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joint strategic needs assessment foundation profile - JSNA

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Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org<br />

o Furthermore, it would be useful to explore the process by which causes of<br />

death are assigned, for example, by meeting with the local Registrar.<br />

Continue to Develop Strategies<br />

o One of the most important recommendations is to continue to develop<br />

current and new innovative strategies and continue to develop this agenda<br />

by engaging with others to reduce inequalities.<br />

o It is recommended that there should be an implementation phase for Hull<br />

and East Riding of Yorkshire in which a group is formed to oversee<br />

implementation of these recommendations. Existing members of the<br />

equity audit group have expressed willingness to engage in this process.<br />

o The next years will see resounding changes to the commissioning and<br />

provision of mental health services throughout the UK, and in Hull and<br />

East Yorkshire. The implementation group should be willing to consider<br />

radical solutions in order to make much needed improvements to Mental<br />

Health Service Provision in the area.<br />

Collaboration with Providers<br />

o This Equity Audit recognises the growing need for strong partnership<br />

arrangements as we move into a new and more demanding period of<br />

health care provision, where inequalities are recognised as a priority in the<br />

commissioning and provision of Mental Health Services.<br />

10.9.3.10 Progress Towards Targets<br />

Following the change in the government in May 2010, new outcomes are now under<br />

consultation (see section 3.3.6.2 on page 52). One of the outcomes proposed is the<br />

mortality rate from suicide and undetermined injury, and a number of targets relating to<br />

people with learning disabilities or mental health problems, such as the percentage of<br />

people with mental illness and/or disability in employment, the percentage of people with<br />

serious mental illness who smoke and the mortality rate of people with mental illness.<br />

The mortality rate from suicide and undetermined injury is available nationally, but is a<br />

narrow indicator to measure mental health and is subject to year-on-year variability due<br />

to the relatively small numbers. However, other measures relating to people with mental<br />

illness etc, depend on knowing who has mental illness, and there are problems with<br />

these types of indicators if there is a high prevalence of undiagnosed mental illness. It is<br />

not clear how accurate information for these measures can be collected. The mortality<br />

rate from suicide and undetermined injury is given in section 10.9.8 on page 706.<br />

Prior to the reorganisation which is currently underway within the NHS, the World Class<br />

Commissioning (WCC) target chosen for mental health was to provide a choice of<br />

appropriate, comprehensive, integrated mental health services within a maximum of 14<br />

days from referral to intervention over the next five years. A single point of access<br />

telephone number was been set up which enabled health professionals to refer patients<br />

Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 690

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