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Transforming Services for the People of Margate

NHS Eastern and Coastal Kent Key Facts: We were formed on 1st October 2006. We have a Budget of just over

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Transforming Services for the People of Margate

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    1. Transforming Services for the People of Margate Penny Myles Triple Aim Project Manager NHS Eastern and Coastal Kent

    2. NHS Eastern and Coastal Kent Key Facts: We were formed on 1st October 2006. We have a Budget of just over Ł1bn We serve 710,000 people living in Ashford, Canterbury, Dover, Shepway, Swale and Thanet

    3. Our Priorities Breaking the cycle of health inequalities Revolutionising services for older people Tackling the ‘key killers’ - cardiovascular disease, cancer & respiratory disease Promoting well-being and mental health Transforming life chances for disadvantaged children

    4. Where to start

    5. Thanet Locality

    6. Triple Aim In order to address and focus work on health inequalities NHS Eastern and Coastal Kent has joined the Triple Aim Programme. This is led by the American Institute for Healthcare Improvement and within the UK, the NHS Institute for Innovation and Improvement. Triple Aim is a concept designed to optimise the health system taking into account three dimensions: The experience of the individual The health of a defined population Per capita cost for the population

    7. Margate Community 40-50 languages spoken Many residents have limited social routes associated with transient nature of tenancy Significant Drugs Scene High numbers of resident repeat offenders and ex-offenders Low rent accommodation, high numbers of Houses of Multiple Occupancy High levels of unemployment Low attainment at GCSE High levels teenage pregnancy

    8. Public Health Data Highest rates of mortality from cancers and cardiovascular disease Lowest life Expectancy (-14years) Other Lifestyle factors Smoking Prevalence 42% MC 39% CW and Thanet 29% Mental Health Conditions 34% of referrals from Thanet to secondary Mental Health services are from MC and CW Housing Identified a significant link between housing type and severity of illness Urgent Care Attendees are registered, attending Monday – Friday 8-12am, numbers of repeat attendees and 48% of attendees are banded at low cost.

    9. Why do people in Cliftonville West and Margate Central die earlier than other neighbouring wards?

    10. Following baseline analysis and community engagement of the three dimensions, the main areas of focus have been identified as: Vascular Disease (Smoking, Obesity and NHS Health Checks*) Housing Dental Provision Substance Misuse: (Drugs, Alcohol and Dual Diagnosis) Mental Health: (inc Dual Diagnosis) Teenage Pregnancy Urgent Care (* formally Vascular Screening program) Progress so far

    11. A Wider Response is needed

    12. Conclusion We are at the beginning of a long process. Successes so far Area is a target for all and there is a focus on action not just discussion. Long term commitment has been recognised. The initial work to establish the baseline for all areas, has shown the potential strength of such a coordinated response. Triple Aim approach is to be applied more broadly to focus work directly between partners. The Challenge Maintaining the commitment form all partners for the long term. The Reward Improving the Health and Social Outcomes for such a deprived population

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