Agenda and minutes

Special, Policy Development Committee - Tuesday, 15th October, 2019 10.00 am

Venue: Barum Room - Brynsworthy. View directions

Contact: Corporate and Community Services  01271 388253

Link: Audio available here

No. Item




Apologies for absence were received from Councillors Campbell and Roome.


Declarations of Interest.

(Please telephone the Corporate and Community Services team to prepare a form for your signature before the meeting. Interests must be re-declared when the item is called, and Councillors must leave the room if necessary).


There were no declarations of interest received.


National Health Service - Long Term Plan

Presentation by John Finn, Associate Director of Commissioning, Northern Devon and Eastern/Planned Care and Cancer, NHS Devon Clinical Commissioning Group.


The Committee welcomed John Finn, Associate Director of Commissioning, Northern Devon and Eastern/Planned Care and Cancer, NHS Devon Clinical Commissioning Group.


The Associate Director of Commissioning, Northern Devon and Eastern/Planned Care and Cancer, NHS Devon Clinical Commissioning Group advised that the National Health Service (NHS) Long Term Plan set out the direction for the NHS over the next five years, explaining how it would spend the £20.5 billion additional funding to meet rising demand to deliver the national standards specified in the Long Term Plan.


He added that there would be a shift in focus to address determinants of wellbeing and improve population health through collaboration in planning and delivery at place. These determinants were split into the following areas:


·         Health and care integration.

·         Prevention and early support.

·         Health inequalities.

·         The wider determinants of health.

·         Giving children the best start.

·         Living well in older age.


He explained that the inclusion of housing was a notable and welcome addition from the NHS together with an acknowledgement of the wider determinants of health and the role of other statutory organisations. The plan signalled continuity rather than change and balanced the national direction with local autonomy. This was set out over three broad areas:


·         Improving quality and outcomes.

·         New service models.

·         More action on prevention and health inequalities.


He advised that Devon along with every other area would have an integrated care system in two years’ time, which would be focussed on population need. Devon would also shape its own local long term plan by the autumn. As part of the Sustainability and Transformation Partnerships, Councils and the NHS had identified the following challenges in Joint Strategic Needs Assessment and other information:


·         An ageing and growing population.

·         Balancing access to services in both urban and rural localities.

·         Complex patterns of deprivation linked to earlier onset of health problems in more deprived areas (10-15 year gap).

·         Housing issues (low incomes/high costs/poor quality in private rental sector).

·         Giving every child the best start in life and ensuring children were ready for school.

·         Poor mental health and wellbeing, contributed by social isolation and loneliness.

·         Poor health outcomes caused by modifiable behaviours.

·         Pressures on services (especially unplanned care) caused by increasing long-term conditions, multi-morbidity, mental health and frailty.

·         Unpaid care and associated health outcomes.

·         Shifting to a prevention and early invention focus.


He outlined the Joint Health and Wellbeing strategy priorities for Devon, Plymouth, Devon and Torbay together with the common areas of priority between the strategies, which were:


·         Common vision around reducing health inequalities and addressing wider determinants of health.

·         Mental health across the life course.

·         A focus on communities, housing and the built environment.

·         Giving children the best start in life.

·         A focus on living well, encouraging health lifestyles and prevention.

·         Maintaining independence and good health into older age.


He explained the significant opportunity for district and city council influence putting their work on the wider determinants of population health at the heart of Devon’s long term plans. There would be a refresh of the  ...  view the full minutes text for item 19.