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Choosing Health in Bracknell

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Choosing Health in Bracknell ChoosingHealthin Bracknell DrDonSinclair ActingDirectorofPublicHealth Keymessages • Easierforeveryonetochoosehealthintheway weliveourlives • Healthpolicytoinformandencourageus alsotoshapethecommercialandcultural environment • Specificinterventionstohelpdisadvantaged peoplemakemorehealthychoicesandensure thatallotherinterventionsmeettheirneeds DeterminantsofhealthDeterminantsofhealth IndexofDeprivation-2004 Horton WhistleyGreen ShurlockRow Woodley HawthornHill Wraysbury Hurst Warfield Winkfield Cranbourne Binfield WinkfieldRow Winnersh EnglefieldGreen BracknellBracknell Sindlesham NorthAscot AscotAscot WokinghamWokingham Easthampstead Sunninghill Sunningdale ArborfieldCross Barkham ArborfieldGarrison IndexofMultipleDeprivation Finchampstead byElectoralWard(Quantiles) MostDeprived Sandhurst LeastDeprived Source:OfficeoftheDeputyPrimeMinister,IndicesofDeprivation2004 IoD_2004.wor5/5/2004Revised14/7/2004SidBeauchantBPHN/BHIS ChoosingHealth:makinghealthychoices easier 6Keypriorities: – Reducingtobaccouse – Reducingobesity(healthydiet,promoting exercise) – SexualHealth – Sensibleuseofalcohol – MentalHealth – Inequalities PrevalenceofoverweightandObesityin children(HealthSurveyforEngland– 2000, 2002,Bundred etal2001) • Ifcurrenttrendscontinue,atleastone thirdofadults,onefifthofboysandone thirdofgirlswillbeobeseby2020. • Theseareconservativeestimatesandthe predictedprevalenceinchildrenfor2020 willbeinexcessof50%. 40 35 30 25 20 15 M10 aleProportion(% ) 5 0 1995 1996 1997 1998 1999 2000 Obese(Bracknell) 2001 2002 2003 Obese(England) 2004 2005 Year 2006 Linear(Obese(Bracknell)) 2007 2008 2009 Obese&Overweight(Bracknell) 2010 Obese&Overweight(England) Linear(Obese&Overweight(Bracknell)) UncomplicatedChlamydiadiagnosespercentageincrease,1995to 2003inGUMclinics 250% England SouthEast 200% ThamesValley 150% 100% PercentageIncrease 50% 0% 1995 1996 1997 1998 1999 2000 2001 2002 2003 MakingitrealinBracknellForest Localstrategicactions – ClearleadershipfromBracknellForestLSPand Children’sLSP – Memberstoidentify&sharehealthimprovement objectives(bothnationalandlocalpriorities)– startby identifyingelementsofWhitePaperthatapplytoeach partner/service/targetgroup – Measurerelatedinequalities(inawaythatispractical) – Agreelocaltargetsandimpactforpartnersinpublic andmakethisapubliccommitment – Mainstreamobjectiveswithresourcecommitment Wherenextforpublichealthin BracknellForest? • Lotsofpartnersandlotsofactivitynotalwaysjoinedup • Opportunityforjointplanningandsharingtheload(plus efficiencygains)– especiallywithLAAstarting • Needlocalstructure– BracknellPublicHealthGroup – Planning – Monitoring – Accountability • Thoughts? – Wherelocated(LSP,Children’spartnership,subgroup?) – Function(AllPHpriorities,othertasks?) – Membership(LA,PCT,Vol.,Businessetc.?) – Firstagenda(Prioritiesfordelivery,sharingtheload?) – Monitoringandreportingprogress(Bywhom,towhom?) 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 ClaireD’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 ClaireD’Cruz,2004 Unemployed Lifeexpectancy-Males 82 80 78 76 BracknellForest (years) WestBerkshire 74 Reading Slough 72 Lifeexpectancyatbirth WindsorandMaidenhead 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 Lifeexpectancy-Females 83 82 81 80 BracknellForest WestBerkshire (years)79 Reading Slough 78 Lifeexpectancyatbirth WindsorandMaidenhead 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 ASRmortalitytrendinBracknellForestUAforallcancers(ICD10C00-C97,ICD9140-208adjusted):1995to2003, 3yearmovingaverage,under75years 160 140 120 100 80 60 40 20 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 BracknellForestUA SOUTHEAST ENGLAND&WALES ASRmortalitytrendinBracknellForestUAforcirculatorydisease(ICD10I00-I99,ICD9390-459adjusted):1995to 2003,3yearmovingaverage,under75years 180 160 140 120 100 80 Rateper100,000 60 40 20 0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 BracknellForestUA SOUTHEAST ENGLAND&WALES.
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