Healthy Hastings and Rother
Working together to reduce health inequalities Summer 2019 Reducing Health Inequalities in Hastings and Rother
As a local GP and chair of the CCG, my key priority is to ensure we have high quality NHS services in our area and to help improve the “ health of local people. In the summer of 2014, the CCG launched the Healthy Hastings and Rother programme, to tackle long-standing problems of relative poor health in Hastings and Rother, aimed at reducing health inequalities by improving local services and supporting people to live healthy and happy lives. This summary provides an update on some of its excellent projects and achievements over the last 12 months. We’re proud of the work of the programme to date and I am personally delighted that we have now been able to share the learning from this work with our neighbouring CCG, which covers the Eastbourne, Hailsham and Seaford areas. This means even more East Sussex communities can benefit from the innovative workHealthy Hastings and Rother has been doing to improve the health and wellbeing of local people. We also look forward to continuing these projects and expanding some of them across the rest of Sussex and East Surrey as we work more closely together with the other CCGs and local partners.
Dr David Warden Chair, NHS Hastings and Rother Clinical Commissioning Group ”
More than 187,000 residents 23 GP Practices NHS Hastings and rother CCG Acute hospital services Conquest provided from two main Battle Hospital Ë Rye Memorial hospital sites ËHospital Bexhill Hospital Two community Ë hospitals Hastings Bexhill
Eastbourne District General Hospital Ë
What is Healthy Hastings and Rother? The programme aims to reduce galvanise the transformation of health inequalities by improving health and social care services. the health and wellbeing of people ESBT has worked to bring together in Hastings and Rother’s most prevention, primary and community disadvantaged communities. care, social care, mental health, acute and specialist care. It is led by NHS Hastings and Rother Clinical Commissioning The NHS Long Term Plan commits Group (HR CCG), and supported us to a greater focus on prevention by our partners, including general and reducing health inequalities, by practices, community pharmacies, increasing the NHS’ contribution to East Sussex County Council, Hastings tackling the most significant causes Borough Council, Rother District of ill health. Healthy Hastings and Council, East Sussex Healthcare Rother’s impact and learning to NHS Trust, Sussex Partnership NHS date will enable HR CCG, along with Foundation Trust and the voluntary other CCGs across Sussex and East and community sector. Surrey, to shape our plans with local people, communities and partners, The programme was originally which will deliver the ambitions of part of East Sussex Better Together the NHS Long Term Plan. (ESBT), set up in August 2014 to What health inequalities do we have locally?
Hastings and Rother contains the eight most deprived council wards in East Sussex. These experiences of deprivation contribute to higher rates of long-term illness, disabilities, cancer, lung disease and heart problems as compared with the rest of England.
The contributing factors, which are presented on the next page, mean that people in these communities tend to have worse health and lower life expectancy compared with other areas.
Men in the most deprived areas of Hastings are expected to live 11.5 years less than those in other areas of the town - the biggest gap in the south east of England. Life expectancy for both men and women is lower than the England average.
Average annual earnings (£20,066) in Hastings are 24% lower than for the South East overall.
26% of children in Hastings and 17% in Rother live in poverty.
62% of the adult population of Hastings is estimated to be overweight or obese.
1 in 5 Hastings adults are estimated to have a common mental health disorder such as anxiety or depression.
Almost 1 in 4 Hastings adults are smokers.
Alcohol related admissions to hospital are significantly higher in Hastings compared to England.
30% of Hastings residents feel lonely living in their local area.
Whilst under-18 conception rates in Hastings have reduced in recent years, they are still almost twice as high as for England overall. The causes of health inequality
Social, Access to economic, Lifestyles and services
environmental behaviour Local people’s ability to access local e.g housing, jobs, e.g smoking, services and support education, transport, diet, exercise that will benefit income their health
Health outcomes
Reduced life expectancy, higher rates of illness, disability, and long-term conditions What we’ve delivered
During 2018/19, working with statutory and voluntary sector partners and local communities, we have continued to deliver a range of projects designed to achieve Healthy Hastings and Rother’s five key objectives:
Reduce variation in access to or Empower communities to quality of services - East Sussex improve health and wellbeing Healthcare NHS Trust staff - Over 150 volunteers now trained to Make Every Contact working within our Health and Count (MECC), enabling them to Wellbeing Community Hubs have conversations with patients supporting an increase in the about their health behaviours. number of residents using the Hubs. Empower individuals to improve health and wellbeing - 110 200 residents engaging ambulance call outs or A&E in behaviour change and attendances avoided through employment support our Safe Space project, providing programmes with Optivo and support to over 500 vulnerable Orbit Housing Associations. young people in the Hastings night-time economy. Enhance support for the health needs of vulnerable population More than 600 parents and groups - 600 adults received carers accessed maternal social prescribing support to and infant well-being support help with their mental health programmes. and well-being with 220 referrals made to specialist support and young people. Its priorities behaviour change services. include promoting and protecting the emotional 394 people with learning wellbeing and mental health disabilities identified through of children, young people and GP Practice audits and added families. All activities align to registers for annual health with and enhance the impact checks and health action plans. of the East Sussex Children Improve the social and Young People’s Mental determinants of health - fuel Health and Wellbeing Local poverty reduced in 184 owner Transformation Plan and are occupied and private rented being targeted with greater homes through our Healthy intensity and scale at those Homes Project. experiencing poverty or disadvantage. Hastings and Rother is also currently benefitting from CHART contributes to other investment programmes, addressing the wider social including the Department determinants of health by of Education’s Hastings stimulating local economic Opportunity Area (HOA) 2017- growth and providing advice 2020 and the European Union and support to vulnerable funded Connecting Hastings unemployed people in order to and Rother Together (CHART) help them move closer, and in programme 2018-2022. to, the labour market.
Healthy Hastings and Rother is working closely with communities and organisations to ensure services are integrated and accessible to disadvantaged people.
The HOA is addressing social mobility amongst children and Our priorities for 2019/20
The NHS Long Term Plan commits the NHS to a greater focus on prevention and reducing health inequalities. Healthy Hastings and Rother will lead work to enable the CCG, in partnership with key stakeholders, to develop its local plans focused on reducing health inequalities in our most disadvantaged communities. During 2019/20, we will therefore:
Use the Sussex and East Surrey- Develop and sustain our CCG’s wide community engagement organisational culture and work “Our Health and Care...Our leadership to promote and FUTURE” to further develop the address equality and health system, scale and sustainability inequalities. of evidence-based initiatives to reduce health inequalities. Ensure Equality and Health Inequalities Impact Assessment Continue to share Healthy is an integral part of our CCG’s Hastings and Rother’s impact policy development and and learning with our key reporting. stakeholders. Use the Social Value Act 2012 to inform our CCG’s priorities, strategies and policies to help reduce health inequalities.
Further develop social prescribing activities to take action on health inequalities.
To find out more about the work and achievements ofHealthy Hastings and Rother, get in touch. Alternatively, you can visit our website, where you can find a downloadable copy of our Key Services leaflet, providing access information on services commissioned by the CCG and other partners.
[email protected] @HastRothCCG 0300 131 4411 www.hastingsandrotherccg.nhs.uk