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Shoebury East Southend a Report Highlighting Work to Support the Health and Wellbeing of Local Residents

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Shoebury East Southend a Report Highlighting Work to Support the Health and Wellbeing of Local Residents Shoebury East Southend A report highlighting work to support the health and wellbeing of local residents. January 2020 Contents • Our key priorities .........................................................................................3 • How local NHS money is currently spent ...................................................4 • Southend East: facts and figures................................................................5 • What matters to local people .....................................................................6 • Local NHS and councils working together..........8 • More support closer to home..........................10 • Better support for mental health......................11 • Children’s services........................................13 • GP services..................................................14 • Key engagement at a glance .....................................................................18 • Future plans ...............................................................................................19 2 Our key priorities Our health challenges In response to local • There are one in three people admitted feedback, our priorities to hospital now with five or more conditions compared to one in 10 in 2009 across south east • As a nation we’re getting older and Essex in 2018/19 were: more people need help with a range of conditions • New medicines and technology means that more of us are living longer with long-lasting and often complicated health conditions such as diabetes and asthma • Young people also have changing needs with more issues linked to mental Delivering seamless, health, maintaining a healthy weight and being more active. joined up services for people. Focusing on prevention, Delivering national and rather than treatment. local priorities. 3 How local NHS money is currently spent During 2018/19, we received a financial allocation of £279.4m to pay for the majority of NHS services that Southend residents utilise, which equates to approximately £1,537 per head of population. Information about how that money was spent is broken down below. 47.7% 8.2% on hospital based care. on primary care (out of hospital services). 11.2% 7.3% on mental health on continuing services. healthcare. 10% 3.5% on medication on ambulance prescribed out of services. hospital. 8% 0.9% on community services on out of hours/ (e.g. district nursing). NHS 111. The remaining percentages include running costs (1.4%), other healthcare services (1.1%) and other primary care services (0.8%). 4 Southend East Facts and figures 4 Wards make up the Southend East locality; Shoeburyness, Southchurch, Thorpe and West Shoebury. 37,453 Approximate population (e.g. those registered with a local GP in Southend East). 6,180 16.5% of the population in Shoebury are estimated to be aged 65 and over. Over 35% are living alone (ONS, 2013). 78 Average life expectancy of males living in Shoeburyness (same as Southend), compared to 82 in Thorpe. 83 Average life expectancy of females in West Shoebury, compared to 89 in Thorpe and 83 in Southend as a whole. 5/13 Of the most deprived areas in Southend are in the East Central locality. Three areas in Thorpe Bay are a part of England’s least deprived areas. 31% Of children in Southchurch are living in poverty, 28% in Shoeburyness, compared to 20% across England and 22% in Southend. 19% Of people aged 18+ and registered with a practice in Southend East are recorded as being smokers. 5 What matters to local people Across Southend and in neighbouring areas, we’ve heard from and spoken to a vast number of local people, organisations and health and care professionals to help develop plans for how health and care services are delivered. See page 18 for an overview of our local engagement during 2018/19. Prevention A common theme of this engagement is that we should do more to support people to stay healthy and well and prevent illness. We have committed to addressing the wider determinants of health, such as housing, education and income through better partnership working, recognising it takes joint- working to tackle inequalities and to make a real difference. Southend-on-Sea Borough Council and partners are working with the community to launch a new website (www.livewellsouthend.com) which will act as a central point for information, advice and guidance on what’s available to help residents increase their independence and wellbeing. The website also acts as a community directory showing users groups and activities they can get involved with in their local area. There are currently 51 assets listed in the Shoebury area, including local childminders, organisations providing support and advice and community groups. Figure 1 shows what community resources are available (green circle), to help people to live well currently. The model, which was developed in 2018, is a system of care that all key health and care organisations in south east Essex have Figure 1. ‘Living Well’ in south east Essex Model, 2018. signed up to. Building on the existing community resources, there is a need to provide additional care and support to those that need it. This starts before birth with children and parents to give people the best start in life and continues throughout the life course. Page 13 describes what this currently looks like in East Southend. Seamless, joined-up services Another theme of our engagement with local residents was that people don’t want to repeat their story to different health and care professionals. On page 9, we describe how we have started a journey to better co-ordinate the different professionals and services supporting individuals, working in partnership with locally-based teams to deliver a more personalised approach to care. We are also working with partners across Mid and South Essex to develop a shared care record which will enable all professionals to access vital information when they need it, to improve how we join up the care we provide in Southend. 6 Improved GP services While all of the practices in and around Shoebury have been rated as ‘Good’ by CQC, local feedback tells us there is rising demand for GP services with patients reporting they struggle to get a GP appointment when they need one. Better use of technology People have told us we aren’t making the most of the opportunities that new technology offers to improve people’s care. Residents in East Southend are already benefiting from significant investment in technology and innovation to help put people in control of their health and care, while also providing the opportunity to reduce the pressure on our services. We are committed to focusing on digital transformation across health and social care to benefit both our residents and staff – you can read more about some of our progress on page 15. Attracting and retaining our workforce Recruiting more people to work in health and care, and supporting our workforce is a key priority. Plans mean nothing if we do not have a highly skilled workforce, working in dedicated teams to deliver high quality person-centred care. We are supporting a range of innovative programmes to attract new staff and retain and upskill the existing employees through the development of new roles and career development. Some examples of new roles that have been introduced to East Southend to bring more support to local people can be found on page 16. Mental health Another significant theme of local feedback was that improving mental health care needs to be a priority area. We want people of all ages to be able to get the help and support they need quickly and easily, so that mental health needs are identified and treated early. We are increasing our focus on prevention and wellbeing, as well as providing enhanced support for people in crisis and providing effective inpatient care. More information can be found on page 11. Closer working with voluntary organisations Local people told us that we should work more closely with local community groups and voluntary organisations. In all areas in Southend, the plan is centred on linking everybody in our communities together to help keep people healthy, well and active, to support people when they are ill and care for people when they need help. Transport Individuals stated that it was important that we consider travel and transport to and from health services and activities which keep people healthy and well. We recognise transport can be a barrier for people accessing the care they may need. Our plans aim to ensure our services join-up in the very heart of our communities, to make more support available closer to where people live. And if they need to travel for specialist care, support is in place for those who need it. You can find out more about services delivered closer to home on page 10. 7 Local NHS and councils working together Local NHS and local councils are increasingly working together on the prevention of problems, with collaboration being key across all groups in order to give people the confidence to live healthy and independent lives. For a long time NHS and council services have looked to fix a problem rather than think about how they can better prevent certain problems from arising in the first instance. To live as healthy communities, services need to work together and with local people to understand what matters to them to help them stay fit, healthy and happy – and to take more control of their health and wellbeing. Community matters Research shows that being more connected to community life improves wellbeing. During 2018/19, the NHS continued to work closely with Southend-on-Sea Borough Council and our voluntary sector partners, SAVS (Southend Association of Voluntary Services), who have organised events in Shoebury to help raise awareness of ways to live well. Events have included a Health and Wellbeing event at Asda towards the end of 2018 and a similar event at Belle Vue Baptist Church held by Central Surgery. SAVS have also supported the NHS to help reach more vulnerable residents in Shoebury to share things they can do to stay well in winter.
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