Dudley Strategy for Tackling Health Inequalities 2010-15

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The deprivation gap in invasive cancer mortality in males has fallen significantly overtime in the West Midlands. In the period 2005-2007, 3,777 extra deaths (21%) wereregistered than would be expected when compared to the most affluent population,down from 4,916 (29%) in 1996-1998. This suggests the deprivation gap between allWest Midlands residents and the most affluent population is closing. This trend isalso seen in Dudley.Figure 4All invasive cancers, excluding non-melanoma skin cancer (ICD10 C00-C97 excl. C44): Trendsin excess mortality (%) over time (1996-1998, 2001-2003, 2005-2007) West Midlands PCTs, malesSource: West Midlands Cancer Intelligence Unit, Excess Cancer Incidence and Mortality 1997-2007The deprivation gap in invasive cancer mortality in females has also fallensignificantly over time in the West Midlands. In the period 2005-2007, 2,942 moredeaths (18%) were registered than would be expected compared to the most affluentpopulation, down from 3,721 (24%) in 1996-1998. This suggests that the deprivationgap between all West Midlands residents and the most affluent population is closing.This trend is also seen in Dudley.121
Figure 5All invasive cancers, excluding non-melanoma skin cancer (ICD10 C00-C97 excl. C44):Trends in excess mortality (%) over time (1996-1998, 2001-2003, 2005-2007)West Midlands PCTs, femalesSource: West Midlands Cancer Intelligence Unit, Excess Cancer Incidence and Mortality 1997-2007Cancer incidenceFor the 2000-04 time period all malignancies group and 11 of 23 site groups showeda statistically significant association between cancer incidence and socio-economicdeprivation. (National Cancer Intelligence Network, 2009). Head and neck, stomach,liver, lung and cervical cancers were particularly strongly associated with socialdeprivation, for these groups rates in the most deprived quintile approached twicethat in the most affluent quintile. While those of breast, skin and prostate are found atincreased rates among higher socioeconomic groups. Even among those cancerswhere incidence is higher among wealthier socioeconomic groups death rates arehigher among deprived communities.The picture for ethnic minority groups varies according to cancer type and ethnicgroup. In general, incidence is lower amongst ethnic minority groups, although thereare some important exceptions (incidence of prostate cancer is greater amongstBlack African and Black African-Caribbean men, liver cancer in South Asians, andmouth cancer in Bangladeshis)122
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2010FDudley Strategy forTackling He
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ENDORSEMENT OF THE 2010 - 2015HEALT
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CONTENTSFOREWORD………………
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Standardised Rate per 100,000 Popul
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There were three principles that un
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This work has been built on trustin
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ENSURE A HEALTHY STANDARD OF LIVING
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with, or at high risk of vascular d
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Tackling underage/illegal alcohol c
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2. VISION STATEMENTThe mission stat
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tackle health inequalities in the t
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These recommendations are addressed
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injustice and deprivation impact ne
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- Giving priority to pre and post-n
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Percentage of live and still births
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EYFS Median Scores by National Depr
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data which shows us locally what ac
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instability. Factors such as job se
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Proportion of population claiming J
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Data is available for those ALMPs f
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Labour market outcomes to date are
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achieved through transfer payments,
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% share of equivalised incomeA comp
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Figure 7 shows the income distribut
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Figure 9Proportion of the populatio
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Although temperature variations dur
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5. LEADERSHIP AND PARTNERSHIPDudley
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A Community Renewal team which coor
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6. COMMUNITY ENGAGEMENTCommunity En
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o DMBC sharing their community enga
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Transferring power to communitiesNI
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Standardised Rate per 100,000 Popul
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Secondary Prevention of CVDOptimum
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Ratio of obsevred vs. expected prev
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Performance variation cannot be exp
Page 71 and 72: Table 4: Range of performance gapDi
Page 73 and 74: Conclusions:The general conclusions
Page 75 and 76: 7.2 ACUTE CARDIO-VASCULAR DISEASE (
Page 77 and 78: Standardised Rate per 100,000 Popul
Page 79: Timely ResponseApproximately 30% of
Page 82 and 83: IMD ScoreRevascularisation Ward Rat
Page 84 and 85: That an increase in access to diagn
Page 86 and 87: Establishing the level of health eq
Page 90 and 91: Timely ResponseTimely access to tre
Page 92 and 93: Continue implementation of current
Page 94 and 95: “reduce smoking during pregnancy
Page 96 and 97: Percentage who currently smokePerce
Page 98 and 99: 1. Stop Smoking Service ProvisionDu
Page 100 and 101: Proportion of clients that have qui
Page 102 and 103: 3. Communication and EducationDSSS
Page 104 and 105: The PCT, Acute Trust, Local Authori
Page 108 and 109: admissions. The following year Dudl
Page 110 and 111: Standardised Rate per 100,00 popula
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Page 114 and 115: women the Mosaic groups with signif
Page 116 and 117: numbers of alcohol related sexual o
Page 118 and 119: These include:Securing additional i
Page 124 and 125: Age standardised incidence rate rat
Page 128 and 129: One of the priorities of the Cancer
Page 130 and 131: Colorectal cancerProstate cancerThe
Page 132 and 133: and less radical treatment than you
Page 134 and 135: As more people than ever are surviv
Page 136 and 137: • Benchmarking of surgery aspirin
Page 142 and 143: There is a weak correlation between
Page 144 and 145: 7.7 SEASONAL EXCESS DEATHSREDUCING
Page 146 and 147: Excess Winter Mortality Index (%)Me
Page 148 and 149: Brockmoor & PensnettSt JamesKingswi
Page 150 and 151: Percentage uptake of seasonal flu v
Page 152 and 153: Percentage uptake of seasonal flu v
Page 154 and 155: The group will establish terms of r
Page 158 and 159: Standardised Rate per 100,000 popul
Page 162 and 163: PercentagePercentageFigure 7aMechan
Page 164 and 165: PercentageFigure 8bMechanism of inj
Page 166 and 167: Key findings from analysis of morta
Page 168 and 169: Standardised rate per 100,000 popul
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Standardised Rate per 100,000 popul
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PercentageFigure 17bMechanism of in
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Key findings from analysis of emerg
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Action plan updated in 2008 to rein
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the minimum standards set out by th
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Further analysis shows that for hyp
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8.2 SOCIAL CAREAdult Social CareSoc
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8.3 TRANSFORMING COMMUNITY SERVICES
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DCS has some key performance target
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8.4 DEVELOPING THE ROLE OF THE VOLU
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at the heart of action to address c
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CHC‟s are trained and supported t
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capacity and confidence of individu
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which it has never done before. The
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centres‟ outreach workers and Hea
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9.1 DUDLEY HEALTH INEQUALITIES HIGH
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RECOMMENDATION ACTIVITY OUTCOMES LE
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Dudley Community Partnership (2005)
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Great Britain. Department of Health
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NHS Dudley and Dudley Metropolitan
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APPENDIX 1 - PERFORMANCE INDICATORS
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Indicator Dudley England Least Most
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APPENDIX 2 - DELIVERY PLANS FOR PRI
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PRIORITY AREA: TOBACCO CONTROLRECOM
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All of these initiatives will requi
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Empower community members toraise a
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Develop an integrated alcoholtreatm
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Offender ManagementRECOMMENDATION A
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PRIORITY AREA: SEASONAL EXCESS DEAT
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APPENDIX 3 - HEALTH INEQUALITIES CH
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PRIORITY ACTIONENGAGEMENT- WORKFORC
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Dudley Strategy for Tackling Health Inequalities 2010-15

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