Dudley Strategy for Tackling Health Inequalities 2010-15

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Standardised Rate per 100,000 Population1983-19851984-19861985-19871986-19881987-19891988-19901989-19911990-19921991-19931992-19941993-19951994-19961995-19971996-19981997-19991998-20001999-20012000-20022001-20032002-20042003-20052004-20062005-20072006-2008If the mortality associated with the two biggest disease contributors to COPD,bronchitis and emphysema, are compared a similar pattern can be seen. The declinein premature mortality is the greatest in males, but this decline has slowed and isnow higher than the national downward trend. (Figure 4)Figure 4Directly Standardised Mortality Rates from Bronchitis & Emphysemia by Year3-Year Rates, Dudley, Males & Females Aged Under 75, 1983-1985 to 2006-2008302520151050Admissions to hospital associated with COPDThe three year rates for admissions to hospital caused by COPD have reducedslightly for males but increased very slightly since 2003 for females .(Figure 5).Emergency admissions show the same patterns139
Standardised Rate per 100,000 PopulationStandardised Rate per 100,000 Population2003/04-2005/062004/05-2006/072005/06-2007/082006/07-2008/09Figure 5200Directly Standardised Rates of All admissions COPD by Year3-Year Rates, Dudley GP Registered Population, Males & Females All Ages,2003/04-2005/06 to 2006/07-2008/09180160140120100806040200Figure 6.450Directly Standardised Admission Rates from Emergency admissions COPDby Percentage of GP population in the Most Deprived IMD 2007 QuintileBoth Sexes, All Ages, 200840035030052474553224134Correlationcoefficient0.4242502001501005031230213135433163210 742 618 2038 14491743212413 26194651828954825273923361129154050DSRDudley averageMid range IMD 1044370% 10% 20% 30% 40% 50% 60% 70% 80%Percentage of GP population in most deprived IMD quintileSource: Secondary Users Service (SUS) Hospital AdmissionsPrimary Care Mortality Data GP Registered PopulationDepartment of Communities & Local Government Indices of Deprivation 2007140
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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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Secondary Prevention of CVDOptimum
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Ratio of obsevred vs. expected prev
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Performance variation cannot be exp
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Table 4: Range of performance gapDi
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Conclusions:The general conclusions
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7.2 ACUTE CARDIO-VASCULAR DISEASE (
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Timely ResponseApproximately 30% of
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IMD ScoreRevascularisation Ward Rat
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That an increase in access to diagn
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Establishing the level of health eq
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Page 90 and 91: Timely ResponseTimely access to tre
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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 106 and 107: Standardised Rate per 100,000 Popul
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 122 and 123: The deprivation gap in invasive can
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
Page 174 and 175: PercentageFigure 17bMechanism of in
Page 176 and 177: Key findings from analysis of emerg
Page 178 and 179: Action plan updated in 2008 to rein
Page 180 and 181: the minimum standards set out by th
Page 182 and 183: Further analysis shows that for hyp
Page 184 and 185: 8.2 SOCIAL CAREAdult Social CareSoc
Page 186 and 187: 8.3 TRANSFORMING COMMUNITY SERVICES
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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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