Title: Our health, our care, our say: Making it real key themes and linkages within the East of England
1Our health, our care, our sayMaking it real
key themes and linkages within the East of England
- Dr Catherine Gregson
- Consultant in Public Health
- East of England Public Health Group
2Describing the regions health (1)
- Population Over 5 million population
- Population growth Regions population grew by
12.5 (1981-2003) and is projected to grow by 14
(2003-23) - Demography Overall 16.5 of people in the East
of England are over 65 yrs of age. This is
higher than the national average of 15.9
3Describing the regions health (2)
Population aged 65 and over by local authority,
2004
4Describing the regions health (3)
- Demography cont Just over 1 million children in
the region over 200,000 estimated to be living
in poverty - Life expectancy 3 years better than the national
average. But significantly below the regional
average in Peterborough, Southend, Luton,
Fenland, Stevenage and Watford, and inequalities
are increasing
5Describing the regions health (3a)
East of England male life expectancy at birth
by local authority, 2002-2004
East of England female life expectancy at birth
by local authority, 2002-2004
6Describing the regions health (3b)
7Distinct geographies of poor health (4)
Index of Multiple Deprivation (IMD) overall score
by local authority, 2004
8Describing the regions health (4a)
9Describing the regions health (5)
- Age-adjusted self-reported health poorest in
more deprived areas - Smoking 22 of women in the region smoke, and
28 of men 46 of 16-24 yr old girls and 32 of
boys smoke (2002-03) strong socio-economic
gradient 7 social class I vs 33 social class V - Obesity In the region, 22 of boys and 27 of
girls aged 2 - 15 are overweight or obese - Teenage pregnancies gt50 of teenage conceptions
are in the 20 of wards with the highest levels
of child poverty
10Population growth in children and older people,
2003-2028 (6)
Source Office for National Statistics
11Trends in health inequalities (7)
East of England male life expectancy rates, least
and most deprived quartile of local authorities
12Understanding health needs of people the East of
England
- Key factors for the region include
- High incidence of employment in low paid jobs
- Large number of people of working age who are
economically inactive - Low levels of educational attainment
- Housing pressures
- Poor access to services, particularly in rural
areas and among some vulnerable groups - Lifestyle factors such as physical inactivity and
increasing obesity, smoking, drug abuse, alcohol
consumption and sexual health
13Regional Health Strategy (1)
- Healthy Futures was formally launched by the
Minister for Public Health on 23 May 2006 - An EERA premier league strategy, facilitated by
the East of England Regional Public Health Group - Recommendation of the EERA Social Strategy, also
links to the Regional Economic Strategy, emerging
Health and Social Care Strategy and Choosing
Health White Paper - Developed through extensive and active
consultation including input from 200
representatives of organisations from across the
region.
14Regional Health Strategy (2)
- Aim
- To improve the health and well-being of the
regions population and to reduce health
inequalities - Purposes
- Increase awareness of the nature and extent of
health inequalities within the East of England
and the health of our region relative to European
comparators - Increase awareness of the range of factors that
combine together to determine the health of
people in the region - Provide a basis for a stronger dialogue between
health care policy makers and professionals, and
other public agencies and organisations
15Regional Health Strategy (3)
16Regional Health Strategy (4)
- Theme A Sustainable communities
- Designing health into new communities towards
more services closer to peoples homes - Building communities that support Wanless fully
engaged scenario and increase social capital - Theme B Health at key life stages
- Focus on prevention and addressing lifestyle
risks - Whole needs of individuals
- Theme C Health in a connected Region
- Sustainable use of resources for addressing
health and health inequalities
17Delivering Healthy Futures
- Through regional strategies set out in the
integrated regional strategy and other premier
league regional strategies - Through national priorities for population health
set out in Choosing Health and Our Health, our
care, our say - Through local and sub-regional priorities, as
defined by the LSPs and through Local Area
Agreements, and Investing in Communities
partnership programmes - The delivery of the 35 Actions across 25
organisations, identified in the RHS, will be
reviewed regularly by EERA
18Other regional strategies underpinning health
- The delivery processes of the RHS are linked to
regional priorities set out in the Integrated
Regional Strategy and other premier league EERA
regional strategies - Other relevant regional strategies include the
Regional Economic Strategy, the Regional Spatial
Strategy and the Regional Sustainable Development
Framework
19Links with Choosing Health (1)
- Three core principles informed choice,
personalisation and working together - Overarching priorities reducing smoking and
obesity, increasing sensible drinking, improving
sexual health and mental health - Regional appointments Director of Public Health,
Director of Adult Social Services - Regional supporting frameworks to support
implementation - Obesity framework Leaner East (awaiting
publication) - Tobacco control framework Smoke Free East
- Physical activity framework Active East
- Food and health framework In development
20Links with Choosing Health (2)
- Both white papers are underpinned by the need
- For partnership working across communities
including local government, the NHS, business,
advertisers, retailers, the voluntary sector,
communities, the media, faith organisations and
others - For closer working between local authorities and
public health on local health needs - To tackle health inequalities effectively
- To support people in making healthy choices and
to shift the emphasis from ill health to
well-being and prevention - To involve and empower communities to engage in
their health and social care
21Local Area Agreements (1)
- LAAs are three year agreements, based on local
Sustainable Community Strategies, that set out
priorities for a local area agreed between
Central Government, represented by Government
office, and a local area, represented by the lead
Local Authority and other key partners through
LSPs - Primary objective is to deliver genuinely
sustainable communities through better outcomes
for local people - Secondary objectives
- improving Central and local government relations
- enhancing efficiency
- strengthening partnership working
- offering a framework within which local
authorities can enhance their community
leadership role - Almost the whole of the East of England is now
covered by LAAs. Southend and Thurrock, are
preparing to go live in March 2007
22Local Area Agreements (2)
- Made up of outcomes, indicators and targets aimed
at delivering a better quality of life for people
by improving performance of local services - Four blocks
- Safer and Stronger communities
- Children and Young People
- Healthier Communities and Older People
- Economic Development
23Local Area Agreements (3)
- Healthier Communities and Older People block
provides an opportunity to improve the health of
the local population and in promoting
independence and well being for older people. - Outcome framework includes improved health and
reducing inequalities, choice and control,
personal dignity, improved quality of life - The Regional Public Health Group leads on the
negotiation of the Healthier Communities and
Older People block on behalf of the DH and covers
the inclusion of health across the three other
blocks
24Local Area Agreements - Implementation at a local
level (4)
- Partnership leading to integrated service
planning and delivery at a local level to meet
local needs - Between Local Authorities and PCTS
- With local partners including the VCS
- Across Health and Social Care
- Focus on wellbeing and strengthening prevention.
Supporting shift from health services to health - Stronger local commissioning
- e.g. direct payments pilot in LAA,
- POPP involved in the development and delivery
of LAA - Improved access to community services supporting
the shift from a hospital to a whole system focus - Aligning and pooling budgets
25Regional Role
- Partnership
- Championing
- Challenging
- Engaging
- Opportunity for meeting local needs