Framework summary Appendix A

Through a range of programme interventions targeting resources and opportunities for identified target population groups: ▪ To reduce the mortality gap between the most deprived 20% and the average by 3% percent over 5 years ▪ To reduce the strength of association between deprivation and mortality by 20% over five years.

Healthy Children and Access to health Tackling the Strengthening Wider pregnancy and young people related services Major killers disadvantaged determinants early Improved To increase timely To increase and vulnerable Environment, childhood attainment and and appropriate engagement of individuals and resources and A reduction in the progression to access to primary those at greatest communities opportunities number of infant vocation/ higher care services and risk in both conducive to health deaths and in the education prevention treatment and Increased levels of number of babies amongst target programmes and prevention participation, gaining population opportunities for skills and resources Social cohesion born below agreed Mechanisms to target weight health improvement within target areas to bring about change and influence/ participate Risk/positive Screening strengthen resilience Green space/ recreation Smoking behaviours Disease Co-location Healthy town Maternity care Parenting skills management Financial resilience Local support planning Breastfeeding Skills Rehabilitation Employability services decent/ affordable Maternal nutrition confidence Condition Signposting homes Aspirations management /advocacy Food Independent living Employment Crisis resolution Safety

Supporting systems To develop underpinning systems to support the implementation, resourcing and evaluation of the framework - information, resources, workforce, learning and organisational development

Page 1 of 12 1 INVESTMENT WITHIN THE FRAMEWORK

Healthy pregnancy, early childhood, children and young Breast feeding people To ensure a Healthy pregnancy and Healthy weight programmes optimal health in early childhood within identified target communities Teenage pregnancy / sexual health To ensure children and young people programme within identified target communities achieve the best possible health to gain their best educational outcomes. Smoking in pregnancy

Family Intervention Project

Access to health related services Cardiovascular disease risk and tackling the Major killers assessment and management To ensure timely access to quality programme primary care services, prevention programmes and opportunities for Health referral programme and health improvement in all ages. weight management To reduce levels of premature mortality (under 75) from the major killers; heart disease, cancer and Smoking cessation suicide by identification and increased engagement of those at greatest risk in both high quality treatment and Alcohol tier 1 and 2 services prevention programmes.

Strengthening disadvantaged Citizens Advice Bureau programme and vulnerable individuals and communities and addressing the Health trainer/health champion wider determinants of health programme To increase the capacity and resilience of target vulnerable communities by improving levels of Local Strategic Partnership participation and equipping them with (districts) Priorities inequalities local skills and resources to bring about action change in their lives.

Community safety – domestic To create an inclusive environment violence, where people feel safe and have access to resources and opportunities conducive to improving health Housing and homelessness

Physical health of mental health Page 2 of 12service users 2 THE FULL FRAMEWORK

PURPOSE To ensure a Healthy pregnancy and optimal health in early childhood within identified target communities

How will know we have achieved this?

We will see the number of perinatal and infant deaths across the county falling and there will be a 10% reduction in the proportion of babies born below 2.5kg in the target areas compared to the average.

What key successes will contribute to this?

• Vulnerable and “at risk” mothers (inc teenagers) identified in “Maternity Matters” will be routinely identified at the earliest opportunity and will experience timely intervention to meet their needs • We will implement care pathways and a programme of support through pregnancy and postnatally for target populations identified in Maternity Matters, e.g. drug users, those with mental illness. • Local people, in particular local women in the target areas will be aware of a proactive approach that improves access and engagement with services before and during pregnancy and after giving birth. • Local families will make use of high quality paid and unpaid support (formal and informal) as an integral part of services provided throughout the pregnancy and up to school age. • More women and their families achieve a smoke free pregnancy and home and sustain that success through the child’s early years, making use of customer focused support. • Local women who become pregnant will be accessing a programme of support to optimise their nutritional status through pregnancy including support for weight management • A greater proportion of local women will be engaged in a programme of support for initiation and sustained breastfeeding in target communities • Through uptake of Paid/unpaid/mutual Infant feeding support local families will successfully wean their child and maintain their health weight. • Greater numbers of young women under 19, in the target areas delay the age of first pregnancy and subsequent pregnancies, pursuing a career or further education

How will we know we are heading in the right direction? A selection from a number of measures: Maternal obesity levels Sustained engagement in ante natal programmes Smoking status in pregnancy (and 1 year on) Breastfeeding initiation Mean age of first pregnancy Obesity levels at 2.5 years and at school entry Vaccination rates Child poverty rates

Page 3 of 12 3 PURPOSE To ensure children and young people within identified target communities achieve the best possible health to gain their best educational outcomes

How will know we have achieved this?

Attainment and progression to vocation/higher education is improved amongst children in the identified target areas, moving them closer to national performance rates.

What key successes will contribute to this?

• System for early identification and intervention for children and families at risk as determined by “Every Child Matters” • Engagement of eligible families, parents and child carers in programmes to build skills and confidence • Health programmes delivered to children in care/looked after children and chaotic families • Delivery of Family intervention project/ whole family approach to families in target areas who meet threshold criteria • Engagement of children in target areas in educational programmes to develop skills in managing and minimising harm from risk behaviours • Engagement of children and family members in opportunities for physical activity both in and out of school • Improved uptake in target areas of free school meals and breakfast clubs. • Children gaining skills in buying and preparing nutritious food through delivered programmes. • Engagement of children in development programmes for managing life transition confidently and positively • Utilisation of services relating to minimising risk and supporting responsible approaches to sexual health, emotional and mental health • Engagement with accessible mutual/peer support systems • Optimal implementation of child health programme in target areas

How will we know we are heading in the right direction? A selection from a number of measures: School absenteeism rates Aspiration measure - proportion advancing to FE Proportion of Not in education, employment or training(NEETS) as a % of total population Teenage conception rates Sexually transmitted disease rates Obesity levels at year 6 free school meal uptake Levels of School meal entitlement vs. Healthy school status Under 18 alcohol admission rates Dental health at age 5

Page 4 of 12 4 PURPOSE To ensure timely and appropriate access to quality primary care services, hospital services and prevention programmes and opportunities for health improvement in all ages.

How will know we have achieved this?

The difference in uptake of services by people in the target areas of Derbyshire compared to the levels in the county as a whole will

narrow year on year and the utilisation of services will move closer

to the expected level based on identified prevalence of disease in

these communities.

What key successes will contribute to this?

• Co-location and flexible opening and/or outreach for more accessible services where people in disadvantaged/ vulnerable communities go • Equitable targeting of resources and raising quality of service provision within disadvantaged communities • Provision and/or referral mechanisms to services supporting /motivating for behaviour change: Addictions – tobacco, alcohol, drugs; weight management; physical activity; cognitive behaviour therapy • Incentive schemes run in collaboration with local communities/families to encourage adoption of desired behaviours. • Development of interagency mechanisms to monitor the most vulnerable – mental health service users, people with learning disability, frail elderly, domestic violence including possible early warning system. • Programmes targeting additional support to vulnerable service users meeting threshold criteria. • Monitoring and benchmarking of Quality and Outcomes Framework exception reporting and exception coding by general practice • Development of Information packages, signposting mechanisms, motivational and advocacy support including health trainers and health champions. • Local people able to access transport to attend for appointments offered by practices.

How will we know we are heading in the right direction?

A selection from a number of measures: Practice referral rates to behaviour change services – smoking, weight management, etc (actual vs. expected) Psychological therapies referral Health equity audit of utilisation of pathways identified as a priority in the Strategic Plan e.g. stoke rehabilitation and dementia care. Changes in patterns of service usage

Page 5 of 12 5 PURPOSE To reduce levels of premature mortality (under 75) from the major killers; heart disease, cancer and suicide by identification and increased engagement of those at greatest risk in both high quality treatment and prevention programmes.

How will know we have achieved this?

There will be a 40% reduction in the death rate due to heart disease, stroke

and related diseases in people less than 75yrs. As importantly we will see a

10% reduction in the inequalities gap between the spearhead area compared to the population of Derbyshire as a whole. There will be a 20% reduction in the death rate due to cancer in people less than 75yrs .We will also see a reduction in the inequalities gap of at least 6% between the target areas and the population as a whole. There will be a 20% reduction in the mortality rate due to suicide and undetermined injury in people less than 75yrs. All the above by 2010 based on 1997 baseline (Saving Lives Our Healthier Nation Targets).

What key successes will contribute to this?

• More vulnerable and “at risk” groups within the population will be identified through a systematic CVD risk assessment programme resulting in an increased uptake of interventions aimed at supporting healthy lifestyle. • Engaging with households proactively e.g. home visiting, who do not respond to traditional invitation methods • Programme of awareness raising, information and support within the target areas to encourage timely presentation of symptoms to enable early intervention. • Rapid access to diagnostic services for CVD, heart failure, Cancer and COPD • More people will be supported to take part in effective management programmes for stopping smoking, cardiovascular risk reduction, diabetes, atrial fibrillation and obesity. This may be provided within a practice setting or as an outreach service • Effective Chronic disease management planning • Secondary care identify “at risk” patients and refer onto relevant support • Maximised vaccination and immunisation uptake within target at risk groups. • Local people will be signposted by members of the Primary Health care Team to opportunities within their community to improve health i.e. fitness groups, home improvement agency, Citizens advice bureau, green gym. • Local people are able to access information about what is available within there area through a variety of communication channels. • Local people will able to access local rehabilitation programmes and exercise referral. • More local people will be supported to adopt a healthy lifestyle through the provision of local peer support – community health champion model. • All organisations working together for the health of the population using Local Strategic Partnerships as a conduit to this.

How will we know we are heading in the right direction? A selection from a number of measures: Numbers of people receiving optimal treatment packages – people whose blood pressure is being controlled within defined limits Numbers engaging in behaviour change support programmes Smoking status of the practice population Number of people maintaining lifestyle change - % undertaking sustained exercise after 12 months Page 6 of 12 Screening programme uptake Adult participation in sport 6

PURPOSE To increase the capacity and resilience of target vulnerable communities by improving levels of participation and equipping them with skills and resources to bring about change in their lives.

How will know we have achieved this? We will observe an increase in the number of people within the target communities taking part in health related activities. More people within identified vulnerable communities will engage in skills development programmes and people in the target communities will report greater confidence in their ability to change their own or family behaviour and cope with risk situations.

What key successes will contribute to this?

• People making use of locally accessible financial support / debt management and advice services particularly in target areas. Referral mechanisms for front line workers to use. • People of working age within target areas engaged in programmes of condition management and skills development to increase employability and/or engagement in society. • Increased social activities through social support networks to combat isolation amongst vulnerable target groups e.g. those living alone and carers. • All households of vulnerable elderly and families with child under 5 will have the home environment assessed for security, warmth and safety on a regular basis. • People in the target areas/groups will have access to and engage in local programmes to develop skills in managing chronic conditions and behaviour change • People within target areas are reporting more opportunities to influence their local environment and the provision of services to their community. • Evidence of communities drawing down available resources to tackle issues within their community • Local people will be supported to access timely income maximisation and debt management advice. • Accessible crisis resolution service and possible rapid response mechanisms for situations where people are at risk of harm, e.g. domestic violence, mental illness. • Evidence of communities engaging in the running of NHS services and influencing service development. • Evidence of intergenerational, inter faith and inter community supportive activities within target areas. • People report easy access to and satisfaction with services to support living independently in their own home.

How will we know we are heading in the right direction? A selection from a number of measures: Increase in the proportion of people receiving full benefit entitlement Numbers of eligible people in return to work programmes Reduced reporting of social isolation particularly for more vulnerable groups of people All people living with a long term condition offered at least one educational programme to build their skills and confidence managing their condition A reduction in incidents resulting in harm, requiring A&E attendance. Carers receiving assessments End of life care enabling death at home People maintaining independent living

Page 7 of 12 7 PURPOSE To create an inclusive environment where people feel safe and have access to resources and opportunities conducive to improving health

How will know we have achieved this?

In three and six years, people will report greater satisfaction with where they live in the target areas and this will be reflected in changes in broad measures such as Index of Multiple Deprivation, closing the gap with the Derbyshire and average score

What key successes will contribute to this?

• People in target areas report better transport links and connectivity to health related services, employment and health related opportunities • Policy embedded in local authority planning guidance to engender a safe environment and limit exposure to alcohol, tobacco, fast food availability and gambling outlets within communities. • Greater participation by people in target areas in recreational activity including the use of green space, outdoor resources and countryside pursuits. • Elevation of household income in the target areas closer to the national average through delivery of an integrated programme to alleviate poverty, linking people in target communities to employment and training opportunities, benefits advice and debt management • Partner agencies within the Local Strategic Partnerships signed up to model employment practice as exemplars in demonstrating a safe and healthy working environment and providing support to improve the health of their workforce. • Expansion in the target areas of coverage of all housing stock achieving decent housing standard and a target measure of fuel efficiency. • Increase in the proportion of households in target areas within 500m or 15 minutes walking distance of a fresh produce retailer. • Urban design for “Healthy Towns” that have an environment planned to encourage physical activity integral to everyday life. • Young people in the target areas report greater satisfaction with recreational facilities and activities available to them within 15 minutes walking distance. • Programme of anti crime measures – street and domestic - including drugs within target areas resulting in reduced reported fear of crime.

How will we know we are heading in the right direction? A selection from a number of measures: Monitoring of retail outlets in communities Uptake of benefits, training opportunities and jobs Adults with learning disability in employment Partner agencies signing up as “good” employer Monitoring availability of fresh produce Crime levels and anti social behaviour incidents Reduction in winter related deaths Violence related admissions Reduction in road injuries Levels of leisure use, club membership and numbers of recreational groups Affordable homes Access to services by walking and cycling

Page 8 of 12 8 PURPOSE To develop underpinning systems to support the implementation, resourcing and evaluation of the framework

How will know we have achieved this?

We will be able to monitor progress and measure the success of programmes in the target communities, communicate these to partners and the public, and review where changes need to be made.

What key successes will contribute to this?

• Development of information systems to support needs assessment, performance management, audit, evaluation and impact assessment of the elements of the framework in relation to health inequalities • Development of a workforce programme building new capacity to work within target communities and increase the skills of the existing multi agency workforce to meet the challenge of reducing health inequalities. • Development of a performance management framework to ensure targeting of resources and value for money. • Implementation of an equity “fair share” finance policy moving outlying general practices closer to their target position • Community engagement mechanisms operating with the target communities enabling joint local work programme development. • Organisational development programme including audit and reflective learning (with engagement of local communities) to ensure a responsive and effective approach to reducing inequalities. • Impact of policy implementation on health inequalities is an integral consideration in decision making by the PCT and other partner organisations.

How will we know we are heading in the right direction? A selection from a number of measures:

Information systems developed and being utilised Workforce capacity and skills strategy being implemented Finance/resources freed up for investment to target inequalities

Organisational development Audit and reflective learning systems operational within the six programme areas

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Page 10 of 12 10 Appendix A

DCC IMD National DCC DCPCT LA CODE LA NAME Code Name SCORE Rank Rank Rank E0101966137UG Erewash E001C Hopewell (N) 61.69 733 1 1 E0101957187UD Chesterfield C013D Grangewood/Birdholme (Milton Cr) 60.06 908 2 2 E0101950197UC B006B (Pear Tree Dr/Albine Rd) 55.42 1422 3 3 E0101950177UC Bolsover B007D Shirebrook East 54.66 1530 4 4 E0101957157UD Chesterfield C013A Boythorpe(Hucklow Ave/Holbeach Dr) 53.70 1661 5 5 E0101956167UD Chesterfield C002D Staveley/ Poolsbrook 52.04 1940 6 6 E0101944147UB A003B Ironville/Riddings E(High St) 51.30 2054 7 7 E0101948187UC Bolsover B004D Carr Vale/New Bolsover 51.19 2077 8 8 E0101972187UH High Peak H002A Gamesley S 50.16 2270 9 E0101952177UD Chesterfield C003A Barrowhill/ New Whittington (High Street East)/Staveley Works 48.06 2664 10 9 E0101949187UC Bolsover B003C Creswell(Welbeck St/Colliery Rd/Morven St) 47.47 2776 11 10 E0101951107UC Bolsover B006C Shirebrook(Alder Way/Carter Lane) 47.30 2816 12 11 E0101956187UD Chesterfield C002E Middlecroft (Circular Rd/ Silverwell Dr) 46.65 2948 13 12 E0101956117UD Chesterfield C008E Loundsley Green Holme Hall 46.22 3049 14 13 E0101972197UH High Peak H002B Gamesley N (Melandra) 45.79 3153 15 E0101948137UC Bolsover B004A Bolsover(Town End/Castle St/Houfton Rd/Woodhouse Lane) 45.73 3169 16 14 E0101958147UD Chesterfield C010E Chesterfield Town Centre 44.87 3358 17 15 E0101957127UD Chesterfield C001C Old Whittington(High St/Ashcroft Dr) 44.67 3419 18 16 E0101950157UC Bolsover B007B Whaley Thorns/Langwith(Poulter St/Hardwick St) 44.14 3558 19 17 E0101979917UJ N009C Holmewood (Park Rd/Shakespeare St/Compton St/Slack Ln)/Heath 43.42 3743 20 18 E0101980817UJ North East Derbyshire N009E North Wingfield - Hillyfields (Alma Rd/White Leas Av) 42.84 3913 21 19 E0101976117UH High Peak H011E Fairfield SW (Granby Rd) 42.72 3943 22 20 E0101981717UJ North East Derbyshire N013B Stonebroom (Kingsley Crescent/ St Leonards Place) 41.79 4192 23 21 E0101946137UB Amber Valley A008F Ripley The Elms 41.78 4196 24 22 E0101979617UJ North East Derbyshire N009A Grassmoor (Mill Lane/Shakespeare st/Broom Dr) 41.30 4330 25 23 E0101958117UD Chesterfield C007E Stonegravels (BusDepot/Highbury Rd/Newland Dale) 40.96 4400 26 24 E0101951117UC Bolsover B007E Shirebrook South East 40.84 4431 27 25 E0101952137UC Bolsover B003D Whitwell(Mill Lane/Welbeck St/Holmefield Lane) 40.71 4465 28 26 E0101954127UD Chesterfield C004B Sheepbridge Ind Est/Whittington Moor (Racecourse Rd N/Avenue Rd) 40.14 4620 29 27 E0101950187UC Bolsover B006A Shirebrook Langwith 40.05 4650 30 28 E0101949177UC Bolsover B003B Creswell(Mansfield Rd/Dover St/Skinner St) 39.93 4681 31 29 E0101945127UB Amber Valley A014C Langley Mill W(Gregory Ave/Bailey Brook Dr) 39.88 4700 32 30 E0101946197UB Amber Valley A003D Somercotes(S. Hill/Springfield Crescent/Riber Ave) 39.61 4776 33 31 E0101956157UD Chesterfield C002C Netherthorpe(Library/ Hartington Ind Est/Ireland Ind Est/Fan Rd) 39.54 4792 34 32 E0101956317UD Chesterfield C002A Mastin Moor 39.53 4795 35 33 E0101966147UG Erewash E001D Cotmanhay Farm(W) 39.49 4806 36 34 E0101956177UD Chesterfield C006E Middlecroft (Winster Rd/Lumsdale Rd/ Dale Close/ Frechville St) 39.10 4921 37 35 E0101968127UG Erewash E012D Town Centre 39.06 4931 38 36 E0101954197UD Chesterfield C006A Inkersall (Avondale Rd)/ Duckmanton 39.05 4936 39 37 E0101955167UD Chesterfield C010C Wheatbridge Rd/Boythorpe (Sycamore Ave/Parkside Sch) 38.86 5013 40 38 E0101957117UD Chesterfield C004E Whittington Moor (Stand Rd/Cranbourne Rd) 38.43 5141 41 39 E0101949167UC Bolsover B003A Hodthorpe/Creswell(Linden Rd) 37.45 5414 42 40 E0101965107UG Erewash E010C Petersham 37.43 5420 43 41 E0101951157UC Bolsover B009C South Normanton(Leamington Dr/Eastfield Dr/The Croft) 37.31 5456 44 42 E0101984127UK S010D Goseley 37.26 5473 45 43 E0101966127UG Erewash E003D Upper Station Road 37.16 5504 46 44 E0101957197UD Chesterfield C010D St Helens(Abercrombie St/Canal Wharf/Infirmary Rd) 36.94 5584 47 45 E0101966187UG Erewash E007C North East 36.78 5640 48 46 E0101950167UC Bolsover B007C Scarcliffe/Upper Langwith/Langwith(Dale Close) 36.71 5673 49 47 E0101954137UD Chesterfield C004C Dunston Hall/Dunston (Cordwell Ave/Kirkstone Rd) 36.49 5757 50 48 E0101986137UK South Derbyshire S008D Newhall - Plummer Road 35.90 5941 51 49 E0101977517UJ North East Derbyshire N012B (Bridge St/Egstow/Henmoor (Valley Rd/ North St) 35.87 5956 52 50 E0101962157UF D006D Matlock Hurst Farm 35.75 6004 53 51 E0101950107UC Bolsover B010B Pinxton(Woodfield Rd/Glebe Ave/Hawthorn Rd) 35.64 6051 54 52 E0101940137UB Amber Valley A003A S(Ellesmere Ave/North St/The Green) 35.36 6157 55 53 E0101957167UD Chesterfield C013B St Augustines 35.10 6253 56 54 E0101954177UD Chesterfield C012C Hasland (Gorse Valley Rd/Calow Lane) 35.09 6255 57 55 E010194017UB Amber Valley A001B Alfreton Centre(High St/Chesterfield Rd) 34.97 6305 58 56 E0101977717UJ North East Derbyshire N012D Clay Cross (Penncroft Ln/Springvale Rd) 34.90 6326 59 57 E0101966167UG Erewash E007A South East 34.56 6445 60 58 E0101958107UD Chesterfield C007D Stonegravels(Higfields/Tapton Vw Rd) 34.43 6492 61 59 E0101953117UD Chesterfield C003D Brimington (Somerset Dr/ Cornwall Dr/Queen St) 34.38 6514 62 60 E0101969197UG Erewash E015B Peveril (NW) 34.33 6527 63 61 E0101940107UB Amber Valley A001A Alfreton NE(Meadow Lane Ind. Est/Mansfield Rd) 34.26 6554 64 62 E0101981817UJ North East Derbyshire N013C Mickley/Higham/ New Higham(Chesterfield Rd) 34.17 6579 65 63 E0101964177UG Erewash E012A Town Centre 33.92 6656 66 64 E0101950137UC Bolsover B007A Pleasley 33.53 6791 67 65 E0101949127UC Bolsover B002A Clowne(Creswell Rd/Wilson Ave) 33.37 6851 68 66 E0101956127UD Chesterfield C008F Loundsley Green (Brockwell Hill/The Pingles) 33.23 6904 69 67 E0101948177UC Bolsover B005B Bolsover(Moorfield Sq/StLawrence Ave) 33.15 6931 70 68 E010194417UB Amber Valley A014B (Ray St/Broadway/Stainsby Ave) 33.09 6953 71 69 E0101953167UD Chesterfield C005E Brimington (Wikeley Way/Lansdowne Rd)/Wheeldon Mill 32.76 7074 72 70 E0101964147UG Erewash E001A Cotmanhay Road (Central) 32.41 7203 73 71 E010194717UB Amber Valley A003E Somercotes(Alfreton Trading Estate/Leabrooks Rd) 32.13 7326 74 72 E0101953187UD Chesterfield C010A Saltergate 31.93 7411 75 73 E0101945137UB Amber Valley A014D Langley Mill S(Station Rd/Lime Ave)/Langley Bridge 31.71 7505 76 74 E0101957177UD Chesterfield C013C Birdholme(Langer Lane) 31.30 7668 77 75 E0101964167UG Erewash E001B Bennerley (E) 31.14 7732 78 76 E0101948147UC Bolsover B004B Shuttlewood/Bolsover Woodhouse/Old Bolsover(Shuttlewood Rd) 30.81 7858 79 77 E0101968187UG Erewash E006D Lower Nottm Road (S) 30.81 7861 80 78 E0101940147UB Amber Valley A001D Alfreton SW( Rd/Alfred St/Mortimer Wilson Sch.) 30.40 8011 81 79 E0101966117UG Erewash E003C Town Centre North & East 30.36 8033 82 80 E0101955127UD Chesterfield C006D Ringwood/ Hollingwood (Pine St)/Inkersall (Bevan Dr) 30.21 8102 83 81 E0101952127UC Bolsover B008E (High St/Derwent Dr/Brook St) 29.92 8229 84 82 E0101985167UK South Derbyshire S007B Midway -Wellwood 29.73 8302 85 83 E0101945197UB Amber Valley A008E Porterhouse/Greenwich 29.61 8354 86 84 E0101951127UC Bolsover B006D Shirebrook South West 29.26 8522 87 85 E0101979717UJ North East Derbyshire N009B Grassmoor (Vernon Rise/Norfolk Av/Cross St) 29.16 8569 88 86 E0101956197UD Chesterfield C007B Stonegravels(Fire Stn/Lockoford Rd/Sanforth St/Ormsby Rd) 29.13 8584 89 87 E0101974137UH High Peak H006C E (Ollersett Ave/StGeorges Rd) 29.12 8598 90 88 E0101954117UD Chesterfield C004A Dunston(Wythburn Rd/Ulverston Rd) 29.02 8647 91 89 E0101976187UH High Peak H003F Whitfield 28.94 8678 92 Page 11 of 12 11 E0101949917UC Bolsover B010A Pinxton(Park Lane/Wharf Rd W) 28.85 8712 93 90 E0101973917UH High Peak H003B Howard Town E (Market/High Street East) 28.76 8745 94 E0101969217UG Erewash E008C Town Street & East 28.72 8762 95 91 E0101952017UC Bolsover B008C Ault Hucknall/Tibshelf(Newton Rd/Shetland Rd) 28.46 8888 96 92 E0101949517UC Bolsover B002B Elmton/Creswell(Rogers Ave/West St/Chatsworth Rd) 28.43 8899 97 93 K:\DAVIDB\Board papers from April 04\Inequalites framework Appendix A Jan 09 final.doc

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