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HEALTH INEQUALITIES REGIONAL APPROACH

HEALTH INEQUALITIES REGIONAL APPROACH. Paul Johnstone Regional Director of Public Health NHS/DH Yorkshire and the Humber. Prepared by Yorkshire and the Humber NHS Date 16 th May 2008. Y&H has some of the worst health inequalities of any region - both between and within the region

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HEALTH INEQUALITIES REGIONAL APPROACH

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  1. HEALTH INEQUALITIES REGIONAL APPROACH Paul Johnstone Regional Director of Public Health NHS/DH Yorkshire and the Humber Prepared by Yorkshire and the Humber NHS Date 16th May 2008

  2. Y&H has some of the worst health inequalities of any region - both between and within the region • 7/14 PCTs are Spearhead areas • Non spearhead areas have significant inequalities • Target – to reduce inequalities in health by 10% by 2010 as measured by infant mortality and life expectancy at birth

  3. All Age All Cause Mortality rates per 100,000 people (2002-2006), at a Middle Super Output Area level: Y&H

  4. New SHA in 2006 placed tackling health inequalities and meeting the 2010 targets as a top priority • Built on existing strategy by previous RPHG, SHAs Govt Office, Regional Assembly, RDA • Twin track approach • - NHS action - Supporting LSP/negotiating LAAs priorities

  5. Track 1 - NHS • Used National Support Team visits and methodology • Each PCT identified local priorities and NHS action needed supported by APHO and PHO tools (web link) • SHA Chief Executive asked that all PCT CEx have a health inequalities objective. - Ensured agenda was mainstreamed in NHS - Most focused on smoking, statins. - But some significant differences • Each set a target which is measurable, industrialising intervention (1-2) which will make a difference in AAACM and narrow the health gap meeting 2010 targets.

  6. Track 2 - LAA • Regional PH team (based in GO and SHA) work as one whole system. • Governance – Engine Room • Enabled 3rd and 4th round LAAs to be drawing from same health inequalities information

  7. National health inequalities 2010 PSA life expectancy target*: progress at 2004-06 *10% narrowing of life expectancy relative gap between Spearhead areas and England from 1995-97 baseline and 2009-11 target

  8. Components of an effective regional system • Regional vision - SHA and CEx for NHS actions - Local Govt and GO- one of 4 objectives - Regional Assembly and RDA- one of 8 objectives • information – - Needs assessment -central role of PHO and intelligence leads network - Performance information especially AAACM • Core SHA business - performance, workforce, clinical, PCT reviews • Core GO business - PH team part of wider cross GO negotiating teams • Governance- Engine room • Method- for NHS NSTs and emerging JSNAs • Sharing best practice - Fdor CEs - For other partners • New DsPH network

  9. Is it making a difference • Inequalities now mainstreamed in SHA business • Clinical engagement through DARZI • More focused on industrialising- clear evidence of this happening • Beginning to see improvement in the data • Use of social marketing and QOF

  10. Local Action – Prostate Cancer • Social norms - role model • Linked to community events –Fireman’s Fete • Effective placement stories • Developed partnerships; now on back of buses • Link with Services - Men’s Health MOTs at local drop-in

  11. BEER MATS

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