Dudley Strategy for Tackling Health Inequalities 2010-15

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which it has never done before. There are also opportunities to work more closelywith Primary Care since GPs will become the main commissioners of secondary carewhen „Liberating the NHS‟ is implemented. Although responsibility for ensuringreducing health inequalities will fall to the Local Authority, it will also be acommissioning responsibility for the new GP Cluster Boards.197
9. KEY RECOMMENDATIONSThe recommendations below have been chosen as the high priority actions that needto be addressed by a range of partners if we are to tackle the gap in healthinequalities in Dudley. They reflect the strategic aims of the strategy and provide anindication of the timescale and outcomes that will be achieved. Theserecommendations are also reflected in a high level action plan which will beimplemented and reported against by the nominated lead agency. A high levelperformance monitoring framework has been developed to show progress againstsome of the key indicators used to measure health inequalities.The detailed delivery plans for the key priority disease areas can be found in theappendices. These have been selected for action as having the greatest impact onreducing health inequalities in Dudley and they can be found as action plans inAppendix 2 on page 219..LEADERSHIP AND PARTNERSHIP1. Strengthen leadership for health improvement and health inequalities acrossthe partnership and particularly within the Local Authority, Dudley and WalsallMental Health Partnership Trust and Acute Trust and ensure the involvementof GP Commissioning Consortia when they become established. This will beachieved through the establishment of a new Health and Wellbeing Board.GIVE EVERY CHILD THE BEST START IN LIFE2. Improve data systems across health and Dudley MBC to allow extraction ofpopulation level analyses of developmental progress of children under 5 inDudley3. Develop further the existing parenting programme databases to reportethnicity on fidelity to programmes and outcomes of interventions in eligiblegroups.4. Consider investment profile in early years, school and adolescent programmesto examine for any scope for disinvestment and re-investment in evidencebasedearly years programmes.5. Channel any resources released from other areas of child health investmentinto the introduction of a Family Health Partnership programme with definedeligibility criteria and clear means of auditing outcomes.6. Continue implementation of Dudley‟s Parenting and Family Learning Strategy,with full tracking of adherence to eligibility criteria and outcomes for formalparenting programmes.7. Develop more formal integrated working between the Dudley CommunityServices Health Visiting Service, the Dudley Group of Hospitals midwiferyservice and children‟s centres in Dudley, particularly between children‟s198
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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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There is a weak correlation between
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7.7 SEASONAL EXCESS DEATHSREDUCING
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Excess Winter Mortality Index (%)Me
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Page 152 and 153: Percentage uptake of seasonal flu v
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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
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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
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Page 196 and 197: capacity and confidence of individu
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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Dudley Strategy for Tackling Health Inequalities 2010-15

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