3.3 Priority 3 - Support our residents to maintain healthy lifestyles

Executive Champion

Sarah Perman, Director of Public Health, Hertfordshire County Council

Strategic Lead Officers

Louise Savory, Hertfordshire County Council
Katherine Thompson, Essex County Council
Samantha Chepkin, Hertfordshire and West Essex ICB

Priorities

We will support people to be physically active, eat healthily and maintain a healthy weight, and we will provide support and advice to prevent tobacco, alcohol, and substance misuse. We will take an all-age approach to improving healthy behaviours, to provide opportunities for Hertfordshire and west Essex residents to live healthy and fulfilling lives, reducing the risk of illness in later life aligning with our Health and Wellbeing strategies. We will seek to achieve the following outcomes:

What we will do

Review current offer of information, advice and support for Hertfordshire and West Essex residents to enable them to maintain / achieve a healthy weight, active lifestyle, healthy diet or to reduce harm from tobacco, gambling, alcohol, and other substances.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire County Council
Essex County Council

Timescale

Years 2 – 3 (2024/25 – 2025/26)

Governance

ICS Prevention Strategic Group

What we will do

Map Making Every Contact County activity across Hertfordshire and West Essex, to identify gaps in provision and opportunities for improvement.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire County Council
Essex County Council

Timescale

Years 2 – 3 (2024/25 – 2025/26)

Governance

ICS Prevention Strategic Group

What we will do

Make links with health creation strategy and ‘no wrong door’ to ensure lifestyle/behaviour change is incorporated as a priority alongside wider determinants of health / community assets to improve health and wellbeing.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire County Council
Essex County Council

Timescale

Years 2 – 3 (2024/25 – 2025/26)

Governance

ICS Prevention Strategic Group

What we will do

Review and develop integrated, evidence-based weight management pathways across all-ages, which will include:

Identifying pathway improvement and integration across all ages and all commissioned weight management services e.g. National
Digital Weight management and National Diabetes Prevention Programme
NDDP.
Procuring a new adult Tier 2 / 3 weight management service in Hertfordshire
Review fitness for elective surgery policy in Hertfordshire and opportunities for West Essex and plan next steps (includes weight loss and smoking cessation)

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire Public Health
Essex Public Health
Herts and West Essex ICB

Timescale

Years 1 – 2 (2023/24 – 2025/26)

Governance

ICS Prevention Strategic Group

What we will do

Work to increase opportunities for preventing alcohol harm by focusing on Identification and Brief Advice (IBA) and well-functioning pathways into alcohol treatment.

Map Identification and Brief Advice activity and increase coverage by working with Herts and West Essex ICB, Integrated Care Partnership members and Primary Care Networks to ensure engagement with the wider population.
Invest in an alcohol support system that is linked with Emergency Departments, which will help ensure people are linked to continuity community care and recovery support.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire Public Health
Essex Public Health
Herts and West Essex ICB

Timescale

Year 1 (2023/24 – 2024/25)

Governance

ICS Drug and Alcohol Strategic Board

What we will do

Review potential to include a wider remit within health checks / opportunistic conversations e.g. drug use and gambling screening, cognitive decline (West Essex and Hertfordshire). This priority links into Priority 4 of this action plan.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire Public Health
Essex Public Health

Timescale

Year 1 (2023/24 – 2024/25)

Governance

ICS Prevention Strategic Group

What we will do

Review preventative elements within clinical pathways to ensure integrated pathways promote seamless access, signposting or referral to preventative services as early as possible.

Area of work

Hertfordshire and West Essex

Who will lead?

Herts and West Essex ICB

Timescale

Years 1 – 2 (2023/24 – 2024/25)

Governance

ICS Prevention Strategic Group

What we will do

Implement relevant health and well-being campaigns to raise public awareness of alcohol and substance misuse.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire Public Health
Essex Public Health
Herts and West Essex ICB

Timescale

Years 1 – 5 (2023/24 – 2027/28)

Governance

ICS Prevention Strategic Group

What we will do

Review and develop a new physical activity offer for our residents which provides free opportunities for all, affordable access for people on low incomes and targeted support for those who are housebound and frail, to help improve strength and mobility.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire Public Health
Essex Public Health
Herts and West Essex ICB

Timescale

Years 2 – 3 (2024/25 – 2025/26)

Governance

ICS Prevention Strategic Group

What we will do

Offer all people admitted to hospital who smoke access to NHS-funded tobacco treatment services and adapt the NHS-funded tobacco treatment service model for expectant mothers, and their partners, with a new smoke-free pregnancy pathway including focused sessions and treatments. A new universal smoking cessation offer will be made available as part of specialist mental health services for long-term users of specialist mental health, and in learning disability services.

Area of work

Hertfordshire and West Essex

Who will lead?

Herts and West Essex ICB

Timescale

Year 1 (2023/24)

Governance

HWE ICB Tobacco Programme Steering Group

What we will do

Support our residents most at risk of poor outcomes from being overweight including those with mental health conditions, physical disability or learning disability and autism.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire Public Health
Essex Public Health

Timescale

Year 1 (2023/24)

Governance

To be confirmed

What we will do

Deliver the integrated health and wellbeing project in Hertfordshire. The project consists of a health and wellbeing platform, directory, training the workforce, developing a single point of access and a service for people with multiple health and wellbeing behaviour issues.

Area of work

Hertfordshire and West Essex

Who will lead?

Hertfordshire Public Health
Essex Public Health
Herts and West Essex ICB

Timescale

Years 1 – 2 (2023/24 – 2024/25)

Governance

ICS Prevention Strategic Group

Outcomes we want to achieve for our residents through delivering this priority expressed as “I” statements

As a resident:

I can take care of my own health and wellbeing
I know how to live a healthy life
I feel supported by my community and local services to stay healthy
I feel supported by my community and local services to change my behaviour for the better
I do not smoke
I do not feel overweight or obese
I feel I am physically active enough
I feel I do not drink too much alcohol

Potential key performance measures

Indicator 1 – Visitor metrics to key relevant health and wellbeing websites.
Indicator 2 – Number of children and adults accessing weight management services (Tiers 2 and 3 HCC/ICB commissioned/digital).
Indicator 3 – Number of individuals accessing drug and alcohol services for support.
Indicator 4 – Number of individuals accessing stop smoking services.
Indicator 5 – Number of individuals accessing community exercises.
Indicator 6 – % rate of smoking prevalence, including inequality focus.
Indicator 7 – Proportion of children and adults who are overweight/obese, including inequality focus.
Indicator 8 – Proportion of alcohol and drug-related admissions and mortality, including inequality focus.