Health Inequalities Awareness Training 25th September 2014 Field Place Welcome and Introduction Renée Dickinson, Public Engagement Manager Office: 01903 708498 Mobile: 07919 166369 Web: www.coastalwestsussexccg.nhs.uk [email protected] 09:30 –Welcomes and Introductions – objectives for the session, Renée Dickinson, Public Engagement Manager for the CCG09:45 to 10:15 – What do we mean by Health Inequalities, Debra Balfour, Inequalities lead WSCC Public Health 10:15 to 10:45 - The current picture of inequalities in Coastal, Ross Maconachie, JSNA Data and Research Manager, Public Health and Jacqueline Clay, Public Health lead 10:45 to 11:15 – Making the most of our community resources, Sally Tabbner, Head of Public Health Contracts and Performance 11:15 to 12:00 Commissioners’ Challenge Renée to set the brief for the challenge. 12:00 – 12:45 – How can our work in commissioning help to reduce Health Inequalities? Rhani Dhillon, Locality Lead CCG and GP Lime Tree Surgery with Matt White supporting 12:45 to 13:00 – Questions and Close Why are we here today? • Public Reference Panel - The scrutiny committee for Public Engagement within our commissioning projects and processes. • West Sussex has the most unequal health outcomes across the South East of England • Health Inequalities need to be addressed proactively • Systematically engrained within our commissioning processes The Coastal West Sussex Patch • Coastal WS CCG covers almost 65% of West Sussex • We have 6 Localities • There are 54 GP practises • An annual budget of more than £580million • Total population now exceeds • 482,000 The CWS Population Mosaic Public Sector Profile: Coastal West Sussex Population vs. England Population C o ast al W est Sussex C C G Po p ulat io n Eng land Po p ulat io n % % Pen Index A Country Living 49,022 10.2 3,196,974 6.0 1.53 172 B Prestige Positions 47,212 9.9 4,110,908 7.7 1.15 129 C City Prosperity 712 0.1 2,415,966 4.5 0.03 3 D Domestic Success 41,718 8.7 4,851,323 9.0 0.86 96 E Suburban Stability 38,444 8.0 3,359,854 6.3 1.14 128 F Senior Security 81,965 17.1 4,229,381 7.9 1.94 217 G Rural Reality 33,593 7.0 2,840,122 5.3 1.18 132 H Aspiring Homemakers 55,490 11.6 5,397,017 10.1 1.03 115 I Urban Cohesion 10,905 2.3 3,628,019 6.8 0.30 34 J Rental Hubs 31,376 6.6 3,746,435 7.0 0.84 94 K Modest Traditions 12,621 2.6 2,324,866 4.3 0.54 61 L Transient Renters 17,185 3.6 3,234,747 6.0 0.53 59 M Family Basics 29,482 6.2 4,771,478 8.9 0.62 69 N Vintage Value 25,600 5.3 2,548,189 4.8 1.00 112 O Municipal Challenge 3,623 0.8 2,967,432 5.5 0.12 14 478,948 53,622,711 0 50 10 0 15 0 20 0 Groups A, B, E, F, G and H are significantly overrepresented within Coastal West Sussex. Together, these groups make up over 64% of the population. Senior Security alone account for 17% of the population, whilst Aspiring Homemakers account for a further 11.6%. Key MOSAIC groups in CWS • Groups B ‘Prestige Positions’ , L ‘Transient renters’ and M ‘Family Basics’ have been identified as key Mosaic Groups. • These three groups are all over represented in Coastal West Sussex when compared to the England population. • In particular Groups L and M are over represented for many of the health conditions partly due to these being more elderly groups. • They are unlikely to use A&E inappropriately probably due to the fact that if they are in hospital it is for longer term conditions. • Group B is also the only group to not be under represented in any of the health conditions. Key MOSAIC Groups A Country Living B Prestige Positions E Suburban Stability Rural locations High value detached homes Older families Well-off homeowners Married couples Some adult children at home Attractive detached homes Managerial and senior positions Suburban mid-range homes Higher self-employment Supporting students and older children 3 bedrooms High car ownership High assets and investments Have lived at same address some years High use of Internet Online shopping and banking Research on Internet 10.2% Population in Coastal West Sussex 9.9% Population in Coastal West Sussex 8.0% Population in Coastal West Sussex Key MOSAIC Groups F Senior Security G Rural Reality H Aspiring Homemakers Elderly singles and couples Rural locations Younger households Homeowners Village and outlying houses Full-time employment Comfortable homes Agricultural employment Private suburbs Additional pensions above state Most are homeowners Affordable housing costs Don't like new technology Affordable value homes Starter salaries Low mileage drivers Slow Internet speeds Buy and sell on eBay 17.1% Population in Coastal West Sussex 7.0% Population in Coastal West Sussex 11.6% Population in Coastal West Sussex Mosaic Public Sector General Health (Good to Bad) & CWS Population Breakdown 0.1 % 8.7 % 9.9 % 11.6 % 6.6 % 7.0 % 2.3 % 8.0 % 10.2 % 17.1 % 2.6 % 6.2 % 3.5 % 0.8 % 5.3 % Key Group X% Percentage of CWS Population We asked you to tell us…… What does the term Health Inequalities mean to you? What does the term Equality and Diversity mean to you? How do you think that your role could help to reduce health inequalities? “Helping to enable recognition” “Commissioning care that is accessible” “Making useful data available” “Highlighting bad practise” “Representing different community groups” “Treating everyone as equals” The CCG Vision In 2019 patients will tell us: • My wellbeing is as important as my physical health • I feel safe and confident that I will be looked after well • I have access to a choice of high quality, responsive services seven days a week • I am in control of my health and my medical conditions are well managed • The care I receive is built around me • I am supported when I become unwell • I feel part of my community Seven areas of transformation: • • • • • • • Patient participation in their NHS Urgent and proactive care Mental health and learning disabilities Planned care Children, young people and maternity Primary care Taking care of the essentials 09:30 –Welcomes and Introductions – objectives for the session, Renée Dickinson, Public Engagement Manager for the CCG09:45 to 10:15 – What do we mean by Health Inequalities, Debra Balfour, Inequalities lead WSCC Public Health 10:15 to 10:45 - The current picture of inequalities in Coastal, Ross Maconachie, JSNA Data and Research Manager, Public Health and Jacqueline Clay, Public Health lead 10:45 to 11:15 – Making the most of our community resources, Sally Tabbner, Head of Public Health Contracts and Performance 11:15 to 12:00 Commissioners’ Challenge Renée to set the brief for the challenge. 12:00 – 12:45 – How can our work in commissioning help to reduce Health Inequalities? Rhani Dhillon, Locality Lead CCG and GP Lime Tree Surgery with Matt White supporting 12:45 to 13:00 – Questions and Close You now have the opportunity to; speak with and learn from our colleagues that are here representing the Health and Wellbeing Hubs and Voluntary Action Worthing. - find out about projects and initiatives that are active within our communities and speak to our colleagues who are on the ground about the issues that are affecting the local populations. As a group, we want you to use this information to think about how you can better recognise and identify health inequalities that will relate to your transformational area. For example, Mental health and learning disabilities, you may find it interesting to find out about what services there are for people who need help with drug misuse and who is accessing these services. Patient Participation in their NHS then it may be interesting to look at the different mechanisms for engaging with the population and whether or not this provides equal access for involvement. You can choose to look at the transformation area as a whole or to concentrate on a more specific area, it’s up to your team. This is really about getting used to thinking about how we can review specific local needs for every clinical programme of change. We will be sharing our thinking in the next session that Rani will lead.