social care needs.

For some older people ensuring they are able to play an active role within their community, whilst tacking the impact of social isolation, will be all the support they need to lead an independent life. Where older people do have care and support needs, it is important that the impact of this is reduced and that they are supported to reduce the likelihood of this happening again. Without health and social care intervention, conditions and injuries such as stroke, falls and dementia can undermine a person’s wish to remain in their own home and return to independent living. Effective prevention, reablement and support which promote independence are critical and reduce the need for hospital admission or long term care and support.

In addition to this, strong links with safeguarding services will ensure we protect the most vulnerable from being subject to anti-social behaviour, crime and abuse.

Having secure, appropriate and settled accommodation, with the right kind of support, plays a vital role in health, wellbeing and feeling safe and secure.  It is important to have the right kind of housing that is accessible, can accommodate any necessary aids and adaptations, and is warm and energy efficient. 

With an ageing population, the number of carers is likely to increase and there are likely to be more older carers.  Carers often experience poor health outcomes as they focus on the needs of those they are caring for at the expense of their own health and wellbeing.  We need to ensure their needs are met.

When people reach the end of their life, we need to ensure that people are treated with dignity and respect and that they are supported to die at a place of their choosing. Supporting people to plan for the end of their life will ensure that they, and their careers, are involved with this as much as possible.

Older people are at particular risk of falls which is one of the main reasons for hospital admissions and the need for social care support. Around 35% of people aged 65 and over living in the community fall each year and this increases with age. Hip fractures are the most serious consequences of a fall in the over 65s; around 20% of those who have a hip fracture (often due to a fall) will die within four months.

A stroke is the third most common cause of death in the UK and around 50% of strokes occur in people aged over 75. After a stroke, around 30% will die within a year. For those surviving a stroke, many are left with longer-term problems or permanent disability. Around 1 in 12 people over 65 in the UK have dementia and the chances of developing dementia increase with age. Those who have had a healthy lifestyle earlier in their life, reduce their risk of dementia.

Julie Gonda

Priority 5 of the Health & Wellbeing Stategy - Healthy Places

The Lead for Priority 5 is Julie Gonda, Interim Executive Director for Communities and Wellbeing.

The Board's responsible for successful delivery of Priority 5 are the Carbon Reduction and Climate Change Board and the Housing Strategy Programme Board. For further information in relation to the Carbon Reduction and Climate Change Board and the Housing Strategy Programme Board please see links to the right hand side.

Why this is important

Most people intuitively understand that where they live and the quality of their local environment has an impact on their health and well-being but there is also robust evidence from a wide range of sources which tells us about the direct effects of the environment on our health status and life-expectancy.

The layout of our built environment can help or hinder social connectivity, active travel, our safety and access to essential amenities.  Having access to green space is essential for well-being, good quality housing helps prevent accidents and provides security and warmth.

Carbon reduction and recycling strategies also make an important positive contribution to the public’s health. Carbon reduction and recycling of waste are important measures for conserving the natural resources and energy, reducing the amount of waste going to landfill and reducing greenhouse gases that contribute towards climate change. 

The long term health of our population is dependent on the continued stability and effective functioning of our global environment.   Continued pressure on the earths resources through human activity is contributing to climate change which brings with it new risks and hazards to our health such as flooding and new infectious disease.

In short, what is good for the environment is good for our health.

Julie Gonda

Bury Council do not promote or endorse any of the services listed in this Directory. For more information on this please read our disclaimer here.

This page was last updated on: 02/10/2017

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