Dudley Strategy for Tackling Health Inequalities 2010-15

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Percentage uptake of seasonal flu vaccinePercentage uptake of seasonal flu vaccineFigure 8Percentage uptake of seasonal flu vaccine for patients aged 65 and overAnnual rates, Dudley, 2006/7 - 2009/10Dudley Uptake England Uptake WHO 75% Target DH 70% Target80.070.060.050.040.030.020.010.00.02006/7 2007/8 2008/9 2009/10YearFigure 9Percentage uptake of seasonal flu vaccine for those aged under 65 and at riskAnnual rates, Dudley, 2006/7 - 2009/10Dudley Uptake England Uptake DH Target70.060.050.040.030.020.010.00.02006/7 2007/8 2008/9 2009/10Year149
Percentage uptake of seasonal flu vaccineWhen percentage uptake by GP practice is plotted against the most deprived quintilefor the over 65 GP population the correlation is quite weak (r =0.098) (Figure 10).Dudley‟s uptake is below the England average. There are many practices with lessthan 30% of their population who are most deprived not achieving 70% uptake.Figure 10Uptake of seasonal flu vaccine in those aged 65 and over by GP against percentage of GPpopulation in most deprived IMD quintile, Dudley 2008/9 (R=0.0984, R 2 =0.97%)30384182.3032443777.3072.3067.303231112446422264025514833 34 15721 81751645953201014271836242849 133543472911522350Percentage uptake - Over 65Mid Range IMD1Dudley PCT AverageEngland Average62.30192657.30390 10 20 30 40 50 60 70Percentage of GP population in most deprived IMD quintileWhen uptake of the „at risk‟ groups in the most deprived quintile are compared thecorrelation is more positive (r = 0.58) (Figure 11). Dudley is also slightly higher thanthe England average in influenza uptake for these vulnerable groups, but at less than50% there is more that could be done in primary care to reduce the inequality gap forinfluenza uptake rates.150
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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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1. Stop Smoking Service ProvisionDu
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Page 102 and 103: 3. Communication and EducationDSSS
Page 104 and 105: The PCT, Acute Trust, Local Authori
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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 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
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Page 194 and 195: CHC‟s are trained and supported t
Page 196 and 197: capacity and confidence of individu
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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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