Dudley Strategy for Tackling Health Inequalities 2010-15

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Standardised Rate per 100,000 PopulationIt is not possible to say whether we have achieved this target yet, since 2010 data isnot available. However the gap is no longer widening at the same rate.Life expectancy for the whole population has improved, but the gap between thenational average and the spearhead authorities (the most deprived Local Authorities)has widened by 7% for men and 14% for women since 1995-97. Life expectancy forthe whole population in England is now 77.9 years for men and 82.0 years forwomen. Life expectancy in Dudley is improving, but there are still significantdifferences across the borough1,400Directly Standardised Mortality Rates from All Causes by Ward5-Year Rates, Dudley MBC, Males & Females, All Ages, 2004-20081,2001,0008006004002000Whilst it is pleasing to see the reduction in premature mortality the inequalities gap isstill very evident and it is for this very powerful reason that this strategy seeks toaddress the social determinants of health as well as focusing on improving the healthof the most deprived populations within the borough.STRATEGIC PRIORITIESThe 2005 strategy identified three key priorities:Reduce povertyTobacco controlIncrease educational attainment7
There were three principles that underpinned the delivery of the strategy:A systematic approach to planningStrengthened partnerships to maximise planningProviding equitable services:Significant progress has been made against the three key priorities with someactions achieved and some progress made against others. The notable successeshave been in tobacco control with the introduction of the smoking ban in publicplaces and the effectiveness of the local quit smoking services. Educationalattainment has also improved over the last five years with 76% of pupils achievinggrades A to C in 2010, compared with 56% in 2006. Improvements have also beenseen in housing, reducing fuel poverty and the regeneration of deprivedneighbourhoods, all of which have contributed to the reduction in health inequalities.The challenge for the refreshed strategy is to build on this foundation in a verydifferent economic environment and ensure that we continue to implement plans thatsupport the health and economic well being of the most vulnerable groups in theborough.In July 2009 the Department of Health‟s Health Inequalities National Support Teamvisited Dudley to assess our performance in reducing health inequalities. Their reportwas very favourable in a number of areas, particularly partnership, strategic visionand community engagement. However they did identify five key priority actions forDudley.Strengthening leadership for health and health inequalities across thepartnership and particularly within the Local Authority and Acute TrustImproving the quality and capacity of primary careRefreshing the Health Inequalities Strategy, developing detailed delivery plansand agreeing a common frame of reference for monitoring progress onaddressing health inequalities.The continued market development of the voluntary, community and faithsector.The simplification of neighbourhood community engagement structures.These recommendations, and other specific recommendations relating to priorityactions known to have a significant impact on reducing health inequalities, havebeen taken into account in the development of the refreshed strategy. They havebeen summarised as high level actions in the delivery plan, together with theoutcomes and indicators that will be used to monitor progress.8
Page 1 and 2: 2010FDudley Strategy forTackling He
Page 3 and 4: ENDORSEMENT OF THE 2010 - 2015HEALT
Page 5 and 6: CONTENTSFOREWORD………………
Page 7: Standardised Rate per 100,000 Popul
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
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o DMBC sharing their community enga
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Transferring power to communitiesNI
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Standardised Rate per 100,000 Popul
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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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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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