The meeting of the Health and Wellbeing Board on 19 December 2024 is scheduled to receive an annual report summarising the Board's activities over the past year and discussing its plans for the future. A presentation on the contribution of lived experiences to health and wellbeing is also scheduled to be given by Jon Roberts from Dear Albert¹, a recovery organisation in Leicester. The meeting is also scheduled to receive a number of reports on specific public health initiatives.

Changing Futures

The report pack contains a report on the Changing Futures programme, a national scheme set up by the Ministry of Housing, Communities and Local Government and The National Lottery Community Fund to support people facing multiple disadvantages, such as homelessness, substance misuse and contact with the criminal justice system. The report describes how the programme has worked with 162 people in Leicester, achieving positive outcomes for beneficiaries by supporting them to reduce their substance use, find settled accommodation, and engage with healthcare services. The report also describes the development of a pre-tenancy training course for people with multiple disadvantages in partnership with a range of organisations including Dear Albert, Turning Point, Action Homeless and the Hepatitis C Trust. The report is scheduled to be presented by Rebecca Lopez.

LeDeR High Impact Actions

The report pack contains a report outlining high-impact actions to be taken in response to the findings of LeDeR reviews. LeDeR stands for ‘Learning from Deaths of People with a Learning Disability’ and it is a national programme that reviews the deaths of people with learning disabilities to identify learning that can be applied to future practice. This report was prepared by the Learning Disability Collaborative (LDC), which leads LeDeR reviews across Leicester, Leicestershire and Rutland. The report highlights a profound inequality in the life expectancy of people with a learning disability, noting that in LLR people with a learning disability have a life expectancy that is 20 years lower than the average for the general population. The report goes on to argue that:

There remains a systemic culture of acceptance with the misuse of the Mental Capacity Act (2005) for People with a Learning Disability and Autistic people

and calls on organisations to make reasonable adjustments to improve access to care for people with learning disabilities. It highlights three clinical priority areas: cancer, respiratory illnesses, and cardiovascular diseases. The report sets out a number of recommendations for partners, including: establishing processes for reporting on the use of reasonable adjustments, improving the quality and uptake of annual health checks, and developing and implementing improvement plans to reduce premature deaths from cardiovascular and respiratory illnesses. The report is scheduled to be presented by Siouxie Nelson, the LeDeR Clinical Lead.

LLR WorkWell Programme

The report pack contains a report on the LLR WorkWell Programme, a new scheme that aims to provide support to people who need help to start, stay, or succeed in work. The report highlights the links between work and health, arguing that ‘work is an important social determinant of health’, and describes how the programme will operate across Leicester, Leicestershire and Rutland. The programme intends to employ ‘work and health coaches’, based in GP practices, who will provide a range of support to people, including: assessments of barriers to employment, help with drawing up a return-to-work plan, and advice on workplace adjustments. The report describes how the programme will be funded by a grant from the Department of Health and Social Care and sets out a delivery plan for the programme. The report also describes the relationship of the WorkWell programme to the Council's five-year plan, in particular pledge 13. The report is scheduled to be presented by Louise Young, the Deputy Chief People Officer of the LLR Integrated Care Board.

Health and Wellbeing Board Annual Report

The report pack contains a draft annual report for the Health and Wellbeing Board, covering the period from August 2023 to August 2024. The report describes the purpose, membership, and statutory responsibilities of the Board and includes information on the meetings that have been held over the past year. It also sets out a number of case studies on local projects and initiatives designed to improve the health and wellbeing of people in Leicester.

The report describes the six ‘Do’ priorities which were the focus of the Health, Care and Wellbeing Strategy Delivery Plan for the reporting period. These priorities were:

• Healthy Places
• Healthy Start
• Healthy Lives
• Healthy Minds
• Healthy Ageing
• Increasing access for children & young people to Mental Health & emotional wellbeing services
• Improving access to primary& neighbourhood level Mental Health services for adults

The report describes progress that has been made against each of these priorities.

The report then describes the Board’s new priorities for 2024/25. These are:

• Childhood immunisations
• Hypertension – prevention and case-finding
• Healthy weight
• Mental health and wellbeing related to social inclusion, and supportive networks

The report goes on to describe plans for further engagement with stakeholders and communities over the coming year.

Dear Albert

The report pack contains a presentation from Dear Albert, a lived experience recovery organisation, on the contribution that people with lived experience can make to improving health and wellbeing. The presentation argues that lived experience can play a valuable role in developing more effective and integrated models of social care, and it calls for lived experience to be embedded in future treatment models. It also sets out a ‘recovery pathway’, describing a range of initiatives run by Dear Albert, such as the Sunday Breakfast Club for people experiencing homelessness and the Albert & The Stairway Project outreach programme. The presentation is scheduled to be given by Jon Roberts.

Healthy Weight

The report pack contains a report seeking approval of a new set of key performance indicators for the Healthy Weight workstream. The report notes that the percentage of pregnant women in Leicester who were severely overweight at the time of booking an appointment with a midwife was 23.8% in 2018/19. This is significantly worse than the national average of 22.1%. The report goes on to highlight that only 30% of people with a learning disability in Leicester are a healthy weight. The report describes four projects that will contribute to the Healthy Weight programme:

• A pilot brief intervention training scheme that aims to improve understanding of the barriers to maintaining a healthy weight and train staff in a range of workforces to have conversations about healthy living with service users.
• A Health Needs Assessment on healthy weight in pregnancy.
• A scheme to increase the number of schools taking part in The Daily Mile.
• A review of social care contracts for people with learning disabilities to ensure that they have access to opportunities for good nutrition and physical activity.

Leicester Integrated Health and Care Group Update

The report pack contains a report providing an update on the Leicester Integrated Health and Care Group. This is a newly established group, intended to provide a forum for partners to drive forward the aims of the Health and Wellbeing Board and to oversee the delivery of the Health, Care and Wellbeing Strategy. It is replacing two previous groups, the Joint Integrated Commissioning Board and the Integrated Systems of Care group.

The report describes the work that the group has been doing since it was established, noting that it has received updates from a range of partners and has undertaken a review of the Joy App programme, a social prescribing scheme. The report describes the group's work on developing a risk register, which it intends to present to the Health and Wellbeing Board, and it goes on to provide an overview of the work being done on the following strategic priorities:

• Mental health and wellbeing related to social inclusion, and supportive networks
• Childhood immunisations