Joined Up Care Health and wellbeing in A&E Derbyshire

1 2 Urgent and emergency care services for our community are under a lot of pressure nowadays. More than one 11 In April 2018 the Royal Hospital’s A&E unit saw a record-breaking 504 patients in one day. There are one in four people million people will be aged in Derby and over-65 in 15 Derbyshire. years’ time. Nobody wants to stay in hospital 13 12 longer than they need to and getting people home from NHS services in Derby and Derbyshire are People are generally living longer, hospital is a priority for us. The 4 set to cost 3 something to be celebrated. The voluntary and community sector longer people stay in hospital £80 million But the cost of care provides support to health and the more likely they are to get more this year than the annual is increasing, year social care services to help people complications. Studies have shown 10 days in a budget we receive. on year. remain independent in their own hospital bed can lead to the equivalent of 10 home and stay well. years of ageing in the muscles of people over 80.

5 The life expectancy of someone living in Derbyshire Dales is How can we improve health We need to ensure people’s mental health is given three to four years longer 6 and reduce these inequalities 14 just as much priority as people’s physical health. It ? than someone living in Bolsover. between communities? is thought mental health problems affect around ? one in four people in any given year. There is up to a 10-year gap in life expectancy in different parts of Derby (between In Derbyshire, people can expect to What can we do about some of this? Here are some local initiatives… and ). 7 spend about four-fifths of their life in ‘good health’. Three areas which have a higher This can be affected by health choices and people’s lifestyles. 16 number of injuries from falls – Chesterfield, In Derbyshire: 15 High Peak, and South Derbyshire – are putting together special packages of support to prevent 57.8% of people 63.8% of adults are 68% of adults 15% of 106 people have been cared for falls. This includes awareness packs, falls ‘champions’, eat five-a-day obese or overweight are physically active people smoke in community support beds in a ‘no falling’ classes and risk assessments. new project in care homes in North Derbyshire. These have helped people avoid spending unnecessary time in hospital beds, saving about £66,000. In Derby: 57.7% of people 65.1% of adults are 62.6% of adults 19% of 17 eat five-a-day obese or overweight are physically active people smoke Dementia Rapid Response Teams aim to Our work boosting students’ improve the wellbeing of people with 18 self-confidence in Derbyshire dementia at times of crisis by delivering rapid 8 Healthy life expectancy in Derbyshire: Healthy life expectancy in Derby: schools has seen students in one assessment and intensive support in the school 93% more optimistic about community. A service that has been Male: 63.9% Female: 63.5% Male: 60.2% Female: 58.4% the future. We believe happier established in South Derbyshire is now being people are healthier people. expanded to areas of North Derbyshire.

Nearly 11,000 babies are We want to ensure all mums-to-be are 9 born in Derby and 10 supported to have better births. Every Derbyshire each year. The woman should have a midwife, who is To find out more visit the website www.joinedupcarederbyshire.co.uk proportion of mothers that part of a small team of four to six smoke at the time of midwives, who can provide delivery is nearly 15%. continuity of care.

Derby City Council