Dudley Strategy for Tackling Health Inequalities 2010-15

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APPENDIX 1 - PERFORMANCE INDICATORSIndicator Dudley EnglandAverageLocal Economy and EmploymentIncome Support claimant rate (total claimants as percent of age 16 – 59/64(female/male)) (ONS Claimant Count NOMIS, May 2009)Job seekers allowance (% of working age population) (ONS ClaimantCount NOMIS, May 2009)Community CohesionPrimary Pupils who feel they are bullied due to colour, race or religion(Dudley Health Behaviour Survey, 2010)Secondary Pupils who feel they are bullied due to colour, race or religion(Dudley Health Behaviour Survey, 2010)Personal WellbeingChild wellbeing - % of LSOAs ranked in the bottom 20% nationally (Childwellbeing index 2009)Community SafetyBCS Comparator crimes per 1,000 population (Dudley Community SafetyPartnership, 2010)Violence against the person offences per 1,000 population (DudleyCommunity Safety Partnership, 2010)Skills% achieving 5 GCSEs graded A* to C (2008/09)(www.neighbourhood.statistics.gov.uk)SmokingSecondary school Smoking prevalence – current smoker (Dudley HealthLeastDeprivedMostDeprivedExternal Internal InequalityInequalityGradient Value Gradient Value5.3% 4.0% 0.92% 10.92% 1.33* 1.3% 11.9* 10.0%5.6% 3.1% 2.5% 9.1% 1.8* 2.5% 3.6* 6.6%7.7% NA 4.2% 12.6% NA NA 3.00* -8.4%5.9% NA 4.6% 7.0% NA NA 1.52 -3.4%17.8% 20.0% 0.0% 83.3% 0.89* 2.2% 4.99+* 83.3%34.3 NA 16.5 55.6 NA NA 3.4* 39.16.0 NA 1.9 11.3 NA NA 5.9* 9.467.1% 69.8% 100.0% 52.6% 1.04 2.7% 1.90* -47.4%12.5% NA 9.1% 12.3% NA NA 1.35 3.3%Behaviour Survey, 2010)Diet and NutritionBreastfeeding rate at initiation (Dudley Child Health System, 2009/10) 47.2% 72.7% 60.1% 38.4% 1.54* -25.5% 1.57* -21.7%Breastfeeding rate at 6-8 weeks (Dudley Child Health System, 2009/10) 26.2% 45.2% 40.2% 20.6% 1.73* -19.0% 1.95* -19.6%% Primary pupils eating five portions fruit and vegetables per day (Dudley 24.5% NA 27.2% 22.9% NA NA 1.19 -4.3%Health Behaviour Survey, 2010)% secondary pupils eating five portions fruit and vegetables per day 15.3% NA 19.1% 14.1% NA NA 1.35* -5.0%(Dudley Health Behaviour Survey, 2010)Obesity% Reception children very overweight (NCMP, 2008/09) 9.0% 9.6% 3.6% 12.2% 0.94 -0.6% 3.39* 8.6%% Year 6 children very overweight (NCMP, 2008/09) 20.8% 18.3% 14.8% 23.5% 1.14* 2.5% 1.59* 8.7%215
Indicator Dudley EnglandAverageAlcoholAlcohol related hospital admissions (standardized rate per 100,000population) 2004-2008 (SUS))LeastDeprivedMostDeprivedExternal Internal InequalityInequalityGradient Value Gradient Value1390 NA 1107 1707 NA NA 1.54* 600Life Expectancy and MortalityMale Life Expectancy 2005-2009 (Years) 77.4 77.7 81.4 72.3 1.00 -0.3 1.13* -9.1Female Life Expectancy 2005-2009 (Years) 81.9 81.8 85.0 79.0 1.00 0.1 1.08* -6.0Mortality from all causes persons (DSR per 100,000 population) (2004-2008)Premature mortality from all causes persons (DSR per 100,000population) (2004-2008)Child (
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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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Brockmoor & PensnettSt JamesKingswi
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Percentage uptake of seasonal flu v
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Percentage uptake of seasonal flu v
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The group will establish terms of r
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Standardised Rate per 100,000 popul
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Standardised Rate per 100,000 popul
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PercentagePercentageFigure 7aMechan
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PercentageFigure 8bMechanism of inj
Page 166 and 167: Key findings from analysis of morta
Page 168 and 169: Standardised rate per 100,000 popul
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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 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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