Dudley Strategy for Tackling Health Inequalities 2010-15

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at the heart of action to address community engagement and address healthinequalities.The Dudley LINk have a developed work programme that is being carried out and willadd to the overall awareness of the wider health and social care sector relating tohealth inequalities. The NHS White Paper, Liberating the NHS (Great Britain.Department of Health, 2010) states that a body called HealthWatch will be developedwith related aims to LINks and this will take forward this agenda.The Health Inequalities Action Plan will be the „vehicle‟ through which theseaspirations are made real.191
8.5 VOLUNTEERS, HEALTH CHAMPIONS AND HEALTH TRAINERSThe recent Marmot Review (2010) puts empowerment of individuals andcommunities at the centre of action to reduce health inequalities. In doing so, it setsout a vision of “creating conditions for individuals to take control of their own lives.”The Community Health Improvement team (Public Health) in collaboration withDudley Metropolitan Borough Council (DMBC) and the Voluntary and CommunityFaith Sector (VCFS) are working to address health inequalities through an approachwhich engages and empowers people from local communities to develop theconfidence, knowledge, skills and awareness to improve their own health and wellbeing as well as to influence the health and well being of others within theircommunity.Communities as geographical areas, or as collectives of people living in the sameplace or sharing a common identity, can influence an individual‟s health in a numberof ways, and it is often the negative impacts which are highlighted (e.g. levels ofcrime and anti-social behaviour resulting in people not feeling safe to go out andexercise). However, the impact of „word of mouth‟ health information, challenges tocommonly held beliefs and misconceptions, „support from next door‟, and themodelling and normalisation of healthy lifestyle behaviours can also directly impacton and positively influence the health and wellbeing of individuals in a way that healthprofessionals are not able to.By harnessing this potential, raising health aspirations and supporting local people tomake a difference in the heart of their communities, Community Health Champions,Public Health Volunteers and Health Trainers can give individuals the information,support and motivation they need to make healthier choices and sustain healthierlifestyles.Through the Community Health Champions (CHC) programme local people areengaged and motivated to learn about and change their own health behaviours, andthen supported as volunteers to empower and influence their friends, families,neighbours, work colleagues and the wider community.Community Health Champions can be recruited through workplaces or may be local„community activists‟ who are identified through well established groups. However,the main focus is on engaging individuals from the most deprived communities orgroups experiencing health inequalities. In this case, initial engagement may typicallyoccur through community engagement activities, such as Arts in Health projects,which enable people to get involved in creative and non-threatening activities, andconsequently establish and build trusting relationships, build their confidence andself-esteem and raise their health aspirations. In addition to raising their ownawareness, these projects enable the community to identify local needs or keyissues, which can then inform service redesign and commissioning decisions. Bysupporting participants to become Community Health Champions, the projectbecomes sustainable, as key messages and support ripple out into the communitybeyond the duration of the initial project.192
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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
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Age standardised incidence rate rat
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One of the priorities of the Cancer
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Colorectal cancerProstate cancerThe
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and less radical treatment than you
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As more people than ever are surviv
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• Benchmarking of surgery aspirin
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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
Page 152 and 153: Percentage uptake of seasonal flu v
Page 154 and 155: The group will establish terms of r
Page 156 and 157: Standardised Rate per 100,000 Popul
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 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 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
Page 224 and 225: All of these initiatives will requi
Page 226 and 227: Empower community members toraise a
Page 228 and 229: Develop an integrated alcoholtreatm
Page 230 and 231: Offender ManagementRECOMMENDATION A
Page 234 and 235: PRIORITY AREA: SEASONAL EXCESS DEAT
Page 236 and 237: APPENDIX 3 - HEALTH INEQUALITIES CH
Page 238: PRIORITY ACTIONENGAGEMENT- WORKFORC
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