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Local Health & Wellbeing Delivery

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Local Health & Wellbeing Delivery LOCAL HEALTH & WELLBEING DELIVERY Andy Callingham, Service Manager, Public Protection Gedling Borough Council TheWhy wider do we determinants need communications? of health GedlingWhy do Borough we need Council communications? Community Protection Policy Serving people improving lives At Gedling Borough Council we believe that every person has a right to feel safe and be safe in their home and going about their daily life and have equal access to services and opportunities to ensure their safety and well being. Gedling Borough Council is committed to ensuring that in everything that we do, we will support, develop and protect communities and keep the most vulnerable safe. We will achieve this by: •Protecting and supporting young people and vulnerable adults •Supporting troubled families •Undertaking targeted work in identified priority neighbourhoods •Intervening early in the lives of those who may be at risk of offending •Working to reduce crime and anti social behaviour •Active and proportional enforcement and regulation •Improving health and wellbeing •Promoting recreation and community participation •Reducing Gedling’s environmental footprint •Driving sustainable development •Promoting learning, achievement and economic growth •Working closely with our partners in the statutory, voluntary and business sector EmphasiseWhy do we whatneed wecommunications? have in common with PH • Corporate Objectives that match the health and Wellbeing strategy objectives • Service aims that match • Show what you do that delivers better public health – Use the term Public Health widely – Use previous examples of successful joint working WhatWhy dowe we can need do withcommunications? them • How can you add value to their objectives – Both Public Health and the Clinical Commissioning Group (CCG) • Recognise their strengths and weaknesses and culture, be sensitive to where they are – Expertise may rest with one…services delivered by other with limited resource • Public Health commission..we deliver directly (generally) – Real strength..integrated..non bureaucratic – Show them what you do…they will be amazed! WhatWhy dowe we can need do forcommunications? them • Play to your strengths – Use the broad skills of EH staff, from housing to food to pollution control • This range of skills is a real strength – Pull in knowledge and allies from elsewhere • Leisure services, planners, waste collection – In our case good at managing the crime and disorder delivery plan. So……. GedlingWhy do Health we need and communications? Wellbeing Delivery Group • Membership: • Gedling Borough Council • Portfolio Member for Health and Wellbeing, Gedling Borough Council • Nottingham North and East Clinical Commissioning Group • Public Health, Nottinghamshire County Council • Gedling CVS TheWhy Delivery do we need Group’s communications? purpose • “The Delivery Group aims to provide strategic oversight and action management of localised, needs led, partnership plans ensuring the successful implementation of the Countywide Health and Wellbeing Strategy and the delivery of high quality services to support the health of residents”. • To together look to mainstream public health delivery ServiceWhy do matrix we need to communications? service plan WhatWhy dois our we needlocally communications? agreed approach? • The Delivery Group decided on an area based approach not one based on themes • Adapted our successful crime and disorder model of carrying out targeted work in those areas of most need • The worse health issues tend to be focussed in those areas along with other social and crime problems. • With limited resources this focuses our activity. • To identify the areas of concern we analysed crime and health data using a Rapid Needs Assessment of the Borough divided into wards RapidWhy do needs we need assessment communications? • Rapid Needs Assessment is a public health technique for assessing population needs by using readily available data as evidence. • Data indicators were selected from the Public Health Outcomes Framework, Community Safety Partnership reports, and NHS emergency admissions reports. These are the key indicator sets used by each of the partners to assess need and to monitor the effectiveness of health and wellbeing business and improvement plans. RapidWhy do needs we need assessment communications? • The crime and safety data is ranked by ward, and so the public health indicators and NHS activity data were ranked in the same way. • Rank 1 indicates the worst performance relative to the other wards - therefore suggesting the highest level of need - with rank 22 being the best performance, suggesting the lowest level of need. IndexWhy doof weindicators need communications? Children and Young People indicators used: Working Age People indicators used Smoking related deaths (rate) Smoking related deaths (rate) Alcohol & Drugs Domestic Abuse VAP Domestic Abuse Index deprivation affecting children Long term unemployed Obesity 10/11 years Adult obesity 5 A to C GCSE Carers Binge drinking Binge drinking Rate of alcohol related admissions age 20 to 64 Rate of alcohol related admissions Age 0 to 19, all admissions Older People indicators used Smoking related deaths (rate) Asthma, age 0 to 19 Domestic abuse Adult obesity Carers Long-term limiting illness Rate of alcohol related admissions Older people deprivation Pneumonia, 65 or older Respiratory age 65+ Fractured neck of femur ResultsWhy do of we the need assesment communications? • For all cohorts, Netherfield & Colwick, Daybrook and Carlton were in the top four wards of highest need by both methods. All indicators Sum of ranks Top 5s Netherfield & Colwick 136 12 Daybrook 158 10 Carlton Hill 168 7 Carlton 170 11 Killisick 180 10 Eastwood South 98 13 Daybrook:Why do we ourneed targeted communications? area • Although Netherfield & Colwick was the highest scoring ward it already has a lot of neighbourhood based work going on • Daybrook has been selected as the ward to trial this process • Led through Public Health and the CCG, facilitated by Gedling Borough Council and CVS Daybrook, Nottingham DaybrookWhy do we action need communications?plan • A community consultation event took place in November 2013 – Acted as a reality check on our data – Gauged enthusiasm for the approach • Engaged with the main practice and its patient participation group • Mapped current initiatives and their health impact in these areas • Nottinghamshire North and East CCG have committed a significant sum to develop a health based community led process in the area – Importantly to include community development work and workers • Led by the CCG and overseen by the Gedling HWB Delivery Group, with full support of GBC, Public Health and Gedling CVS • In partnership with Age UK building a Men in Sheds project in the area.
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