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

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DRAFT 9. Review of needs assessments Health Needs assessments are a primary source of identifying gaps in services for health and service improvement. Lambeth PCT conducts needs assessment routinely to influence commissioning decisions. A proforma was created and used for reviewing health needs that are completed in health and social care as part of the Joint Strategic Needs Assessments. The following health needs assessments were reviewed: Alcohol, Physical Activity, children and young people, older people, teenage pregnancy, sexual health. Summary of findings and recommendations where provided by the needs assessments are as follows: Alcohol Summary of needs Met Epidemiology Unmet • Male predominance in deaths due to alcohol fallen from 87% to 56% (2001-5) Service access • ARP (Alcohol Recovery Project) and acute services believed to be high quality when accessible Epidemiology • Rising mortality in females from alcohol; projected to exceed males • Underestimation of extent of problem in A+E and ambulance, as ICD-10 coding not used Service access • Low self-referral to services (3% in Lambeth vs. 36% nationally) and poor links between acute and rehabilitation services • 67% in-patient referral below target of 80% • 61 and under have less knowledge than nationally (0.5% vs. 78% nationally) • Alcohol services at maximum capacity, poor accessibility, not culturally specific, not holistic • Poor use of community strategies and integrated care pathway Summary of recommendations Medical care • Screening and brief interventions in community/primary settings, complex care should be referred to specialist centres. Development and use of integrated care pathways • Ensure quality of care through use of standards such as DANOS/NOS Service provision and configuration • Need to increase capacity, community based specialist outreach services, shared care with primary care. • Ensure accessibility and targeting of specific groups (BAME, young people, women etc) Health promotion • Need for media and marketing strategy in both health and non-health centres Information, monitoring and performance management • Need to improve A+E and ambulance coding. Data needs to be collected on alcohol attributable appointments in primary care setting Lambeth JSNA – Preliminary Assessment Version 4 October 2008 94
DRAFT Licensing and community approaches • Extension of existing licensing process and health promotion strategies Summary of implementation plan • Use Models of care for alcohol misusers (MoCAM) guidance as framework for commissioning • Increase capacity through community based specialist outreach services, increase accessibility through more walk-in centres and out of hours services • Develop programmes and services to target specific groups • Develop media and marketing strategy (e.g. leaflets, posters) and target health and nonhealth settings, including alcohol service directory • Data collection and analysis of A+E and ambulance use, primary care appointments and alcohol services use attributable to alcohol. Analysis along integrated care pathway • Extend “Safer Socialising” scheme with incorporation of general health promotion e.g. Night Club Health interventions • Use the Licensing process to ensure use by local businesses. Children and young people Summary of needs Met Antenatal-infancy • Higher breastfeeding rate than nationally • Maternal smoking rate equivalent to nationally Age 1-5 • Lower tooth decay than nationally • Increase in number of nursery places between 1997 and 2004 Age 5-15 • Lower level obesity than nationally Unmet • High number of children living in poverty Antenatal-infancy • Lower immunisation coverage than nationally, lower than 95% target • Significantly low birth rates in Tulse Hill, Coldharbour and Vassall wards Age 5-15 • Significantly raised under-15 mortality rate Age 16-19 • Higher teenage pregnancy rate than nationally Children with disabilities • Disability register not up to date Children and adolescent’s mental health • Children whose 1 st language is not English may not be known to housing/family support/health services and often have higher mental health needs • Children in care homes and looked after children have poorer outcomes • Higher prevalence mental health problems in boys and white children • Unmet need for treatment of conduct disorders, psychotic disorders, eating disorders (? Incomplete data) Summary of recommendations Antenatal-infancy • Antenatal Care: Ensure mobility within borough and between boroughs, chase addresses, universal electronic record keeping, improve communication between Lambeth JSNA – Preliminary Assessment Version 4 October 2008 95
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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
Page 43 and 44: DRAFT Overview of green spaces and
Page 45 and 46: DRAFT • The Home Office estimates
Page 47 and 48: DRAFT • Alcohol related ambulance
Page 49 and 50: 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: DRAFT The entire review is enclosed
Page 97 and 98: DRAFT keeping, use of electronic re
Page 99 and 100: DRAFT Physical activity Summary of
Page 101 and 102: DRAFT • Prisoners sometimes use n
Page 103 and 104: DRAFT 10. Lambeth priorities Priori
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
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DRAFT are shown what has happened a
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DRAFT Although council tenants are
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DRAFT priority for improvement. The
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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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