Dudley Strategy for Tackling Health Inequalities 2010-15

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Standardised rate per 100,000 populationStandardised rate per 100,000 populationFigure 121400Directly Standardised Emergency Hospital Admission Rates from Accidentsby IMD 2007 National Quintile, 5 year rates, Dudley MBC, Males andFemales 2004-20081200100080060040020001 - 20% mostdeprived2 3 4 5 - 20% leastdeprivedMales Females Dudley Males Dudley FemalesSource: Secondary Users Service (SUS) Hospital AdmissionsOffice of National Statistics (ONS) mid-year population estimateDepartment of Communities & Local Government Indices of Deprivation 2007Figure 13300Directly Standardised Emergency Hospital Admission Rates from Suicideand undetermined injury by IMD 2007 National Quintile, 5 year rates, DudleyMBC, Males and Females 2004-20082502001501005001 - 20% mostdeprived2 3 4 5 - 20% least deprivedMales Females Dudley Males Dudley FemalesSource: Secondary Users Service (SUS) Hospital AdmissionsOffice of National Statistics (ONS) mid-year population estimateDepartment of Communities & Local Government Indices of Deprivation 2007167
Standardised Rate per 100,000 populationFigures 14a & b shows the trend in emergency hospital admission rates foraccidents and suicides and undetermined injuries by sex and broad age band. Foraccidents the highest rates are recorded for the under 15 age group for males andfemales and these then decline across the age bands to a minimum at age 65-69,after this rates increase again to a maximum at age 85+. Up to age 65-69 admissionrates for accidents are higher in males than females and after this age group theopposite is true.The pattern is different for emergency hospital admissions from suicide andundetermined injury but is similar for males and females with the rate increasing fromage 10-14 to age 20-24 for males and age 15-19 for females. The peak admissionrate was considerably higher for females, but after the initial peak the rates ofadmissions were similar between the sexes.Trends of emergency hospital admissions for accidents by broad age band (Figures15a & b) show rates in the 75 and over age band for both males and females werefar higher than in any other age group throughout the period 2003 to 2008. Rates inthis and all other age bands have risen over this time period. Trends of emergencyhospital admissions for suicide and undetermined injury by broad age band (Figures16a & b) show rates in the 15-34 and 35-54 age bands for both males and femaleswere far higher than in any other age group throughout the period 2003 to 2008.Rates in these age bands have risen the most across this time period for both sexesbut the increase has been greatest for females, with admission rates for these agebands being higher for females. Admission rates for suicide and undetermined injuryhave also increased for the under 15 age band and are higher for females. .Figure 14a120Accident emergency admission rates by five year age band and sex, Dudley2004-20081008060402000-4 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)Males Females168
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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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Netherton &WoodsideHalesowen NorthC
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women the Mosaic groups with signif
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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 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 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
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)
Page 212 and 213: Great Britain. Department of Health
Page 214 and 215: NHS Dudley and Dudley Metropolitan
Page 216 and 217: 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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