Long-term Outcome. At the 6-month follow up for Individuals completing treatment, a minimum of [50%] must report abstinence or reduced gambling.
Long-term Outcome. In Argyll and Bute the economy is diverse and thriving What success will be like in 10 years Thriving broad based economy that has realised its full contribution to Scotland’s economic development via the growth in sectors such as renewables, tourism, food and drink, marine science and digital knowledge economy. Helensburgh and Xxxxxx will be a thriving local economy based on a growing employment base and further integration with the wider west of Scotland labour market. The opportunities and potential for growth in Oban and Lorn are being developed and realised. Regeneration activity in Dunoon and Rothesay has transformed them in to thriving local economies. The success of Campbeltown / Machrihanish NRIP site is key to ensuring the local economy has a sustainable future. Overall increased levels of income and employment. This is the progress we expect to make in 3 years Contribution and role of Argyll and Xxxx to the Government Economic Strategy is understood and fully supported by national and regional agencies. Growing opportunities for onshore and offshore renewable energy throughout Argyll and Bute and an active local supply chain focused around the Campbeltown / Machrihanish NRIP site and opportunities around North Argyll. European Marine Science Park occupied and a growing cluster of education, research and commercial activity at Dunstaffnage with future phases well advanced. Repositioning the Argyll and Bute tourism product and profile, increasingly active networks established, creating new tourism experiences, driving up added value locally, raising the quality of the accommodation across the area. A clear strategic and holistic focus on the regeneration challenges in Dunoon and Rothesay will begin to show positive results with opportunities through improved connectivity being realised, increasing activity in the housing market and inward investment successes. The delivery of a range of public and private sector investments in the Helensburgh and Lomond area has encouraged further economic development and investment opportunities that are significant at the regional level and that raises the area’s profile. Business and commercial opportunities are promoted across all communities in Argyll and Bute and opportunities relating to key sectors such as tourism, the digital economy, food and drink (incl. whisky) and renewables are being exploited by local businesses. This is where we are now The business base remains narrow and the public sector is domi...
Long-term Outcome. In Argyll and Bute education, skills and training maximises opportunities for all. What success will be like in 10 years First class education and training opportunities attract people to Argyll and Bute. All young people have the opportunity to achieve a positive and sustained destination. Everyone has access to training and skills development opportunities of their choice. Local labour market information shapes development of higher and further education curriculum and training. Aligning education, skills and training provision with labour market needs will maximises opportunity for people and ensure the supply of educated, skilled and trained people to support the local economy. This is the progress we expect to make in 3 years Further progress in relation to the reduction in the number of young people leaving school without a positive and sustained destination. Schools have undertaken further curriculum reform to support the new national qualifications and ensure young people have the opportunity to follow a programme tailored to their needs. Increased opportunities for alternative qualifications. Closer links to local labour market analysis and the options offered by schools and Higher and Further Education providers. The facilities and support required to support training in emerging and economic growth sectors will be investigated building on the development of the XXXX facility in Oban. Increased opportunities for meaningful short and long term employment experience. The corporate parenting support by CPP partners for Looked After Children is improved and is narrowing the inequality gap for them. Ongoing review of scope of skills and training development to reflect demand and take opportunities to increase scope and range of this provision. This is where we are now The educational attainment in Argyll and Bute is above the national average in most measures. Schools increasingly offer access to a range of wider qualifications to assist pupils with vocational routes providing access to FE/HE courses in schools. There are increasing trends in the number of adults who are accessing activities supporting their literacy and numeracy. Independent, third and public sector providers offer a range of skills and training development. These are the key strategies and delivery plans Education Action Plan, Curriculum for Excellence Implementation Plan, Individual school improvement plans, Opportunities for All Development Plan, Argyll and Bute Skills Pipeline, A...
Long-term Outcome. In Argyll and Bute children and young people have the best possible start What success will be like in 10 years All our children will be more active and have increased opportunities to participate in play, recreation and sport. There will be an increase in improvement in children’s health and wellbeing. Reduced numbers of looked after children will be able to remain in their local community as a result of flexible support packages. Integrated delivery of public protection supports vulnerable children and young people. Continued development of high quality learning opportunities This is the progress we expect to make in 3 years Literacy levels of children continue to improve. There are increased levels of participation for children and young people in physical activity. The treatment gaps in services for children and young people have been addressed with appropriate services. Attainment of looked after children is improving and levels of exclusion reducing. Good quality support is available to allow children to remain within their own communities. Improved quality & consistency to ensure all children are protected from abuse, neglect and harm. Co-production is embedded across Argyll and Bute. This is where we are now Argyll and Bute has a comprehensive early years service offering good quality support to women through their pregnancy and beyond. Quality of assessment is improving however quality of care planning and risk assessment needs further support. We are developing coproduction of all levels with children and young people in communities to inform how we build capacity and stability These are the key strategies and delivery plans The Integrated Children’s Service Plan will be the main document that will be used across all partners over the next three years to drive performance against key outcomes. These are some of the main areas of focus included within this outcome This includes ensuring children and young people are protected from abuse, neglect and harm, are more active and have more opportunities to participate in play, recreation and sport, live within a family supportive environment, have the highest possible standards of physical and mental health, can access to positive learning environments and opportunities to develop skills and have their voices heard and are encouraged to play an active and responsible role in communities. Collaborative working to deliver quality services early in life offers real and tangible outcomes for children, youn...
Long-term Outcome. People live active, healthier and independent lives. What success will be like in 10 years People are active and healthier across all dimensions of health and wellbeing. Those who are older, living with long term conditions or vulnerable are increasingly being supported to maintain their independence for as long as they choose. Life expectancy is still above the Scottish average with increasing healthy life expectancy. The health outcomes for those living in our most deprived communities are closer to those of our most affluent areas. Communities are active in co-producing the services they have aspirations for. People lead more active healthier lives through increased participation in sport and physical activity. This is the progress we expect to make in 3 years Continuing to be above the Scottish average in terms of life expectancy and healthy life expectancy. Work in place to reduce health inequalities and targeted to those most in need. Older people reporting that they feel supported to live independently where they choose. More people with health and care needs live at home or a homely setting. Fewer emergency admissions of older people. This is where we are now Argyll and Bute is above the Scottish average in terms of life expectancy. Our healthy life expectancy is 68.5 years (males) and 72.5 years (females) compared to the Scottish average of 66.3 (males) and 70.2 (females). Within the area however we have health inequalities. These are manifest throughout our rural communities and are not easily measured. However we see the effect of these inequalities in our towns. There are 10 areas in total, within Campbeltown, Dunoon, Helensburgh, Oban and Rothesay, included in the 15% most deprived small areas in Scotland. Most older people (65+) in Argyll and Bute look after themselves at home, with varying degrees of help. 3% are cared for in the ‘formal’ setting of a care home or similar. These are the key strategies and delivery plans There are many plans across the CPP and within individual partners, including: Health and Wellbeing Partnership Joint Health Improvement Plan (draft); Mental Health Modernisation and Strategic Framework for Mental Health and Wellbeing; Reshaping Care for Older People; A&B Integrated Children’s Services Plan; Housing Strategy and NHS Highland Health Inequalities Action Plan. These are some of the main areas of focus included within this outcome Everyone has the opportunity to be active members of their community. People are en...
Long-term Outcome. Voices of the vulnerable on economic rights and the right to adequate food, nutrition & health are represented at national, sub-regional, regional and global levels Duty bearers become more responsive to the needs of the most vulnerable and are accountable for economic rights, right to food, nutrition and health The Government and the Local Governments’ food, health and trade related policies, law and operational frameworks are protective of human rights and promote adequate Living Food, health and trade systems exhibit social justice OUT COMES RESULTS Food, health and trade systems are legally framed as constitutional entitlements and in consideration of human rights. Economic rights, the rights to food, nutrition and well-being are justiciable and persons who experience violations of their rights to adequate living have access to justice. Private sector and investments including the Public- Private Partnership adhere to human rights principles of food and economic Local community especially the most vulnerable (women and children) are resilient and hold duty bearers accountable CEFROHT contribute to strategic partnerships at national, sub-regional, regional and global levels on economic rights and the right to adequate food, nutrition health issues. Community legal empowerment in food, nutrition & economic rights as well as social accountability approaches; Community capacity building in agro-ecological practices, nutrition & health wellbeing; Analyzing all laws, policies, and practices impacting the right to adequate food, nutrition and health wellbeing and ensure that the legal framework is used as a key driver for the realization of the rights to adequate living;Through legal research, legal advisory &litigation, define rights to adequate food, health and trade, as well as redress to violations of such rights.
Long-term Outcome. With the improvements in antenatal and neonatal management over the past decades, survival has significantly improved in HDFN. As mortality rates lower, attention is shifting towards the long-term outcome in the surviving neonates. Adverse prenatal conditions including impaired foetal nutrition and growth can have a profound and long-lasting impact on physical and mental health throughout life, for example increased risk of cardiovascular disease, neuropsychological disorders and metabolic disease.93,94 The impact of severe foetal and neonatal anaemia, hyperbilirubinaemia and of the (invasive) procedures and treatments foetuses and neonates with HDFN are exposed to is unknown, but seems to justify long-term follow-up studies as current data is limited.95 Long-term outcome after IUT A large long-term follow-up study in our centre, the LOTUS study (Long-Term follow-up after intra-Uterine transfusionS), was performed to determine the incidence of neurodevelopmental impairment (NDI) in children treated with IUT for HDFN (between 1988 and 2008). A total of 291 children were studied at a median age of 8.2 years. NDI was defined as the presence of one or more of the following: cerebral palsy, severe developmental delay, bilateral blindness, and/or deafness. The incidence of severe NDI was 3.1%, comparable to the Dutch normative population (2.3%). The overall rate of NDI was 4.8% (14/291). In a multivariate regression analysis, the number of IUTs, severe neonatal morbidity, parental education and severe prenatal hydrops were independent risk factors associated with NDI.96 Health-related quality of life and behavioural functioning in 285 children and adolescents treated with IUT for alloimmune anaemia was recently assessed at our centre.97 Parents reported lower scores on cognitive functioning in their children aged 6-11 years compared to Dutch norms. Behavioural difficulties were more prevalent than norms and associated with maternal educational level. Overall, in the majority of survivors, long-term outcomes following IUT for alloimmune anaemia appear favourable. Hypothetically, the chronic anaemia caused by immune haemolysis in the foetus results in the need for increased cardiac output and may lead to myocardial hypertrophy. Limited data show that HDFN treated with IUT may lead to less myocardial mass in childhood, but the long-term cardiovascular consequences in adult life are unknown.95 However, very recently, a retrospective cohort study by Xxxxxxx et al. wa...
