NHS Greater Glasgow & Clyde Glasgow City Community Health Partnership South Sector Implementation Plan 2011/12 1/28 – South Sector Implementation Plan 1 Contents Page Foreword by Director 3 Structure of Plan 3 Background and Details of Glasgow City Community Health Partnership 4 Section 1 – Our Population and its Health 6 Section 2 – Key Challenges 8 Section 3 – Key Actions 9 • Children & Families 9 • Health Improvement 10 • Adult Mental Health Services 12 • Primary Care 13 • Alcohol and Drugs 16 • Older People and Disability Services 17 • Unpaid Carers 17 • Improving the Quality of Health Care 18 • Addressing Health Inequalities 18 • Sexual Health 19 • Workforce, Finance and other Resources 20 • Community Planning Arrangements 20 Appendices • Appendix A – South Sector Staffing Detail 21 • Appendix B – South Sector Geography 22 • Appendix C – Sector Finance Summary 23 • Appendix D - Draft Action Plan – 2011/12 24 2/28 – South Sector Implementation Plan 2 Foreword by David Walker, South Sector Director 2011/12 will be a challenging time for all public sector services. Our intention is to deliver a range of high quality services, focussing on our priorities from the Board’s planning framework and to work closely with partner agencies and stakeholders to achieve these. This Sector plan will provide a summary of the key areas of work for 2011/12 and will form the basis for discussion with stakeholders for work beyond that point. The Sector will be responsible for implementing a number of key objectives including; 1. Involving and engaging staff around responsibilities for Staff Governance Standard Delivery including Staff Governance Action Plan, Health and Safety, and communication. 2. Establish meaningful engagement with GPs and other independent contractors across South sector 3. Achieve financial balance for 2011/12 and deliver savings plan for 2012/13 and 2013/14. 4. Delivery of HEAT targets to improve performance in service access and delivery and population health. 5. Delivery of Development Plan for the CHP and Implementation of this Sector Plan. 6. Support Shifting the Balance of Care for older people including use of the Change Fund 7. Review and progress use of Integrated Assessment Framework (IAF) and implementation of Healthier Wealthier Children. 8. Review future options for streamlining learning disability management and professional leadership. 9. Develop service quality and performance arising from integration of new Adult Rehabilitation Teams 10. A focus on quality and equality of Service provision. Structure of the Plan In Section 1 there is an outline of the characteristics of the population within the South Sector and the health issues which affect our local residents. Section 2 explains some of the key challenges and opportunities which the sector faces in taking forward our plans. Section 3 contains the details of our key actions for 2011/12. I hope you find this document useful and if you need further information please contact Hamish Battye, Head of Planning & Performance. Telephone 0141 276 2612. Email [email protected] 3/28 – South Sector Implementation Plan 3 Background and Details of Glasgow City Community Health Partnership, South Sector The South Sector is one of three areas of the Glasgow City Community Health Partnership (CHP). The CHP was formed in November 2010 following changes to the arrangements for the five Community Health & Care Partnerships between Glasgow City Council and NHS Greater Glasgow & Clyde. Although the CHP is managed as a National Health Service organisation, it retains strong links with Glasgow City Social Work, Education and other services and partners. The Sector has a Management Team responsible for service delivery and co-ordination, as well as ensuring implementation of CHP policies and plans at a local level. The overall leadership for the CHP is provided by the CHP Management Team, which includes the three Sector Directors, and is accountable to the CHP Committee. The Sector involves residents in planning services through the Public Partnership Forum and through a wider network of service user and carer groups. We also engage with staff through the Staff Partnership Forum and through involving them in key re-design and planning groups. At a local level we work in partnership with a wide range of statutory and voluntary organisations to ensure that our planning and service delivery operate in joined up ways. We are improving our links with General Practitioners to engage on a regular basis with general practice, which will include the development of more local based arrangements, to promote good partnership working with all primary care contractors in the South Sector. The CHP manages the following NHS Services and functions at sector level: • community nursing, health visiting and school nursing; • relationships with primary care contractors; • local older people and physical disability services – including Rehabilitation and Discharge teams for adult and older people. • chronic disease management programmes and staff; • allied health professionals; • palliative care; • learning disability services; • Community Addiction Services • mental health inpatient services at Leverndale and Southern General hospitals • community adult mental health services • primary care mental team services and a range of specialist mental health services including early intervention; • homeless and asylum services; • health improvement and planning; • resource transfer arrangements with the City Council; • specialist community children’s services and child and adolescent mental health; • Adult Rehabilitation The sector also has City / Board Wide responsibilities for issues such as: • Reshaping care for Older people – including the Change Fund • Care Homes Medical Practice • Continence Services • Health at Work • Employability and Health 4/28 – South Sector Implementation Plan 4 The South Sector covers the geography of the former South East and South West Community Health & Care Partnerships. (See maps in appendix B). The population of the area is around 220,000. The sector provides mental health hospital services and community services for a population of approximately 370,000 The sector employs over 1500 staff and has an annual budget for 2011/12 of just over £171m. Details of staffing can be found in appendix A and a financial summary is included in Appendix C. The Sector assumed responsibility for adult mental health in-patient and specialist services and in May 2011, with staff transferred from acute services as part of the formation of integrated adult rehabilitation teams. The latter is yet to be fully included within the service budget. 5/28 – South Sector Implementation Plan 5 Section 1: Our population and its health 1 The total resident population of South Glasgow is 220,489 people. A breakdown of the population by age is shown in the table below: Age Bands No. of people % of population % of this age band in Scotland 0-15 years 38,743 17.6 17.6 16 -64 years 151,602 68.6 65.7 65-74 years 15,622 7.1 9.0 75+ years 14,522 6.6 7.7 The South Sector is noted as having a higher than average population of Black and Minority Ethnic Communities. 8.9% for the South Sector compared with 6.2% for Glasgow City. This is based on data from the 2001 census as well as work undertaken by the Scottish Refugee Council, reviewing the numbers of people living in rented accommodation and other surveys including reviews of UK Border Agency data. (A Study of Black Minority Ethnic (BME) Service User Distribution by Integration Network Area. October 2010 – Scottish Refugee Council). There are significant levels of BME populations in the Govanhill area with both established second generation populations as well as migrant workers. There are also Asylum Seekers concentrated in the Greater Govan area. There are a number of factors affecting the health of the people living in South Glasgow. The recent Health and Wellbeing Profiles for Scottish Community Health Partnerships highlighted a number of issues for South Glasgow. Life Expectancy and Mortality: Male and female life expectancy is significantly lower than the Scottish average, although it has been rising over time. Mortality rates from all causes (all ages), coronary heart disease, cerebrovascular disease and cancer (all under 75s) are all significantly higher than the Scottish average. Behaviours: An estimated 32% of adults smoke in the Council area, compared to 25% in Scotland as a whole. In South Glasgow there have been 801 deaths from alcohol conditions in the last five years and the death rate is higher than the Scottish average. The proportions of the population hospitalised with alcohol conditions and with drug related conditions are also higher than the Scottish average. Levels of sporting participation in the Council area are 5% lower than the Scottish average. Ill Health and Injury and Mental Health Cancer registrations and the proportions of the population hospitalised for coronary heart disease, COPD, cerebrovascular disease, emergency admissions and multiple admissions (65 years and over), are all significantly higher in South Glasgow than the Scotland average. The prevalence of diabetes is also significantly high. Rates of hospitalisation for asthma are higher than the Scottish average although those hospitalised after a fall in the home (65 years and over), are significantly lower than the Scottish average. The road traffic accident casualty rate is lower than the Scottish average. Drug prescribing for mental health problems is significantly higher than average. Suicide death rate (19.5 per 100,000 population) is also higher that the Scottish average (15.1 per 100,000). Social Care and Housing South Glasgow has a significantly higher percentage of adults claiming incapacity benefit/severe disability allowance than the Scottish average. The percentage of single adult dwellings is significantly higher than the Scottish average whilst within the council area, both 1 Health and Wellbeing Profile for South Glasgow, Scottish Public Health Observatory (2010) 6/28 – South Sector Implementation Plan 6 homelessness and the rate of children looked after by the local authority are also significantly high.