Life expectancy – female, years, 2003–05 Significantly better than England average Not significantly different from England average Significantly worse than England average 24 25 11 15 12 23 7 19 28 4 9 22 21 2 31 6 29 27 18 13 1 34 14 20 5 3 16 10 8 17 30 32 33 26 Birmingham * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Coventry Solihull 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Source: Community Health Profiles 2007, APHO and Department of Health; team analysis % of residents on means-tested benefits, 2003 Significantly better than England average Not significantly different from England average Significantly worse than England average 24 25 11 15 12 23 7 19 28 4 9 22 21 2 31 6 29 27 18 13 1 34 14 20 5 3 16 10 8 17 30 32 33 26 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Birmingham Coventry Solihull 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 * Source: Community Health Profiles 2007, APHO and Department of Health; team analysis % of children in low-income households, 2001 Significantly better than England average Not significantly different from England average Significantly worse than England average 24 25 11 15 12 23 7 19 28 4 9 22 21 2 31 6 29 27 18 13 1 34 14 20 5 3 16 10 8 17 30 32 33 26 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Birmingham Coventry Solihull 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 5.2 Source: Community Health Profiles 2007, APHO and Department of Health; team analysis Deaths from smoking, directly age-standardised rate per 100,000 population aged 35 or over, 2003–05 Significantly better than England average Not significantly different from England average Significantly worse than England average 24 25 11 15 12 23 7 19 28 4 9 22 21 2 31 6 29 27 18 13 1 34 14 20 5 3 16 10 8 17 30 32 33 26 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Birmingham Coventry Solihull 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 147.6 Source: Community Health Profiles 2007, APHO and Department of Health; team analysis Early deaths from heart disease and stroke, directly agestandardised rate per 100,000 population under 75, 2003-05 Significantly better than England average Not significantly different from England average Significantly worse than England average 24 25 11 15 12 23 7 19 28 4 9 22 21 2 31 6 29 27 18 13 1 34 14 20 5 3 16 10 8 17 30 32 33 26 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Birmingham Coventry Solihull 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 44.9 Source: Community Health Profiles 2007, APHO and Department of Health; team analysis People with diabetes, %, 2005/6 Significantly better than England average Not significantly different from England average Significantly worse than England average 24 25 11 15 12 23 7 19 28 4 9 22 21 2 31 6 29 27 18 13 1 34 14 20 5 3 16 10 8 17 30 32 33 26 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Birmingham Coventry Solihull 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 * Source: Community Health Profiles 2007, APHO and Department of Health; team analysis Statistics as we look at 2010/2011 DoH report • • • • • Health of people in Coventry is generally worse. Deaths from heart disease and stroke remain worse than the England average. Deaths from smoking and hospital stays for alcohol related harm are worse than the England average. Local Area Agreement for Coventry Prioritised smoking, obesity in children, amongst main objectives. Warwickshire Institute for the Study of Diabetes, Endocrinology and Metabolism Centre opened January 2007 OP unit has 13,000 attendances/year 1. Weekly joint Antenatal Clinic - patients with diabetes (Types 1, Type 2 and gestational diabetes) seen by the diabetes and obstetric teams. 2. Preconception Clinic - individuals with diabetes who are considering starting a family, offered advice and help to improve control beforehand. 3. Lipid and Cardiovascular Risk Clinic – individuals with complex cholesterol problems 4. Fortnightly Adolescent/Young Persons Diabetic Clinic 5. Weekly joint Diabetes Foot Clinic – with vascular surgeons 6. Fortnightly Diabetes Renal Service 7. Continuous Glucose Monitoring Service & Insulin Pump Service • Weight Management Service - Dietician, Psychologist and Obesity experts with surgeons who specialize in weight reduction operations 8. Dietetic Support and Diabetes Specialist Nurse - input for patients with newly diagnosed and established diabetes 9. Coventry and Warwickshire Retinal Screening Service - is one of the oldest digital retinal screening programmes; operated by the WISDEM team In addition to diabetes services, WISDEM also offers: 11. One stop Thyroid Clinic 12. Joint Pituitary Service with Neurosurgeons 13. Joint Reproductive Endocrine Clinic with Obstetric & Fertility Team 14. Joint Paediatric and Growth Clinic - complex endocrine problems 15. Polycystic Ovary Syndrome Clinic – cardio-metabolic problems 16. Male Hormone Replacement Clinic 17. Neuro-endocrine Tumour Clinic 18. Bone and Calcium Disorders & Osteoporosis Clinic - Slide 17 A1 Life Sciences Animal house Beta-cell biology UHCW In-vivo physiology Clinical databases E-health Clinical imaging CLRN UoW CSRI Human tissue repository Epidemiology Cell & Molecular Biology HSRI Qualitative research CTU Systematic reviews Systems Biology Medical Engineering WDL WBS NHS III SERVICE DEVELOPMENT & DELIVERY Clinical trials TRANSLATIONAL RESEARCH, INNOVATION & TRAINING Characterization of populations Interventions in populations Patients/ Patients Coventry & Warwickshire PCTs Warwickshire Institute for Diabetes, Endocrinolog y& Metabolism GP’s and practice nurses Novo Nordisk & other collaborators iDREAM West Midlands Antenatal Diabetes Collaborative University of Warwick Nurse specialists UHCW Trust, George Elliot Hospital, Nuneaton Public health Patient organisations Professor Sudhesh Kumar Pro-Dean Research WMS WISDEM Commercial & Operations Manager Warwick Medical School