Public Hea lth Annual Report ................................................................................. 2018 cheshire east.gov .uk Contents p4 January Arts and Culture p7 February Air Quality p8 March Green Infrastructure p10 April Field to Fork p12 May Accessible Communities p14 June Planning p16 July Active Travel p18 August Connected Communities p20 September Food Allergies p22 October Libraries p24 November Employment p26 December Public Service Transformation Programmes Public Health Annual Report 2018 | 3 ................................................................................................................................................................. Foreword By Fiona Reynolds, Director of Public Health ..................................................................................................................... Welcome to the public health annual report for 2018, which features a summary of some of the work to improve the health and wellbeing of everyone who lives in the borough of Cheshire East. Our health is shaped by the locations in which we live, work Cheshire East is a great place to live with general and play, as shown by the Dahlgren and Whitehead ‘rainbow indicators showing a good quality of life for the majority model’ shown below. It shows the relationship between the of residents. People are also living longer and this is a individual, their environment and health. People are placed long term trend that thankfully is set to continue. in the centre, surrounded by the various layers of influences Looking at 2018 month by month, this report shares on health – such as individual lifestyle factors, community outcomes from several case studies and projects. influences, living and working conditions, and more general I would like to thank the following people, who wrote the social conditions. chapters of this report: So, this year’s report focuses on Place – mostly in reference to Roz Atherton, Genni Butler, Daniel Coyne, Ian Dale, the services that are part of the Place Directorate within Brendan Flanagan, Helena Jones, Nick Kelly, Carole Cheshire East Council because they have a vital role in Mullineux, Helen Paton, Paul Traynor and Julia supporting people’s health and wellbeing. This does not Wood . capture everything but attempts to show some of the broad range of factors and services that contribute to health and We hope you find it informative and interesting and wellbeing in Cheshire East. please do get in touch if you would like to know more about anything in this report or about public health at Helping the whole community to be as healthy as possible Cheshire East Council. You can email us at: requires us all to do what we can to take care of our own [email protected] or visit: health and wellbeing and I highlight again the Live Well www.cheshireeast.gov.uk/livewell and search for Cheshire East - www.cheshireeast.gov.uk/livewell - , free public health . website, which lists more than 3,000 services and activities available across the area. It includes everything from care services to sports and walking clubs - there really is something for everyone. cultural and e mic, nviro ono nm ec en io- ta oc Livin g andand l c l s on ra workingwo ng d e it n io e conditionsco n ons n G s Work UnemploymentU environment community nd net l a wo ia rk Water and oc ifesty s S al l le f sanitation Education idu ac iv to d rs In Health Agriculture and care and food ser vices production Housing Age, sex and hereditary factors ........................................................................................ JANUARY Arts and Culture There is now an accepted body of evidence for arts and culture having a direct positive impact on health and wellbeing. In addition it can be a catalyst for participatory community activity, accessible health promotion and for enhancing health care environments. Although all arts and cultural activity can be reasonably considered to have some positive impact on wellbeing, there is research which suggests that specific positive impacts can be had on mental health, dementia and falls prevention. In addition, evidence suggests that participation in arts and culture is particularly attractive and beneficial to those on the autism spectrum. ................................................................................................................................................ The Cultural Economy Team aims to commission programmes of work which will have beneficial impact on health and wellbeing. This may be jointly Key Statistics with other health commissioners or with other partners. The work is focused on areas where there is • In Cheshire East there are evidence of potential significant impact either estimated to be 5,730 people geographically (with Crewe and Macclesfield being of over the age of 65 living with priority) or through communities of interest such as dementia. young people, older people and sufferers of dementia. Greater levels of joint commissioning are required to • 65% are likely to be women really expand the impact of programmes and embed them in mainstream provision. • one in five people over 80 has a form of dementia • one in 20 people over 65 has a form of dementia “The Cultural Economy Team aims to commission • 18% of Cheshire East’s population is over the age of 65. programmes of work which We have the highest will have beneficial impact on percentage in England health and wellbeing.” compared to 16% nationally. ............................................................................................................................................... Public Health Annual Report 2018 | 5 ................................................................................................................................................................. Case Study 1. Where did this work take place? 3. What were the benefits? This programme of Dance and Dementia took place in Social benefits - Space and time for people to be seen, Crewe, particularly at Leighton Hospital and Beechmere heard and sometimes, rediscovered – to share their Extra Care Housing facility, using dance and person- stories with others. “One week there was a lady sleeping centred creative practice to: in the day room. I felt unsure but made the tricky decision to go over and wake her. I gently touched her • Enhance the healing environment in the hospital; hand and introduced myself. She wanted to join in and • Contribute to the prevention of the early onset of went on to really engage in the session. From sleeping dementia; to super engaged – it was a real eye opener for me.” • Offer people a way to live well with dementia within Jody, Dance Artist dementia friendly communities; Physical benefits - Mobilising joints, stretching muscles • Challenge perceptions around dance and who can and including movements that will enable participants dance; and to maintain skills for essential tasks, such as getting dressed, bending to pick up objects and gripping • Undertake a qualitative enquiry, collecting things, have been integral to the sessions. observations about the project from all stakeholders. 2. What was achieved? Mental Health Benefits - • Weekly dance sessions; “It makes you think of, actually… • Resource pack produced; • Training for volunteers; and things you’ve forgotten.” • Professional development to ensure continued Participant access to trained professional in the area. “In order to implement the AQAP, it is essential that all relevant council departments work together to improve air quality. ” | 7 ........................................................................................ FEBRUARY Air Quality The links between air quality and health are well known and it is one of the major Key Statistics environmental risk factors to the public’s • Cheshire East has 17 AQMAs , which health. High air pollution levels can whilst this seems a lot they are only increase the chance of hospital for small defined areas, whereas admissions. The main risks to health have other areas may have fewer AQMAs been linked to increases in cardiovascular but these are generally larger areas and respiratory disease, which can such as city/town centres. interfere with everyday life. • According to COMEAP (the Whilst air quality within Cheshire East is generally Committee on the Medical Effects of good, there are a number of small defined areas Air Pollution) it is estimated that air where, because of traffic, the level of nitrogen dioxide pollution can result in up to 36,000 is breaching the national objective. Therefore, seventeen Air Quality Management Areas (AQMAs) deaths per year nationally. have been declared across the borough and as a result • All of the AQMAs declared within the the council has a duty to produce an action plan setting out measures to address the levels both within borough are due to levels of nitrogen the AQMAs and generally across the borough. As a dioxide and this is similar to other result of a number of new AQMAs being declared, the areas across the country. council is currently updating the action plan to take into account all the relevant areas. ..................................................................................................................................................... Currently the council is in the process of revising the enable a closer working relationship between the Air Quality Action Plan (AQAP), which sets out what various teams and allow for the relevant actions can be taken to address the pollution