Dudley Strategy for Tackling Health Inequalities 2010-15

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Standardised Rate per 100,000 populationFigure 5a & b shows the trend in mortality rates for accidents and suicides andundetermined injuries by sex and broad age band. The highest rates are in theoldest age group for accidents and this is the only age group where rates areequivalent for females and males. Rates are generally higher for males thanfemales between ages 15 and 64, with this gap beginning to narrow for ages 50-54and older. At ages up to 15, rates are also more similar between males andfemales, but again tend to be higher in the males. Rates begin to rise after age 9through to age 20-24. In males rates tend to decline from age 20-24 to 65-69 andthen start to increase to the oldest age group. For women the pattern is slightlydifferent with a tendency for rates to gradually increase from age 20-24 through toage 50-54, where the rate declines until 65-69 after which the rate increases rapidly.The pattern is different for mortality from suicide and undetermined injury but issimilar for males and females with the rate increasing from age 10-14 to age 50-54when it declines to age 65-69 when it levels off. The rate overall is considerablyhigher for males at all age bands between 10-14 and 60-64.Trends of mortality for accidents by broad age band (Figures 6a,b,c & d) show ratesin the 75 and over age band for both males and females were far higher than in anyother age group throughout the period 1983-1987 to 2004-2008. Rates in this ageband declined to the late 1990s before beginning to rise again. For females in allage bands the trend has been for the rates to decline across the whole period butthey reached a minimum in the late 1990s. For males, only the under 15 and the 55-74 age band have followed the pattern described for females. The other age bandshave shown no overall change.Figure 5a4.5Accident mortality rates by five year age band and sex, Dudley 2004-20084MalesFemales3.532.521.510.500 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+Age band (years)157
Standardised Rate per 100,000 populationStandardised Rate per 100,000 populationFigure 5b1.81.6Suicide and Undetermined injury mortality rates by five year age band andsex, Dudley 2004-2008MalesFemales1.41.210.80.60.40.200 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+Age band (years)Source: Office of National Statistics (ONS) Annual Deaths ExtractOffice of National Statistics (ONS) mid-year population estimatesFigure 6a180Trends in mortality rates for accidents by broad age group, males5 year rates 1983-1987 to 2004-2008, Dudley160140120100806040200Under 15 15-34 35-54 55-74 75+158
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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
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3. Communication and EducationDSSS
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The PCT, Acute Trust, Local Authori
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Page 108 and 109: admissions. The following year Dudl
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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 120 and 121: Standardised Rate per 100,000 Popul
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 160 and 161: 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
Page 188 and 189: DCS has some key performance target
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
Page 198 and 199: which it has never done before. The
Page 200 and 201: centres‟ outreach workers and Hea
Page 202 and 203: 9.1 DUDLEY HEALTH INEQUALITIES HIGH
Page 204 and 205: RECOMMENDATION ACTIVITY OUTCOMES LE
Page 206 and 207: RECOMMENDATION ACTIVITY OUTCOMES LE
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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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RECOMMENDATION ACTIVITY OUTCOMES LE
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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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