Dudley Strategy for Tackling Health Inequalities 2010-15

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Empower community members toraise awareness of alcohol issues inthe local communityMake use of the Healthy Townsinitiative to promote alcoholawareness and promote saferdrinkingAlcohol Misuse and Mental HealthImplementation of accreditedcommunity training courseLinks between the Alcohol Strategyand the Healthy Towns agenda tobe developedRaise awareness of the linksbetween mental ill health andalcohol misuseA minimum of 10 people trainedand accredited to deliver alcoholawareness training to communitygroupsPark Rangers to undertake Tier 1and Tier 2 Drug and AlcoholAwareness TrainingIncrease in the number of peoplereceiving appropriate treatmentPCT (PublicHealth) + allpartnersMarch 2011DMBC/DAAT March 2011PCT/DAAT March 2013225
Early intervention and treatmentRECOMMENDATION ACTIVITY OUTCOMES LEAD TIMESCALEImplement routine identification inA&E and provide brief advice tothose identifiedIntroduce routine identification andbrief advice in Primary CareContinue alcohol arrest referralschemeRoll out alcohol IBA training to healthcare professionals and a wide rangeof frontline staffUse the increased capacity of thedrug and alcohol liaison team toimplement IBA in A&E and follow uppatients after leaving EDDevelop an alcohol LES to supportthe existing DES for new registrantsInclude alcohol IBA in vascularchecksOffer routine identification and briefadvice when people are arrestedand in custodyTraining needs assessment toassess number of all staff requiringtraining and number of programmesto be offeredReduction in frequent attendees atED (baseline to be set)Reduction in alcohol consumptionfor patients given brief advicemeasured at 3 month follow-upAlcohol register to be set up toestablish baselineAlcohol LES to be offered tointerested GPsIncrease in referrals to alcoholservicesReduction in alcohol consumptionfor patients given brief advicemeasured at 6 month follow-upReduction in alcohol consumptionfor patients given brief advicemeasured at 3 month follow-upReduction in offending rateIncrease in number of staff trainedin general alcohol awareness. Briefadvice and signpostingBrief interventionsPCT March 2012PCT March 2011DAATPartnershipManagerMarch 2011PCT/DAAT March 2011Increase capacity of specialistalcohol services to match demandcreated by increased earlyidentificationTraining of healthcare workforce inearly identification and offer briefadviceReview current specialist alcoholtreatment services in light ofMoCAM and the Review of theEffectiveness of Treatment forAlcohol ProblemsIncrease in skills and confidence ofstaffIncrease in numbers of harmful andhazardous drinkers identified andgiven brief adviceIdentify gaps, strengths andweaknesses in current provisionOutcome of review to determinefuture levels of service required toreduce waiting times and addressunmet needsPCT/DAAT March 2011226
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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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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 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 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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