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

DRAFT
What are the PH priorities?
Main public health priorities:
- Improve life expectancy (LE)
- Reduce infant mortality.
- Reduce premature mortality (deaths under 75 years) from heart disease.
- Reduce premature mortality (deaths under 75 years) from cancer.
Additional priorities
In addition to LE and reducing premature deaths from circulatory diseases and
cancer, following are PH priorities with regard to prevention, detection & treatment:
Obesity
Smoking
Alcohol
Cancer Screening
CVD risk
assessment
Hypertension
CHD
Diabetes
Mental health
Sexual health
(TP & HIV)
Smoking, obesity, alcohol and substance misuse have a direct co-relation with
circulatory disease and cancer while hypertension, diabetes contribute to the
development of circulatory diseases leading to reduction in the healthy life
expectancy. Mental health has a direct correlation with physical health and is
identified as a priority in Lambeth.
Early intervention provides effective outcomes in the long-term and importance to
prevention and early detection and treatment have been highlighted through the
Staying healthy work stream developed in the PCT following the five year
Commissioning Strategy Plan.
‘Hiten’s Red Box’ (figure below) used traditionally by the PCT, states the areas of
high burden and low burden depending on performance and also states whether
they are worsening or improving.
High Burden
Hiten’s red box: update 2006/7
Cardiovascular disease mortality
(slower improvement compared for
nationally)
Cancer mortality
Teenage conceptions
Mortality from infectious and
parasitic disease
Healthy living issues (smoking,
obesity, poor diet, low physical
activity, alcohol, drug use)
Chronic liver disease deaths &
morbidity
Chronic renal disease morbidity
Hypertensive disorders
HIV prevalence
STIs prevalence
Severe mental illness morbidity
Diabetes mortality & morbidity
Low Burden
Infant mortality
Immunisation uptake
All cause mortality in girls under 15
years
Drug misuse
All cause mortality in boys under
15 years
Mortality from gastric, peptic and
duodenal ulcers
Improving
Worsening
What are Lambeth PCT’s Commissioning Priorities?
Lambeth JSNA – Preliminary Assessment
Version 4
October 2008
106