Healthier Communities and Older People. With regards to the broader development of National Heath Services (NHS), there have been a plethora of public meetings across the borough led by the Primary Care Trusts (PCTs) and the Patient and Public Involvement Forums. These all suggest that services should be provided at the convenience of the local community, and not necessarily through traditional 9-5 business hours. Local people have consistently highlighted the need for closer integration across NHS, social care and others including the voluntary sector in terms of providing joined up services at local community level. Surveys such as the Citizens Panel and Healthy Lifestyle Surveys, alongside statistics gathered through the NHS have provided clear baselines that tell us how many people smoke, take physical activity and eat the recommended 5-a-day, as well as the prevalence of illnesses and diseases. The VCS continues to take the lead in the development and delivery of a number of significant programmes, including the Public and Patient Involvement Forums. The Sector has been actively involved in Sefton’s response to ‘Choosing Health’ and is represented at all levels within the newly formed Public Health Partnership (PHP). The main VCS forum interfacing with this area is the Health and Social Care Forum which also supports sub-groups around Older People, Mental Health, Learning Difficulties and Advocacy. Economic Development Sefton Economic Forum was established in November 2004, and held its inaugural meeting at Aintree Racecourse Conference Centre. Over 100 businesses and agencies attend each meeting. The Forum is the principle consultation and involvement mechanism for businesses seeking to influence the Borough Partnership, and is managed on behalf of the Partnership by Sefton Chamber of Commerce & Industry. Underpinning the Forum are a number of area-based and thematic business networks that connect businesses with a common interest, and promote collaboration. The Sefton Business Village Partnerships have successfully engaged business owners, many outside designated economic regeneration zones. Sector based networks in tourism (STBN) and construction (BuildSefton) have organised along the supply chain. As a result there is greater understanding of what is important to the local business community. Safer and Stronger Communities Feedback from the public through the Citizen’s Panel and the British Crime Survey, as well as an extensive range of Community Based meetings addressing matters of loc...
Healthier Communities and Older People. The Vision “To improve health outcomes and narrow health inequalities through promoting healthy choices and tackling the key determinants of poor health and improving the quality of services; Furthermore, wherever possible to provide older people with greater control over their own lives, to live safely and healthily, have an active role in the community, and access the support they need to be as independent as they choose”. The High Level Outcomes HCOP1: Helping people to live longer, healthier, more active lives HCOP2: Better mental health HCOP3: Healthier, independent and included older people HCOP4: Healthier, independent and included disabled people HCOP5: Enabling carers The Local Context – What are the Key Issues for Staffordshire? In Staffordshire there are specific challenges facing our communities in terms of their health. For example there are high levels of deprivation in Newcastle-under-Lyme, Xxxxxxx, Xxxxxx-on-Trent, Rugeley, Cannock and Tamworth. While the county as a whole is below average in terms of life expectancy for both males and females. While in Cannock Chase, Newcastle-under-Lyme and Staffordshire Moorlands long term illness is a key concern. The Wider Context The Government’s White Papers, Choosing Health and Our Health, Our Care, Our Say focuses on increased choice around healthcare for patients with local service delivery based on the needs of the community. Health and social care providers will be required to work more closely in partnership with the LAA playing a critical role in helping to encourage joint working across different agencies to deliver improved outcomes around health and older people. Key national and local challenges which have been considered in the development of this block include the NHS moving from a “provision” service to a “commissioning a patient-led service” moulded around the decisions of the patient, the national prioritisation of health inequalities; social care moving away from traditional residential and day care models, the Introduction of practice-based commissioning and payment by results, the reconfiguration of the health service locally and the emergence of Foundation Trusts. Impact on the Cross Cutting Priorities Closing the Gap [Information to be added] Prevention as a Priority [Information to be added] Local Services for Local People [Information to be added] Promoting Respect and Taking Responsibility [Information to be added] Linkages The LAA places significant emphasis on coherence, col...
Healthier Communities and Older People. The health of the Kirklees population overall is improving; however there are still major gaps between our most disadvantaged communities and the rest of the Kirklees population. The infant mortality rate in our worst Xxxx is 3 times higher than in the best. Baby girls born in our Neighbourhood Renewal areas can expect to live at least 3 years less those born in the rest of the district. Adults in our Neighbourhood Renewal areas are 50% more likely to die of heart disease before they are 75 in comparison to the rest of the district. Consequently one of our overarching ambitions for this Block is to close the health gap between our most disadvantaged communities and the rest of the Kirklees population. Locally we recognise that this ambition cannot be achieved just by doing things for people, but we must focus on enabling people to retain or regain control over their own health and the factors that affect their health. In order to achieve these overarching ambitions we recognise that we need to tackle a range of issues that affect the health of individuals and communities. The key local issues we have identified are removing barriers to good health, and particularly enabling people to have a decent home, decent income, decent job - if they are able to work, decent social networks and decent health and social care. However we also recognise that individuals lifestyles have a significant impact on their health and so we will focus our efforts on creating environments and providing support which enable people to be physically active, have a good diet, drink sensibly, stop smoking or reduce their exposure to tobacco smoke, not misuse drugs, and manage their own health, including any health problems they may have, more effectively. (NB several of these link to outcomes in other blocks.) The number of older people in Kirklees is increasing and the number of people of pensionable age is projected to rise by 50% over the next 25 years. The number of people aged over 85 is projected to almost double. We do not see this as a problem but as an opportunity. This element of the Block is not just about the health of older people and the increasing numbers who may well become more dependent but also about how we ensure that older people are recognised as an essential part of a successful Kirklees and their contribution is highly valued. We recognise that this aspect of the LAA is under-developed and will work on identifying additional indicators in the first year. We want...
Healthier Communities and Older People. At the six month stage the Health theme had the largest number of indicators against which it was not possible to report. In quarter 4 06-07 there were performance returns on all indicators. The Refresh process has also led to improved prospects for achieving the Physical Activity and Smoking Cessation reward targets as some confusion around baselines which disadvantaged Leicestershire have been clarified. At the six month review it was noted that two factors gave rise to some concern when looking forward with regard to Health outcomes to the end of 2006-07. The first was with regard to financial constraints in the NHS and the second the potential impact of structural reorganisation. The PCT’s challenging financial position & the prime need for a robust financial recovery plan meant, of necessity, that full implementation of the public health white paper “Choosing Health” has had to be delayed. However in spite of the financial situation some additional developments have been possible in smoking cessation services and sexual health services (GUM access). Whilst the national Chlamydia screening programme will continue to be rolled out locally, this will occur at a slower pace than is ideal. However, it is anticipated that more funds will be made available for implementing “Choosing Health” & other necessary public health programmes in 2008/09, resulting from a continued improvement in the PCT’s financial position. In general the health theme is progressing well and other risks cannot necessarily be ascribed to a lack of resources. The re-organisational changes to the PCT are starting to bed-in and together with the recruitment of a new joint Director of Public Health post. This together with the creation of the new Health Partnership at the County level provides a sound basis for a strong focus on improved LAA outcomes going forward.
Healthier Communities and Older People. The two are outcomes are included for the following reasons: Health inequalities are a mandatory outcome. Southend Together highlighted both outcomes as the main priorities. There is a large degree of crossover with the Essex LAA. As Southend PCT and Castle Point & Xxxxxxxx PCT will shortly be merging to create the South East Essex PCT, some of the draft targets included here draw on those included in the Essex LAA as they will be inherited by the new PCT as part of its integrated Local Delivery Plan. HCOP OUTCOME 1: Indicators Baseline 06/07 Target 07/08 Target 08/09 Target 09/10 Lead
Healthier Communities and Older People. Delivery of equipment improved by 10% from baseline position with one percentage point below target – hcop14 • BME assessment services – hcop17 Safer, Stronger Communities • Reduce housing management costs – ssc43 • Increase the number of offenders brought to justice for domestic violence, as measured by CPS data – SSC41(4)
Healthier Communities and Older People. HCOP 1 HCOP 2 HCOP 3 HCOP 4 HCOP 5 To support independent living for Older People To decrease social isolation in Older People To increase physical activity in the people of Northamptonshire To improve the diet of the people of Northamptonshire To enable the people of Northamptonshire to maximise their income
Healthier Communities and Older People. “Creating more opportunities to enable citizens to lead healthy, active and longer lives.” Three strategic outcomes have been identified for this block which will address the major lifestyle factors associated with low life expectancy, provide improved integrated services with older people, and provide better outcomes for people with diabetes. Oldham has a long history of poor health in comparison to the national average. However, we expect that the raft of improvements set out across the LAA will positively impact on our health outcomes and vice versa. Therefore, for example, improved housing conditions will also improve the health of occupants. Likewise, improved health can reduce the number of people claiming Incapacity Benefit. Diabetes has a significant impact on the health of the population. It is the greatest cause of adult kidney failure and blindness, and a major cause of lower limb amputation. It also significantly increases the risk of coronary heart disease and stroke, Effective control of blood glucose and blood pressure can reduce or delay the onset of complications. Helping individuals to have better control over their diabetes is, therefore, a strategic priority for Oldham. The borough also has an aging population (by 2021 the number of people aged 75 years and over is expected to increase by more than 3,00020). Therefore, we intend to utilise the LAA to increase the engagement of older people in service design and improve the services delivered to older people. We aim to promote community cohesion and narrow the gap by focusing, where appropriate, activities on key groups of the population (such as older people) and geographical areas. For example, diabetes is more prevalent in populations of South Asian heritage and in areas of socio-economic deprivation. In addition, this block has an overarching indicator and target to reduce the gap in life expectancy between the most deprived wards in Oldham from a baseline of 3.5% to 2.5% as measured by life expectancy at birth. We will monitor progress against this target and develop our delivery planning accordingly.
Healthier Communities and Older People. 3.17 The proposals put forward are as a result of extensive consultation, particularly around the “Independence, Well-Being and Choice” Green Paper on the future of Adult Social Care, which was published by the Department of Health in March 2005.
Healthier Communities and Older People. The VCS seem to be well integrated into this block.
