Dudley Strategy for Tackling Health Inequalities 2010-15

More documents

Recommendations

Info

Referrals/1000 Adult Population4-week quitters rate/1000 referred populationFigure 9 : 4-week quit rates per practice IMD (r=0.3)7006506005505004504003504 143264246183347138321663019123735 4420 4321317101713249512452845289533927255362322402915113441503002500 10 20 30 40 50 60 70Percentage of GP population in most deprived IMD quintile484-week quitters/1000 referred adult populationMid Range IMD1Dudley Average of 4-week quitters/1000 referred adult populationEngland Average of 4-week quitters/1000 referred adult populationSource: Dudley Stop Smoking ServicePrimary Care Mortality Data GP Registered PopulationDepartment of Communities & Local Government Indices of Deprivation 2007Figure 10: Stop Smoking Service Referrals per Practice IMD (2008/9data)(r=0.49)403549413025204452475124953936111520151053130121 23613423332 4335 10 438718141619372617462145828532548232229405000 10 20 30 40 50 60 70 80Percentage of GP population in most deprived IMD quintileReferrals/1000 adult populationDudley Average of referrals/1000 registered adult populationMid Range IMD1England Average of Referrals/1000 registered adult population (Est)Source: Dudley Stop Smoking ServicePrimary Care Mortality Data GP Registered PopulationDepartment of Communities & Local Government Indices of Deprivation 200771
Conclusions:The general conclusions from the analysis of QOF outcomes is that practiceperformance variance is very high and is not explained to a great extent bydeprivation factors. In summary:- There is a high level of under-reporting of prevalence, for all key vasculardiseases/conditions, particularly for hypertension- Deprivation factors are associated with lower prevalence recording for stroke andCHD- There is a great variation in practice performance for all vascular diseaseregisters for all indicators - prevalence recording, exception reporting, clinicaltreatment and control- There are a number of practices that are consistent poor performers.- There are high numbers of patients that are not being treated to optimum levelsfor blood pressure, cholesterol or blood sugar across the CHD, hypertension,stroke, diabetes and CKD registers- Differences in access due to deprivation was not evident in the access totreatment once a patient is on a disease register. This was highlighted by theQOF indicators on exception reporting, blood pressure and lipid measurement,drug prescribing and referral to LRMS.- Deprivation was a factor in relation to differences in outcome of treatment forsome risk factors specifically the control of blood sugar and success at stoppingsmoking. It did not have an impact for the control of blood pressure or lipids.- Low access rates were noted for exercise referral programmes, but access tostop smoking services was high.RecommendationsThe Tackling Inequalities in life expectancy in areas with the worst health anddeprivation (Great Britain. Department of Health, 2010) recommends 3 keyinterventions to provide a cost-effective way of reducing the gap in life expectancy inrelation to CVD:Increase the prescribing of drugs to control blood pressure by 40%Increase the prescribing of drugs to reduce cholesterol by 40%Double the capacity of stop smoking servicesThese have been taken into consideration in the following recommendations whichfocus in 3 areas:Ensuring strategies are in place for risk factor reduction, case-finding and earlydetection of the key vascular diseasesEnsuring that high risk groups can access and use services and achieveequitable treatment outcomesTackling the variation in practice performance and raising the level of overallperformance to ensure more patients are treated to optimum levels. This prioritywill be covered in Section 8.1 on primary care.72
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 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 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: Table 4: Range of performance gapDi
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
Page 112 and 113: Netherton &WoodsideHalesowen NorthC
Page 114 and 115: women the Mosaic groups with signif
Page 116 and 117: numbers of alcohol related sexual o
Page 118 and 119: These include:Securing additional i
Page 122 and 123:
The deprivation gap in invasive can
Page 124 and 125:
Age standardised incidence rate rat
Page 126 and 127:
Page 128 and 129:
One of the priorities of the Cancer
Page 130 and 131:
Colorectal cancerProstate cancerThe
Page 132 and 133:
and less radical treatment than you
Page 134 and 135:
As more people than ever are surviv
Page 136 and 137:
• Benchmarking of surgery aspirin
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
There is a weak correlation between
Page 144 and 145:
7.7 SEASONAL EXCESS DEATHSREDUCING
Page 146 and 147:
Excess Winter Mortality Index (%)Me
Page 148 and 149:
Brockmoor & PensnettSt JamesKingswi
Page 150 and 151:
Percentage uptake of seasonal flu v
Page 152 and 153:
Percentage uptake of seasonal flu v
Page 154 and 155:
The group will establish terms of r
Page 156 and 157:
Page 158 and 159:
Standardised Rate per 100,000 popul
Page 160 and 161:
Page 162 and 163:
PercentagePercentageFigure 7aMechan
Page 164 and 165:
PercentageFigure 8bMechanism of inj
Page 166 and 167:
Key findings from analysis of morta
Page 168 and 169:
Standardised rate per 100,000 popul
Page 170 and 171:
Page 172 and 173:
Page 174 and 175:
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 206 and 207:
Page 208 and 209:
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 230 and 231:
Offender ManagementRECOMMENDATION A
Page 232 and 233:
Page 234 and 235:
PRIORITY AREA: SEASONAL EXCESS DEAT
Page 236 and 237:
APPENDIX 3 - HEALTH INEQUALITIES CH
Page 238:
PRIORITY ACTIONENGAGEMENT- WORKFORC
show all

Dudley Strategy for Tackling Health Inequalities 2010-15

Create successful ePaper yourself

Delete template?

Save as template?