East Glasgow CHCP Development Plan 200710

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East Glasgow CHCP Development Plan
2007/10 Consultation Events 26th and 27th
February 2007
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About East Glasgow Community Health and Care
Partnership
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What are Community Health and Care Partnerships?

• Set up on 1st April 2006 5 in Glasgow
• Provide joined up health and social care
• services
• Champion and lead on health improvement
• for their areas
• Tackle Health and social inequalities
• Involve local people, staff and elected
• members in decision making

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Old Local Health Care Co-operative areas serving
Bridgeton, Dennistoun and Eastern Glasgow
Community Planning Partnership Areas East End
and Calton Shettleston, Baillieston and Greater
Easterhouse

Old Social Work areas of East End and North East
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Addictions

Mental Health Services
Services for Older People
Primary Care/ Health Clinics
Over 1200 health and social care staff/
budget of 111m per year
Health Improvement
Links with GPs, pharmacies, dentists, opticians
Services for Physically Disabled People
Services for Learning Disabled People
Childrens Services
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What have we done so far?

• Put in place the structures/groups to manage the
  CHCP
• Getting to know each other and the issues in the
  East
• Agreeing objectives for managers and their
  services
• Taking forward early projects oral health,
  sexual health, employability

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Who Makes The decisions?
Management Team
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Our Development Plan 2007-10
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• What is the Development Plan for?
• Outlines the major health and social issues
• Explains what we need to do in the future to
  improve services
• Allows us to measure our progress
• Input into Social Work Services and Health Boards
  plans
• Information for public, partner agencies and
  staff

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What do we know about the east Glasgow?

• Population 124,000 - potential to increase
• Males/Females 58,000/66,000
• Ages 0-17 (21), 18-64 (63), 65 (16) like
  Glasgow
• Ethnicity 1.5 BME - lower than Glasgow at 5.5
• Strong sense of community large network of 400
  voluntary and community groups, shared
  history and culture of local people
• Lots of regeneration activity Fort, Clyde
  Gateway, housing
• BUT Large concentrations of poverty and multiple
  deprivation

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Multiple Deprivation
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Health and Wellbeing

• 39 of children in households where no adult is
  employed
• Over 60 of people have difficulties meeting
  household expenses
• Life expectancy much lower than
  Glasgow/Scotland/UK
• 29 of households have adult with long term
  limiting illness
• High levels of smoking, binge drinking and
  consumption of unhealthy food
• Much higher rates of death caused by cancer,
  ischaemic heart disease, lung cancer and
  cerebrovascular disease than for Health Board
  area
• BUT STRONG COMMUNITY IDENTITIES AND SHARED
  HISTORIES

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Our big Ideas for the Future!

Intervening early to prevent crisis and
providing support in the community
Joining up services within the CHCP and with
other services
Involving service users, carers in the planning,
re-design and delivery of services
Improving our knowledge and understanding of our
area, especially small geographic areas
Investing in our staff
Making sure we know when we have made a difference
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Examples of what we want to do
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Focus our resources on those most in need

• Increase opportunities for service users and
  carers to access employment, training and
  education
• Develop joint work with local housing providers
  (eg. Haghill regeneration, aids and adaptations)
• Supporting schools/colleges to improve
  educational outcomes
• Working with Community Safety Services to reduce
  anti-social behaviour and delivering social work
  criminal justice services to reduce offending

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Shifting balance of care to the community

• Wrap around support for looked after and
  accommodated children
• More joined up working in Childrens Services
  (IST/IAF)
• Roll out of parenting education programmes
• Anti-stigma and mental health improvement
  (schools, work places etc)
• Establish crisis resolution service in mental
  health
• Re-organising our older peoples teams around
  local communities
• Falls prevention/promote referrals from older
  peoples teams
• Modernising day services for learning disabled
  people.
• Promote Direct Payments
• Improve links with hospitals
• Develop Palliative Care services

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Improve use of resources (workforce, buildings,
money)

• Support and train our staff appropriately so that
  they can provide excellent standards of care
• Promote joined up teams
• Improve the usage of our buildings and co-locate
  health and social work teams,
• Investigate options for sharing buildings with
  other services
• Where resources allow upgrade existing buildings
• No additional resources available very tight
  financial position - need to make shifts within
  budgets to support the changes to services
• Build relationship with hospitals (waiting times,
  work with Women and Childrens Directorate, joint
  approaches to health improvement)

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Modernise services and ensure that they are
integrated

• Develop what is called the Pathfinder approach
  (new ways of delivering public services)
• Joining up our teams fully rounded services
• Joint approach to trauma of women and children
  who have experienced domestic abuse
• Joined up approach for children with
  disabilities/complex health needs
• Empowering local people Community engagement
  organisation
• Range of ways to involve local people in decision
  making
• Roll out electronic health and care systems

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Improve the health of local people

• Deliver the city wide strategies at a local level
  on reducing alcohol and tobacco use, on
  increasing physical activity and on healthy food
• Oral health programme and breastfeeding
• Sexual health education programme in schools
• Mental health anti-stigma and work
  place/schools
• All services to focus on improving health
• Keep Well pilot
• Work with community safety on anti-social
  behaviour/fear of crime

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Improve access to our services

• People say it is more difficult in this area to
  access GPs, dentists and hospitals than elsewhere
  in Glasgow (variations within CHCP area)
• We have duty to promote equality of access to our
  services
• Equality advisory panel
• We must contribute to reducing waiting times for
  primary care and hospital based care
• Primary Care Collaborative
• Extended roles for non medical staff
• Housebound chronic disease management pilot
• Single referral system for mental health services
• Improving our communication with local people
  about services

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Create an organisation which is effective

• Develop our managers to provide strong leadership
• Develop the role of the Public Partnership Forum,
  the Professional Executive Group and the
  Committee
• Finalise Emergency/risk management planning
• Finalise transfer of Specialist Childrens
  Services
• Respond to findings of Social Work Inspection
  Agency
• Joint work with Community Planning Partnerships
• Promote and actively use our complaints
  procedures
• Develop our performance management system