Agenda item

The Director of Public Health introduced the report which provided the Board with a summary of the cardiovascular disease (CVS) Joint Strategic Needs Assessment (JSNA). Key points highlighted and raised during discussion included:

·         The purpose of the JSNA was to provide data and evidence to inform the development of the CVS work plan and the Health and Wellbeing Strategy, 2016-21.

·         The Director of Public Health thanked Dr Anne McConville, Public Health Consultant, Ryan O’Neill, Public Health Analyst and the Steering Group for developing the JSNA.

·         CVD was a long process and was not just related to heart attacks.  CVD was influenced by many things e.g. alcohol, smoking, lack of exercise, obesity. 

·         A CVD workshop had been held and three key outcomes/issues had been identified:

1.    Under 75 death rates in Peterborough were high compared to the national average.  Therefore a priority would be a reduction in under 75 mortalities.

2.    There was an inequality in CVD outcomes across Peterborough.  Therefore the second priority would be to look at the inequalities of CVD outcomes across Peterborough.

3.    To look at reducing demand on services and in particular prevention and community management with regard to stroke and heart failure.

·         Some of the wards in Peterborough with a high rate of under 75 deaths had a high Asian community, was there a link.  The Board were advised that people who came to this country from South Asia were known to suffer from heart disease and that this was a national problem. The different diet and different levels of activity and exercise in this country also contributed to CVD.  However this was not irreversible and could be specifically addressed within those communities.

·         Clarification was sought on what was being done regarding follow up for people who have had heart attacks.  The Board were advised that there was a lot of evidence regarding secondary prevention and all GP’s had concentrated on this but it was ultimately the patients choice as to the lifestyle they lived.

·         The Director for Public Health asked the Board to consider the recommendations within the report but not recommendation 3d), That the CVD JSNA informs the development of the ’Healthy Peterborough’ 2016 health and wellbeing campaign plan as this was part of another work stream.

The Health and Wellbeing Board RESOLVED to:

1.   Note the information and analysis in the CVD JSNA and support the publication of the JSNA dataset and summary on its public website.

2.   Consider the verbal report from the workshop held on 9^th September to inform further engagement with stakeholders and the public.

3.   Support  the recommendations that:

a.    The Health and Wellbeing Programme Board establishes a CVD programme steering group, drawing on the membership of the CVD JSNA steering group and the Inequalities in Coronary Heart Disease Programme Board, to lead the development of further work on services for prevention, treatment and care and support;

b.    The CVD programme should seek to improve the cardiovascular health of all in Peterborough whilst addressing the issues of inequality in risk, access and outcomes.

c.    The Public Health Board promotes a ‘health in all programmes’ approach across the local authority to address the wider determinants and risk factors for CVD.

Dr Mistry left the meeting at this point.