The vision for Public Health 2030 - Wolverhampton...local communities and is supported by local businesses and institutions care and are conﬁdent about our diversity all play our

Longer, healthier lives

wolverhampton.gov.uk

The vision forPublic Health 2030

2 City of Wolverhampton Council wolverhampton.gov.uk

The vision for Public Health 2030 3wolverhampton.gov.uk

Our vision for the City of Wolverhampton in 2030

In 2030 the City of Wolverhampton will be a healthy, thriving city of opportunity where we…

Our vision for the City of Wolverhampton in 2030

have a buoyant and

resilient economy that

includes international

manufacturing companies

with local roots and

a strong, vibrant and

innovative business base

retain more of

the value produced

by our economy to

benefit the whole city

have world class

public services that

continually improve and have

collaboration and

co-production at their heart

are committed to sustainabilityfor future generations

CELEBRATEENTERPRISE,EDUCATIONAND SKILLS

HAVE A

CITY CENTREWE’RE PROUD OF

ARE SERIOUS

ABOUT BOOSTING

HEALTH ANDWELLBEING

make it easy for businesses

and visitors to access the city and are well connected

to the wider world through

our infrastructure

have a vibrant civic society that’s focussed

on the future, empowers

local communities

and is supported by

local businesses and

institutions

care and

are confidentabout our

diversity

all play our part in creating a

confident, buzzing city that’s

synonymous with ambition, innovation and inclusion


To achieve these, we areaspiring to be a ‘healthimproving council’ by:

• Maximising the positiveimpact of the healthand wellbeing of ourresidents acrosseverything the Councildelivers and buys andthe policies which aredeveloped

• Driving a City-widefocus on tackling thewider determinants ofhealth and wellbeing

• Providing leadershipwith partners to preventill health, especiallytargeting those in ourCity whose outcomesare worse

• Improving healthoutcomes through thegenuine integration ofhealth and social care

• Ensuring our statutoryPublic Health dutiescontinue to be delivered

Our vision for the health and wellbeing of our residents

Our vision for the health and wellbeing of our residents

By 2030, our thriving City will:

• Help people live longer, healthier andmore active lives

• Offer every child the best start in life

• Close the gap in healthy lifeexpectancy both within the City andbetween Wolverhampton and theEngland average

• Ensure everyone is protected fromharm, serious incidents andavoidable health threats


Foreword Councillor Hazel Malcolm, Cabinet Memberfor Public Health and Wellbeing and John Denley, Director of Public Health

Foreword

1 Health and Social Care Act 2012. legislation.gov.uk/ukpga/2012/7/contents/enacted2 New Horizons - Our vision for the City of Wolverhampton in 2030. wolverhampton.gov.uk/vision2030

Having the best start in life, an excellenteducation, a stable rewarding job and adecent home in a thriving community arethe strongest factors that influence bothhow long a person is likely to live and theirquality of life. We believe that getting thesefactors right, coupled with enabling accessto high quality health and care services, willhave a significant impact on the behaviours,lifestyle choices and health of our residents.

The repositioning of Public Health from theNHS to local government in 20131 providedan unprecedented opportunity for councilsto have an additional positive impact onthese factors.

Over the past five years the City ofWolverhampton Council has made somevery good progress.

However, since 2013 we have seen areduction in life expectancy and a wideningof the gap between the health of ourwealthiest and most deprived communities.

Too many of our residents also live the last20 years of their life in poor health. Austerityand Government cuts to service provisionplay a part in this. The challenge then,within this context of continuing financialpressures, is to tackle some of the mostentrenched issues which impact on thehealth of the whole population.

We believe we need to rethink our approachto improving health. Last year provided theopportunity to do so when key local partnerscame together and agreed the vision,‘New Horizons - Our Vision for the City ofWolverhampton in 20302.’ This provides ablueprint for a sustainable, successful futurefor the next generation of Wulfrunians.

The New Horizons vision sets a tone,outlining a firm commitment to working inpartnership towards a common goal whilstrecognising that we all need to play ourpart. It has created the opportunity totransform our approach to improving thehealth of residents at a population level.

It involves moving away from providingtraditional behaviour change services toindividuals and focusing more on making adifference to the factors that influencehealthy life expectancy at a population level.

To prepare for our new approach, PublicHealth is going through a transformation.We are building a service designed to offerexpert public health advice and support toall parts of the Council and externalpartners, especially the NHS.

We recognise that our approach isambitious and significantly different, butevidence and need has demonstrated thatwe must act now.

The improvements we want to make willtake time to achieve. That is why we havechosen a range of short to medium termpublic health indicators which, if we deliverwell, and in partnership, will show that weare moving in the right direction together.

Photographs (left) Councillor Hazel Malcolm, Cabinet Member for Public Health and Wellbeing (right) John Denley, Director of Public Health


The City of Wolverhampton is similar to most localauthorities in that it faces common public health challenges.These include high obesity levels, smoking, alcohol misuse,rising levels of sexually transmitted infections, poor mentalhealth and an ageing, unhealthy population.

There are a number of factors which strongly influencethese challenges, making them very complex and difficult totackle. The diagram below shows that these factors fallacross four domains:

These factors are interrelated. For instance, residents whohave a poor level of educational attainment are more likelyto smoke.

Likewise, although harmful alcohol use is common acrosssocial groups, people with low incomes are more likely tobe admitted to hospital with alcohol related conditions.Harmful alcohol use is exacerbated by poor mental health.

Evidence shows focusing on delivering services toindividuals with unhealthy lifestyles, as we have done - such as stop smoking and weight management services -will not have a sustained positive impact on outcomes at apopulation level over the longer term.

We believe the scale and complexity of the challenges thatWolverhampton faces means that no single part of thesystem can make sustained progress on its own. This iswhy our approach will do more than support behaviourchange and health services, but seek improvements in thebroad factors which impact on people’s lives. Only byworking in partnership across the ‘whole system,’on strategic, longer term goals, can we achieve good health for our population. In particular we seek toaccelerate improvements in health for those groups whichare most disadvantaged.

What factors influence our health?

What factors influence our health?

40%

10%Genetics

Lifestyle choicessmoking, diet, exercise, alcohol

40%Socio-economic factorsemployment, income, education, housing, environment, community

10%Health service provision

Access to care,Quality of care

of those eligible received an NHShealth check in the last 5 years

Alcoholadmissionsrise to 897per 100,000

Childhoodobesity

26.7%of children atyear 6 are obese

rates stabilising

upward trend

higher than rate of647 admissionsnationally

15.4% reducingtrend and within thebottom 25% forperformance acrossEngland

upward trend iscontinuing toincrease

higher thanEngland averageof 20%

Adultobesity

28.5%of adults areclassified asobese

higher thanEngland averageof 24.4%

trend recentlyimproved

lower than 39.6%in England, and39.8% for theWest Midlands

1 in 3childrenlive inpoverty

22.5%of adultssmoke

10% higher than theEngland average of 19.9%

Teenagepregnanciesdown from56.8 per 1,000in 2010 to 28per 1,000 now

rapid improvementsince 2010

higher average thanEngland (17.7) and West Midlands(21.1)

Schoolreadiness risefrom 44.2% in2012/13 to 62.4%in 2017/18

18% improvementin last 4 years

lower than nationalaverage of 69.3%

At 5.6 per 1,000our infantmortality rateis 7th highestof our 16nearestneighbours

improved in recent years

higher thanEngland averageof 3.9 per 1,000

4.1%claimedunemploymentbenefits inNovember 2017

improved from ahigh of 8% at thebeginning of 2013

higher thanEngland averageof 2%

decreasing trend

lower than 35.5%average forEngland

24.5%

35.6%of pupils achievedgrade 9-5 Englishand Maths GCSE

18%

25.2%of carers get as muchsocial contact as theydesire and this is the2nd worst compared to our neighbours

ratesimproving

higher thannational average


City health check - how do we compare?

City health check - how do we compare?


We want all residents of the City ofWolverhampton to live longer and have agood quality of life.

Being in good health for as long as possible(known as having a ‘healthy life expectancy’)will impact on relationships with family andfriends, the ability to fully participate in thecommunity, and contribute to the localeconomy. Staying in good health into olderage is also closely related to how muchsupport and care a person needs and theiruse of services such as adult social care.

People living in Wolverhampton on averagespend the last 20 years of their lives living withhealth related problems, the gap betweennational and Wolverhampton healthy lifeexpectancy is 7 years for men and 4.6 yearsfor women. Our vision is to increase lifeexpectancy and healthy life expectancyconsiderably by 2030 to cut the gap betweenWolverhampton and the national average.We will also close the gap in life expectancybetween our richest and poorest wards.

What do we wantto achieve?

What do we want to achieve?

2025 20302010 2015

58.3 80.3 59.5 81.4

Healthy life expectancy (years)Life expectancy (years)

Life expectancy gap betweenrichest and poorest wards (years)

Healthy life expectancy (years)Life expectancy (years)

Life expectancy gap betweenrichest and poorest wards (years)

9.6 9.5 6

Male

Female

59.3 76.7 56.4 77.4

69 84

66 81

13.7 11.3 8

Continuedimprovement in linewith our 2030 target

Continuedimprovement in line with our 2030 target


Our targets for 2030

Our targets for 2030


Improvements we will see along the way

Improvements we will see along the way

• Increase the number ofchildren ready to enter school

• Tackle inequalities ineducational attainment

• Continue to reduce levels ofteenage pregnancy

• Continue to tackle infant mortality

• Top performer inchlamydia detection

• Increase access toemployment for people withmental health problems

• Reduce substance misuserelated reoffending

• Top performer in drug andalcohol recovery

• Reduce the number ofrough sleepers

• Increase physical activity

• Reduce smoking prevalence

• Top performer in uptake of NHS Health Checks

• Increase wellbeing of carers • Increase uptake of influenzavaccination

• Keeping people well intheir community

• Embed Public Health andprevention in an integratedhealth and social care system

• Joint intelligence unitestablished for the City

• Working together across thewhole public sector toimprove health outcomes

Priority Indicators

Starting and Developing Well (0-24 age group)

Healthy LifeExpectancy

Healthy Ageing

System Leadership


We want to maximise the healthimpact of everything we do throughthe City of Wolverhampton Counciland extend this to the actions ofour partners.

This is why the Council’s PublicHealth service is being transformedto provide the necessary expertiseand technical advice to help makethis happen.

The repositioning of the service will deliver our statutory publichealth responsibilities while alsooffering public health advice andsupport internally to embed the idea of improving health andreducing inequalities to all parts ofthe Council.

The Council and public sectorpartners will be working together asone to transform health outcomes

across the City. Public Health willsupport and provide external adviceto partners beyond the NHS andsocial care in taking a place basedapproach.

Key to extending the reach of public health will be a serviceequipped with the skills to engage,influence and persuade, with theability to tell the story using dataand evidence, whilst continuallystrengthening relationships.

Our role will be to facilitate a moreco-ordinated strategic developmentof longer term planning forentrenched and future issues inhealth and social care; to encouragepartners to think more broadly thancurrent crises and; importantly, tomake investments now for the longterm health of the population ofWolverhampton.

Who will we work with and how?

Who will we work with and how?

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Health and

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City Environment

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City of Wolverhampton Council, Civic Centre, St. Peter’s Square,Wolverhampton WV1 1SH

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The vision for Public Health 2030 - Wolverhampton...local communities and is supported by local businesses and institutions care and are conﬁdent about our diversity all play our