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Gateshead Local Strategic Partnership JSNA for Circulatory Disease. Jean Brown, Public Health Management Consultant Don Watson, Development Officer, Gateshead Council Andy Billett, Public Health Analyst. JSNA priority - adults/older people.
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Gateshead Local Strategic PartnershipJSNA for Circulatory Disease Jean Brown, Public Health Management Consultant Don Watson, Development Officer, Gateshead Council Andy Billett, Public Health Analyst
JSNA priority - adults/older people • Premature mortality due to cardiovascular disease - inequality gap is not narrowing • Life expectancy gap – 20% (M), 30% (F) due to circulatory disease “Tackle circulatory disease through early identification of those at high risk and working closely with PCT led initiatives to reduce risk factors”
Changing service delivery • Implementing an identified JSNA priority • Prevention • CVD risk assessment programme • Community care • Rehabilitation in the community • Social care
Modelling and forecasting • Liverpool University IMPACT model • Modelled contribution of different interventions to improve heart health towards reducing mortality • Use results to • predict effect of planned interventions • modify balance of delivery
Moving resources upstream • Implementing an identified JSNA priority • Shifting resources from acute to community-based services and preventative measures • Our Health, Our Care, Our Say • Results from local consultation • Monitoring shift of resources from acute care to prevention – financial modelling
Financial modelling • Proposed output
Engagement with Stakeholders • Commissioners • predicting health outcomes that should result from changes to service delivery • monitoring financial outcomes as services change • Population and “at risk” population • extent of health issue for local populations • risk factors – diet, exercise, smoking • available “health check” and interventions
Small area health profiles an index of 100 represents poorest health, unhealthiest lifestyle, lowest car ownership etc. Sources: All age all cause mortality rates 2004-2006, NCHOD at www.nchod.nhs.uk and NHS South of Tyne and Wear for small areas; diabetes prevalence, QOF from NHS Information Centre; uptake of MMR, 2007/08, NHS South of Tyne and Wear; smoking and 5 a day prevalence, 2008 South of Tyne and Wear Lifestyle Survey; educational attainment, Gateshead Council LEA; non-car ownership, 2001 Census, ONS; housing turnover, Gateshead Council