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
Twitter@CWSCCG
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.