Forest of Dean District

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• Forest of Dean District
• Health Profile 2009

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ADPH Report 2008/09

• Emerging findings from our
• Joint Strategic Needs Assessment

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Format of ADPH report

• A picture of Gloucestershire including
  Gloucestershire profile
• 4 Commissioning briefs
• 6 District Profiles
• - based on e-JSNA

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• The Forest of Dean has a population of 84,243
• The demographic picture highlights
• An increasing older population
• A decreasing younger population - as the number
  of children and young people is predicted to
  decline steeply over the next 18 years
• The largest decline in the working age population
  in the county over the next 18 years

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Population trends by age band
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Health deprivation disability
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Health in the Forest of Dean

• People in the Forest suffer from poorer health
  than the county as a whole with
• higher numbers of people with Limiting Long Term
  Illness
• higher numbers of early deaths from heart disease
• higher numbers of early deaths from stroke
• There are clear links between deprivation and
  health too.
• People living in the most deprived areas
  experience worse outcomes for a number of health
  related measures such as
• Life expectancy
• Mental Health problems
• Incidence of cancer

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Access to services
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Per 100,000 pop under 75s 2005-07 Source APHO
health profiles 2008
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Per 100,000 pop under 75s 2005-07 Source APHO
health profiles 2008
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Life Expectancy in the Forest of Dean

• In the Forest of Dean there is a reduced life
  expectancy for both males (2.2 and females for
  those living in the most deprived parts of the
  FoD.
• To improve life expectancy we need to identify
  key diseases that make up the identified gap
• This will allow us to plan and target
  interventions that will have the greatest impact
  on reducing this gap

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Breakdown of life expectancy gap by cause of
deathAPHO 2008
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Analysis of the gap in life expectancy
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Top 5 Key Diseases

• MALES
• Lung cancer
• Deaths under 28 days
• Stroke
• Suicide/ undetermined injury

• FEMALES
• Coronary heart disease
• Other cancers
• Lung cancers
• COPD
• Pneumonia

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Interventions needed

• Smoking cessation
• Increasing physical activity
• Encouraging healthy eating
• Raising cancer awareness
• Improving mental health
• Improving uptake of pneumococcal and influenza
  vaccination in at risk groups
• Reducing major causes of infant mortality

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Key Health Wellbeing issues

• Male life expectancy
• Early deaths from all causes
• Early deaths from heart disease and stroke
• Early death from cancer
• Deaths from smoking
• Obesity in adults
• Road injuries and deaths
• Teenage pregnancy
• People providing unpaid care
• Mental illness
• Falls in older people
• People with long term limiting conditions

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What are we doing? Children and Younger People

• Sexual Health Services
• Extended school nurse drop-ins at all secondary
  schools
• On-site sexual health clinics RFoD and Hartpury
  Colleges
• Reducing the prevalence of childhood obesity
• MEND Mind, Exercise, Nutrition Do It!
• Change 4 Life
• Weight management services NCMP
• Increasing physical activity levels in children
• Increasing breastfeeding rates
• Young Carers Needs Mapping

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What are we doing? Healthier Communities/Older
People

• Health promotion programmes to raise public
  awareness, encourage screening and early
  detection
• Smoking Cessation services
• Obesity Care Pathway
• Mental Health Care Pathway access to
  psychological therapies
• Development of the Falls Prevention Pathway
• Carer Support

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What are we doing? Safer and Stronger Communities

• Education Programmes to reduce death and injury
  from road accidents
• Crime Disorder Reduction Partnership delivery
  group working across health, social care and
  community to deliver services and resources to
  the local community
• Anti-social behaviour interventions
• Intergenerational projects
• Drugs and Alcohol reduction interventions

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Next Steps for 2009/2010 - 1

• Use the Vascular Risk Assessment and Change 4
  Life programmes to increase awareness
• Ensure adequate service capacity to support those
  who want to improve their health (e.g. Smoking
  Cessation Service, Weight Management Care
  Pathway, Physical Activity options)
• Promoting cancer, heart disease and stroke
  awareness, mental health issues (including
  developing the Dementia Care Pathway) and social
  isolation reduction

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Next Steps for 2009/2010 - 2

• Ensure adequate investment in local transport
  plans and road safety to reduce accidents
• Encourage physical activity whilst ensuring
  adequate access to local services for all
• Increase support for carers, and ensure close
  partnership working to reduce social isolation
  and improve quality of life including access to
  activities and psychological therapies where
  necessary.
• Continue to link strategic priorities to Healthy
  Gloucestershire
• Develop district engagement with the development
  of the JSNA
• GHCWP
• SIB
• JSNA Board