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. Healthy Communities The key strategic drivers for health improvement are set out in the national documents Choosing Health; Commissioning a Patient Led NHS, and Our health, our care, our say. The important priorities in Southwark are: - Tackling health inequalities - Reducing the numbers of people who smoke - Tackling obesity - Improving sexual health - Improving mental health and well-being - Improving the management and promoting the health of people with long-term chronic health conditions. Our approach is underpinned by the key principles of: - Promoting informed choice and support to make healthy choices - Supporting partnership working to make health everyone’s business. Chronic conditions such as high blood pressure, diabetes, heart disease, stroke, chronic lung disease and cancer are the main causes of ill health and earlier death in Southwark. These conditions are very much influenced by lifestyle factors, particularly what people eat and drink, how physically active they are, and whether or not they smoke. As well as playing a fundamental part in prevention, healthy lifestyles are key to the effective management of people with these long-term conditions. Primary care plays a crucial role. Effective working to reduce the burden of ill health in Southwark requires close working across a range of partners, from health and social care services, especially primary care, and Council departments such as education, housing, parks and leisure, the voluntary sector and most importantly, our local communities. Health improvement is a key element of the borough’s Community Strategy. Underpinning the Community Strategy are detailed strategies for tackling obesity (promoting physical activity and healthy eating), tobacco control and smoking prevention, sexual health, mental health promotion and targeted health improvement through Neighbourhood Renewal. The strategic direction for promoting health and well-being is led by Healthy Southwark, the health improvement arm of the Southwark Alliance. Healthy Southwark works closely with other partnerships such as Young Southwark, Safer Southwark and the Older People’s Partnership. Improving health in Southwark is a huge challenge to be achieved with shared responsibilities across partnerships. Our LAA reflects this stance: many of our health improvement outcomes are embedded across the LAA. For example, outcomes relating to tackling childhood obesity, promoting physical activity in school age children and extending He...
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.
Healthier Communities and Older People. Outcome
