Dudley Strategy for Tackling Health Inequalities 2010-15

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Brockmoor & PensnettSt JamesKingswinford SouthWollaston & Stourbridge WestBelle Vale & HasburyCoseley WestNortonSt AndrewsLye & WollescoteQuarry Bank & CradleyAmblecoteCoseley EastPedmore & Stourbridge EastCastle & PrioryHayley GreenSt ThomasSedgleyNetherton & WoodsideWordsleyHalesowen NorthKingswinford North & Wall HeathHalesowen SouthBrierley HillGornal WoodExcess winter death indexWhen gender inequalities are compared, (Figures 4 & 5) it can be seen that moremen than women die before the age of 64, but for both the 65-84 year age group andthe 85+ it is females that have increased mortality. The biggest cause of deaths forfemales aged 65+ is for respiratory diseases and these medical conditions areworsened by cold and damp.Local variations across DudleyFigure 660%50%Excess winter deaths index by Dudley ward (census 2001), pooled for 2002/03 to2006/07Dudley EWDI95% Confidence interval40%30%20%10%0%-10%Dudley Wards (Census 2001)Inequalities in excess winter deaths (Figure 6) are also evident across the wards inDudley, although they do not follow the usual patterns for other health inequalities.Brockmoor and Pensnett and St James‟ ward have the highest numbers of winterdeaths whereas Gornal Wood, Brierley Hill and Halesowen South have very smallnumbers.If Dudley PCT is compared with other PCTs in the West Midlands region there were989 excess winter deaths between 2002/03 and 2006/07, giving Dudley the 5 thhighest percentage of the regional total of winter deaths in the region.147
Figure 7Causes contributing to total excess winter deathsProportion of selected diseases contributing to total excess winter deaths in Dudleyresidents over the period 2002/03 to 2006/07Certain infectiousand parasiticdiseases,3.0%Diseases of thedigestive system,3.7%Mental andbehaviouraldisorders ,4.0%Neoplasms,6.1%Other heartdisease,9.3%Others,9.8%Influenza andpneumonia,14.5%Other respiratorydiseases,8.4%COPD,6.9%Cerebrovasculardiseases,13.5%Ischaemic heartdisease,13.9%Other acute lowerrespiratorydiseases,4.8%Other chronic lowerrespiratory diseases,2.0%Almost all the major causes of death can contribute to winter mortality, (Figure 7) butthe most common causes are respiratory and circulatory diseases which account for70.3% of all deaths.Influenza and pneumonia account for 14.6% of the total; the largest singlecontributor of all the major causes. An increase in the uptake of the influenza vaccinewould make a real difference to premature deaths in this category, particularlyamongst vulnerable groups and the elderly. The Department of Health target foruptake of flu vaccine is 70% and Dudley has reached or exceeded this target from2006 to 2009 in the over 65s (Figure 8). Uptake amongst the under 65s has beenless successful and although there has been a year on year increase since 2006 itonly just reached 50% uptake against a Department of Health target of 60% by2009/10 (Figure 9).148
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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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Timely ResponseTimely access to tre
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Continue implementation of current
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“reduce smoking during pregnancy
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Percentage who currently smokePerce
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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 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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Page 190 and 191: 8.4 DEVELOPING THE ROLE OF THE VOLU
Page 192 and 193: at the heart of action to address c
Page 194 and 195: CHC‟s are trained and supported t
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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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