Dudley Strategy for Tackling Health Inequalities 2010-15

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Ratio of obsevred vs. expected prevalenceThere is an under-reporting of prevalence, especially for hypertension (Table 1).Looking at practice level data, there is an association between deprivation andpractice performance in the recording of prevalence for some of the vasculardiseases. Practices in more deprived areas tended to have higher levels ofunrecorded prevalence for CHD and stroke (Figure 5 & 6) resulting in poorer accessto treatment. An opposite association was seen for diabetes (Figure 7) with practicesin the least deprived areas more likely to have higher levels of unrecordedprevalence.Figure 5:Prevalence Recording Ratios for CHD (r=0.537,r 2 = 28%)38491.131.030.930.83218316412 3142 3330 10 3275243475126462145535410.730.630.531352064414131937172482894825273936232240341115500.430 10 20 30 40 50 60 70Percentage of GP population in most deprived IMD quintile29CHD Ratio Mid Range IMD1 CHD Dudley Average Ratio CHD England Average RatioSource: Quality Outcomes Framework disease register 2008/09Primary Care Mortality Data GP Registered PopulationDepartment of Communities & Local Government Indices of Deprivation 200765
Ratio of obsevred vs. expected prevalenceRatio of o bsevred vs. exp ect ed prevalen ceFigure 6: Prevalence Recording Ratios for Stroke/TIA (r=0.413, r 2 =17%)1.98161.781.581.381.180.980.780.580.3843 30 186322 1012143335 4431 20421 387535224432221513 26849 51 172747 4819 4645369372839 232541 34 401511290 10 20 30 40 50 60 70Percentage of GP population in most deprived IMD quintile50Stroke Ratio Mid Range IMD1 Stroke Dudley Average Ratio Stroke England Average RatioSource: Quality Outcomes Framework disease register 2008/09Primary Care Mortality Data GP Registered PopulationDepartment of Communities & Local Government Indices of Deprivation 2007Figure 7: Prevalence Recording Ratios for Diabetes (r=0.6, r 2 = 40%)481.9840Ratio of observed vs. expected prevalence1.78411.58461.38231.182791144728 292185360.981753221519 4316 6341412 3849 13 512425353326390.7820 44730 185231 1034542 321370.5820 10 20 30 40 50 60 70Percentage of GP population in most deprived IMD quintile50Diabetes Ratio Mid Range IMD1 Diabetes Dudley Average Ratio Diabetes England Average RatioSource: Quality Outcomes Framework disease register 2008/09Primary Care Mortality Data GP Registered PopulationDepartment of Communities & Local Government Indices of Deprivation 200766
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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
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 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 63 and 64: Standardised Rate per 100,000 Popul
Page 65: Secondary Prevention of CVDOptimum
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
Page 104 and 105: The PCT, Acute Trust, Local Authori
Page 108 and 109: admissions. The following year Dudl
Page 110 and 111: Standardised Rate per 100,00 popula
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Page 114 and 115: 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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