Health

1
Health Social CareService Improvement Reports

• 7th June 2005

2
Service Improvement Report

• Performance Management Framework
• Ensuring services are continuously monitored and
  improved
• Analysis of KPIs, Local PIs, comparisons
• What has been achieved
• Have we improved
• What difference have we made to local people
• What will happen next

3
The aim is to ensure local people live longer
and healthier lives.

• The health and well being of local people to be
  maximised
• Health inequalities within the borough and
  between the borough and other areas to be reduced

4
What has been achieved?

• Over the past year, the main focus of activity
  has centred around 3 main areas
• Work to reduce inequalities in health
• Tackle obesity and the big killer diseases
  coronary heart disease (CHD) and cancer
• Work towards making Gateshead a smoke-free
  community has led to smoking rates falling closer
  to the national average
• Improvements in indicators
• Overall performance is is very positive with 12
  of the 21 indicators improving or staying the
  same (some are already at 100) Also, 80 of the
  targets have been met.

5
What has been achieved?

• The deaths rates from Coronary Heart Disease
  (CHD) are reducing and are also starting to make
  improvements in tackling deaths from cancer.
• Whilst there has been an increase in the number
  of Teenage Pregnancies, performance is still the
  best in the Tyne and Wear area and the whole of
  the North.
• BUT
• Overall, the infant mortality rate of 5.9 deaths
  under the age of one per 1,000 births in
  Gateshead is now close to the national average of
  5.3 but it is still 2½ times higher in lower
  social classes.
• Although we are starting to narrow the inequality
  gap, people in Gateshead live, on average, two
  years less than in other parts of the country.

6
What has been achieved?

• Making Gateshead a Smoke-Free Community
• Through use of the Smoking Cessation Service, 87
  pregnant women quit smoking last year compared
  with 29 the year before.
• Activity is also going on to stop young people
  from starting to smoke in the first place.
• Gateshead College, the Sage Gateshead, the
  MetroCentre and Gateshead Interchange all have
  smoke free policies.
• The national Clean Air Award was launched in
  Gateshead during March 2005.

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What has been achieved?

• Improving our knowledge and information about the
  health of the people of Gateshead.
• The Health and Lifestyle survey in the adult
  population of Gateshead was completed in 2004.
• A study of Body Mass Index was conducted in
  Gateshead in May 2004
• Last summer, the third Young Peoples Health
  Related Behaviour Survey was conducted in local
  schools.

8
What has been achieved?

• Reducing Obesity
• In January 2005 we published strategies on
  Improving Nutrition and Tackling Obesity.
• Work has already started on a five a day
  programme
• Exercise sessions for young people have been
  developed, linked to a pathway of care for
  overweight and obese children.
• Gateshead is part of the Healthy Communities
  Collaborative, with 7 teams in local communities
  with a focus on nutrition

9
What has been achieved?

• Increasing physical activity
• The Gateshead Opportunities for Active
  Lifestyles (GOALS) programme continues to expand
  with 95 of GP practices in Gateshead now able to
  refer patients
• The Peer Activity Motivator Scheme is training
  older people to support others back into exercise

10
What has been achieved?

• Tackling health inequalities through good
  practice sharing
• The Councils partnership work to improve the
  health of local people has achieved a Beacon
  Council Award in the theme Promoting Healthy
  Communities.
• We are also part of two national initiatives
  aimed at improving the health of local people -
  one of 15 Pathfinder Councils on the Shared
  Priority Programme and one of 22 Councils on the
  Communities for Health initiative.

11
Have we made a difference?

• Worked towards making Gateshead a smoke free
  community - smoking rates are falling in
  Gateshead and are now closer to the national
  average
• Reduced inequalities in health - lower death
  rates from circulatory diseases and we have
  started to impact on cancer rates
• Continued the positive trend in reducing
  unintended teenage pregnancies
• There has been an improvement in the number of
  mothers breastfeeding

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What do we want to do next?

• Challenges
• Choosing Health making healthier choices easier
• Local Public Service Agreements
• Local Area Agreement
• We want to
• Continue to work towards a Smoke Free Gateshead
• Promote healthier lifestyles particularly for 18-
  24 year olds
• Address inclusion/involvement issues and involve
  BME and faith communities, refugees and asylum
  seekers in establishing their health needs