Report of the Director of Public Health
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Report of the Director of Public Health The Health of the Population of Forth Valley 2013-2015 Table of Contents Foreword................................................................................................................................................................. 3 Facts and figures about the people living in Forth Valley ...................................................................................... 6 NHS Forth Valley ............................................................................................................................................... 6 Population by age, Local Authority and gender ................................................................................................. 7 Population projections ........................................................................................................................................ 8 Economic circumstances of Forth Valley people ............................................................................................... 9 Trends in common diseases .............................................................................................................................. 11 Heart Disease ................................................................................................................................................ 11 Stroke ............................................................................................................................................................ 13 Cancer ........................................................................................................................................................... 14 Diabetes ........................................................................................................................................................ 15 Service Improvement and Development ............................................................................................................... 16 Health and Social Care Integration ................................................................................................................... 16 Clinical Services Review .................................................................................................................................. 16 Health Improvement ............................................................................................................................................. 20 Early Years Collaborative ................................................................................................................................ 20 Oral and Dental Health ..................................................................................................................................... 22 Substance Use ................................................................................................................................................... 23 Alcohol ............................................................................................................................................................. 23 Alcohol-related deaths in Scotland ............................................................................................................... 23 Smoking ............................................................................................................................................................ 26 Prison health ..................................................................................................................................................... 27 The Value of Community ................................................................................................................................. 29 Asset based approach .................................................................................................................................... 29 Keep well .......................................................................................................................................................... 30 Examples of health improvement work ............................................................................................................ 31 Healthy weight .............................................................................................................................................. 31 Health Protection .................................................................................................................................................. 33 Protecting the population from Tuberculosis .................................................................................................... 33 Immunisations .................................................................................................................................................. 34 Childhood Immunisation Programme ........................................................................................................... 34 New Immunisation programmes ................................................................................................................... 35 Emergency Planning and Civil Contingencies ................................................................................................. 36 Prevent Strategy ............................................................................................................................................ 36 Blood borne viruses (BBV) and Sexual Health ................................................................................................ 37 Screening .......................................................................................................................................................... 38 Adult screening- ........................................................................................................................................... 38 Pregnancy and Newborn screening ............................................................................................................... 38 Breast ............................................................................................................................................................ 39 Cervical ......................................................................................................................................................... 39 Bowel ............................................................................................................................................................ 39 Summary............................................................................................................................................................... 40 2 Foreword As Director of Public Health and Strategic Planning, I am pleased to present this report on the health of the population of Forth Valley for the period October 2013 to Septemnber 2015. This report describes the demographics and background health of our local population and highlights a number of key areas of work ongoing in NHS Forth Valley described under three main themes; Service improvement and development – planning, delivering and evaluating the range of interventions provided by NHS Forth Valley and partners in order to better meet the needs of the population. Health improvement – helping people to maximise their wellbeing by making healthy choices, and developing knowledge and skills. Health protection – delivering interventions that reduce the risk of communicable disease and environmental hazards. Each section selects a number of key elements from the above three themes providing an overview of the range of work undertaken, however this report does not attempt to provide comprehensive comment on all areas of work. The report provides only a summary and overview of the vast scope of resources now readily available via the internet. Where possible the electronic version provides web-links to relevant and useful resources. My vision for Public Health in Forth Valley focuses on the three main areas of; children and the early years ‘worthwhile work’ substance misuse Concentrating on these three pillars will help to improve the health and wellbeing of our local population and break the vicious cycle of challenging circumstances in the early years leading to difficulties in securing employment and the potential for increasing substance misuse. If we can effectively deliver on these three challenges we will do much to tackle the underlying cause of inequalities and ill health, promote wellbeing and positive health including mental health. Focusing on ‘worthwhile work’ will also deliver additional benefits such as reductions in offending and reoffending. Issues associated with these pillars can form the foundation of many of the problems we see in our society. Work in collaboration with partners in these three areas will influence a much broader spectrum of health outcomes over and above those within the immediate sphere of each pillar. 3 The health of the population in Forth Valley is continuing to improve. Our health successes include a continuing decrease in the death rate from heart disease, stroke and cancer. As we overcome many of the more “traditional” life threatening diseases such as heart attacks, our focus of healthcare is moving towards treating and supporting people living with long term conditions (LTC). We face significant challenges with changing demographics. Our local population of over 75 year olds, for example, is set to more than