Dudley Strategy for Tackling Health Inequalities 2010-15

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PercentageFigure 17bMechanism of injury by intent for females, Dudley 2004-2008100%90%80%70%60%50%40%30%20%10%0%MechanismOsteoporosisHomicide and probable homicideSuicideMental and behavioural disorders due to psychoactive substance useUndeterminedUnintentionalSource: Secondary Users Service (SUS) Hospital AdmissionsOffice of National Statistics (ONS) mid-year population estimatePatterns of injury and poisoning emergency hospital admissions for the topfive mechanisms by ageEmergency hospital admission rates vary by five-year age band according to themechanism of external cause. For falls and fractures in both males and femalesthere is a strong relationship with age, with rates high in the under 15 age band,gradually declining across the age bands to 35-39, when rates begin to increase withincreasing age, with a rapid rise after age 65. In the under 15 age band and the 65+age band falls and fractures are by far the highest mechanism of emergency hospitaladmissions from external causes (Figure 18a & b). For males the other mechanismsshow a similar pattern across age bands, with rates lowest in the 5 to 9 age band andrates rise to a maximum in early adulthood. The age band of the peak varies bymechanism – for transport and it is age 15-24, whereby it then declines graduallyacross the older age bands, whereas for poisoning the peak is in men aged 20-39.Struck by/against admission rates peak for the 15-19 age band and then graduallydecline with increasing age. Cut/pierce gradually increases to a maximum rate atage 20-24 and again gradually declines with increasing age.For females, rates for all mechanisms with the exception of falls and fracture werelowest in the 5-9 age band. Rates then rise for age, but there is only a clear peak forpoisoning at 15-19 years and transport in young adults (15-24 years). Poisoningsdecline rapidly by age 25 but remain at this elevated level through to age 49, when itgradually declines to very low levels.173
Standardised Rate per 1,000,000 populationStandardised Rate per 1,000,000 populationFigure 18a900800Injury and poisoning emergency admission rates by five year age group forthe top five specific mechanisms in Dudley 2004-2008Males70060050040030020010000-4 05-09 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)Figure 18bFall and fracture Poisoning Transport Struck by, against Cut/pierce900800Injury and poisoning emergency admission rates by five year age group forthe top five specific mechanisms in Dudley 2004-2008Females70060050040030020010000-4 05-09 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)Fall and fracture Poisoning Transport Struck by, against Cut/pierceSource: Secondary Users Service (SUS) Hospital AdmissionsOffice of National Statistics (ONS) mid-year population estimate174
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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
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These include:Securing additional i
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The deprivation gap in invasive can
Page 124 and 125: Age standardised incidence rate rat
Page 126 and 127: Standardised Rate per 100,000 Popul
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 168 and 169: Standardised rate per 100,000 popul
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
Page 218 and 219: Indicator Dudley England Least Most
Page 220 and 221: APPENDIX 2 - DELIVERY PLANS FOR PRI
Page 222 and 223: 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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