Improving health & wellbeing & reducing health inequalities in Fife Fife Health & Wellbeing Alliance.

Improving health & wellbeing &

reducing health inequalities in Fife

Fife Health & Wellbeing Fife Health & Wellbeing AllianceAlliance

Reducing Health InequalitiesReducing Health Inequalities

Health varies in Fife in relation to• Socio-economic status• Gender • Ethnicity• Place of residence• Other inequalities

Influences on Health

All cause mortality rate per 100000 All cause mortality rate per 100000 population aged under 65, by population aged under 65, by

interzone, Fife and Scotland, 2006interzone, Fife and Scotland, 2006

0

100

200

300

400

500

600

700

800

rate

per

100

000

po

pu

lati

on

ag

ed u

nd

er 6

5

Fife Scotland

Interzone

Percentage of women smoking in Percentage of women smoking in pregnancy by interzone, Fife and pregnancy by interzone, Fife and

Scotland, 2005-07Scotland, 2005-07

0

5

10

15

20

25

30

35

40

45

50

interzone

per

cen

t Fife

Scotland

Percentage of S4 children attaining English and Maths at SCQF level 3 and above, 2006

Looked after children 40%

Fife 89%

Scotland 91.3%

Risk factors for teenage pregnancy

• Poor attendance rates and dislike of school

• Poor educational attainment

Reducing health inequalitiesReducing health inequalities

What works?

Environment/legislation/regulation/

fiscal policies

Income support/reducing price barriers

Improving accessibility of services

Prioritising disadvantaged groups

Starting young/offering intensive support

FHWA

Children’s Services Group

Sustainable Communities Group

Health & Social Care Partnership

Fife Housing Partnership

DAAT

Improving Health & WellbeingImproving Health & WellbeingWell-being

Population health

Health inequalities

Individual behaviours

Economic, and physical environments

LONG-TERM HIGH LEVEL

OUTCOMES

INTERMEDIATE OUTCOMES

SHORT-TERM OUTCOMES

Outputs

Inputs

Processes

Performance management

SOA Community Plan

JHIP Outcome Indicators

Outcomes related to JHIP focus areas

HIF & FSF Agreements

INDICATORS Current State

Trend

OUTCOME: REDUCED HEALTH INEQUALITIES

All cause mortality under 65 years rate per 100,000 population in 20% most deprived areas compared to 20% least deprived areas in Fife

Smoking in pregnancy in 20% most deprived areas compared to 20% least deprived areas in Fife

Low birth weight babies in 20% most deprived areas compared to 20% least deprived areas in Fife

All cause mortality under 75 per 100,000 population in regeneration areas compared to Fife

Cancer mortality under 75 rate per 100,000 population in regeneration areas compared to Fife

Coronary heart disease mortality under 75 rate per 100,000 population in regeneration areas compared to Fife

OUTCOME: HEALTHIER ENVIRONMENTS AND COMMUNITY WELLBEING

Current State

Trend

% of Council-owned homes meeting Scottish Housing Quality Standard

Annual number of affordable housing units delivered through government subsidy

Annual number of affordable housing units delivered through private sector

N/A

% of Fife residents rating their area as a very good or fairly good place to live

Young people and alcohol

Reducing Heroin use in under 20s

Older people receiving intensive care at home as a % of older people receiving long term care at home or in a care home

OUTCOME: HEALTHIER LIFESTYLES

Breastfeeding

Teenage pregnancy

Young people and physical activity

Young smokers

Hospital admission rates for coronary heart disease

Hospital admission rates for respiratory disease

Cancer registrations

Fruit and vegetable consumption

Food poisoning notifications

Physical activity

Clear Leadership on health Clear Leadership on health inequalitiesinequalities

• Links across partnerships and agencies

• Influencing how/where services are delivered

Issues

Implementing/monitoring Implementing/monitoring JHIP activityJHIP activity

• Local service delivery

• Evaluation

• Learning from what works

• Targeting activity

• Developing better measures

Issues

Influencing policy & Influencing policy & organisational cultureorganisational culture

• Different drivers & priorities

• Links & collaboration

Issues