Dudley Strategy for Tackling Health Inequalities 2010-15

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Percentage uptake of seasonal flu vaccineFigure 11Uptake of seasonal flu vaccine in those at risk by GP against the percentage of GP populationin most deprived IMD quintile, Dudley 2008/9 (R=0.58, R 2 =3.4%)4875.504670.50423065.5032513736415060.5055.5050.5045.5040.5035.50312123143818527616 47 1720 332135441049 261413431924845289532552739232229341511 400 10 20 30 40 50 60 70Percentage of GP population in most deprived IMD quintilePercentage uptake - Under 65 at riskMid Range IMD1Dudley PCT AverageEngland AverageFuel PovertyThere is an established link between poor housing and health and typically it is olderpeople that are living in older properties that are poorly insulated and difficult to heat.Fuel poverty affects rural and urban areas alike, but Dudley has small pockets of fuelpoverty where anything between 7.3% and 25.9% of the population are spendingmore than 10% of their income on energy (Figure 12). In general these pockets areto be found in the parts of the borough where there are old properties. The DecentHomes standard was brought in to ensure that all homes are insulated and havecentral heating; Dudley is set to meet the Decent Homes standard for its councilowned properties by 2011.151
Figure 12Seasonal Excess Winter DeathsCurrent services in DudleyHealth through WarmthInitiatives that are in place and have developed since 06/07 include the HealthThrough Warmth initiative that has received national recognition for the work inDudley at the NHF Neighbourhood Awards.Excess Winter Deaths Impact GroupA group has been established in Dudley to take forward and collaborate on initiativesthat can help reduce winter deaths. This has representation from the followingpeople.Membership includes:-Public health, Health through Warmth lead, case managers, commissioning lead forolder people, local authority managers, specialist nurses for COPD and HeartFailure, Age Concern, older people specialist pharmacist and the falls coordinator.152
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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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Proportion of clients that have qui
Page 102 and 103: 3. Communication and EducationDSSS
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Page 110 and 111: Standardised Rate per 100,00 popula
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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
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Page 134 and 135: As more people than ever are surviv
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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
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Page 158 and 159: Standardised Rate per 100,000 popul
Page 162 and 163: PercentagePercentageFigure 7aMechan
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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
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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
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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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