Ambition 1 Helping our people live healthier and more independent lives
We know health and wellbeing is essential for everyone and helps our County to grow and flourish. But people's health and wellbeing varies across Nottinghamshire.
Those in our most disadvantaged areas have lives which are on average 7.5 years shorter than people in our least disadvantaged areas. As well as living lives which are shorter, they will also spend 14 years more living in poor health. Some of our population are particularly affected. Women in our most disadvantaged communities can expect to live on average one third of their lives in poor health.
Access to health and care services is important but only forms a small part of our health and wellbeing. Factors like housing, employment, education, food, transport, air quality and community networks play a big role. These are also areas where our residents experience inequalities. That's why we'll work alongside other organisations to make sure the places we grow, live and work improve health and wellbeing for all — especially in those areas where the need is greatest. But we’ll also improve our services, so they have the biggest impact for local people. Our ambition is that people in every community enjoy healthier, happier lives and remain independent for longer.
The Big Notts Survey
- 2 in 5 (41%) people named their own or others’ mental health as one of their top concerns during the pandemic. This remains a top concern for the near future.
- Over 1 in 4 (27%) said good health was their top goal over the next 10 years, with this rising to 1 in 2 (52%) for the over 65s.
Over the next four years we will:
Use our influence to create healthy and sustainable places
We’ll ensure that the environment we grow, live, work and age in promotes good health and wellbeing. We’ll use the planning and transport system, along with economic planning, licensing and policy decisions, to create places that do this. This will also help to reduce health inequalities and benefit the environment, for a better quality of life.
Give our children the best start in life
We will deliver our Best Start Strategy [PDF], so that all children in Nottinghamshire, wherever they live, grow up to enjoy the best health possible, are protected from harm, and have access to education that enables them to reach their potential and boost their future life chances.
Promote good mental health and wellbeing for everyone
We’ll work with partners to improve emotional and mental health in Nottinghamshire, recognising the extra strain caused by the pandemic and the challenges faced by young people and people with additional needs.
- use our influence and powers to ensure the places in which we grow, live and work promote good health
- make it easier for people to access the right mental health and wellbeing support at the right time
- coordinate support with our partners through our shared Mental Health Strategy [PDF] and work together to prevent suicide
- develop and continue to improve services specifically for children and young people through Integrated Commissioning
- expand the Nottalone website, which supports children, young people, parents, carers and professionals
- offer people with long term social care, mental health needs, learning disability and autism, timely support closer to home
- ensure relevant staff are properly trained in supporting people’s mental and emotional health.
Support individuals to improve their health and wellbeing
We’ll provide services that support people in improving their health and wellbeing. These will address the biggest causes of ill-health – smoking, poor diet, physical inactivity, being overweight, harmful alcohol use and substance misuse. While these will improve the health and wellbeing of everyone in Nottinghamshire, we’ll focus on where the need is greatest. We’ll also address the social and environmental factors that cause differences in people’s health. Finally, we’ll support other organisations to deliver services which better prevent poor health, loss of independence and unnecessary hospital stays.
Support people to live independently in their own homes for longer
We’ll work with people to enable them to live healthy and independent lives and support people to find their independence and confidence again after a time of ill-health. We’ll take a personalised approach to finding the right care and support for individuals and act early to prevent more costly and intrusive care later on. With the help of our health colleagues, new local area coordinators and local community resources, we’ll talk to people about their strengths, assets and skills, and support them to live the best life they can. And, when people need it, we’ll offer a range of care opportunities, close to where they live.
Create homes in which everyone can live and age well
We’ll use Council land to supply new homes that meet the needs of people of all abilities in Nottinghamshire and help them to live independently.
Strengthen partnership working across the local health and care system
We’ll work with partners to reduce unnecessary hospital admissions and help people to return home as soon as they are well.
We’ll also work in partnership with the Nottingham and Nottinghamshire Integrated Care System to deliver the proposals outlined in the Health and Care Bill 2021. This will help us deliver more joined-up services, so care is better allocated and health and care professionals can work together more easily, which in turn will prevent poor health and benefit people's wellbeing.
Protect people from existing and emerging threats to health
We’ll work in partnership to ensure there are good arrangements to protect people from outbreaks of infectious diseases and non-infectious environmental hazards, focusing on protecting those most at risk of harm. We’ll also continue to deliver Nottinghamshire’s COVID-19 Local Outbreak Management Plan [PDF].
- People live more years in good health
- Increased life expectancy in areas with the biggest inequalities
- People are happier and have reduced anxiety
- More people living independently in their local community.
In 2022-23, to achieve this, we will deliver the following actions:
Launch the Nottinghamshire Food Charter, make Nottinghamshire a Sustainable Food Place and develop a food action plan
We will launch the Nottinghamshire Food Charter, make Nottinghamshire a Sustainable Food Place and develop a food action plan to address the causes of food poverty and to improve the local food environment and food system for better health and wellbeing, environmental and economic outcomes.
Develop and deliver a housing strategy for Nottinghamshire
We will develop and deliver a housing strategy for Nottinghamshire with our district partners, recognising the importance of good, safe, environmentally sustainable and affordable housing for healthier and more independent lives.
Work with partners to publish the County’s ‘best start for life’ offer
We will work with partners to publish the County’s ‘best start for life’ offer for prospective parents, expectant parents and for families with children up to their first 1,001 Days, also establishing a new team to help parents to build good relationships and strong attachments with their babies. This will support parents/carers to provide a healthy and nurturing environment, so that children are able to thrive and develop with their families.
Establish Local Area Coordinators
We will establish Local Area Coordinators to develop the personal strengths of those needing support to enable them to find it in their own community. Coordinators will work alongside community and voluntary sector partners to help people achieve good lives through increased and sustained independence, reduced social isolation and increased opportunity, and preventing more costly interventions later on.
Adopt a new integrated, person-centred and needs-led model of delivery for mental health services
We will adopt a new integrated, person-centred and needs-led model of delivery for mental health services for children, young people and their families (THRIVE). This will ensure we talk about mental health and help and support in a common language that everyone understands.
Establish a Substance Misuse Partnership Board and develop a local Substance Misuse Strategy
We will establish a Substance Misuse Partnership Board and develop a local Substance Misuse Strategy, in alignment with the new national Harm to Hope Strategy. This will reduce the harm to health and deliver better treatment and recovery programmes for people in need.
Undertake a COVID Impact Assessment
We will undertake a COVID Impact Assessment to understand the impacts of the pandemic and the needs of our residents of all ages in the future. This will inform what services we deliver in future, how we deliver them and will address the inequalities amongst our communities that have been exacerbated by the pandemic, especially for children and young people.
Establish a new Health Protection Board
We will establish a new Health Protection Board to provide assurances on the arrangements and outcomes for the protection of the health of residents in Nottinghamshire.
Develop a CLEAR Process for Tobacco Control
We will develop a CLEAR Process for Tobacco Control to ensure we are using the most effective methods and actions to reduce harm from tobacco. We will also work with schools to deliver INTENT, a smoking prevention programme, across secondary schools across the County which has been shown to reduce smoking uptake among young people.
Develop improved mental health support for adults and older adults
We will work with partners to develop improved mental health support for adults and older adults in the community.
Publish a Carers Strategy
We will publish a Carers Strategy which will set out what we will do together to improve the health and wellbeing of carers.
To find out more about what we’ve got planned for the current year, you can read our full Annual Delivery Plan 2022/23 [PDF].
Our other ambitions
Supporting communities and families
Keeping children, vulnerable adults and communities safe
Building skills that help people get good jobs
Strengthening businesses and creating more good-quality jobs
Making Nottinghamshire somewhere people love to live, work and visit
Attracting investment in infrastructure, the economy and green growth
Improving transport and digital connections
Protecting the environment and reducing our carbon footprint