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Director of Public Health Report 2016 - 2018 Positive Steps

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DIRECTOR OF PUBLIC HEALTH REPORT 2016 - 2018 POSITIVE STEPS Table of Contents Positive Steps towards a Thriving Forth Valley ........................................................... 5 Local Healthcare and Health Improvement Strategies ............................................ 5 Stirling and Clackmannanshire City Region Deal .................................................... 6 Fair Start Scotland Forth Valley .............................................................................. 7 Reduction in teenage pregnancy rates ................................................................... 7 Health Protection ........................................................................................................ 9 Environment and Health ......................................................................................... 9 Notifiable Diseases ............................................................................................... 10 Tuberculosis .......................................................................................................... 11 National and Forth Valley Surveillance Systems ................................................ 11 Public Health Actions for TB: ............................................................................. 11 Microbiological Detection of TB ......................................................................... 12 TB Clinical Services ........................................................................................... 12 Vaccine Preventable Disease and Vaccinations ................................................... 13 Vaccine Transformation Programme .................................................................. 14 New Immunisation Programmes ........................................................................ 14 Seasonal Influenza Vaccination Programme (adult) .......................................... 15 Secondary School Vaccination Programmes ..................................................... 15 Elimination of Hepatitis C Virus ............................................................................. 16 Keep Well ................................................................................................................. 17 LGBTQI .................................................................................................................... 18 Sustainability ............................................................................................................ 18 National Positive Steps – The Public Health Reform Programme ............................ 19 Health of the public in Forth Valley in 2019 .............................................................. 20 The Economics of Prevention .................................................................................. 22 Social Determinants of Health .................................................................................. 23 The National Public Health Priorities ........................................................................ 24 Page 3 of 52 Accident Prevention ........................................................................................... 26 Community engagement in designing environments that support active travel . 28 Priority 2: A Scotland where we flourish in our early years .................................... 29 Adverse Childhood Experiences ........................................................................ 29 Looked After Children ........................................................................................ 30 Page 4 of 52 Positive Steps towards a Thriving Forth Valley This is my second published report as Director of Public Health (DPH) and covers the calendar years 2016-2018. Traditionally the DPH Report has been an opportunity to highlight specific health challenges and priorities in the local community. During the years covered by this report there has continued to be a series of substantial improvements and developments in both the health of our local population and the services we are able to provide. I am pleased to report the positive steps which have occurred in population health over recent years. Local Healthcare and Health Improvement Strategies Since my last report which covered the 2013-2015 years, the Public Health and Planning Team published the NHS Forth Valley Health Care Strategy in October 2016. The strategy set out the long term vision for improving health care and services across Clackmannanshire, Falkirk and Stirling. This was followed in 2018 by the publication of “A Thriving Forth Valley” the NHS Forth Valley Health Improvement Strategy 2017-2021. The new health improvement strategy builds on the themes in my 2013-2015 report with a continued focus on identifying key actions to break cycles of deprivation and inequalities in our local community. Following feedback from Community Planning partners, the health improvement strategy continues the three pillars set out in my first DPH report and adds mental health and mental well-being as a fourth priority with national public health programmes as a fifth. Page 5 of 52 Work has progressed locally on the delivery of health and social care integration with the formation of Integration Joint Boards and Health and Social Care Partnerships within all three local authority areas. Stirling and Clackmannanshire City Region Deal A particularly promising development in 2018 was the announcement of the Stirling and Clackmannanshire City Deal which has been described as “An ambitious programme to position Stirling as an economic and cultural powerhouse.” Stirling Council, in partnership with Clackmannanshire Council and the University of Stirling, secured investment of £90.2m, from both the Scottish and UK Governments, in the form of a City Region Deal (CRD). This deal covers the wider Stirling and Clackmannanshire region and is structured to provide investment in innovation, digital, culture, heritage and tourism, active travel and connectivity over the next 10 to 15 years. This will include the creation of digital hubs in both Callander and Alloa as well as a new business park at Kildean. The programme will build on existing key projects and initiatives designed to drive economic improvements. These include significant investment in housing and transport, the development of a new Stirling Sports Village, a new multi-partnership cultural strategy for the area and a renewed rural economic strategy. It is hoped the deal will deliver around 5000 high quality jobs for the region. Specific projects which have been proposed include – The Harbour This will extend and unify Stirling’s city centre and the River to create a new and exciting area of this city. This will include a National Tartan Centre, a centre for third sector innovation, community access to co-located public sector organisations through a shared Civic Space, external performance and events space through a bespoke City Harbour Square and the Engine Shed – a unique centre for conservation skills and heritage excellence. Digital District T Page 6 of 52 Grow-on Space This will address the shortage of space in Stirling for incubating and developing the small to medium sized enterprise (SME) sector. This will provide a bespoke space for established businesses to develop. Mercat Cross Regeneration of the Mercat Cross at the ‘top of the town’, focuses activity to revitalise this geographically and strategically important area of the city, through initiatives like a City Market, increased permanent and temporary commercial space and a Cultural Quarter. City Park This will create a must-see destination to attract, retain and direct residents and visitors to the city, connecting with the Back Walk and City Centre. This will be amongst the most distinctive parks in Scotland with a significant setting below Stirling Castle. The River This project seeks to bring the River Forth back into play as a major driver of Stirling’s economic, cultural and social prosperity. Key elements in this project include the development of a river taxi network, expansion and enhancement of pedestrian and cycle paths, development of the peninsulas and associated riverbanks and the incorporation of a barrage to allow water levels and water quality to be controlled. Through each of these projects Stirling and the wider area, including Clackmannanshire, aims to attract further inward investment, support business growth in key sectors and attract new sectors. Investment will stimulate employment and training opportunities and create a better quality of life for those employed, living and studying in the area as well as short term visitors to the area. Fair Start Scotland Forth Valley On 1 April 2017, the Fair Start Scotland Forth Valley programme commenced. Led by Falkirk Council in partnership with Clackmannanshire Council, Stirling Council and NHS Forth Valley with support from Third Sector agencies, the Forth Valley programme is the only public sector Fair Start Scotland programme in Scotland. The programme is the first devolved employment support service in Scotland. Around 2,000 people having difficulty finding employment who have disabilities and health conditions will be supported to help them into employment across Forth Valley. Reduction in teenage pregnancy rates In my last DPH Report I described how teenage pregnancy continued to be a significant issue within Forth Valley with a substantial number of teenage girls becoming pregnant. This is of particular importance to Public Health as, while some young women see
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