This meeting will include presentations about several local healthcare initiatives, including the Changing Futures programme, the WorkWell programme, the contribution of Lived Experience to healthcare provision, and the LeDeR programme for learning disabilities. In addition the meeting will be asked to approve a number of Key Performance Indicators designed to support the delivery of the council's Healthy Weight objectives. There will also be a presentation on the recently established Prevention and Health Inequalities Steering Group.

Changing Futures

The report pack includes a presentation on the Changing Futures programme, which was launched in September 2022, closed to new referrals at the end of September 2024, and will cease to be funded at the end of March 2025. The programme has provided support to 162 people facing multiple disadvantages, and the presentation will provide detail of some of the outcomes for those people. The report pack contains a table which attempts to estimate the cost savings to the public purse of the programme's interventions. The report also describes the programme's work to support people leaving prison, and to support sex workers. It also includes a proposal for a new pre-tenancy training programme to help vulnerable people to maintain tenancies in settled accommodation. The report asks the board to consider further funding arrangements post April 2025.

LeDeR High Impact Actions

The meeting will consider a presentation on the LeDeR (Learning Disabilities Mortality Review) programme's High Impact Actions for 2024-2025. The presentation describes the programme's work to review the deaths of people with learning disabilities and autistic people, and asks the board to consider how to ensure that the needs of those people are reflected in all of the board's work. The presentation includes the case of Saira, a woman with Rett Syndrome¹ and a learning disability who died from cervical cancer aged 42. The presentation asks the board to ensure that the needs of people with learning disabilities and autistic people are included in every paper, presentation, pathway and service that is delivered , and asks how the impact of this work is measured.

LLR WorkWell Programme

The report pack includes a presentation on the LLR WorkWell Programme, which is a pilot scheme to support people with health conditions to stay in work. The scheme is due to begin service delivery from Autumn 2024, and will provide participants with expert assessment of their health-related barriers to work, and a tailored plan to address those barriers. The scheme will be delivered by Primary Care Networks, who will recruit specialist 'work and health coaches'. Seven primary care networks in the city have already agreed to participate, with others in discussion. The report states that:

In LLR, according to NHS Digital, there are approximately 20,000 individuals yearly requesting a fit note, all eligible for a WorkWell service. Assuming 4,000 to 6,000 of these are a first or second episode, they would be the prime candidates for the service.

The report asks the board to note the update and support the programme's implementation.

Lived Experience contributions to Health and Wellbeing

The meeting will receive a presentation by Dear Albert, a Lived Experience Recovery Organisation that works to support people recovering from substance misuse. Dear Albert manages a range of community-based programmes designed to support people in recovery, including a Sunday Breakfast Club , a Naloxone distribution programme, and community rehabilitation activities. The presentation argues that lived experience should be imbedded in future treatment models, and describes the organisation's hybrid approach to care, stating that:

As we see it... LERO’s - Peer led Positive Social Networks - sustainable health & wellbeing Community Assets Mutual Aid and co-production Active Citizenship

The presentation asks the board to consider how Dear Albert's lived experience/mutual aid model could be applied to other areas of social care.

Healthy Weight

The meeting will consider the approval of a number of Key Performance Indicators designed to support the delivery of the council's Healthy Weight objectives. The board aims to enable at least 40% of the city's adult population and 70% of children in year 6 to be a healthy weight by 2034. The meeting pack includes a number of KPIs to support four projects:

• Pilot brief intervention training for professionals to support them to have conversations about healthy living with adults and families;
• Developing opportunities to improve healthy weight outcomes for pregnant women and new mothers;
• Increasing the number of schools participating in the Daily Mile or similar physical activity programmes;
• Supporting social care practitioners to help adults with learning disabilities to maintain a healthy weight.

The report asks the board to approve the adoption of these KPIs.

Integrated Health and Care Group Update

The report pack contains an update on the activities of the Leicester Integrated Health and Care Group. The group has now been active for three months, and has established reporting frameworks for partners including Primary Care Networks, Leicestershire Partnership Trust, Healthwatch, and the University Hospitals of Leicester. It has received updates on the Health, Care and Wellbeing Delivery plan, and has requested a review of the Joy App social prescribing programme. The report states that:

The group is outcome focused with an active action log. Furthermore, a risk log with points that could be escalated to this group is being developed. A suggestion for the development of a risk log for Health and Wellbeing Board was also made.

The group has recently recruited a programme manager to provide strategic leadership, and will continue to meet monthly.

Health and Wellbeing Board Annual Report

The meeting will be asked to approve the Health and Wellbeing Board Annual Report. The report covers the period from August 2023 to August 2024, and includes an overview of the board's work, updates on the work of partner boards, a review of the progress of the Health Care and Wellbeing Delivery Plan, and plans for the coming year. The report describes the process by which the board's six do priorities were selected from the 19 key priorities set out in the Joint Local Health and Wellbeing Strategy, and gives an update on the progress of those six priorities. It also describes the board's work to address the needs of the city's 'PLUS groups', which are people experiencing homelessness, people with a learning disability, and people with severe mental illness. A short newsletter summarising the report will be published once it has been approved.

Prevention & Health Inequalities Steering Group

The report pack contains a presentation on the recently established Prevention & Health Inequalities Steering Group. The group was established in June 2024 with the aim of coordinating preventative work across the healthcare system. It met with a range of stakeholders in August, and is now focusing on four priority areas: childhood immunisations, healthy weight, hypertension, and mental health. The group intends to establish 'task and finish groups' to develop specific actions on each of these priorities. The presentation states that:

For each priority area, task and finish groups will be established to work on small, specific actions that can be boosted by joint working with partners and ensure visible results.