Dudley Strategy for Tackling Health Inequalities 2010-15

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Percentage who currently smokePercentage who currently smokeFigure 145%Dudley Health Survey 2004 and 2009: Directly standardised proportion ofrespondents who currently smoke, by year and IMD 2007 National quintile40%35%30%25%20%15%10%5%0%Quintile 1 - MostdeprivedQuintile 2 Quintile 3 Quintile 4 Quintile 5 - Leastdeprived2009 2004Source: Dudley Health Survey 2004 and 2009Smoking by Age and GenderFigure 2 shows the smoking prevalence by age band and gender in Dudley. In bothsexes the proportion of respondents who smoke is highest in 18-24 year olds andfalls with increasing age. In 18-24 year olds the proportion of females who smoke ishigher than the proportion of males, but in all other age bands the proportion ishigher in males than females. Overall more men report as being smokers (20.5%compared with 16.6% women).Figure 245%Dudley Health Survey 2009: Proportion of respondents who currentlysmoke, by ageband and sex40%35%30%25%20%15%10%5%0%18-24 25-34 35-44 45-54 55-64 65-74 75+Age in yearsMaleFemaleSource: Dudley Health Survey 200995
Smoking Prevalence TargetsA new Tobacco Control Strategy for England – A Smokefree Future was released inFebruary 2010 (Great Britain. Department of Health, 2010a), by the then government,which outlined challenging aspirations to further reduce smoking rates.The Smoke Free Futures vision contained three overarching objectives:1. To stop the inflow of young people recruited as smokers.Aspiring to reduce the 11–15-year-old smoking rate to 1% or less,and the rate among 16 and 17-year-olds to 8% by 2020.2. To motivate and assist every smoker to quit.Aspiring to reduce adult smoking rates to 10% or less, and halvesmoking rates for routine and manual workers, among pregnantwomen and within the most disadvantaged areas by 2020.3. To protect our families and communities from tobacco-related harm.Aspiring to increase to two-thirds the proportion of homes whereparents smoke but that are entirely smokefree indoors by 2020.It is unclear at this stage whether the new coalition government will continue withthese aspirations and we await confirmation in the Public Health White Paper due tobe released in December 2010.Tobacco Control in DudleyA considerable amount of action on tobacco control has been underway in Dudleyfor many years. A Tobacco Control Strategy for Dudley was developed in 2007 –Creating a „Smokefree Generation‟ - which outlines a local partnership approach andkey priorities to provide children and young people in Dudley a fair chance to growup in a smokefree environment where smoking is not seen as the norm.The strategy was developed by the Tobacco Action Group (TAG) in line with theDepartment of Health‟s six strand approach. It set out a clear three year action planand monitoring framework from 2007-10. The group reports regularly to the DudleyHealth and Wellbeing Partnership. The strategy will be reviewed and updated inview of the new national Tobacco Strategy and Public Health White Paper due out inDecember 2010.Dudley also takes the lead in co-ordinating the Black Country Tobacco ControlAlliance (BCTCA), which facilitates a more strategic approach to tobacco controlactivities across the four Black Country boroughs through partnership working,sharing of resources and good practice and joint project and campaign work. TheBCTCA is focussing joint action on tackling illicit tobacco.Dudley PCT identified the Tobacco Control programme as one of its key World ClassCommissioning (WCC) priorities in 2010 supported by additional recurrentinvestment within the PCTs strategic plan to bring the target of 4 week quitters to3554/year and rate /1000 population to 14.22 by 2015 and to achieve a reduction inthe demand for healthcare further upstream. This programme of work will bedelivered through a comprehensive tobacco control approach.96
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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
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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 94 and 95: “reduce smoking during pregnancy
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
Page 144 and 145: 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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