South East Glasgow Community Health and Care Partnership Health Improvement Plan 2006/07 Draft
Total Page：16
File Type：pdf, Size：1020Kb
SOUTH EAST GLASGOW COMMUNITY HEALTH AND CARE PARTNERSHIP HEALTH IMPROVEMENT PLAN 2006/07 DRAFT DRAFT 1 FOREWORD Alan Stewart Chair, South East Community Health & Care Partnership (CHCP) This Plan sets out a programme for change and action to improve health and reduce the ‘inequalities gap’ of the people of South East Glasgow. Change in the way health and social care services are delivered and accessed and action that breaks the cycle of deprivation and helps build local communities where no one is held back by disadvantage. Delivering this agenda will require new ways of thinking to support and encourage people to take greater control for their own health and new ways of working that will win the support and commitment of our staff and the people we serve. Anticipating need, improving local access and shifting the balance of care from institutions with less reliance on hospital based and accommodated care to care closer to home will require greater collaboration and involvement from all partners. It is our intention to actively encourage service users, carers and the people of South East Glasgow to participate in local service planning, service modernisation and service delivery. We will also seek to secure involvement from all staff groups and key organisations. Targeting resources locally on the most vulnerable and those with greatest need to tackle lifestyle issues and those factors that are often considered outside the health domain will also be a key objective for us. These factors or determinants include: housing, education, employment status and living in a community where people feel safe from crime and anti social behaviour. However, focusing on improving the poor health of those people most disadvantaged will not be sufficient to level up health across South East Glasgow. It is therefore our intention to direct attention to the majority of our population to deliver the systematic change that acknowledges differences in people’s lifestyles and life circumstances. DRAFT 2 Establishing a new organisation, namely the Community Health & Care Partnership for South East Glasgow will create a single system and way of working that will integrate both service planning and service provision within a joint management structure. I believe such a Partnership will provide clarity, a sense of purpose and ownership to deliver real change. Change and action that can improve health can tackle inequalities and can deliver better, more efficient services. I hope this our first Health Improvement Plan developed by staff from across both the Council and NHS in South East Glasgow, alongside our partners, is informative and of interest to you. In future years I would be keen to involve you in developing the shape of our next Health Improvement Plan. If you have comments you wish to make on this year’s Plan or get involved in next year’s Plan please contact: Hamish Battye Head of Planning and Health Improvement City Wall House 32 Eastwood Avenue Shawlands Glasgow G41 3WS Tel: 0141 287 8831 DRAFT 3 1. INTRODUCTION This Health Improvement Plan has been developed to reflect the health and social care needs of the people of South East Glasgow. It acknowledges the social renewal programmes underway to secure for all Glaswegians the benefits of Glasgow’s thriving economy, its physical and environmental regeneration and its vibrant culture. The Plan also in identifying a number of key priorities supports the precedence set by Glasgow City Council to improve educational attainment, address worklessness and support community planning priorities and engagement in order to: improve the health of the people within South East Glasgow; tackle health and social inequalities; and develop health and social care services locally. The Plan will cover a number of key sections, namely: Section 2 will provide the policy context that underpins this Plan Section 3 will highlight the challenges facing South East Glasgow Section 4 will outline the Plans and Priorities for 2006/07 Section 5 will describe the resources that underpin the Plan Section 6 will describe the systems that will monitor performance to demonstrate both change and action 2. BACKGROUND In March 2003, the Scottish Executive Health Department (SEHD) published Improving Health in Scotland: The Challenge. ‘The Challenge’ identified four key areas or ‘pillars’ where action was required to accelerate the rate of health improvement across Scotland. The health improvement pillars included: early years teenage transition workplace communities Further policy direction for Community Health Partnerships has come from the Scottish Executive’s Advice Note on Health Improvement within Community Health Partnerships, published in March 2005. It recommends that CHPs contribute to reducing health inequalities by DRAFT 4 measuring health and health needs and identifying those geographical areas, groups and individuals with the greatest inequalities working with patients, service users and the wider public to design health and social services which “reach” – addressing unmet need to make a difference ensuring equity of outcomes, not just equity of access, so working to deliver optimum treatments to the most deprived communities and groups in their area working with community planning partners to design services and interventions which meet the needs of particular groups (e.g homeless people, minority ethnic groups, people with disabilities, people with severe mental illness) The Advice Note goes on to suggest a structure for setting priorities for the overall goal of health improvement; again building on the framework suggested in Improving Health in Scotland: The Challenge. This sets out 4 priority themes based on key age groups (early years, teenage transition, and adults of working age) and a key setting (community), together with 7 special topic areas. These themes and topics require a range of actions to be implemented at national and local level covering life circumstances, lifestyles and priority health issues in order to improve health and reduce inequalities. Underpinning all action is the need to narrow the inequality gap. Themes Topics Smoking Early Years Physical Activity Teenage Transitions Adults of Working Age Healthy Eating Mental Health & Wellbeing Alcohol Community Sexual Health Health & Homelessness Homelessness DRAFT 5 In Glasgow with 80% of our population living in deprivation categories 6 and 7 the test will be to translate national policy and strategy into local health improvement plans that focus on delivery whilst taking account of the wider determinants of health, such as income, housing, education, employment status and the environment. Our approach to translating national policy and strategy will focus on: health but will include more emphasis on well-being, and on mental and social aspects as well as the physical factors that affect health but will include more emphasis on people's life circumstances as well as their lifestyles, with increased attention to tackling inequalities action to improve health but will include more emphasis on incorporating the promotion of social inclusion and social justice communities and building capacity and capability that delivers action to support sustainable change. Community Health & Care Partnerships Equally important in terms of policy direction is the creation of Community Health & Care Partnerships with new and enhanced roles at the heart of a decentralised but integrated health and social care system. Community Health & Care Partnerships will be responsible for: improving population health and well being securing service user, carer, staff, partner and public involvement shaping service to anticipate future demand and meet local need integrating and delivering better health and social care services closer to home being the main agent through which Joint Future is delivered progressing children’s services establishing robust Partnerships and promoting collaborative working Much of this agenda is shared and reinforced by the vision for Community Planning, which is developing in parallel with Community Health and Care Partnerships. Community Planning The NHS is a key partner within Community Planning, which has formally developed through the Local Government in Scotland Act of 2003. Within the city of Glasgow, the commitment to partnership working is evidenced by the combination of Community Planning developments along with a fully integrated model for Community Health and Care Partnerships. The Glasgow Community Planning Partnership will work to realise community planning within the city, adhering to the definition of: DRAFT 6 “ (Community Planning) is about the structure, processed and behaviours necessary to ensure that organisations work together and with communities to improve the quality of peoples’ lives, through more effective, joined up and appropriate delivery of services.” (Communities Scotland Guidance, 2003) The shared agenda between Community Planning and Community Health and Care Partnerships in the city reflects not only a commitment to improving services, but also in involving our communities in articulating their needs to enable the development of services. Locally, the establishment of 5 Community Health & Care Partnerships within Glasgow and the proposed changes in the support structures for community planning which will come into effect formally in April 2006 will complement the inclusive approach we have adopted to produce this Plan. 3. RISING TO THE CHALLENGE The South East Area – Characteristics