Health and Wellbeing in Redcar and Cleveland Julia Weldon Director of Public Health May 2013

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 landscape.....

NTDANHS Trust

Development Authority

112 Trusts FT Pipeline

(Jan 2012)

New organisations/bodies

CSS

The Mandate

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

: Redcar & Cleveland

: North East

Value Direction Value Range

HWB1 25.3% Little change 16.8%

HWB2 24.4% Improving 13.7%

HWB3i 13.0% Improving 18.0%

HWB3ii 31.0% Deteriorating 29.0%

HWB4 63.0% Improving 63.0%

HWB5i 94.6% Improving 95.2%

HWB5ii 94.9% Little change 94.3%

HWB6 29.6% Deteriorating 24.3%

HWB7 10.4% n/a 6.1%

HWB8i 52.1% Deteriorating 72.7%

HWB8ii 22.7% Little change 44.0%

HWB9 2,816 Deteriorating 1,777

HWB10i 78.3 Improving 79.2

HWB10ii 82.0 Improving 83.0

HWB11 n/a n/a n/a

HWB12 n/a n/a n/a

HWB13 n/a n/a n/a

HWB14 n/a n/a n/a

HWB15 12.5% Deteriorating 11.5%

HWB16 n/a n/a n/a

Breastfeeding initiation

Childhood immunisation (24 months)

Emergency readmissions within 30 days of hospital discharge

People receiving integrated services, such as reablement

Admissions to hospital for alcohol misuse

Life expectancy (Males)

Healthy l ife expectancy

Estimated diagnosis rate for dementia

Reducing social isolation

Increasing the number of people in high risk groups receiving vaccinations to protect their health

Life expectancy (Females)

Adult obesity

16-18 year olds not in education, employment or training (NEETs)

Key:

Rate of smoking at time of delivery per 100 maternities

Ref. MeasureRedcar & Cleveland England

Child poverty

Breastfeeding status at 6-8 weeks

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)

School readiness

Childhood immunisation (12 months)

BestWorst England Avg.

Percentile25th 75th

Data development item

Data development item

Data development item

Data development item

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 DesignatePublic Health England 2012

The How Can We approach….

• 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? 5 minutes– What is it like now? 5 minutes– Some first steps? 5 minutes

Speak to [email protected]: Direct Line 01642 771607Mobile: 07825 195867