Transcript No Slide Title

ANGUS COMMUNITY PLANNING
PARTNERSHIP
SOA IMPLEMENTATION GROUP
Health Improvement Action Group
(HIAG)
11th September 2009
STRUCTURE AND GOVERNANCE ARRANGEMENTS
Health Improvement Plan
(2009-2012)
 Alcohol
SOA National
Outcomes
No. 6
 Nutrition and Physical Activity
 Mental Health and Wellbeing
Angus Community Planning
Partnership
Improving Health in
Scotland: The challenge
(2003)
 Sexual Health
Better Health, Better Care
Action Plan (2007).
 Smoking and Tobacco Control
 Oral and Dental Health
Local Outcomes
And
Indicators
Equally Well (2008)
Angus SOA (2009-2012)
 We live longer, healthier lives
Health Improvement Action
Group
Towards a Mentally
Flourishing Scotland
(2009-2011)
Service
Delivery
Indicators
HIAG Action/Delivery Plan
Outcomes, Indicators & Targets
Individual Outcomes
Health Improvement Plan
(2009-2012) and Angus
SOA (2009-2012)
HIAG Organisational Structure
Angus Community Planning Partnership
Angus Forums E.g.
Tayside Forums E.g.
Angus Steps Tay
Health Steering Group
Health Improvement
Action Group (HIAG)
Sexual Health Tayside
Tayside Exercise on
Referral
Angus Choose Life
Steering Group
Angus Life-long
Learning Sub-Groups
Health Improvement
Team
Angus Children’s
Health Joint Action
Group
Tayside Homelessness
Implementation Group
Tayside Equality and
Diversity
Implementation Group
National Groups E.g.
ASH Scotland
COSLA
Health Improvement Team
Health Improvement Partnership Manager
Senior Health Promotion Officer
(Smoking and Tobacco Control)
Team Administrator/PA to
Health Improvement
Partnership Manager
Public Health Officer
Weight Management Coordinator
Smoking Cessation Coordinator
Smoking Cessation Worker x 2
Senior Health Promotion Officer
(Physical Activity)
Mental Health and Wellbeing
Co-ordinator
Clerical Officer x 1
Angus Walking Co-ordinator
Clerical Officer x 1
Senior Health Promotion Officer
(Over 50s, Homelessness,
Migrant Workers)
Healthy Ageing Co-ordinator
Senior Health Promotion
Specialist (Sexual Health and
BBV)
Planning Officer (Health
Improvement)
Development Worker (Healthy
Working Lives)
Project lead (Healthy Happy
Communities) - Vacant
Principal Environmental Health
Officer
Consultant in Public Health
Clerical Officers x 0.5
Health Improvement Plan (2009-2012)
• Each priority helps deliver on SOA National Outcome 6: ‘We live
longer, healthier lives’
• Alcohol
• Smoking and Tobacco Control
• Nutrition and Physical Activity
• Mental Health and Wellbeing
• Sexual Health
•
Oral and Dental Health
Life expectancy at birth (years) 20042006
Life expectancy in years
84
80
76
80.1
79.6
74.6
79.7
76.2
75.4
72
68
64
Scotland
Tayside
Males
Females
Angus
Angus postcode areas of highest
deprivation level
• Deprivation Category 6:
– Arbroath Town Centre (DD11 1)
• Deprivation Category 5:
– Arbroath (Hayshead & Cliffburn), Inverkeillor & District (DD11 5)
• Deprivation Category 4:
– Montrose (DD10 8)
– N.W.Forfar, Glamis & District (DD8 1 (part)) (highest population
among cat 4 in Angus)
– N.E.Brechin, Edzell, Strachatro (DD9 7 (part))
Alcohol
40
30
20
10
Year
Current position: July 08-March 09:
- Brief interventions carried out = 3586
- Brief intervention targets = 3500
2006
2005
2004
2003
2002
2001
2000
1999
1998
0
1997
Number of Deaths
Alcohol related deaths in Angus, 19972006 years, GROS
Smoking & Tobacco Control
• Angus intermediate datazone areas with highest
numbers and rates of smokers aged 16+
– Proportion:
• Arbroath Harbour (38.3%)
• Arbroath Cliffburn (33.7%)
• Arbroath Warddykes (33.1%)
Average age of first cigarette=12 years
Current Position: 2008/09
- 992 Smokers engaged with Pharmacy and other
services
th
W
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t ro
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t ro
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se
N
Br
or
th
ec
hin
Br
Ea
ec
st
hin
W
es
t
Hi
l ls
An
ide
gu
sG
len
s
M
on
i fie
Percentage
Smoking in Pregnancy
Women Smoking at Booking In; Angus; 2003-2005
45
40
35
30
25
20
15
10
5
0
Tow ns
Current Position:
- 28.9% of women smoking during pregnancy
- Give it up for Baby – 73 Registrations
Nutrition and Physical Activity
• Percentage of children in Primary 1 receiving a review who are :
overweight (>=85th centile), obese (>=95th centile) or severely obese
(>=98th centile) in Angus; 2002/03 to 2007/08
25
02
03
04
05
06
20
15
10
03
04
05
06
07
07 08
5
0
% Overweight
% Obese
% Severely Obese
Severely Obese:
upper limit of 95%
confidence interval
Current position:
- 3-5 year olds overweight 21% - target 20.6%
- 3-5 year old obese – 9.3% Target 9.2%
W
es
t
on
ik
ie
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Ca
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rn
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Ea
st
et
h
et
h
on
if i
on
if i
M
M
Percentage
Nutrition
Percentage of children breastfed at 6-8 weeks review
70
60
50
40
30
20
10
0
Towns
Current position:
- 37.2% children breastfed at 6-8 week review
Nutrition
Table of % of exclusive breastfeeding at 6-8 weeks review; Tayside and Angus comparison;
calender years 2001-2008; year of birth
31
30
Percentage
29
28
Angus
27
Tayside
Scotland (all participating HBs)
26
25
24
23
1
2
3
4
5
Year 2001 - 2008
6
7
8
on
ifi
M eth
o
W
C nifi
es
ar
e
no th t
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ar
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no W
us es
t ie t
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So o
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Ar t h kie
A
b
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t
br
s
oa h ke
Ar th H ptie
br
a
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br h
Ar
oa Ki r
r
br
k
oa th C ton
lif
Le th
t h W fbu
a
a
r
Ki m rd d n
rri an
y
ke
em d
ui Gla s
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an is
dw
Fo
ar
r
d
Fo far
rfa W e
r C st
Fo ent
rfa ral
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as
Lu t
Fr
n
io an
ck
he
M Kir im
on rie
tr
m
M ose uir
on
t ro Sou
s
th
Br e N
ec or
th
h
Br i n
ec Ea
st
hi
n
W
es
An Hill t
gu sid
e
s
G
le
ns
M
Percentage
Cardiovascular Health
Total Death Rates from Coronary Heart Disease (2006)
350
300
250
200
150
Total Death Rates
100
50
0
Town
Current position:
- 30% of adult population regularly exercises (in line with Natio
Rates)
Mental Health & Wellbeing
Number of deaths from 'intentional self-harm' or
'undetermined intent' in Angus, 1997-2008, GROS
25
20
15
10
5
0
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Current position:
- Suicides = 16 this year per whole Angus population
Mental Health & Wellbeing
Towns
Friockheim
South
Angus
Monifieth
East
Monifieth
West
Arbroath
Harbour
Arbroath
Keptie
Arbroath
Warddykes
Arbroath
Cliffburn
9.3
9.2
9.1
9
8.9
8.8
8.7
8.6
8.5
8.4
8.3
Arbroath
Kirkton
Percentage
Mental Health - Highest Prevelance Areas of Angus People being prescribed drugs for anxiety depression or psychosis in
2004
on
if i
e
M th
on W
es
Ca ifi
rn eth t
ou E
Ca sti ast
rn e W
ou
es
st
ie t
Ea
M st
So on
ik
u
ie
Ar th
br An
Ar oa gu
s
br th
oa ke
Ar th H p tie
br
ar
Ar oath bo
u
Ar br o Ki r
br ath rkt
oa
C on
Le th W liff
b
th
a m ard ur n
d
Ki
rri an yke
em d
s
ui G la
rL
m
a n is
Fo dw
r f ar
Fo ar W d
r fa
r C est
Fo ent
r fa ral
rE
as
Lu t
Fr
na
io
ck n
he
M K ir im
on rie
tro m
M se uir
on
S
tro ou
th
s
Br e N
ec o r
th
h
B r in
E
ec
hi a st
n
W
es
t
H
A n ill
s
gu id
e
s
G
le
ns
M
Percentages
Sexual Health
Teenage Conceptions - % of first time mothers aged 19 and under in Angus's intermediate
data zones
35
30
25
20
15
10
5
0
Towns
Current position:
- 13 -15 teenage pregnancies = 6.8 per 10,000
- Target = 5.6 per 10,000
Sexual Health
Sexually transmitted infections-Chlamydia diagnoses recorded in Angus DD7DD11 postcode districts; Years ending 31 December (Source: STISS)
Age
Males
Rate/10,000
Females
Rate/10,000
2006
2007
2006
2007
Under 16
0
<4
24.3
<4
16-25
65.4
92.2
87.9
117.9
26-39
12
14.4
8.9
7.8
40+
<4
<4
<4
0
Oral and Dental Health
Proportion of P1 children in Tayside with no obvious
decay experience 1998-2008
Proportion (%)
70
60
50
42.7
55.3
56.7
57.1
2003
2004
2006
60.8
47.1
40
30
20
10
0
1998
2000
Current position:
- 62.9% children with no obvious decay (Angus)
2008
Example of SOA 6
ACPP
SOA
NO 6
SOA - The number and
population of the Angus
Population diagnosed
with Chlamydia is
increased
SOA - The number of
teenage
pregnancies in
Angus is reduced
HIAG
HIP - Key
Priority
Sexual
Health
HIT
Senior HPm Specialist:
Sexual Health and BBV
C-Card
Partner Agencies
(SW&H, Education, Health, Community
Pharmacies, GPs, Voluntary Orgs)
Individual Outcomes, Outputs, Inputs
The health of the Angus population is
improved
The population of Angus has a positive
and responsible attitude towards sexual
health
The number of young people (aged
25 and under) accessing Sexual
Health Services in Angus is
increased
Promotion of C-Card
Improved access to
services
Example of SOA 6
ACPP
SOA
NO 6
Mental well-being
Obesity
Depression and Anxiety
HIAG
HIP - Key
Priority
Physical
Activity
The health of the Angus population is
improved
People in Angus live longer, healthier lives
through the use of physical activity and
healthy weight management
Long Term Conditions
Social Isolation
HIT
Walking Co-ordinator
Paths to Health
Walking Groups
Partner Agencies
(GPs, Voluntary Orgs, Leisure Services,
AHPs, SW&H)
Individual Outcomes, Outputs, Inputs
The number of people participating
in Paths to Health is increased
Promotion of Walking
Groups
Referral into Walking
Groups
Links to Thematic Groups
Alcohol and Drugs
Partnership
Community Care and
Health Executive
Group
Children’s Services
Executive Group
Health Improvement
Action Group
Angus Economic
Development
Partnership
Community Safety
Partnership
Lifelong Learning
Partnership
Rural and
Environmental
Partnership