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Forest of Dean District Health Profile 2009. ADPH Report 2008/09. Emerging findings from our Joint Strategic Needs Assessment. Format of ADPH report. A picture of Gloucestershire including Gloucestershire profile 4 Commissioning briefs 6 District Profiles - based on e-JSNA.
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Forest of Dean District Health Profile 2009
ADPH Report 2008/09 Emerging findings from our Joint Strategic Needs Assessment
Format of ADPH report • A picture of Gloucestershire including Gloucestershire profile • 4 Commissioning briefs • 6 District Profiles - based on e-JSNA
The Forest of Dean has a population of 84,243 • The demographic picture highlights; • An increasing older population • A decreasing younger population - as the number of children and young people is predicted to decline steeply over the next 18 years • The largest decline in the working age population in the county over the next 18 years
Health in the Forest of Dean • People in the Forest suffer from poorer health than the county as a whole with; • higher numbers of people with Limiting Long Term Illness • higher numbers of early deaths from heart disease • higher numbers of early deaths from stroke • There are clear links between deprivation and health too. • People living in the most deprived areas experience worse outcomes for a number of health related measures such as; • Life expectancy • Mental Health problems • Incidence of cancer
Per 100,000 pop under 75’s 2005-07 Source APHO health profiles 2008
Per 100,000 pop under 75’s 2005-07 Source APHO health profiles 2008
Life Expectancy in the Forest of Dean • In the Forest of Dean there is a reduced life expectancy for both males (2.2 and females for those living in the most deprived parts of the FoD. • To improve life expectancy we need to identify key diseases that make up the identified gap • This will allow us to plan and target interventions that will have the greatest impact on reducing this gap
MALES Lung cancer Deaths under 28 days Stroke Suicide/ undetermined injury FEMALES Coronary heart disease Other cancers Lung cancers COPD Pneumonia Top 5 Key Diseases
Interventions needed • Smoking cessation • Increasing physical activity • Encouraging healthy eating • Raising cancer awareness • Improving mental health • Improving uptake of pneumococcal and influenza vaccination in ‘at risk’ groups • Reducing major causes of infant mortality
Key Health & Wellbeing issues • Male life expectancy • Early deaths from all causes • Early deaths from heart disease and stroke • Early death from cancer • Deaths from smoking • Obesity in adults • Road injuries and deaths • Teenage pregnancy • People providing unpaid care • Mental illness • Falls in older people • People with long term limiting conditions
What are we doing? Children and Younger People • Sexual Health Services; • Extended school nurse drop-in’s at all secondary schools • On-site sexual health clinics – RFoD and Hartpury Colleges • Reducing the prevalence of childhood obesity; • MEND – Mind, Exercise, Nutrition – Do It! • Change 4 Life • Weight management services – NCMP • Increasing physical activity levels in children • Increasing breastfeeding rates • Young Carers Needs Mapping
What are we doing? Healthier Communities/Older People • Health promotion programmes to raise public awareness, encourage screening and early detection • Smoking Cessation services • Obesity Care Pathway • Mental Health Care Pathway –access to psychological therapies • Development of the Falls Prevention Pathway • Carer Support
What are we doing? Safer and Stronger Communities • Education Programmes to reduce death and injury from road accidents • Crime & Disorder Reduction Partnership delivery group working across health, social care and community to deliver services and resources to the local community: • Anti-social behaviour interventions • Intergenerational projects • Drugs and Alcohol reduction interventions
Next Steps for 2009/2010 - 1 • Use the Vascular Risk Assessment and Change 4 Life programmes to increase awareness • Ensure adequate service capacity to support those who want to improve their health (e.g. Smoking Cessation Service, Weight Management Care Pathway, Physical Activity options) • Promoting cancer, heart disease and stroke awareness, mental health issues (including developing the Dementia Care Pathway) and social isolation reduction
Next Steps for 2009/2010 - 2 • Ensure adequate investment in local transport plans and road safety to reduce accidents • Encourage physical activity whilst ensuring adequate access to local services for all • Increase support for carers, and ensure close partnership working to reduce social isolation and improve quality of life including access to activities and psychological therapies where necessary. • Continue to link strategic priorities to ‘Healthy Gloucestershire’ • Develop district engagement with the development of the JSNA • GHCWP • SIB • JSNA Board