Dudley Strategy for Tackling Health Inequalities 2010-15

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Number of Pupils AchievingEarly cognitive development:Although the Healthy Child Programme forms the basis for the Dudley Antenatal,Neonatal and Child Health Surveillance Protocol, (implemented across Dudley withthe Health Visitor as the lead professional), there are no audits currently availablewhich give an indication of the level and distribution of cognitive development acrossthe early years child population in Dudley. Indeed, to date, the computerised recordsystems available have not even allowed fidelity to the protocol to be audited, as therequisite patient based system with appropriate coding has not been in place.Data on children‟s attainment at the Early Years Foundation Stage (EYFS), which isassessed at reception year in primary school, is available. The data for Dudleychildren for 2009 show a skewed distribution (Figure 5)Figure 5EYFSP 2009 for Dudley1201008060402001 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61 65 69 73 77 81 85 89 93 97 101 105 109 113 117EYFSP Total ScoreHowever, if the distributions are looked at by IMD quintile there is evidence of asocial gradient in median scores29
EYFS Median Scores by National Deprivation Quintile Dudley2009Q1 Q2 Q3 Q4 Q580 82 89 89 90Source DMBCThere is a difference of 10 in the median score between quintile 1, the most deprivedand quintile 5, the least deprived.Whilst there is an assessment for EYFS undertaken pre-school, there is no centralcollection of data on this so it is not possible to assess the profile for Dudley childrenat this pre-school stage.Parenting:Dudley has developed a multi-agency Parenting Support and Family LearningStrategy (Dudley Children‟s Trust, 2009) and in the development of this undertook anaudit of formal manual-based parenting support within the Borough.The audit of parenting support was carried out and sought to find out the extent towhich practitioners had been trained in and implemented programmes at 4 levels ofsupport need:Tier 1 Universal need: prevention focused on whole population whereproblems are not obvious (67,196 dependent children)Tier 2 Need for support: problems may be beginning to show and action isneeded to prevent them worsening (24,245 children in 2008)Tier 3 Child Welfare Concern: prevention strategies required to focus onmultiple, complex and longstanding difficulties requiring individually tailoredservices (2055 children in need in June 2008)Tier 4 Protection need: prevention at this level requires clear interagencyfocus which seeks to safeguard the child/young personThe audit of parenting support offered by providers was carried out and its keyfindings were:Tier 1 - All Children‟s Centres offer a universally available parenting programme,most commonly the NCH Handling Children‟s Behaviour (Finch, 1995). Someschools also offer this programme but coverage is patchy. Dudley PCT Children‟sservices staff are trained in the Solihull Approach, as are teachers in the SpecialistEarly years Service and many Children‟s Centre staff. Some Children‟s Centres usethe Family Links Nurturing Programme. All schools were planning to offer FamilySEAL (Social and Emotional Aspects of Learning) by 2011.30
Page 1 and 2: 2010FDudley Strategy forTackling He
Page 3 and 4: ENDORSEMENT OF THE 2010 - 2015HEALT
Page 5 and 6: CONTENTSFOREWORD………………
Page 7 and 8: Standardised Rate per 100,000 Popul
Page 9 and 10: There were three principles that un
Page 11 and 12: This work has been built on trustin
Page 13 and 14: ENSURE A HEALTHY STANDARD OF LIVING
Page 15 and 16: with, or at high risk of vascular d
Page 17 and 18: Tackling underage/illegal alcohol c
Page 19 and 20: 2. VISION STATEMENTThe mission stat
Page 21 and 22: tackle health inequalities in the t
Page 23 and 24: These recommendations are addressed
Page 25 and 26: injustice and deprivation impact ne
Page 27 and 28: - Giving priority to pre and post-n
Page 29: Percentage of live and still births
Page 33 and 34: data which shows us locally what ac
Page 35 and 36: instability. Factors such as job se
Page 37 and 38: Proportion of population claiming J
Page 39 and 40: Data is available for those ALMPs f
Page 41 and 42: Labour market outcomes to date are
Page 43 and 44: achieved through transfer payments,
Page 45 and 46: % share of equivalised incomeA comp
Page 47 and 48: Figure 7 shows the income distribut
Page 49 and 50: Figure 9Proportion of the populatio
Page 51 and 52: Although temperature variations dur
Page 53 and 54: 5. LEADERSHIP AND PARTNERSHIPDudley
Page 55 and 56: A Community Renewal team which coor
Page 57 and 58: 6. COMMUNITY ENGAGEMENTCommunity En
Page 59 and 60: o DMBC sharing their community enga
Page 61 and 62: Transferring power to communitiesNI
Page 65 and 66: Secondary Prevention of CVDOptimum
Page 67 and 68: Ratio of obsevred vs. expected prev
Page 69 and 70: Performance variation cannot be exp
Page 71 and 72: Table 4: Range of performance gapDi
Page 73 and 74: Conclusions:The general conclusions
Page 75 and 76: 7.2 ACUTE CARDIO-VASCULAR DISEASE (
Page 79: Timely ResponseApproximately 30% of
Page 82 and 83:
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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Standardised Rate per 100,000 Popul
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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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the minimum standards set out by th
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Further analysis shows that for hyp
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8.2 SOCIAL CAREAdult Social CareSoc
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8.3 TRANSFORMING COMMUNITY SERVICES
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DCS has some key performance target
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8.4 DEVELOPING THE ROLE OF THE VOLU
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at the heart of action to address c
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CHC‟s are trained and supported t
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capacity and confidence of individu
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which it has never done before. The
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centres‟ outreach workers and Hea
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9.1 DUDLEY HEALTH INEQUALITIES HIGH
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RECOMMENDATION ACTIVITY OUTCOMES LE
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Dudley Community Partnership (2005)
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Great Britain. Department of Health
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NHS Dudley and Dudley Metropolitan
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APPENDIX 1 - PERFORMANCE INDICATORS
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Indicator Dudley England Least Most
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APPENDIX 2 - DELIVERY PLANS FOR PRI
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PRIORITY AREA: TOBACCO CONTROLRECOM
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All of these initiatives will requi
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Empower community members toraise a
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Develop an integrated alcoholtreatm
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Offender ManagementRECOMMENDATION A
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PRIORITY AREA: SEASONAL EXCESS DEAT
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APPENDIX 3 - HEALTH INEQUALITIES CH
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PRIORITY ACTIONENGAGEMENT- WORKFORC
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Dudley Strategy for Tackling Health Inequalities 2010-15

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