Dudley Strategy for Tackling Health Inequalities 2010-15

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“reduce smoking during pregnancy to 11% by 2015In Dudley smoking prevalence at time of delivery reduced from 17% in 2005 to 15%in 2009 then rose again in 2010 to 17%. (DGH, 2010). However data from thePerinatal and Infant Mortality programme, shows Dudley to have a prevalence of9.5% at delivery for 2009 and 5.7% for 2010 (Q1&Q2), with Dudley achieving thehighest smoking cessation rates across the West Midlands. This data collection wasfunded by the NHS West Midlands „Investing for Health‟ programme and collectsroutine data from maternity handheld records, including smoking status at booking,delivery and smoking cessation rates, on a case by case basis. The aim is tounderstand the key reasons why perinatal and infant mortalities occur, and developearly interventions which will reduce their incidence. This data is audited regularlyand shows good quality case ascertainment and data collection. Work is ongoing inpartnership with Midwifery Services to understand the reasons for the data variationsbetween the two methods and improve data quality and reporting.Overall smoking prevalence in England has decreased from 28% in 1998 to 21% in2008, with 21% of men and 20% of women reporting smoking (NICE, 2008b).However, prevalence of smoking amongst people in the routine and manual socioeconomicgroup continues to be greater than amongst those in the managerial andprofessional group 26% and 15% respectively in 2007. In 2008 the prevalence in theroutine and manual group rose slightly to 28% (ONS, 2010) highlighting there is stillmore to be done to achieve the 2010 Public Service Agreement on smoking to:“reduce adult smoking rates to 21% or less by 2010, with a reduction in prevalenceamong routine and manual groups to 26% or less”The overall smoking prevalence for Dudley as determined by the Dudley HealthSurvey 2009 is 18.5% (Dudley PCT, 2009b). Whilst the overall smoking prevalenceis lower than the national average, and has fallen from 21% in 2004 it variessignificantly with ward area, social deprivation, age, and gender.Smoking Prevalence by Ward AreaTable 1 shows smoking prevalence by ward in Dudley. The wards with smokingprevalence higher than both the national and local average in bold type are BrierleyHill (26%) closely followed by Castle and Priory, St Andrews, Quarry Bank andCradley (25%), Coseley West (24%), St Thomas (23%), Lye and Wollescote,Brockmoor and Pensnett and Gornal Wood (22%). Wall Heath and KingswinfordNorth has the lowest prevalence at 9%.93
Table 1Ranking of Dudley Wards of Indices of Multiple Deprivation (IMD 2007)comparable to smoking prevalence 2009Ward NamesIMD 2007 National Rank1 = Most Deprived7928 = Least DeprivedSmoking Prevalence2009Castle & Priory 504 25%St. Thomas 644 23%Netherton & Woodside 696 19%Brierley Hill 807 26%Lye & Wollescote 1008 22%St. James 1066 18%Brockmoor & Pensnett 1138 22%St. Andrews 1264 25%Coseley East 1655 20%Quarry Bank & Cradley 2106 25%Belle Vale & Hasbury 2150 18%Coseley West 2249 24%Gornal Wood 2360 22%Halesowen North 2487 16%Wollaston & Stourbridge West 2994 18%Hayley Green 3775 14%Ward NamesIMD 2004 National Rank1 = Most Deprived7932 = Least DeprivedSmokingPrevalence2009Wordsley 4153 18%Amblecote 4252 14%Kingswinford South 4804 18%Pedmore & Stourbridge East 4806 20%Norton 5065 12%Halesowen South 5457 18%Sedgley 5704 14%Wall Heath & KingswinfordNorth 5954Among the 10% most deprived wards nationallyAmong the 10 – 50% most deprived wards nationallyAmong the 50% least deprived wards nationally9%Smoking Prevalence by DeprivationFigure 1 shows the smoking prevalence by IMD quintile in Dudley which highlights in2009 the proportion of smokers in the most deprived areas was 26% compared to12.5% in the least deprived area. This compares to the national picture indicatingfurther targeting of services for smokers in these groups is needed.94
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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
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Percentage of live and still births
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EYFS Median Scores by National Depr
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data which shows us locally what ac
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instability. Factors such as job se
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Proportion of population claiming J
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Data is available for those ALMPs f
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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 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 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 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 142 and 143: 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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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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