Director of Public Health Annual Report 2012 [pdf] - Stoke-on-Trent ...

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Living Well, Staying Well: Long Term Conditions <strong>Director</strong> <strong>of</strong> <strong>Public</strong> <strong>Health</strong> <strong>Annual</strong> <strong>Report</strong> <strong>2012</strong> Acknowledgements I would like to thank my colleagues below for their invaluable help, support and advice in producing this annual report. In particular the editorial team: Dr Nick Pugh, Consultant in <strong>Public</strong> <strong>Health</strong> Medicine; Dr Ifeoma Onyia, Consultant in <strong>Public</strong> <strong>Health</strong> Medicine, Paul Trinder, Senior Epidemiologist; Glenda Augustine, Consultant in <strong>Public</strong> <strong>Health</strong> and Kate Edwards, <strong>Health</strong> Improvement (HIMP) Manager: Social Determinants <strong>of</strong> <strong>Health</strong>. The additional support and contributions <strong>of</strong>: Janet Baker, Independent <strong>Public</strong> <strong>Health</strong> Specialist; Sharon Taaffe, Head <strong>of</strong> HIMP; Carl Bennett, Senior HIMP Specialist; Rochelle Edwards, Senior HIMP Specialist: Risky Lifestyles; Claire McIver, Senior HIMP Specialist: Long-term conditions; Judy Kurth, Principal HIMP Manager (Social determinants); Dr Mohammed Salman, Foundation Year 2 Doctor; Ruth Goldstein, Specialty Registrar in <strong>Public</strong> <strong>Health</strong>; all contributors to the case studies, Alison Minshall, Vaccination and Immunisation Lead and Linda Clark, <strong>Health</strong> Improvement Specialist: Knowledge Management Front cover models: Samantha Dunn, <strong>Public</strong> <strong>Health</strong> Trainee Information Analyst and Andrew Elliott, Category Manager, <strong>Stoke</strong> City Council For their advice on the design <strong>of</strong> this annual report: PR and Communications/Graphic Design Team, <strong>Stoke</strong> City Council Corporate Services/ Print Section, <strong>Stoke</strong> City Council
<strong>2012</strong> Introduction 4 Chapter 1: <strong>Health</strong> Status 6 What is <strong>Stoke</strong>-on-Trent like 8 The health <strong>of</strong> people in <strong>Stoke</strong>-on-Trent 11 Lifestyles <strong>of</strong> people in <strong>Stoke</strong>-on-Trent 27 <strong>Health</strong> and Lifestyles summary 33 Chapter 2: Long-term Conditions 34 What are long-term conditions 36 What is multi-morbidity 38 Living with long-term conditions in <strong>Stoke</strong>-on-Trent 41 <strong>Health</strong> and social care outcomes for long-term conditions 44 Evidence based approach to managing long-term conditions 47 Conclusion 54 Recommendations 60 Appendices 62 References 76 1 | P a g e
Page 1: Living Well, Staying Well: Long-Ter
Page 5 and 6: Introduction Last year’s annual r
Page 7 and 8: 5 | P a g e
Page 9 and 10: Fair Society, Health</stron
Page 11 and 12: 9 | P a g e
Page 13 and 14: Years of life The
Page 15 and 16: Years of life Figu
Page 17 and 18: Map 2 Mortality rates from all caus
Page 19 and 20: Map 4 Mortality rates from cancer (
Page 21 and 22: Map 6 Mortality rates from circulat
Page 23 and 24: Map 8 Mortality rates from all resp
Page 25 and 26: Mortality rate per 1,000 live birth
Page 27 and 28: Table 2 Rankings of</strong
Page 29 and 30: The lifestyles of
Page 31 and 32: The percentage of
Page 33 and 34: Access to treatment has improved si
Page 35 and 36: Health and lifesty
Page 37 and 38: Ten Things You Need To Know About L
Page 39 and 40: Currently, three out of</st
Page 41 and 42: Concerns about stigma that surround
Page 43 and 44: Number Living with Long-term Condit
Page 45 and 46: Map 10 Percentage of</stron
Page 47 and 48: Box 4: People with multimorbidity w
Page 49 and 50: Evidence based approach to managing
Page 51 and 52: This is clearly illustrated in figu
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EVIDENCE: Risk stratification Risk
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Figure 15 Long-term conditions mode
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Ten Things You Need To Know About L
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Figure 16 shows that a child born w
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Long-term conditions chapter LTCs a
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Progress of recomm
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Fair Society, Health</stron
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Appendix 2 Mortality and hospital a
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Appendix 5 ward Mortality and hospi
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Appendix 6 Rankings of</str
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Appendix 7 Rankings of</str
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Ten Things You Need To Know About L
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15 Department of <
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Here are 5 evidence based ways to h
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