COMPASS Healthy Ireland Implementation Plan 2018 - 2022

NETWORK 01 NORTH KERRY Listowel | Castleisland Wellbeing and Cork Kerry Mental Health Community Healthcare Positive System Make Every Aging Reform Contact Count

Healthy 18 1 Childhood Self-Management 17 2 Support 16 3 Drugs Health & Alcohol and Wellbeing Community 15 4 Referral

Healthy Sta Health Eating and & Wellbeing Active Living 14 5

13 6 W Healthy Ireland Tobacco G Free Ireland A N Campus YS EI 12 TO WELLB 7 Immunisation eHealth & Screening 11 8 10 9

Sexual Partnerships Health Disability Environment

COMPASS Ways To Wellbeing

1. Change our way of working to be responsive to needs at a 5. Support will be provided for staff to participate on Healthy network level by identifying and delivering services to at risk Ireland network action groups to ensure a focus on health groups and developing services for a changing population. and wellbeing objectives particularly health inequalities We will do this by using existing Health Intelligence and and related outcomes and develop/support broad-based developing new Health Intelligence tools, alongside existing preventative health interventions and infrastructure. local disciplinary knowledge across care groups. 6. Develop Local Wellness at Work Committees to support 2. Implementation of Making Every Contact Count minimum staff and management to address and engage on staff dataset in every prevention care-plan. health and wellbeing.

3. Implement an all-inclusive response to chronic disease 7. Emphasise integrated working with community and which rebalances roles from acute hospital settings voluntary sector, local authorities, private and public to primary care through local implementation of Self– agencies to reduce health inequalities. Management Support framework.

4. Work with the community and voluntary sector to develop preventative and supportive services and innovative measures responding to needs at a network level.

Page 01 Area Profile Network 01 - North Kerry Listowel | Castleisland

Population Health Centres

• Total Population: 46,371 (Census 2016) • Abbeydorney Community Centre • % population change is -0.5% since 2011 • Ardfert PC • Self-reported health bad/very bad = 1.5% • Ballybunion HC (1.6% nationally) • Ballyheigue HC • Ballylongford HC • Brosna HC • Castleisland PC • Causeway HC GPs • Farranfore HC • Knocknagoshel Community Centre • 23 GPs in Network 01 • Lixnaw Community Centre • Moyvane Community Centre • Listowel Community Centre • Tarbert HC

HSE Residential Services

• Listowel Community Hospital • Teach an Churaim Facilities funded but • Writers Grove not managed by HSE

• Listowel Ard Curam DCC • Rathmore St Josephs DCC • Kerry Parents and Friends Daycare Centres • St John of Gods • Enable Ireland • Castleisland DCC • Irish Wheelchair Association • St. Joseph’s DCC • ABI Ireland • Listowel Alzheimer DCC • Resilience Care • Ard Curam DCC • North Kerry KIDS team • Senan House MHS • Rehab Care • Brothers of charity • Listowel Aras Mhuire

Page 02 Health Atlas Finder Network 01 Area Profile

National % Area Area Change Ireland Ireland Change Area % (since 2011) (since 2011)

Relative Proportions # % # % # % # %

Age Group

Total 46,371 100.0 -219 -0.5 4,761,865 100.0 +173,613 +3.8 85+ 838 1.8 +64 +8.3 67,555 1.4 +9,139 +15.6 80-84 1,025 2.2 +99 +10.7 81,037 1.7 +10,924 +15.6 75-79 1,416 3.1 +92 +6.9 115,467 2.4 +13,431 +13.2 70-74 2,077 4.5 +421 +25.4 162,272 3.4 +31,082 +23.7 65-69 2,743 5.9 +467 +20.5 211,236 4.4 +37,598 +21.7 60-64 2,993 6.5 +162 +5.7 238,856 5.0 +20,070 +9.2 55-59 3,197 6.9 +172 +5.7 270,102 5.7 +25,580 +10.5 50-54 3,105 6.7 -132 -4.1 299,935 6.3 +25,549 +9.3 45-49 3,272 7.1 +93 +2.9 326,110 6.8 +20,925 +6.9 40-44 3,325 7.2 +33 +1.0 357,460 7.5 +26,648 +8.1 35-39 3,427 7.4 +105 +3.2 389,421 8.2 +25,160 +6.9 30-34 2,840 6.1 -543 -16.1 361,975 7.6 -31,970 -8.1 25-29 2,020 4.4 -832 -29.2 297,435 6.2 -63,687 -17.6 20-24 1,916 4.1 -398 -17.2 273,636 5.7 -23,595 -7.9 15-19 2,776 6.0 +25 +0.9 302,816 6.4 +19,797 +7.0 10-14 3,061 6.6 -19 -0.6 319,476 6.7 +16,985 +5.6 5-9 3,435 7.4 +388 +12.7 355,561 7.5 +34,791 +10.8 0-4 2,905 6.3 -416 -12.5 331,515 7.0 -24,814 -7.0

Deprivation Level - HP Index

Extremely affluent 67 0.1 n/a n/a 77,802 1.6 n/a n/a Very affluent 755 1.6 n/a n/a 310,816 6.5 n/a n/a Affluent 4,244 9.2 n/a n/a 819,257 17.2 n/a n/a Marginally above average 11,567 24.9 n/a n/a 1,277,631 26.8 n/a n/a Marginally below average 15,383 33.2 n/a n/a 1,203,652 25.3 n/a n/a Disadvantaged 10,171 21.9 n/a n/a 712,558 15.0 n/a n/a Very disadvantaged 3,474 7.5 n/a n/a 278,059 5.8 n/a n/a Extremely disadvantaged 710 1.5 n/a n/a 82,091 1.7 n/a n/a

HP Index Determinants

Age dependency 17,500 37.7 +1,096 +6.7 1,644,119 34.5 +129,136 +8.5

Classes - professional 2,593 5.6 +293 +12.7 386,648 8.1 +50,028 +14.9

Classes - semi & unskilled 7,366 15.9 +282 +4.0 671,494 14.1 +14,031 +2.1 Education - primary or lower 5,035 10.9 -981 -16.3 386,498 8.1 -70,398 -15.4 Education - 3rd level 6,442 13.9 +971 +17.7 881,276 18.5 +141,284 +19.1 Unemployed - aged 15+ 2,661 5.7 -1,675 -38.6 265,962 5.6 -124,715 -31.9

Nationality

Irish 42,617 91.9 -216 -0.5 4,082,513 85.7 +155,370 +4.0

UK 1,554 3.4 -110 -6.6 103,113 2.2 -9,146 -8.1 Polish 685 1.5 +87 +14.5 122,515 2.6 -70 -0.1 Lithuanian 160 0.3 -4 -2.4 36,552 0.8 -131 -0.4 Elsewhere in EU 293 0.6 +77 +35.6 146,738 3.1 +31,501 +27.3 Elsewhere in world 321 0.7 -77 -19.3 126,557 2.7 -31,036 -19.7 Visitors/Not stated 741 1.6 +24 +3.3 143,877 3.0 +27,125 +23.2

Health Indicators

Health bad/very bad 686 1.5 +23 +3.5 76,435 1.6 +6,774 +9.7 Carers 2,277 4.9 +5 +0.2 195,263 4.1 +8,151 +4.4 Disabled 6,598 14.2 +295 +4.7 643,131 13.5 +47,796 +8.0

Vulnerable Groups

Travellers 213 0.5 +16 +8.1 30,987 0.7 +1,492 +5.1 Vulnerable migrants n/a n/a n/a n/a n/a n/a n/a n/a

Page 03 COMPASS Healthy Ireland Local Area Action Plan

No. Actions Resources Timing Reporting Metric Lead Accountable Person

1 Establish Healthy Ireland To be decided at Q1 2018 Annual Report Healthy Ireland Healthy Ireland Lead Network Local Area action group Network Level Lead

2 Pilot health and wellbeing To be decided at Q1 – Annual Report Healthy Ireland Healthy Ireland Lead community referral Network Level Q4 2018 Network Local Area action group

3 Implement Staff Pedometer To be decided at Q1 – Annual Report Healthy Ireland Healthy Ireland Lead Challenge Network Level Q4 2018 Network Local Area action group

4 Implement Mental Health Making To be decided at Q1 – Annual Report Healthy Ireland Healthy Ireland Lead Every Contact Count (Metabolic) Network Level Q4 2018 Network Local screening in care plans Area action group

5 Extend influenza vaccine to day To be decided at Q1 – Annual Report Healthy Ireland Influenza lead services for older people Network Level Q4 2018 Network Local Area action group

PREVENTION is everyone’s business

Download the full COMPASS Healthy Ireland Plan at: hse.ie/corkkerryhealthyireland

Page 04 Strategic Priorities Cork Kerry Community Healthcare

1. Prevention is the business of all staff, implementation of 4. Target programmes to address the root causes of Making Every Contact Count increases the emphasis on health inequalities supporting people to live healthier lifestyles 5. Cork Kerry Community Healthcare aspires to being an 2. Living well with a chronic condition is an achievable goal. exemplar employer protecting the health and wellbeing Self-Management Support is a key tool in managing of its workforce. Improving staff health and wellbeing chronic disease is a priority

3. Partnership with the community and voluntary sector, local authorities, private industry and statutory services ensures prevention becomes their business too and enables responses to needs at a network level Delivering an integrated, holistic service focussing on improving health and wellbeing and preventing chronic disease

Health & Wellbeing 028 40407 [email protected] hse.ie/corkkerryhealthyireland

Page 05 Ways to Wellbeing THINK BIG Start Small Healthy Ireland in my Department.

New Ways of Working.

Who can I link with in my Network?

What can I do today?

What can I do this month?

What can I do this year?

Page 06 Listowel Community Action on Alcohol Listowel has been picked as a pilot site under the National Community Action on Alcohol Wellbeing and Cork Kerry Pilot Project. The aim of the project is to build the capacity of local communities to identify Mental Health Community alcohol-related harm issues and priorities and to develop integrated local action plans in response. Healthcare Positive System Make Every The Listowel Community Action on Alcohol Group are a group of local people and Aging professionals who have come together to develop the local plan for the town. Membership Reform Contact Count includes Community Representatives, Listowel Community Based Drug initiative, An Garda Siochana, HSE, Listowel Family Resource Centre and the Southern Regional Drug & Alcohol Task Force Healthy 18 1 Values For more information on Childhood Self-Management 17 2 Support ✓ Commitment Listowel Community Action on Alcohol: Energy ✓ Listowel CAAP Mobile: 087 7485627 ✓ Dedication Drugs 3 Secretary, Listowel Community Action on Alcohol, 16 ✓ Hope & Alcohol Health C / O Listowel Family Resource Centre, ✓ Open Communication and Wellbeing ✓ Community Involvement John B Keane Road, Community Awareness and Education 15 ✓ Ballygologue, Co. Kerry. 4 Referral ✓ Peaceful community safe from harmful effects of alcohol

Listowel Alcohol Survey INFORMATION In order to inform the development of the action plan a cross-sectional household survey Healthy Sta Health was undertaken in Listowel town where a representative sample of adults were asked BROCHURE Eating and & Wellbeing questions on consumption, behaviours and attitudes. Active Living 14 5

We aim to raise awareness and help reduce alcohol harms in Listowel by  /actiononalcohol  [email protected] supporting local people to be part www.srdatf.ie www.askaboutalcohol.ie www.alcoholforum.org 13 6 of a local solution. W Healthy Ireland Tobacco G Free Ireland A N Campus YS EI 12 TO WELLB 7 Immunisation eHealth & Screening 11 8 10 9

Sexual Partnerships Health Disability Environment

In Focus Listowel Community Action on Alcohol

The Cork Kerry Alcohol Strategy Group have been very active in initial household survey across 364 households in the town. implementing the National Community Action on Alcohol Pilot This research will be repeated when a number of actions are Project supported by the Alcohol Forum. “Community action completed over the coming 18 months. seeks to change collective rather than individual behaviour” (WHO, 2009). Due to the geographical and population size of A sample of the Actions completed and currently the Cork & Kerry region the Alcohol Strategy Group focused underway include: on implementing this strategy across three key pilot sites • Community Action Plan for the town completed and initially “Community action on alcohol favours a broad range launched of evidence based alcohol policies that can be implemented • Training to Community members on Alcohol related harms in towns and cities with a population of at least 5000 or more • Roll out of SAOR brief intervention model to people people” (Hope, A. 2015). Listowel is one of these sites. working in Listowel town • Initiatives to tackle problem areas regarding the supply The Listowel Community Action on Alcohol Group is a group of Alcohol such as test purchasing (sale of alcohol to of local people and professionals who have come together Under 18s) organised more frequently to develop the local plan for the town. Membership includes • Working with festival committees to reduced Alcohol Community Representatives, Listowel Community Based harms during events in the town Drug and Alcohol Project, An Garda Siochana, HSE, Listowel Family Resource Centre, NEWKD and the Southern Regional For further information on this staff Health & Drug and Alcohol Task Force. Wellbeing innovation project please contact:

David Lane In order to inform the development of the action plan a cross Co-ordinator of Drug & Alcohol Services sectional household survey was undertaken in Listowel [email protected]

town where a representative sample of adults were asked Gordon Kinsley questions on the consumption of alcohol and people’s Development Worker Southern Regional Drug and Alcohol Task Force behaviours and attitudes towards alcohol in the town. Dr [email protected] Martin Davoren UCC analysed the data generated by this

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