Dudley Strategy for Tackling Health Inequalities 2010-15

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Table 5NI 86Per capitareduction inCO 2 emissionsin the LA area(source:DEFRA)NationalratingLowest inBC region2 nd lowestin WMregion42 ndlowestnationallyDirectionof travelCO 2 levelsimprovingBaselineand year6.1 tonnesper capita(2005)2008/09 2009/10 2010/11-3.2% -6.4% -9.7%(Source: Dudley Community Partnership Strategic Plan)Dudley as a healthy and sustainable place: what needs to be done in Dudley?The key actions from the climate change delivery plan are:Gaining strategic buy-in and partner collaboration in the fields of resourceefficiency and carbon managementBuilding knowledge and capacity to take action within a ready community ofinterestBuilding knowledge within a geographical community of energy and climatechange issues and raising capacity to take actionBanish the inefficient community buildingImplementing Dudley Heroes awardsRaising awareness of climate change and its impactsIn addition Marmot (2010) recommends a number of policy areas for local action:Increase opportunities for active travel across the social gradientMaintain access and quality of open and green spaces across the socialgradientContinue to improve the energy efficiency of housing and reducing fuelpovertySupport locally developed and evidence based community regenerationprogrammes that reduce barriers to community participation and reducesocial isolation51
5. LEADERSHIP AND PARTNERSHIPDudley Community PartnershipReducing health inequalities requires action by all services and agencies that havean impact on the economic, environmental and social determinants of health. TheDudley Community Partnership (DCP) provides cross agency leadership by bringingtogether key partners from the public, voluntary, community and business sectors,and is currently chaired by the Chief Executive of NHS Dudley.The DCP has a key role to play in reducing health inequalities, as one of its mainaims is to ensure that all of the partners can work together effectively to improve thequality of life of everyone in Dudley Borough. The Community Strategy provides themain vehicle for doing this.The Dudley Community Strategy (Dudley Community Partnership, 2005) outlines aset of key partnership priorities based on a 15 year vision. This vision is based onthe expressed concerns of local people and agencies‟ own awareness of specificissues affecting the borough. It was shaped by over 5000 local people and morethan 40 community groups. The vision for 2020 is one of sustainable, inclusive andconnected communities across the Dudley Borough.The Community Strategy is revisited every three years. The most recent versionoutlines the aspirations for improvements under six themes, many of which impacton health inequalities, and one of which specifically focuses on health and wellbeing.The Community Strategy provides the overarching plan for all partners to work to. Ithighlights where inequalities exist for certain sections of the population and whereadditional action is required to promote equality. It is based on 5 principles whichshape the way that partners work together. They are:o Promoting equality – tackling inequalityo Safeguarding the futureo Reflecting priorities through physical changeo Delivery in partnershipo Involving peopleDudley Community Partnership is supported by a sub structure of borough widethematic strategic partnerships, which are responsible for developing action plansfor, and overseeing delivery of the priorities within the Community Strategy. TheHealth and Wellbeing Partnership takes a strategic overview of health inequalities,including performance monitoring and regular review of the metrics. It also managesand monitors joint working arrangements between the NHS and the Local Authority.This work is underpinned by the Dudley Health & Social Care CommissioningFramework and Strategy 2008-13, (NHS Dudley and Dudley MBC, 2008) and astrong track record of commissioning older people‟s, learning disability and mentalhealth services.52
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 and 30: Percentage of live and still births
Page 31 and 32: EYFS Median Scores by National Depr
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: Although temperature variations dur
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
Page 84 and 85: That an increase in access to diagn
Page 86 and 87: Establishing the level of health eq
Page 90 and 91: Timely ResponseTimely access to tre
Page 92 and 93: Continue implementation of current
Page 94 and 95: “reduce smoking during pregnancy
Page 96 and 97: Percentage who currently smokePerce
Page 98 and 99: 1. Stop Smoking Service ProvisionDu
Page 100 and 101: Proportion of clients that have qui
Page 102 and 103:
3. Communication and EducationDSSS
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The PCT, Acute Trust, Local Authori
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Standardised Rate per 100,000 Popul
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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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