Dudley Strategy for Tackling Health Inequalities 2010-15

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PercentagePercentageFigure 7aMechanism of injury by intent for males, Dudley 2004-2008100%90%80%70%60%50%40%30%20%10%0%OsteoporosisHomicide and probable homicideSuicideMechanismMental and behavioural disorders due to psychoactive substance useUndeterminedUnintentionalFigure 7bMechanism of injury by intent for males, Dudley 1994-1998100%90%80%70%60%50%40%30%20%10%0%MechanismUnintentionalUndeterminedSuicideHomicide and probable homicideMental and behavioural disorders due to psychoactive substance use OsteoporosisSource: Office of National Statistics (ONS) Annual Deaths ExtractOffice of National Statistics (ONS) mid-year population estimates161
PercentagePatterns of mortality by mechanism, within intentDuring 2004-2008 the most common mechanisms for unintentional injuries amongmales were falls and fracture and transport (32% and 30% respectively). Thepattern of mechanisms for mortality from unintentional accidents was very similar. In1994-1998 with the exception of 4% of deaths from fire/flame which was absent in2004-2008. For females the majority of unintentional deaths in 2004-2008 and 1994-1998 were due to falls and fractures (46% and 62% respectively), followed byunspecified (42% and 5%). In 2004-2008, for suicides, suffocation was the mostcommon mechanism for males (67%), compared with poisoning (49%) in 1994-1998.In 1994-1998, 63% of female suicides were due to poisoning with the remainder splitbetween suffocation, cut/pierce, firearm and drowning. Whereas in 2004-2008, themain mechanism, was suffocation (71%) with only 14% due to poisoning.Deaths from undetermined intent had a wider range of mechanisms associated withit, but the major shift has been an increase in the proportion of deaths fromsuffocation and a decrease in the proportion of deaths from poisoning in males.Despite this shift these remain the major mechanisms. For females poisoningremains the main mechanism, but suffocation is now the second mechanism. Therehas been a reduction in the percentage of drownings in females Figure 8a-b.Figure 8a100%90%80%70%60%50%40%30%20%10%0%Mechanism of injury by intent for females, Dudley 2004-2008MechanismOsteoporosisHomicide and probable homicideSuicideMental and behavioural disorders due to psychoactive substance useUndeterminedUnintentional162
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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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admissions. The following year Dudl
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Standardised Rate per 100,00 popula
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Page 114 and 115: women the Mosaic groups with signif
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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
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Page 158 and 159: Standardised Rate per 100,000 popul
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
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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
Page 192 and 193: at the heart of action to address c
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 210 and 211: 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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