The Health and Wellbeing Board brings local stakeholders together to improve the health and wellbeing of people in Rutland.
Local health and care organisations have worked with the public to produce a new health and wellbeing strategy for 2022 to 2027.
The aim of Rutland's strategy is safe, healthy and caring communities where people start well and thrive together through their life.
Our delivery so far
The Health and Wellbeing Board publish annual reports about how the aims and priorities of the strategy are progressing.
Current priorities
Rutland Joint Health and Wellbeing Strategy 2022 - 2027
The strategy covers:
- best start in life
- staying healthy and independent
- healthy ageing and living well with ill health
- equitable access to services
- preparing for our growing and changing population
- ensuring people are well supported in the last phase of their lives
- cross cutting themes – mental health, health inequalities and communication and engagement
Better Care Fund
The fund concentrates on:
- improving discharges
- reducing pressure on emergency, acute and social care
- support intermediate care, unpaid carers and housing adaptions
PCN clinical priorities
Priorities include:
- improve population health and quality of care
- capacity access and improvement plan
- cardiovascular disease - prevention, early detection, and optimisation
- community diagnostics
- increase in health checks
- lipid optimisation and management
- women’s health
- long term conditions management
- frailty
- patients with multiple co-morbidities
Rutland Place Healthcare Plan 2023 -2027
The plan covers a number of areas:
- preventing illness
- peeping people well
- right care, right time, right place
- integrated community health and wellbeing hubs
- optimal pathways for elective care
- learning disabilities and autism
- mental health
- women’s health, including maternity
- children and young people
- local demographic focus
- older people’s health
- access to healthcare
- armed forces community
Key delivery achievements
Our key delivery achievements so far include:
- refresh of the health plan aligned with the 5 year forward view
- successful implementation of the Whzan care homes programme
- enhanced access is fully embedded - more evening and Saturday appointments
- continuation of the dementia wraparound clinic to improve diagnostic rates
- primary care development
- integrated therapy offer across health and social care
- co-location of the RISE and PCN social prescribing and care-coordinator teams to aid co-ordinated care
- launch of the Family Hub in Oakham
- children's mental health services (CAMHS) begin to offer appointments in Oakham
- annual learning disability health checks are being offered to all people aged 14 or over across Rutland
- Making Every Contact Count training being delivered in Rutland with three new train the trainers appointed in 2024
- re-established links have been established with the Memory Clinic, strengthening Rutland’s dementia support offer
- Child and Parent Steering Group has been established and engagement is good
- relocated community diagnostics from Empingham to Uppingham
- mobilisation of the Women’s Hub
- improvement plan for increasing referrals from GPs to MiCare’s End of Life pathway
- expansion of mental health cafes in Rutland
Evidencing impact - the power of digital enablers
| Project | 2021 | What we did | 2024 |
|---|---|---|---|
| Development of the Whzan pilot | Issues with preventable admissions from care homes | Worked with care homes to develop a digital monitoring offer | In 2023, 32 potential hospital admissions were prevented over 6 months |
| The NHS App | Very low utilisation of the app in Rutland | Specific actions in Rutland PCN’s Capacity & Access Improvement Plans | 61% of GP patients registered with on the NHS App |
| Joy | No bridge between the council’s social prescribing team and the PCN | Commissioned Joy as a case management system and social prescribing platform |
Sample size: 242 GP appointments prior to intervention: 5052 Appointments after: 3580 |
Evidencing impact - access to health and care
| Project | 2021 | What we did | 2024 |
|---|---|---|---|
| Increased access to general practice appointments | Total appointments delivered in April 2021: 18,120 |
Roll out of Primary Care Enhanced Access Initiation of the General Practice Capacity, Access and Improvement Plans |
Total appointments delivered In April 2024: 27,495 |
| Development of the community mental health offer |
Lack of mental health close to home Lack of face-to-face mental health support |
Mental health theme within the Joint Health & Wellbeing Strategy Development of the Neighbourhood Mental Health Group and Strategy |
Community Mental Health and Wellbeing Team (MDT) Two neighbourhood mental health cafés Peer support groups |
| Launch of the Pharmacy First Programme |
Not Available General practice only/main point of call for mild illnesses |
Roll out of full Pharmacy First offer from all Rutland pharmacies, including the 7 clinical pathways |
Access to Pharmacy First across all 6 pharmacies 849 patients seen by May 2024 |
| Falls prevention | Falls admissions from care homes a concern | Developed a personalised falls prevention strategy for Rutland care homes |
Reduced preventable falls Minimise the risk of serious harm occurring |
| Rutland Memorial Hospital investments | No concrete plans | Investing in provision at Rutland Memorial Hospital |
Design process continues Completion by 2026 |
Evidencing impact - living well in active communities
| Project | 2021 | What we did | 2024 |
|---|---|---|---|
| Whole system approach to healthy weights | Limited data for Rutland’s population and public engagement was low | Implementation of Rutland staying healthy partnership, with a dedicated working group for healthy weights | Survey issued in August 2024, with 2031 responses received - data will be used to deliver actual change |
| Supporting the population to quit smoking/vaping | Universal smoking cessation service in place commissioned by public health (QuitReady) |
Partnership working to develop Rutland offer for all age groups, including maternity care Implementation of in-house/in-reach maternity support April 2024 |
Dedicated Rutland Stop Smoking Specialist advisor in post Sept 2024 |
| Armed Forces | Lack of wider support and inclusion | Development and implementation of the Armed Forces Health and Wellbeing Plan 2024 to 2025 | Strong relationships have been built with key officers at the barracks - regular meetings, information sharing and improved communication |
What's to come?
Rutland and Melton Levelling Up Proposal
- £23 million of funding to boost local economy and improve connectivity
- will support key projects which will realise the economic potential of both areas
- includes transport infrastructure
Elective and diagnostics
- exploring a clean room development to support provision of elective care and diagnostics
- explore opportunities for local clinics for new and follow-up appointments
- increase access to diagnostics
The Health and Care Collaboration (HCC) Programme
- to develop a single, proactive, health and care system in Rutland
- improve residents experience of access
- to embed population health management and risk stratification approaches
- 7 priority workstreams, including Integrated Neighbourhood Team development and Integrated Health and Care Support Hubs
Same day access
- review of same day healthcare provision
- definition of a clear patient pathway and increasing access to same day urgent care
- reduce the need for patients to access services outside of Rutland
- consolidation of the minor injury and minor illness service into one offer provided at Rutland Memorial Hospital
- completion of a capital business case to support modernisation and upgrade facilities at Rutland Memorial Hospital