Transcript LDP SOA poster

Tackling health inequalities in Fraserburgh,
Aberdeenshire
Chris Littlejohn
Specialty Registrar in Public Health
NHS Grampian
[email protected]
Dr Jennifer Hall
Public Health Lead
Aberdeenshire CHP
[email protected]
1. Aberdeenshire is a Local Authority area in the
North East of Scotland, with a population of around
240,000 (figure 1). Fraserburgh is a coastal town,
with a population of around 12,000. Based on the
Health Domain of the Scottish Index of Multiple
Deprivation
(SIMD),
Fraserburgh
had
three
datazones amongst the most deprived in Scotland in
2009, including one in the 5% most deprived (figure
2). These three deprived datazones are all located
within the intermediate geographical area known as
“Harbour & Broadsea” and stand in contrast to other
areas of the town.
Figure 1: Map of Aberdeenshire
(with Fraserburgh circled)
© The Gazetteer for Scotland, 2009
Used with permission from The Gazetteer for Scotland at http://www.geo.ed.ac.uk/scotgaz
2. A range of health inequalities are evident in the town (see figures 3 through 5 for examples).
3. Following a health inequalities workshop in September 2009 for the Aberdeenshire Community Health Partnership committee and
Aberdeenshire Community Planning Partnership, it was agreed to build on previous work to develop integrated, outcome-focused planning, and
to pilot this approach for Early Years in Fraserburgh. Fraserburgh was chosen as the pilot site, due to its deprivation status, its discrete
geographical boundary, and the potential to build on existing services to improve health and reduce inequalities in the town (see overarching
logic model, figure 6). It was agreed to use this planning approach to focus on the Equally Well early years recommendations, something which
is being supported by the Local Community Planning Group and Fraserburgh Children’s Services Network.
4. The Early Years Project comprised a number of components, with the
ultimate objective of piloting an integrated outcome-focused planning
approach to tackle health inequalities (figure 7). These component activities
were undertaken across the Summer of 2010.
Figure 6 Overarching logic model for reducing inequalities in health in Fraserburgh
5. In summary, through the Early Years Project, it has been possible
to engage with local partnership groups and services and secure
their support. This is one aspect of a wide range of complementary
actions being progressed in Fraserburgh, targeting different age
groups and the wider determinants of health (including income,
employment, and food access). A range of funding has been
utilised, such as the Fairer Scotland Fund, NHS funding, and NHS
redesign monies, coordinated through the multi-agency Tackling
Poverty and Inequalities Group of Aberdeenshire Community
Planning Partnership.
Figure 7 Early years project components