What we will do

Our strategic aims

Joined Up Care Derby and Derbyshire has set four strategic aims for integrated care:

• prioritise prevention and early intervention to avoid ill health and improve outcomes
• reduce inequalities in outcomes, experience and access
• develop care that is based on the strengths of people and communities, and which is personalised
• improve connectivity and alignment across Derby and Derbyshire, to ensure people experience joined up care, and to create a sustainable health and care system

What good health means

We have set three “key areas of focus”.

Start Well

We want to help children have better health and development, and make sure that all children have the same opportunities.

We will see if this is successful by measuring the percentage of children who reach a “good” level of development at the end of reception year.

This will tell us about children’s physical and social health.

Good health for “start well” means:

• Women have a healthy pregnancy
• Children are born safe and well into a nurturing and secure relationship with care givers
• Children have good nutrition, access to health care, social care, and education
• Children thrive and develop positive and healthy relationships.

Stay Well

To reduce the amount of people getting sick or dying early from three main illnesses – circulatory disease, respiratory disease and cancer

Success will be measured through reduction in death from these causes.

Good health for “stay well” means:

• People live a healthy life, can make healthy choices, and are protected from harm.
• They maintain quality of life and recover well from ill health or injury.

Age Well and Die Well

To help older people to live healthy, independent lives, where they normally live, for as long as possible.

Services will make health and wellbeing a priority. They will help people in a crisis to remain at home where possible. They will help people to become independent again after they have had care or treatment.

Good health for “age well and die well” means:

• People thrive and stay fit, safe, and secure into older age.
• They keep their independence and playing an active part in society.
• They have a personalised, comfortable, and supported end of life. 

Tackling risks to good health

We will also focus on achieving improvements in areas that we know present risks. Addressing these together will make a positive difference in overall health and wellbeing:

• reducing smoking prevalence
• increasing the proportion of children and adults who are a healthy weight
• reducing harmful alcohol consumption
• more people taking part in physical activity
• reducing the number of children living in low-income households
• improving mental health and emotional wellbeing
• improving access to suitable, affordable, and safe housing
• improving air quality

Tackling health inequalities

Health inequalities are avoidable, unfair differences in health between different groups of people.

The local NHS will focus on making improvements in five areas where we can make a big difference in reducing health inequalities.

These are:

• continuity of maternity care especially for the most deprived group
• ensure health checks for people with severe mental illness and learning disabilities
• improving vaccination uptake
• diagnosing cancers early
• reducing the risk of heart attack and stroke by supporting better management of blood pressure

These priority areas for NHS action complement other priorities set by our local councils and other partners. By working together to achieve the same goals our joint action will be more effective.

Priority groups

We will make the greatest effort to improve health and tackle inequalities with groups of people where we can make the biggest difference.

For children and young people these are:

• the 20% most deprived population
• teenage parents
• homeless families
• looked after children
• children born at a low birthweight (due to factors during pregnancy)
• children with special educational needs

For adults we will focus first on finding out if there are any unfair differences in how people can access healthcare services. We will work to reduce these differences.

For older people we will work to identify and support people to make sure they get the right care that suits their needs. We especially want to support people who have the most complex needs.

Supporting local partners

NHS Derby and Derbyshire Integrated Care Board is working together with Derby City Council and Derbyshire County Council to achieve the goals set in the Derby and Derbyshire health and wellbeing strategies.

The local NHS and councils will also work with the UK Health Security Agency to protect local people from threats to their health.

The health protection system includes areas such as:

• infection control
• screening for diseases
• vaccination programmes

We will develop our approach to health protection and make sure these priorities are included in our work.