Health and Wellbeing in Redcar and
Cleveland
Julia Weldon
Director of Public Health
May 2013
What I am going to
cover?
• Our greatest assets
• Health and wellbeing in
the Borough
• The Health and
Wellbeing Board and
strategy
• Navigating the new
health Landscape
• Working together
Everything around us impacts on health
and wellbeing and our health and
wellbeing impacts on everything we do
We have much to be proud
of…
• Our People are our greatest
assets
• Our Borough is rich in
diversity
• Regeneration of place
• The majority of large local
employers engage with
health e.g North East Better
Health at Work award.
• A strong history of
partnership working across
Teesside and the North East
• A continuing record of
working with VCS
We have much to be proud
of…
•
•
•
People in our borough are healthier overall
A significant decline in deaths from heart disease,
stroke and cancer over the last 10 years
Excellent early intervention and prevention
programmes including:
– NHS Health Checks and cancer screening uptake well
above England Average
– Key worker approach with families in crisis
– Response to welfare reform
– UNICEF Baby friendly and breastfeeding welcome
– Smoke Free Redcar and Cleveland
– Partnership approach to reducing excess winter deaths
across the borough
– Management of Health Protection Issues
…and some
significant challenges
•
•
•
•
•
•
35% of people in the 20% most
deprived in England
Life expectancy gap 13 years
(men) 8.5 women
Big Killers effect the most
disadvantaged
Smoking kills over 250 adults
each year
Emergency admissions are
higher than national average
including alcohol admissions
Too many of our young people
are not reaching their potential
…and some
significant challenges
• Mental wellbeing poor for
some groups
• Levels of adult obesity
(29%)higher than national
average
• Breastfeeding rates amongst
worst in England (52%/24%)
• 1:4 pregnant women smoke
• 27% of children living in
poverty
• High levels of social isolation
and loneliness
New
organisations/bodies
New landscape.....
The Mandate
NTDA
NHS Trust
Development
Authority
112 Trusts FT
Pipeline
(Jan 2012)
CSS
New Landscape
http://healthandcare.dh.gov.uk/system/
Developing the strategy
• Health and Wellbeing
Board moved from
shadow form
• Health and Wellbeing
Executive
• Based on JSNA and
other intelligence and
lots of feedback from
partners and
communities
• Outcomes based
strategy
Key:
Worst
: Redcar & Cleveland
: Nort h East
25th
Ref.
Measure
Redcar & Cleveland
Value
Direction
Value
HWB1
Child poverty
25.3%
Little change
16.8%
HWB2
Rate of smoking at time of delivery per 100 maternities
24.4%
Improving
13.7%
13.0%
Improving
18.0%
31.0%
Deteriorating
29.0%
HWB3i
HWB3ii
Achievement gap between pupils eligible for free school meals
and their peers (aged 10-11)
Achievement gap between pupils eligible for free school meals
and their peers (aged 15-16)
HWB4
School readiness
63.0%
Improving
63.0%
HWB5i
Childhood immunisation (12 months)
94.6%
Improving
95.2%
HWB5ii
Childhood immunisation (24 months)
94.9%
Little change
94.3%
HWB6
Adult obesity
29.6%
Deteriorating
24.3%
HWB7
16-18 year olds not in education, employment or training
(NEETs)
10.4%
n/a
6.1%
HWB8i
Breastfeeding initiation
52.1%
Deteriorating
72.7%
HWB8ii
Breastfeeding status at 6-8 weeks
22.7%
Little change
44.0%
HWB9
Admissions to hospital for alcohol misuse
2,816
Deteriorating
1,777
HWB10i
Life expectancy (Males)
78.3
Improving
79.2
82.0
Improving
83.0
HWB10ii Life expectancy (Females)
Best
England Avg.
Percentile
75th
England
Range
HWB11
Healthy life expectancy
n/a
n/a
n/a
Data development item
HWB12
Estimated diagnosis rate for dementia
n/a
n/a
n/a
Data development item
HWB13
Reducing social isolation
n/a
n/a
n/a
Data development item
HWB14
Increasing the number of people in high risk groups receiving
vaccinations to protect their health
n/a
n/a
n/a
Data development item
HWB15
Emergency readmissions within 30 days of hospital discharge
12.5%
Deteriorating
11.5%
HWB16
People receiving integrated services, such as reablement
n/a
n/a
n/a
Data development item
Future Challenges and
Opportunities
Here photo of strategy
• Transforming commissioning
approaches
• Working within the new
infrastructure
• Engagement and inclusion
• Reducing health inequalities
• Public health ring fenced
grant beyond 2015
• DPH Annual Report
“We must not miss the generational
opportunity given to us through the
leadership of local government to
transform the nation's health”
Duncan Selbie
Chief Executive Designate
Public Health England 2012
The How Can We approach….
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•
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•
Some questions to answer at your tables today
Propose a way of thinking that is tried and tested
Turn the question posed into a how can we question
Then ask three questions
– Where are we now?
– Where do we want to be?
– What are the first steps (next 3 months) that we can commit
to now>
How can we ensure the
Community and the VCS are equal
and reciprocal partners in health
and wellbeing?
• Some prompts to help you answer
– How do you we want it to be?
– What is it like now?
– Some first steps?
5 minutes
5 minutes
5 minutes
Speak to Me!
Julia.weldon@redcar-cleveland.gov.uk
TEL: Direct Line 01642 771607
Mobile: 07825 195867