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Gloucestershire ICS Locality Profile

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Gloucestershire ICS Locality Profile Gloucestershire ICS Locality Profile Cotswold Locality Draft v5 August 2019 Table of Contents Personal Wellbeing ............................................................................................ 21 Foreword ................................................................................................................. 4 Violent Crime...................................................................................................... 22 Locality Data ............................................................................................................ 6 Air Quality .......................................................................................................... 23 Summary, issues and areas for potential investigation ........................................... 7 Lifestyle and Prevention ........................................................................................ 24 People and Place ..................................................................................................... 9 Obesity ............................................................................................................... 24 Age ....................................................................................................................... 9 Physical Activity .................................................................................................. 25 Deprivation .......................................................................................................... 9 Smoking .............................................................................................................. 26 Place ................................................................................................................... 12 Alcohol ............................................................................................................... 28 Access to the Natural Environment ............................................................... 12 Screening ............................................................................................................ 29 Loneliness and Social Isolation....................................................................... 12 Breast Cancer Screening ................................................................................ 29 Housing .......................................................................................................... 13 Bowel Cancer Screening ................................................................................. 29 Injuries and Deaths on the Roads .................................................................. 13 Cervical Cancer Screening .............................................................................. 30 Caring Responsibilities ....................................................................................... 14 Immunisations .................................................................................................... 31 Health Inequalities ............................................................................................. 15 Seasonal Flu .................................................................................................... 31 Life Expectancy at Birth .................................................................................. 15 Childhood Vaccinations .................................................................................. 32 Healthy Life Expectancy at Birth .................................................................... 15 Long-term conditions ............................................................................................ 34 Inequality in Life Expectancy .......................................................................... 16 Diabetes ............................................................................................................. 35 Infant Mortality .............................................................................................. 17 Cancer ................................................................................................................ 35 Anxiety and Depression ................................................................................. 17 MSK .................................................................................................................... 36 Unemployment .................................................................................................. 17 Frailty.................................................................................................................. 36 Child Development............................................................................................. 19 Mental Health and Neurology ............................................................................ 37 Birth Weight ................................................................................................... 19 Cardiovascular Disease ....................................................................................... 43 School Readiness ............................................................................................ 19 Chronic Kidney Disease ...................................................................................... 47 Self Reported Wellbeing for Year 10 Pupils ................................................... 19 Mental Health and Neurology ............................................................................ 48 2 High Intensity Users .............................................................................................. 50 Health Service Use ................................................................................................. 50 Prescribing ............................................................................................................. 52 Mortality ................................................................................................................ 53 Glossary ................................................................................................................. 54 Appendix 1: Health Summary ................................................................................ 57 Appendix 2: Diabetes Enhanced Service Clinical Audit Q4 2017/18 Summary ..... 61 Appendix 3: Local Authority Definitions and Data Sources ................................... 67 3 Foreword In 2016 Gloucestershire County Council and Gloucestershire Clinical Commissioning Group (CCG) came together to form a Sustainability and Transformation Partnership (STP) in order to improve health and social care for the people of Gloucestershire. Our STP is now working even more closely together and has evolved into an Integrated Care System (ICS) which takes collective responsibility for managing resources, delivering NHS standards and improving the health of the population it serves1. The long term ambition of the Gloucestershire ICS is to have a population, that is: Healthy and well, through taking personal responsibility for their health and care and reaping the personal benefits that this can bring Living in healthy, active communities and benefitting from strong networks of community services and support Able to access consistently high quality and safe care when needed, in the right place, at the right time. ICS’s are central to the delivery of the NHS Long Term Plan2. As the Gloucestershire system develops into working as an ICS, through ‘Integrated Locality Partnerships’ (ILPs) and ‘Primary Care Networks’ (PCNs), the need for comprehensive, joined up informatics is essential to help determine how best to meet the needs of its population, identify areas for improvement, highlight inequalities and reduce unwarranted clinical variations which in turn impact upon outcomes. This report-based Locality Profile is part of a number of data tools developed to support ILPs and PCNs in their new roles. It gives a snapshot summary of population health indicators taken from a regularly updated and operational online dataset and some wider determinants of health and health behaviour data. The profile should be seen in the context of wider system efforts to address health and social care issues within the county. This includes partnership plans such as the Joint Health and Wellbeing Strategy (JHWS), the Prevention and Self Care Plan, the Children, Young People and Families Partnership Framework and the Mental Health and Wellbeing Strategy; and plans and strategies from District Councils, Gloucestershire Constabulary, the Police and Crime Commissioner and wider public sector and voluntary services. Current priorities in the system include (but are not limited to): (see over) 1 https://www.england.nhs.uk/integratedcare/integrated-care-systems/ 2 https://www.longtermplan.nhs.uk/online-version/ 4 Key Gloucestershire ICS Priorities and Milestones for Place Based Working Pathway integration with a focus on: Diabetes, Respiratory, Increased focus on cross-cutting requirements of vulnerable groups, Cardiovascular, Frailty and Dementia including those with Learning Disabilities Improving population health through a focus on wellbeing, Improving the use and application of population health management prevention & self-care. Increasingly influencing the wider Improving mental health e.g. through perinatal mental health services determinants of health such as loneliness and isolation and delivery of the Children and Young People’s Mental Health Focusing on proactive care in partnership with local Trailblazer Programme communities:
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