Dudley Strategy for Tackling Health Inequalities 2010-15

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PRIORITY AREA: TOBACCO CONTROLRECOMMENDATION ACTIONS OUTCOMES LEAD TIMESCALEStrategic approach to TobaccoControl is best co-ordinated by aneffective multi-agency partnership:- Continued strong senior levelsupport and leadership for TCagenda- Review role of Tobacco ActionGroup (TAG)- TAG continued accountability toDCP via the H and WP- Refresh the Tobacco Strategyand action plan in line with newNational Strategy- Development of advocacy role ofthe Alliance around SHS andIllicit tobaccoTC identified as PCT WCC priority2010-13Discussed at TAG meeting in JAN10Report annually to H&W partnershipNational Strategy released in Feb 10Update local strategy 2010/11Propose as Alliance priority for2010/11 workplan at meeting endApr 2010PID developed (copy attached)New terms of reference and newmembers invited to futuremeetingsProduce report and paper whenend of year data availableUpdated strategy and prioritiesProject planKJ &ROROROKJ & RORO2013End of Apr2010May 2010Dec 2010May 2010Further develop an evidenced basedand proactive approach to illicittobacco- Plan local prioritiesIdentified in PCT Tobacco PIDPlans to develop action through theAlliance25 Workplace visits in conjunctionwith HMRCKJ& ROROMar 2011Included in role of EH workplacevisits25 workplaces informed of illicittobacco per monthROMar 2011The PCT, Acute Trust, LA and otherpartners should explore ways inwhich data can be collected andshared to improve local intelligenceon key areas e.g. smoking inpregnancy, illicit tobacco, under agesalesAdded smoking and Pregnancy datacollection as CQUINIndicator 2009-10Made improvement to S&P SSS datamonitoring to track referrals anddevelop care plansData still not robustIdentify areas for improvementFeedback to DGH on referraloutcomesYHYHYHMar 2010Mar 2011Monthly reports221
RECOMMENDATION ACTIONS OUTCOMES LEAD TIMESCALEInclude under age sales and illicitdata collection in TS enforcementpostTest purchase outcomesROMar 2011Intention to commission EH to carryout additional smokefree compliancechecks in routine and manualworkplaces to include illicit tobaccoand stop smoking informationThere would be a benefit tindeveloping a programme of ongoingtest purchasing to explore the issueof supply of tobacco to young peopleThe early adoption of DH StopSmoking in Secondary Care toolkitprovides an opportunity to ensureeffective care pathways are in placefor smokers – this will impact on thekey contributors to tackling healthinequalities.- This would also provide anopportunity to ensure a formallyagreed care pathway for smokingin pregnancy to be used by allstaff. (Infant Mortality NSTrecommendations provide furtherdetail on this issue).HINST recommend that the DH StopSmoking Interventions in PrimaryCare toolkit is rolled out to ensurestrengthened infrastructure forquality brief interventions.Looking at ways to improve datasharing between HMRC and TSthrough the Alliance0.5 WTE EH Technical Officer postcommissioned from Sep 09- Apr 10Contract renewed Apr 10 – Mar 11PCT has commissioned a jointalcohol and tobacco tradingstandards enforcement post from Apr2010- Mar 2011Early adopter action in progressPlans to develop a risk assessmenttool for pregnant smokers5 pilot sites conducting 10 pointstructures approachBI and referral included inCommunity CQUIN for 2010-11Development of protocol forsharing data25 workplace visits /contacts permonthTotal 175 workplace visits300 workplace visits400 test purchases per year20 exercises50 contacts with smokersReduce IM and problematicpregnanciesIncreased access to DSSSBI training for HV and CNData on BI and referrals to DSSSROROMar 2011Mar 2010ROMar 2011RO & JP Mar 2010JPYHMar 2011Mar 2010Mar 2011JP Mar 2010Q1 & Q2-2010-11222
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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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PercentagePercentageFigure 7aMechan
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PercentageFigure 8bMechanism of inj
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Key findings from analysis of morta
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Standardised rate per 100,000 popul
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Page 172 and 173: Standardised Rate per 100,000 popul
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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 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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