Dudley Strategy for Tackling Health Inequalities 2010-15

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Angiographies Ward Rate (Crude Rate per 100,000)IMD ScoreFigure 7: Angiogram Access Source: Dudley PCT (r=0.35)1000Relationship Between Angiography Rates and Coronary Heart DiseaseMortality Rates per 100,000 population for Dudley Wards 2008-0990080070060050040030020010000 50 100 150 200 250 300 350CHD Mortality Rate (Crude Rate per 100,000)Office of National Statistics (ONS) Annual Deaths ExtractFigure 8: Angiogram Access (r=0.34)50Mostdeprived45Crude Angiographies Rate 2008/09 Compared With IMD(2007) Score forDudley Wards403530252015105Leastdeprived00 100 200 300 400 500 600 700 800 900 1000Angiographies crude rate per 100,000 populationSource:Office of National Statistics (ONS) Annual Deaths ExtractOffice of National Statistics (ONS) Mid-Year Population EstimatesDepartment of Communities & Local Government Indices of Deprivation 200780
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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
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with, or at high risk of vascular d
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Tackling underage/illegal alcohol c
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2. VISION STATEMENTThe mission stat
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tackle health inequalities in the t
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These recommendations are addressed
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injustice and deprivation impact ne
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- 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 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 83 and 84: Cardiac RehabilitationDudley has a
Page 85 and 86: speed up delivery of the National S
Page 91 and 92: Table 3Metric for May 2010(unless s
Page 93 and 94: 7.3 TOBACCO CONTROLIntroductionToba
Page 95 and 96: Table 1Ranking of Dudley Wards of I
Page 97 and 98: Smoking Prevalence TargetsA new Tob
Page 99 and 100: Proportion of clients accessing DSS
Page 101 and 102: Figure 5:Smoking and Pregnancy Serv
Page 103 and 104: ConclusionsThe Dudley tobacco contr
Page 105 and 106: 7.4 ALCOHOL HARM REDUCTIONThere are
Page 109 and 110: Rate of Alcohol-related hospital ad
Page 111 and 112: The directly age sex standardised a
Page 113 and 114: Standardised rate per 100,000 popul
Page 115 and 116: Figure 11Source: LAPE, NWPHOThere h
Page 117 and 118: There are significantly more male b
Page 119 and 120: 7.5 CANCERTackling Cancer Inequalit
Page 123 and 124: Figure 5All invasive cancers, exclu
Page 127 and 128: 5 Year relative survival percentage
Page 129 and 130: Figure 11: One year survival by PCT
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alcohol consumption, sun exposure a
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What are the gaps/where are we goin
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Multi Disciplinary Teams should mon
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7.6 CHRONIC OBSTRUCTIVE PULMONARY D
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HINST and COPDAlthough the HINST di
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Excess Winter Mortality Index (%)Me
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Excess winter deathsExcess winter d
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Figure 7Causes contributing to tota
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Percentage uptake of seasonal flu v
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Figure 12Seasonal Excess Winter Dea
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7.8 OTHER CONTRIBUTORY CAUSESExtern
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Standardised Rate per 100,000 popul
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PercentagePatterns of mortality by
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Standardised Rate per 1,000,000 pop
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PercentagePatterns of emergency hos
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Standardised Rate per 1,000,000 pop
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Several factors determine whether a
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8. DELIVERING THE SERVICES THAT WIL
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- primary healthcare teams coming t
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Table 2 - Numbers of patients with
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The Local Authority has lead respon
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6. We will manage our resources eff
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DCS have been commissioned to provi
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An important addition to this arran
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8.5 VOLUNTEERS, HEALTH CHAMPIONS AN
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occupational standards, and work wi
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8.6 THE PREVENTION ROLE OF THE ACUT
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9. KEY RECOMMENDATIONSThe recommend
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CREATE AND DEVELOP HEALTHY AND SUST
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RECOMMENDATION ACTIVITY OUTCOMES LE
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REFERENCESAcheson, D. (1998) Indepe
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Eden B. and Davies A. (2010) Primar
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Marmot, M. (2010) Fair Society, Hea
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The Stroke Association (2007) NOP S
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Indicator Dudley EnglandAverageAlco
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Indicator Dudley England Least Most
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PRIORITY AREA: ACUTE CHD, STROKE AN
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RECOMMENDATION ACTIONS OUTCOMES LEA
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PRIORITY AREA: ALCOHOL DELIVERY PLA
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Early intervention and treatmentREC
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Reducing crime and disorder, includ
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PRIORITY AREA: CANCER DELIVERY PLAN
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PRIORITY AREA: COPD DELIVERY PLANRE
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RECOMMENDATION ACTION OUTCOMES LEAD
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HEALTH INEQUALITIES CHECKLIST FOR S
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Dudley Strategy for Tackling Health Inequalities 2010-15

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