Oldham’s Shadow Health and Wellbeing Board

Cath Green Chief Executive First Choice Homes Oldham

Background

• Legislated through the Health and Social Care Act 2012 • A new Health and Social Care Landscape • Purpose of Health and Wellbeing Boards

Health Inequalities

• There are wide inequalities in life expectancy and health outcomes in Oldham: – Coldhurst falls into the 1% most deprived wards in England – Saddleworth South falls into the 5% most affluent – There is a 12.2 year gap in life expectancy between males living in Coldhurst and Saddleworth South. – There is a 10.6 year gap in life expectancy between females living in Alexandra and Saddleworth South.

• Oral health is strongly linked to poverty and deprivation: – Tooth decay starts at a very young age - 48.8% of 5 year olds in Oldham had decayed, missing or filled teeth, compared to the England average of 27.5%.

Life Expectancy

• Oldham still experiences the 18th worst life expectancy in England. • Current life expectancy (2007 to 2009) for males in Oldham is 75.5 years compared to the England average of 78.3 years.

• Although female life expectancy has improved over recent years, Oldham still has the 13th worst life expectancy in England. Current life expectancy (2007 to 2009) for females in Oldham is 79.9 years compared to the England average of 82.3 years.

Cardiovascular Disease

• There has been a decline in male and female cardiovascular disease (CVD) mortality rates, both nationally and locally, over the last decade.

• The gap between the Oldham and the England average has narrowed significantly for both males and females.

• Lifestyle factors that reduce the risk of developing CVD include: not smoking, choosing healthier foods, having a low salt intake, taking regular exercise, maintaining a healthy weight and drinking alcohol in moderation.

Cancer

• Lung cancer was the main contributor to overall cancer deaths in Oldham for both males and females aged under 75 years. • Cancer mortality can be related to deprivation as well as a number of contributing lifestyle factors, in particular smoking prevalence.

• Smoking is a major cause of lung cancer and a cause of chronic lung disease.

• Males and females from more deprived areas are more likely to smoke than those living in more affluent areas. Therefore smoking and smoking-related deaths are known to be a key influence on heath inequalities.

Respiratory Disease

• Overall deaths from chronic obstructive pulmonary disease (COPD) are starting to decline both nationally and locally.

• Death rates from respiratory disease in Oldham are higher than the England average.

• There is an established relationship between COPD and deprivation. Unhealthy lifestyles play a key role, as does smoking prevalence. • The largest proportion of respiratory disease deaths for both males and females are in the most deprived areas of Oldham.

Excess winter deaths

• In 2009/2010 there were approximately 44 more deaths compared to non winter months, with the majority of these occurring in people aged over 65 years.

• This figure illustrates the link between falling temperatures and the rising number of deaths. As the temperature drops during the months of January and December, the number of deaths increase.

•There are a number of interventions that positively impact on the prevention of winter deaths, including free flu vaccinations and winter fuel payments to help older people pay for their heating in winter.

Lifestyle Factors

• The figure below highlights the lifestyle indicators that most influence health outcomes. • For smoking, Oldham has a higher percentage of smokers than the regional and national average. This equates to more than 50,000 people across Oldham aged 16 years and over.

• Alcohol consumption is a major cause of ill health and it is estimated that around 48,000 people across Oldham binge drink (drinking above recommended guidelines). • High alcohol consumption impacts greatly on individual health outcomes, such as the development of chronic digestive and circulatory conditions, as well as impacting on NHS resources, such as high hospital admissions.

What will Health and Wellbeing Boards do?

• Lead and champion change across communities, sectors and organisations • Ensure democratic legitimacy and involvement • Encourage people/partnership to work together collaboratively • Drive delivery

What will Health and Wellbeing Boards do?

• Provide a governance structure • Assess the needs of the local population • Promote integration and partnership • Support joint commissioning and pooled budgets • Review major service redesigns

Oldham’s Shadow Health and Wellbeing Board - progress

• Has been operating in Shadow form since April 2012 • Has an independent chair • Membership links to borough’s strategic partnership arrangements • Has agreed themes and priorities and a programme of work

Board Themes and Priorities

• Three themes take a life course approach: – Giving every child the best start in life • Positive Parenting • Complex Families – Living, learning and working well • Get fit for work • Stay fit for work • Stay fit for life – Ageing well and later life care • Early intervention and prevention • Dignity and respect • Health Inequalities

District Partnership Work

• Close to local people – vital role in providing data to support the JSNA • Communicate and engage with local people to improve quality of life • Democratic legitimacy and accountability to local people • Potential to transform services • Sub groups working in each area

What next?

• Preparing for statutory form – April 2013 • Working towards first public meeting in January • Putting detail around delivery plans for key work themes • Need to ensure health and wellbeing is everyone’s business