Dudley Strategy for Tackling Health Inequalities 2010-15

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Indicator Dudley England Least Most External Internal InequalityAverage Deprived Deprived InequalityGradient Value Gradient ValuePremature mortality from prostate cancer males (DSR per 100,00010.0 8.8 11.5 8.9 1.14 1.2 0.77 -2.6population) (2004-2008)Incidence of Colorectal cancer persons (DSR per 100,000 population)50 45 43 57 1.11 5 1.33* 14(2004-2008)Premature mortality from Colorectal cancer persons (DSR per 100,000 10.9 10.6 11.2 14.1 1.03 0.3 1.26* 2.9population) (2004-2008)Respiratory DiseasePremature mortality from all respiratory diseases persons (DSR per31.8 25.6 12.3 54.4 1.24* 6.2 4.42* 42.1100,000 population) (2004-2008)Premature mortality from COPD persons (DSR per 100,000 population) 14.4 12.3 2.5 30.7 1.17* 2.1 12.28* 28.2(2004-2008)Chronic Liver DiseasePremature mortality from chronic liver disease persons (DSR per 100,000 13.0 10.1 6.6 28.5 1.29* 2.9 4.32* 21.9population) (2004-2008)Accidental InjuryMortality from accidents persons (DSR per 100,000 population) (2004- 15.5 16.0 14.3 15.8 0.97 -0.5 1.10* 1.52008)Premature mortality from accidents persons (DSR per 100,000 population) 9.4 11.4 6.6 9.9 0.82 -2.0 1.50* 3.3(2004-2008)Hospital admissions from accidents persons (DSR per 100,000808 NA 615 1011 NA NA 1.64* 396population) (2004-2008)SuicideMortality from suicide and undetermined injury persons (DSR per 100,000 7.1 8.1 4.8 10.1 0.88 -1.0 2.10* 5.3population) (2004-2008)Premature mortality from suicide and undetermined injury persons (DSR 6.9 8.1 4.4 10.5 0.85 -1.2 2.39* 6.1per 100,000 population) (2004-2008)Hospital admissions from suicide and undetermined injury persons (DSR 145 NA 58 248 NA NA 4.28* 190per 100,000 population) (2004-2008)DiabetesPremature mortality from diabetes persons (DSR per 100,000 population) 3.4 3.0 1.3 5.1 1.13* 0.4 3.92* 3.8(2004-2008)Alcohol Related HarmPremature mortality from alcohol related harm persons (DSR per 100,000 14.3 11.6 6.6 30.7 1.23* 2.7 4.65* 24.1population) (2004-2008)Hospital admissions from alcohol related harm persons (DSR per 100,000 1631 NA 1107 1707 NA NA 1.54* 600population) (2004-2008)Excess Winter Deaths217
Indicator Dudley England Least Most External Internal InequalityAverage Deprived Deprived InequalityGradient Value Gradient ValueExcess winter deaths index (2002/03-2006/07) 20.9% NA 25.2% 19.1% NA NA 0.76 -6.1%Emergency Hospital AdmissionsEmergency hospital admissions from CVD persons (DSR per 100,000 732 NA 546 969 NA NA 1.77* 423population) (2004/05-2008/09)Emergency hospital admissions from Cancer persons (DSR per 100,000 255 NA 220 295 NA NA 1.34* 75population) (2004/05-2008/09)Emergency hospital admissions from COPD persons (DSR per 100,000 131 NA 52.3 243.7 NA NA 4.66* 191.4population) (2004/05-2008/09)Emergency hospital admissions from Asthma persons (DSR per 100,000 101.5 NA 47.2 150.0 NA NA 3.18* 102.8population) (2004/05-2008/09)Emergency hospital admissions from Diabetes mellitus persons (DSR per 53.1 NA 44.3 75.6 NA NA 1.71* 31.3100,000 population) (2004/05-2008/09)Emergency hospital admissions from Depression persons (DSR per42.2 NA 23.8 63.2 NA NA 2.66* 39.4100,000 population) (2004/05-2008/09)Uptake of Services3 Year Breast screening uptake (%) (2008/09) 72.2% 80.0% 77.9% 63.6% 1.11 -7.8% 1.22* -14.3%5 Year Cervical screening uptake (%) (2008/09) 80.4% 80.0% 86.2% 73.6% 1.00 0.4% 1.17* -12.6%2 Year Bowel screening uptake (%) (2008/09) 55.1% 60.0% 64.6% 43.7% 1.09 -4.9% 1.48* -20.9%Childhood vaccinations uptake uptake (%) (Quarter 2 2010/2011) 92.6% 95.0% 97.4% 91.9% 1.03 -2.4% 1.06 -5.5%218
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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
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Key findings from analysis of morta
Page 168 and 169: Standardised rate per 100,000 popul
Page 170 and 171: Standardised Rate per 100,000 popul
Page 172 and 173: 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 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 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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