Transcript Slide 1
Councillor Douglas Yates Health and Well-Being Spokesperson COSLA Improving the Nation’s Health in Partnership Cllr Douglas Yates COSLA Great Expectations Life Expectancy Trends: Scotland and Other Western European Countries It’s Just Deprivation All ages, both sexes: cause-specific standardised mortality ratios 2003-07, Glasgow relative to Liverpool & Manchester, standardised by age, sex and deprivation decile Calculated from various sources 350 300 248.5 229.5 Standardised mortality ratio 250 200 168.0 150 126.7 112.2 111.9 All cancers (malignant neoplasms) Circulatory system 131.7 100 50 0 Lung cancer External causes Suicide (inc. undetermined intent) Alcohol Drugs-related poisonings Public Finance and Scarcity • What is the total resource available? • How are these resources currently spent? • What services need more resources and what would be their cost effectiveness? • Could some services be provided as effectively with fewer resources? Think Total Resource Drug and alcohol services spend 2007/08 Treatment and care £115.8m 9% Prevention £10.6m 3% 5% Criminal justice services £16.2m 9% Enforcement & regulation £8.9m 6% Essential services £4.9m 68% Other £16.4m Building on Christie Report Work closely with individuals and communities to understand their needs, maximise talents and resources, support self reliance, and build resilience. Concentrate the efforts of all services on delivering integrated services that deliver results Prioritise preventative measures to reduce demand and reduce inequalities Economics of Disinvestment RSCOP Projected (to 2014/15) Emergency Admission Beddays Rate aged 75+ 6500 6000 Ayrshire & Arran 5500 Dumfries & Galloway rate per 1000 aged 75+ Fife 5000 Grampian 4500 Highland 4000 Lanarkshire Tayside 3500 3000 2500 2000 2009 2010 2011 2012 2013 2014 2015 - To retain the same number of beds as 2009/10 we need to achieve a 12% reduction in the bed-day rate by 2014/15. - By 2020/21 to retain the same number of beds we have to have achieved a 24% reduction in the bedday rate. Health and Social Care Integration • • • • National Partnership Local Partnership Commissioning Partnership Partnership with Citizens