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

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Ten Things You Need To Know About Long-term Conditions Department <strong>of</strong> <strong>Health</strong> (2011) 2 | P a g e
Introduction Last year’s annual report introduced the positive impact made by public health to deal with the poor health that is experienced by many <strong>of</strong> <strong>Stoke</strong>-on-Trent’s residents. Although we still lag behind the English average across most health indicators, improvements continue. Much is down to the shift in focus towards prevention and better management <strong>of</strong> long-term conditions. We are performing better than expected in several areas, for example, significant improvement in circulatory disease; the highest coverage <strong>of</strong> Chlamydia screening in the region; a much more effective breastfeeding programme; an excellent intensive follow up service for high risk patients; continued progress on teenage pregnancy; one <strong>of</strong> the best hepatitis C services in the country; and a record number <strong>of</strong> smokers who have been helped to quit. However, overall health remains poor and we need to raise our game on the major killers <strong>of</strong> coronary heart disease, cancer, and chronic lung disease. Last year’s concerns around obesity and alcohol remain. The city now has one <strong>of</strong> the worst records <strong>of</strong> alcoholrelated mortality and hospital admissions in the country, despite recent improvements. <strong>Stoke</strong>-on-Trent faces a constant challenge. Despite all the progress made, we still lag behind most areas <strong>of</strong> England. This reflects the city’s status as the 16 th most deprived in the country, with a large proportion <strong>of</strong> people living in relative poverty. To counter this, sustained efforts are in place to address health inequalities, and all partners rightly embrace the Marmot principles 1 , beginning with the city’s future in securing the best start in life and maximising skills in schools. Mandate for Change will boost business and create more jobs 2 . However, these initiatives take time and right now we are faced with the impending impact <strong>of</strong> welfare reform; while Government policy would argue that tackling welfare reform will oblige people to work, many observers expect that the welfare changes will compound the effects <strong>of</strong> the economic crisis and will have significant impact on health through social determinants such as employment, income and housing. <strong>Health</strong> inequalities are expected to widen and adverse health effects are anticipated, such as increases in mental health problems and mortality from coronary heart disease. 3 | P a g e
Page 1 and 2: Living Well, Staying Well: Long-Ter
Page 3: 2012 Introduction
Page 7 and 8: 5 | P a g e
Page 9 and 10: Fair Society, Health</stron
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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
Page 53 and 54: 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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