Upload
guillermo-flatter
View
216
Download
1
Embed Size (px)
Citation preview
Health Strategies in Action
Districts at the Heart of Health
Improvement
Menu for Today
• What influences health and wellbeing
• What's the role of Districts?
• How things are working in Leicestershire and Blaby around H&WB
Contributors to Health Outcomes
Smoking 10%
Diet/Exercise 10%
Alcohol use 5%Poor sexual health
5%
Health Behaviours 30%
Education 10%
Employment 10%
Income 10%
Family/Social Support 5%Community Safety 5%
Socioeconomic Factors 40%
Access to care 10%
Quality of care 10%
Clinical Care 20%
Environmental Quality 5%
Built Environment 5%
Built Environment 10%
Health and Wellbeing• A home• A purpose• Friends
Housing Matters
• From Rose to Black to Marmot....
Source: Appleyard D, Lintell M. The environmental quality of city streets: The residents' viewpoint. Am Inst Plan J 1972;38:84-101
Friends Matter
Friends and acquaintances increase in areas of light traffic density
How Districts Support Delivery of the Public Health Framework
The Leicestershire Approach• A wider strategic approach to deliver better
outcomes in our place – around issue and place• Visible leadership around culture and healthy
challenge• Pragmatic doing • Strategic priorities, structures and roles
Leicestershire's Partnership Structures – Simplified!
Theme Commissioning Boards Specialist Groups Localities
Co
mm
iss
ion
ing
Bo
ard
-E
xec
uti
ve
Health & Wellbeing
Community Safety
Local Enterprise Partnerships
Children & Young People
Environment
Staying HealthyIntegrated Commissioning
Prevention & Early InterventionSubstance Misuse
JSNA Steering Group
Flood RiskWaste & Cleaner, Greener
Natural & Historic Environment Climate Change
Cross-cutting themesHousing, Planning, Infrastructure
Stronger Communities Transport
Sport & Physical ActivityVoluntary Community Sector
RuralHousing Services
Hinckley and Bosworth
North West Leicestershire
Blaby
Melton
Market Harborough
Oadby and Wigston
Charnwood
*Community Budgets are specific time-limited cross-service projects that demonstrate the Leicestershire Together ways of working
Community Budgets*• Families with complex
needs• Alcohol & Drugs• Access to Services
Pulling it all together in Blaby…
• Leader of Council is Chair of County Health & Wellbeing Board
• I am the County Lead for District Council Chief Executives for Health and Housing
• District Council Health Leads meetings
• Blaby District Staying Healthy Forum
• GP Locality meetings hosted by BDC
• Public Health officer working from BDC
• CCG officer working from BDC
Blaby District Staying Healthy Forum
• Purpose:- Work with partners to reduce health inequalities in the District
- Co-ordinate, identify gaps, secure resources & deliver
Staying Healthy Forum - Priorities
(based on JSNA):- Ageing Population- Obesity & Healthy Weight- Teenage Pregnancy &
Sexual Health- Substance Abuse - Smoking & Tobacco Control
- Mental Health & Wellbeing
Blaby District Staying Healthy Forum
• How do we measure progress?- Key indicators for each of the 6 Priorities- Monitored at quarterly forum meetings - Sub-groups to focus on delivery
• Examples of recent work:- Local Health Services Brochure- New website launched - www.blabystayinghealthy.co.uk - Mental health awareness training delivered to 27 front line staff- Investigating excess winter deaths - Homefinder website- www.homefinder.uk.com- Health Action Plan- Etc etc
Using the DCN Guidance / Structure
1) The Wider Determinants of Health:
- Planning- Housing- Benefits- Community Safety
2) Health Improvement:- Smoking Cessation- Alcohol & Substance Misuse- Healthy Eating & Physical Activity
3) Health Protection:- Disease Control & Food Safety - Contamination & Emergency Planning- Air & Noise Pollution
4) Corporate Actions:- Making Every Contact Count (MECC)- Supporting Leicestershire Families
(SLF)- Council Reports- Staying Healthy Forum
Are You a Chadwick or a Snow or Doesn't it Matter?
Just the start of the journey…
Any questions?