04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

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DRAFT • Audit suicide deaths against best practice guidance • Increase counselling and cognitive behavioural therapies for management of common mental illnesses • Discussion about pan-London diversion of prisoners with acute mental illness to NHS facility Substance misuse • Regular and mandatory drug testing Health promotion • Enhance health promotion, including peer education, self-help, smoking cessation advice, information on mental health symptoms, self harm, substance misuse, Hepatitis B and C and TB. • Seek innovative opportunities for exercise Lambeth JSNA – Preliminary Assessment Version 4 October 2008 102
DRAFT 10. Lambeth priorities Prioritisation Why do we prioritise in Public Health? The growing pressure to meet the 2010 target has placed a strong emphasis on an area approach. This has emphasised a drive to target spearhead areas to reduce health inequalities resulting in a limited scope of action at local level in disadvantaged areas. PCTs are required to commission health services to “improve health and well being “of the population subject to an available budget. Therefore decisions on how best to allocate available resources need to be taken. However improving well being of the population is too broad criteria for the available resources. History has shown that the demand for care will always exceed the capacity of available resources despite the improvement of knowledge; technology and socio-economic status. With the labour government priority has been given to reducing health inequalities whilst keeping within budget, which requires that PCT select interventions which bring the maximum benefit for the given resources. So the question is: Which package of services is likely to bring the highest reduction of health inequalities, reducing the gap in health status between socio-economic population groups? The need to prioritisation has been a powerful force in narrowing the scope of action and potential interventions. However, considerations should be accorded to the fact that prioritising interventions in minority areas that experience most health inequalities may not always be a cost-effective option. This features in the action to prioritise interventions so that benefits are maximised within available resources. NHS is run on public money and at times difficult decisions are made in terms of prioritising investment to focus on reducing the overall burden of disease that is likely to affect quality of life and healthy life expectancy in the long term, while giving due consideration to health inequalities. How do we prioritise in Public Health? Public health agenda is dominated by two key objectives - Protection of health and Preventing diseases in the local population. Cost-effective interventions that ensure maximum benefits within available resources with an aim to reduce health inequalities is the main outcome of prioritisation. Cost-effectiveness Efficiency refers to a service having results (improvement of the health condition) without wasting time, effort or resources ), therefore leading to saving or “added value.” In the NHS, choice of intervention is based on cost effectiveness so long as there is evidence to support it. At PCT level the challenge is to adapt to local needs and find out the most cost-efficient way to deliver a service which is known to be effective. Ensuring that those in needs access the service and that those who Lambeth JSNA – Preliminary Assessment Version 4 October 2008 103
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DRAFT LONDON BOROUGH OF LAMBETH JOI
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DRAFT Foreword (Director of Childre
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DRAFT 1. Introduction The concept o
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DRAFT - Health as a way of life. -
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DRAFT 6. End of Life Care over the
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DRAFT Lambeth Local Area Agreement
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DRAFT LAMBETH JOINT STRATEGIC NEEDS
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DRAFT Population - Mid Year Estimat
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DRAFT Lambeth Population Projection
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DRAFT Population Density People per
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DRAFT living in other boroughs but
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DRAFT How do they live? • There a
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DRAFT Town Centre Commn Town well t
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DRAFT How is Lambeth ranked on depr
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DRAFT People with substance misuse
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DRAFT there are approximately 1,000
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DRAFT admissions in 2007-08 over 20
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DRAFT • Trauma: falls - The morta
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DRAFT NATIONAL PRIORITIES Reference
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DRAFT GUM services • HIV/AIDS •
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DRAFT • Of the 95,726 people from
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DRAFT Overview of green spaces and
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DRAFT • The Home Office estimates
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DRAFT • Alcohol related ambulance
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DRAFT 5. Economic development - Are
Page 51 and 52: DRAFT • The business sectors with
Page 53 and 54: DRAFT • Lambeth residents are emp
Page 55 and 56: DRAFT benefit, job seekers allowanc
Page 57 and 58: DRAFT • With an average house pri
Page 59 and 60: DRAFT Safety, Parking and Enforceme
Page 61 and 62: DRAFT 6. CYP - Do they enjoy and ac
Page 63 and 64: DRAFT NI 88 NI 89 NI 90 NI 91 NI 10
Page 65 and 66: DRAFT Do the people of Lambeth part
Page 67 and 68: DRAFT Do they live in strong, cohes
Page 69 and 70: DRAFT statutory time limit (NI 132
Page 71 and 72: DRAFT NI 125 NI 129 NI 141 NI 142 N
Page 73 and 74: DRAFT Reference NI 4 Indicator % of
Page 75 and 76: DRAFT facilities good to excellent
Page 77 and 78: DRAFT 7. Are they safe? a. Are they
Page 79 and 80: DRAFT SIGNIFICANT INEQUALITIES IDEN
Page 81 and 82: DRAFT high crime partnership areas
Page 83 and 84: DRAFT Rowdy / Inconsiderate Behavio
Page 85 and 86: DRAFT NI 27 NI 21 NI 24 NI 25 NI 41
Page 87 and 88: DRAFT SIGNIFICANT INEQUALITIES IDEN
Page 89 and 90: DRAFT A great deal of useful feedba
Page 91 and 92: DRAFT The main finding of the consu
Page 93 and 94: DRAFT The entire review is enclosed
Page 95 and 96: DRAFT Licensing and community appro
Page 97 and 98: DRAFT keeping, use of electronic re
Page 99 and 100: DRAFT Physical activity Summary of
Page 101: DRAFT • Prisoners sometimes use n
Page 105 and 106: DRAFT The following describes the p
Page 107 and 108: DRAFT Lambeth JSNA - Preliminary As
Page 109 and 110: DRAFT The comprehensive discussion
Page 111 and 112: DRAFT Thomas’ Charity and Marie C
Page 113 and 114: DRAFT Initiative Outcome Indicators
Page 115 and 116: DRAFT Initiative Outcome Indicators
Page 117 and 118: DRAFT 2. Proportion of eligible pop
Page 119 and 120: DRAFT Chapter 6. Recommendations Th
Page 121 and 122: DRAFT LAMBETH JOINT STRATEGIC NEEDS
Page 123 and 124: DRAFT Objectives: • To develop a
Page 125 and 126: DRAFT 1. A population-based approac
Page 127 and 128: DRAFT C22a,c D13a,b&d Core standard
Page 129 and 130: DRAFT JSNA Steering Group membershi
Page 131 and 132: DRAFT Project timetable with provis
Page 133 and 134: DRAFT Appendix II Lambeth JSNA - Pr
Page 135 and 136: DRAFT Executive Summary This litera
Page 137 and 138: DRAFT Introduction What is the Citi
Page 139 and 140: DRAFT Service delivery The table be
Page 141 and 142: DRAFT treated with respect by their
Page 143 and 144: DRAFT (25%), that their personal da
Page 145 and 146: DRAFT are shown what has happened a
Page 147 and 148: DRAFT Although council tenants are
Page 149 and 150: DRAFT priority for improvement. The
Page 151 and 152: DRAFT Other issues that the CFP sho
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DRAFT Glossary A&E ACS AIDS BME C&Y
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04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

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