Cambridgeshire Health Trainers Bidding Event June 4th 2009 Holiday Inn, Impington Cambridge

1. Cambridgeshire Health Trainers Bidding Event June 4th 2009 Holiday Inn, Impington Cambridge

2. The Health Trainer “ a person who will work with disadvantaged individuals and communities in order to initiate the action required to encourage and enable those individuals to make healthier choices. Health Trainers offer tailored advice, motivation and practical support to individuals who want to help to adopt healthier lifestyles”

4. Health Needs in Cambridgeshire

5. Key Facts • Population: c 580,000 • 1 in 4 < age 20 • 1 in 7 > age 65 • Population expected to grow by 16% by 2021 • Predominantly white • Greatest (relative) deprivation in Fenland, NE Cambridge and North Huntingdon • Predominantly rural • Higher than average life expectancy • Male 78/ Female 82 • Circulatory disease and cancer main causes of death

6. Key Demographics Total population : population forecasts, mid 2006 based (CCCRG) Source: Cambridgeshire County Council Research Group Mid-2006 district level population forecasts by age and gender By 2021 it is estimated that there will be a further 86,000 people living in Cambridgeshire an increase of 15%. The biggest actual increases and also proportional increases are expected in South Cambridgeshire and Cambridge City.

7. Index of Multiple Deprivation, 2007 Fifth most deprived wards in Cambridgeshire Local Authority, average of SOA scores NB: *LA rank (England): the rank for 5 district authorities represents the relative rank within the 354 tier 2 local authorities in England where rank 1 is the most deprived authority and rank 354 the least deprived. The rank for Cambridgeshire represents the relative rank within the 149 tier 1 local authorities where rank 1 is the most deprived authority and rank 149 the least deprived. Source: The English Indices of Deprivation 2007, Department for Communities and Local Government (DCLG)

8. Life Expectancy • Life expectancy in the different areas of Cambridgeshire closely mirrors socio-economic circumstances, as indicated by IMD scores. Life expectancy for both males and females is lowest in Fenland and highest in South Cambridgeshire. Although, overall, life expectancy is better than the national average, female life expectancy in Fenland was significantly below the national average in 2004-06. Source: Office of National Statistics

9. Life Expectancy Cont’d Most of the wards with significantly higher levels of deprivation are in Fenland, but some are in north east Cambridge, Huntingdon and East Cambridgeshire. Those in the 40% of wards with the least levels of deprivation (ie Q4 and Q5) have statistically significantly higher life expectancy than the county average. Source: Population data: Research Group of Cambridgeshire County Council population estimates.

10. Mortality Mortality : main causes of death, total population, 2003-2005 Deaths from circulatory disease and cancer make up 64% of all deaths in Cambridgeshire PCT.

11. Rural or Urban Location Source: DEFRA. *Cambridge City is classified as ‘Other Urban’ (ie not Large or Major Urban). Cambridgeshire is predominantly a rural area. The most rural districts are Huntingdonshire and East Cambridgeshire (including the large market towns). Fenland has 52% of its population in large market towns. East Cambridgeshire has 26% in villages and 9% is dispersed amongst the more rural areas.

12. Education Education : GCSE attainment, 5 or more A*-C, 2006 Source: Office of Children and Young People’s Services, Cambridgeshire County Council. Fenland has a noticeably low percentage of pupils attaining five or more GCSE grades A*-C, with less than half of such pupils. This compares to over 70% of South Cambridgeshire pupils achieving these grades.

13. Income South Cambridgeshire has the highest median income in Cambridgeshire at £33,300 and Fenland the lowest at £25,300. The average for Great Britain was £26,000.

14. Adults- Morbidity

15. Scope • Focus on the 20% most deprived areas in Cambridgeshire • Recruitment of health trainers • Individuals and families • Key partners, primary care – GP practices, children’s centres, local authorities (district and county) • Lifestyle behavioural change and referral • Community development

16. Scope (2) • Quality standards and governance • Performance outputs • Evaluation • Reporting arrangements

17. Health Trainer Client Pathway

18. Health Trainer Management Structure

19. Aims • Reduce health inequalities and gap in life expectancy across Cambridgeshire • Reduce prevalence of disease in Cambridgeshire • Empower local people to support others to improve their health

20. Public Health Challenges • Local Area Agreement and Sustainable Community Strategies – National Indicators • NHS Cambridgeshire 5 Year Strategic Strategy, Vital Signs Targets • Health Checks - Vascular Checks

21. Shared Priorities • Tackling health inequalities • Reducing the numbers of people who smoke • Tackling obesity • Improving sexual health • Improving mental health and well-being • Reducing harm and encouraging sensible drinking • Helping children and young people to lead healthy lives • Promoting health and active life amongst older people

23. Our Vision….“Everyone as healthy as can be” • We know that: • Our population is diverse – generally affluent but with marked deprivation in areas • Many people travel through County but may need support at times • We want to: • Help people to contribute to keeping themselves healthy • Commission the right range of services within the resources available for those who need them, when they need them

24. LAA - Improving Quality of Life in Cambridgeshire – Our Vision “We aim to continue to work together as constituent partners in the development and delivery of the Local Area Agreement to enable Cambridgeshire to be a prosperous, inclusive, healthy and safe area where growth is sustainably managed for the benefit of current and future residents; where children and young people have the best possible start in life; where quality services enable all members of our communities to thrive; and where quality of life will improve along with the quality of the county’s environment.”