Dudley Strategy for Tackling Health Inequalities 2010-15

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Offender ManagementRECOMMENDATION ACTIVITY OUTCOMES LEAD TIMESCALEProvide a range of interventions toreduce offending and alcoholmisuseDrink Impaired DriversProgrammeLow Intensity AlcoholProgrammeOffender Substance AbuseProgrammeTelford TrainingConsortium 2000Reduce drink drive offences(groupwork)Reduce Alcohol related offences(groupwork)Work with offenders where alcoholhas contributed to their offending.Reduce offending and alcoholmisuse (groupwork)1 to 1 work with offenders who maydisclose problems with alcohol pre orpost sentence. Input may be tailoredto safer drinking/healthier lifestylesand/drink driving.Probation -Lead Officer -Bronwen ElphickProbation -LeadOfficer -Bronwen ElphickProbation -Lead Officer -Bronwen ElphickProbation -(Delivered byTTC staff)March 2011March 2011March 2011Time limiteddue to fundingAlcohol TreatmentRequirementEnsuring robust links withDrug Treatment ServicesTraining sessions are also arrangedfor probation staff to acquireexpertise in addressing alcohol usewith offenders and also to educatethem in leading healthier lifestylesthemselves1 to 1 work with drink dependentoffenders who may require detox orother medical treatment over 4sessionsWorkforce development – ensurethat all Drug Intervention ProgrammeWorkers are trained and skilled to beable to deliver a brief intervention orsignpost to specialist treatment thosedrug misusing offenders for whomalcohol is also a “problemEnsure that brief advice andinformation is delivered to those whoreceive a DIP Conditional CautionProbation -Lead Officer -Bronwen ElphickCranstoun DrugServicesLead Officer -Dee RussellMarch 2011March 2012229
PRIORITY AREA: CANCER DELIVERY PLANRECOMMENDATION ACTIVITY OUTCOMES LEAD TIMESCALEDevelop effective early awarenesssocial marketing programmes for 6cancer sitesExtend screening age and increaseuptake of breast screening programmeAchieve 14 day turnaround target forresults and increase uptake of cervicalscreening programmeDevelop and deliver social marketingprogrammesIncrease capacity of breast screeningprogrammeDevelop social marketingprogrammesRedesign cervical screening pathwayDevelop social marketingIncreased cancer awareness,earlier stage at diagnosisIncreased 1 year survivalIncreased 5 yr survivalIncreased uptake ratesIncreased early detection ratesIncreased breast cancer survivalIncreased uptake ratesIncreased early detection ratesIncreased cervical cancer survivalprogrammesImplement Tobacco Control Strategy See Strategy Decreased smoking ratesDecreased cancer incidence,particularly lung cancerTC/PS March 2014TC/PS March 2014TC/PS March 2014KJ/RO March 2014Implement obesity Strategy See Strategy Decreased obesity ratesKJ March 2014Decreased cancer incidence.Implement Improving Outcomes Ensure Peer review compliance Increased cancer survival rates TC/CS March 2014Guidance in fullUtilise Cancer Commissioning ToolkitAnalyse the results of the 2010National Cancer Patient ExperiencesurveyIdentify experience by age, gender,deprivation and ethnicity.Identify areas for improvement inpatient experienceTC/CS March 2012MDTs should monitor new patients byethnicity, age, gender, postcode andprimary treatment also stage atpresentationProvide safe sun message and reducesunbed usageFocus on cancer survivorshipEnsure access to high quality end oflife careInclude in Acute Contract (?CQUINS)Healthy schools sun protectionprogrammeWork with LA to limit access tosunbedsDevelop cancer survivorship strategySupport MacMillan CAB service forcancer survivorsImplement EOL strategyImproved understanding ofaccess to treatment in DudleyDecreased incidence of skincancerImproved rehabilitationImproved experienceImproved rehabilitationImproved experienceTC/CS March 2012JE/TC March 2014TC/PS March 2014PS March 2014230
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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
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Key findings from analysis of emerg
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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
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 226 and 227: Empower community members toraise a
Page 228 and 229: Develop an integrated alcoholtreatm
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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