Choosing Health in Bracknell
Dr Don Sinclair Acting Director of Public Health Key messages
• Easier for everyone to choose health in the way we live our lives • Health policy to inform and encourage us also to shape the commercial and cultural environment • Specific interventions to help disadvantaged people make more healthy choices and ensure that all other interventions meet their needs Determinants of healthDeterminants of health Index of Deprivation - 2004
Horton
Whistley Green Shurlock Row
Woodley Hawthorn Hill Wraysbury
Hurst Warfield Winkfield Cranbourne
Binfield Winkfield Row
Winnersh Englefield Green
BracknellBracknell Sindlesham North Ascot AscotAscot WokinghamWokingham
Easthampstead Sunninghill Sunningdale
Arborfield Cross Barkham
Arborfield Garrison
Index of Multiple Deprivation Finchampstead by Electoral Ward (Quantiles) Most Deprived
Sandhurst
Least Deprived Source: Office of the Deputy Prime Minister, Indices of Deprivation 2004
IoD_2004.wor 5/5/2004 Revised 14/7/2004 Sid Beauchant BPHN/BHIS Choosing Health: making healthy choices easier
6 Key priorities: – Reducing tobacco use – Reducing obesity (healthy diet, promoting exercise) – Sexual Health – Sensible use of alcohol – Mental Health – Inequalities
Prevalence of overweight and Obesity in children (Health Survey for England – 2000, 2002, Bundred et al 2001) • If current trends continue, at least one third of adults, one fifth of boys and one third of girls will be obese by 2020. • These are conservative estimates and the predicted prevalence in children for 2020 will be in excess of 50%.
40
35
30
25
20
15
10 M ale Proportion (% )
5
0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Year
Obese(Bracknell) Obese & Overweight(Bracknell)
Obese(England) Obese & Overweight(England)
Linear (Obese(Bracknell)) Linear (Obese & Overweight(Bracknell)) Uncomplicated Chlamydia diagnoses percentage increa se, 1995 to 2003 in GUM clinics
250% England South East 200% Thames Valley
150%
100% Percentage Increase
50%
0% 1995 1996 1997 1998 1999 2000 2001 2002 2003
Making it real in Bracknell Forest
Local strategic actions – Clear leadership from Bracknell Forest LSP and Children’s LSP – Members to identify & share health improvement objectives (both national and local priorities) – start by identifying elements of White Paper that apply to each partner/service/target group – Measure related inequalities (in a way that is practical) – Agree local targets and impact for partners in public and make this a public commitment – Mainstream objectives with resource commitment Where next for public health in Bracknell Forest? • Lots of partners and lots of activity not always joined up • Opportunity for joint planning and sharing the load (plus efficiency gains) – especially with LAA starting • Need local structure – Bracknell Public Health Group – Planning – Monitoring – Accountability • Thoughts? – Where located (LSP, Children’s partnership, subgroup?) – Function (All PH priorities, other tasks?) – Membership (LA, PCT, Vol., Business etc.?) – First agenda (Priorities for delivery, sharing the load?) – Monitoring and reporting progress (By whom, to whom?) Questions? Healthy Eating & Weight Management Strategy
Primary Care Workplaces (18-65years) •Dietary Counselling •Training for PHC staff Catering for Health Award •Resource Development Workplace Well-being events •Weight Matters training
Unemployed Community •Nutrition training for LA Staff Look After Yourself programme Schools (5-18 years) for people with learning disabilities •Healthy Schools Programme •Developing 5 a day programme •Food Gardens •Smiling For Life Campaign (under 5s) •Food Awareness Campaign •Weight Management with Weight Watchers •Healthier School Lunches •Whole Food School Policies
After School Clubs Claire D’Cruz, 2004 Healthy Eating in Schools
Develop a coordinated approach to the healthy eating component of the Healthy Schools Award
Keep on Smiling – a campaign for primary schools
Food Awareness Week - Aimed at Primary Schools
School Meals Service
Food Growing Physical Activity Strategy
Community Health Walks Schools (5-18 years) Innovative exercise tasters •Healthy Schools Award with young mothers •Fit for Tops Programme Tai Chi for Older People •Young People and Sport Short Mat Bowls •Sportsmark and Active Mark Keep Fit and Exercise to music •Park in the School Project Seated Exercise
After School Clubs
Workplaces (18-65years) •Primary Care Currently no projects in place •Activate Exercise Referral Scheme Issues to be discussed (via Improving •Cardiac Rehab Classes (Phase 4) Working Lives) Green Transport plans Subsidised exercise facilities for NHS Staff Lunch time walking sessions
Claire D’Cruz, 2004 Unemployed Life expectancy - Males
82
80
78
76 Bracknell Forest
(years) West Berkshire 74 Reading
Slough 72 Life expectancy at birth Windsor and Maidenhead
Wokingham 70
68
1991- 1992- 1993- 1994- 1995- 1996- 1997- 1998- 1999- 2000- 2001- 2002- 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Years Life expectancy - Females
83
82
81
80 Bracknell Forest
West Berkshire (years)79 Reading
Slough 78 Life expectancy at birth Windsor and Maidenhead
Wokingham 77
76
1991- 1992- 1993- 1994- 1995- 1996- 1997- 1998- 1999- 2000- 2001- 2002- 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
Years ASR mortality trend in Bracknell Forest UA for all cancers (ICD10 C00-C97, ICD9 140-208 adjusted): 1995 to 2003,
3 year moving average, under 75 years
160
140
120
100
80
60
40
20
0
1995 1996 1997 1998 1999 2000 2001 2002 20037 2008 2004 2009 2005 2010 2006 200
Bracknell Forest UA SOUTH EAST ENGLAND & WALES ASR mortality trend in Bracknell Forest UA for circulatory disease (ICD10 I00-I99, ICD9 390-459 adjusted): 1995 to 2003, 3 year moving average, under 75 years
180
160
140
120
100
80 Rate per 100,000
60
40
20
0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 20067 2008 200 2009 2010
Bracknell Forest UA SOUTH EAST ENGLAND & WALES