Hounslow Joint Health and Wellbeing Strategy 2018 - 2022

Closed 20 Aug 2018

Opened 19 Jul 2018


Hounslow’s Health and Wellbeing Board must produce a Joint Health and Wellbeing Strategy (JHWS). JHWSs are strategies for meeting the needs identified in Joint Strategic Needs Assessments (JSNAs). Hounslow completed a new JSNA in July 2017. The new Hounslow JHWS 2018-2022 is a strategy to meet the needs in Hounslow identified in the Hounslow JSNA 2017.

Please scroll to the bottom of this page to download the full strategy documents.

JHWSs should translate JSNA findings into clear outcomes the board wants to achieve, which will inform local commissioning – leading to locally led initiatives that meet those outcomes and address the needs.

JHWS are important because Clinical Commissioning Groups (CCGs), the NHS Commissioning Board (NHS CB), and local authorities’ plans for commissioning services will be expected to be informed by relevant JSNAs and JHWSs. Where plans are not in line with JSNAs and JHWS, CCGs, the NHS CB and local authorities must be able to explain why.

JHWSs can help health and social care services to be joined up with each other and with health-related services, such as housing, transport, the economy or the environment. Health and Wellbeing Boards must encourage integrated working between health and social care commissioners, and provide appropriate support to encourage partnership arrangements for health and social care services, such as pooled budgets, lead commissioning, or integrated provision. In JHWSs, health and wellbeing boards must consider how far needs can be met more effectively by working together in this way.

The Hounslow JSNA 2017 identified a range of health and wellbeing needs which have been grouped across three age ranges. Supporting mental wellbeing and good mental health throughout these priorities is a part of the new strategy.

The needs are:

Start Well

  • Improving school readiness
  • Reducing child obesity and increasing physical activity
  • Reducing accidents in children and young people
  • Reducing domestic abuse and increasing support for children exposed to domestic abuse
  • Improving air quality

Live Well:

  • Reducing obesity and increasing physical activity
  • Increasing uptake of cancer screening
  • Reducing smoking
  • Identifying those with underlying long term health conditions earlier and ensuring those diagnosed receive evidenced based care to prevent further deterioration (‘secondary prevention’)
  • Improving care for people with Learning Disabilities, ensuring that all are offered and encouraged to take up an annual health check and reducing any excess ill health in this population group
  • Reducing unintended conception
  • Improving air quality
  • Reducing domestic abuse and repeat victimisation

Age Well:

  • Increasing age appropriate physical activity
  • Reducing falls injuries
  • Improving dementia related care to improve quality of life for residents and carers, reduce hospital emergency admissions

Principles (approaches) and enablers:

The new Strategy outlines a way to meet these needs. In summary, four ‘principles’ (or approaches) have been proposed, each with a number of ‘enablers’.

In order to address the needs identified in the JSNA, and the policy and strategic drivers of change in Hounslow, several strategic principles (or approaches) have been defined that govern how the Health and Wellbeing Board will work together. The success of the Joint Health and Wellbeing Strategy will depend on the Health and Wellbeing Board partners supporting or enabling the principles. For each principle a series of enabling actions has been defined which can be directly monitored and reported back to the Health and Wellbeing Board.

The first principle is for the Health and Wellbeing Board members to ensure that investments are made where they can be proven to deliver clear outcomes with measurable efficiency. The Board can provide leadership and strategic oversight to ensure that partners are coordinating greater shared investment in health and social care where the level of need and its on impact on equality groups is highest. This will be helped by working with the community to identify local strengths and assets, which may enable local groups to provide preventative or early help services. Service planning should take into account local need and additional targeting of local equality priority groups, should be made accordingly. Health and care staff can also improve outcomes, but they may need support to change working practices, and particularly in terms of joining up IT systems between organisations.

Enabling the first principle:

  • Ensure resources are targeted against local need using available data and stakeholder views
  • Ensure that resource is allocated where greatest benefit to residents can be found (e.g. through investing in prevention, where possible and appropriate, ensuring that additional focus is made on target groups with the greatest need)
  • Make use of local assets where possible in service development and commissioning
  • Ensure services are commissioned within an evidence based pathway and coordinated with other services in that pathway for best outcomes
  • Make use of new technologies where appropriate and support development of evidence base on effectiveness of new approaches
  • Take a ‘health in all policies’ approach where possible in key services that impact on health (eg planning, transport, licensing, housing, procurement and others) to maximise health outcomes in the borough and create a supportive environment for health and wellbeing
  • Share IT systems between organisations/ where possible and needed, aim to ensure that IT systems are compatible between services
  • Support our workforce to maintain a healthy lifestyle and lead by example to best deliver services
  • Build evaluation into commissioned services and initiatives, including service user feedback with involvement of equality groups
  • Assess progress against outcome indicators for the key conditions identified in the JSNA.

Better communication about and between health and wellbeing services is needed. Residents and service staff members would benefit from targeted, consistent, up to date and accurate information about selfcare,
services and relevant local resources. Opportunities should be grasped to amplify national wellbeing messaging through the Communications resources across the services serving the borough. Clear evidence
based pathways of wellbeing and care are needed for the key conditions included in the issues of need identified in the JSNA. Further transparency is needed on how to access services, eligibility and how residents can also support themselves for wellbeing.

Enabling the second principle:

  • Make more use of new communication technologies: more fully utilise new digital and non-digital approaches to communicate with residents
  • Ensure that details of all services available in the borough are available to residents and staff in accessible formats, that clearly indicate who they are for
  • Coordinate major campaign messaging across the borough across the major services and other sectors, where appropriate
  • Use available data to more effectively target people including equality protected groups with specific risk factors or who might benefit from early interventions or other relevant services
  • Make every Contact Count (MECC): utilise front line staff in all services line contacts to ‘make every contact count’ to prevent ill-health or signpost to relevant services or opportunities
  • For the key conditions of need identified in the JSNA 2017, ensure that services are coordinated are part of an agreed evidence based pathway that is clearly communicated to staff and service users and carers
  • Fully utilise the communication resources that exist within the borough for health messaging (eg through all commissioned services, including non health services, all buildings or other venues owned or leased by Health and Wellbeing Board member services (eg parks, heritage, housing, vehicle fleets etc).

Seamless care for service users is an aim of the new strategy. The user should not find the services disconnected between the various providers or need severity levels. Service users should be at the centre of service planning, with carers and equalities groups fully involved. Budget planning and use needs to be carried out to best serve the user and this may require some new innovative approaches in budget sharing
and planning. Pathways should take a wellbeing approach, with pathways starting with, and including throughout, the relevant selfcare or preventive services to reduce the need for residents developing poorer health.

Enabling the third principle:

  • Ensure that all of the Hounslow JSNA priority needs are covered in jointly agreed relevant evidenced based wellbeing and care pathways
  • Ensure that details of pathways and relevant preventive self care messaging is available to service staff and residents accommodating alternative formats where it can result in more accessible messaging to equalities users
  • Consider budget pooling or other innovative budget use or integrated planning to ensure that service provision is seamless and also aimed at reducing ill health at every stage
  • Ensure that service users and carers are fully involved in wellbeing and care pathways and service planning and communication about pathways and services giving due regard to the needs of those in equalities groups
  • Work with partners outside the borough (such as NHSE) to ensure that national schemes further meet local needs

The fourth principle recognises that many issues impacting the health and care of Hounslow residents are common across neighbouring boroughs, London as a whole. In some instances, benefits to residents can accrue from joint working across borough boundaries. Further, groupings across borough boundaries already exist (across North West London or London as a whole etc) through which opportunities exist to help meet some strategy goals. In addition, such groupings may also offer opportunities for stronger national lobbying for policy development/ nationally or regionally organised service delivery to support strategy goals.

Enabling the fourth principle:

  • Work creatively across borough boundaries where this will benefit residents
  •  Work with partners in other boroughs/ across London to make representation on national issues impacting on the key issues contained in this strategy
  • Require that new infrastructure development plans consider health outcomes at an early stage and developments promote and positively contribute to a healthy living environment
    • Identify regional and national grant funds, in addition to local or regionally available planning and development funds, relevant to Hounslow that support strategy aims, and partners to work collaboratively to maximise health and wellbeing benefits to residents through winning and utilising such grants most effectively
  • Ensure robust and coordinated pressure is placed on regional and national commissioners and policy makers on behalf of the Health and Wellbeing Board

After the Strategy has been approved, Health and Wellbeing Board member organizations will be expected to outline action plans to support these needs using these approaches and enablers. Measures of progress have also been included in the strategy.

Why your views matter

We want to hear your views on the new draft Hounslow Joint Health and Wellbeing Strategy 2018-2022. In this consultation, we are asking for your views on whether you think that the new draft strategy will help guide the Health and Wellbeing Board to meet the needs identified in the JSNA. We are also asking for your comments on the individual principles and enablers identified or any other aspects of the strategy.

We will review and consider all comments on the strategy as part of the process to finalize the new strategy for Hounslow.

If you want a paper copy of the questionnaire or strategy please contact us with your mailing address to send it to and which format you would prefer (please specify if large font or Easy Read is required).

What happens next

As the consultation is now closed, we are bringing together all of the responses and amending the Joint Health and Wellbeing Strategy accordingly. The final strategy will be presented at the meeting of the Hounslow Health and Wellbeing Board in October for final approval


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