Maximising salford hosc s impact addressing health inequalities
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MAXIMISING SALFORD HOSC’s IMPACT ADDRESSING HEALTH INEQUALITIES

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Maximising salford hosc s impact addressing health inequalities

MAXIMISING SALFORD HOSC’s IMPACT ADDRESSING HEALTH INEQUALITIES

Think of a time at when you were involved in a Salford HOSC activity where you felt you were able to make a big difference– a peak experience! If it reduced health inequalities all the better. Describe the story of that experience.

Give detail about what made it so good (your input, how you were supported, the information you collected, what happened to the findings)

What can we learn from your story about what might work in Salford HOSC’s role, to maximise its impact for addressing health inequalities in Salford?


Maximising salford hosc s impact addressing health inequalities1

MAXIMISING SALFORD HOSC’s IMPACT ADDRESSING HEALTH INEQUALITIES

National stories of success/ change

Seat belts

Drinking and driving

Smoking

Diet


Health inequalities progress and next steps

Health Inequalities: Progress and next steps

  • Life expectancy is increasing

  • Most disadvantaged not as quickly as better off


Health inequalities progress and next steps1

Health Inequalities: Progress and next steps

  • Consolidates gains so far – more learning and support

  • Strengthens support to local areas

    3 aspects:

  • Wider determinants

  • Lives people lead

  • Services they use


Action

Action

  • Support to reach Public Service Agreement targets -2010

  • More action on factors that drive inequalities

  • Commitment to further reduce inequalities after 2010

  • Wider determinants + national targets


Successes

Successes

  • Since 1995-7 life expectancy of men has increased by 2.5 years in Spearhead authorities

  • U75 mortality rates from cardiovascular disease and cancers have fallen faster in Spearhead Authorities than in England as a whole


Maximising salford hosc s impact addressing health inequalities

But PSA relative!


Scale up what has been working

Scale up what has been working

Including:

  • National support teams for health inequalities

  • New support teams

    infant mortality

    alcohol


Focus on wider determinants

Focus on wider determinants

  • Early years and parenting

  • Work to improve health and wellbeing

  • Equality

  • Mental health services

  • Co-ordinating action - nationally and locally


Early years and parenting

Early years and parenting

  • Support parents and families to improve health

  • Increase resilience to impacts of environment on lives

  • New Child Health Strategy

  • breastfeeding


Mental health services

Mental health services

Access to therapy

  • Older people

  • Black and other ethnic communities


Key areas

Key areas

  • Smoking

  • Alcohol

  • Obesity

  • Multiple risks


Smoking

Smoking

Responsible for 1/6th deaths

Focus on young

  • starters

  • Selling underage


Alcohol

Alcohol

Inequalities

4-15 times greater mortality

4-10 times more admissions to hospital.

Reduce rise in admissions to hospital


Access to services

Access to services

Services to be designed and targeted to work most effectively with people who need them most

  • Primary care

  • Commissioning services in partnership for reducing health inequalities

  • Creating services that reach out to people

  • Using NHS services to actively promote equality


How public services treat vulnerable people

How public services treat vulnerable people

  • To be measure of progress on health inequalities

  • Learning difficulties


New approaches

New approaches

  • Health trainers and champions

  • Social marketing

  • 3rd sector


Tensions

Tensions

  • Health gain vs tackling inequalities

  • Making a difference for 2010 or for ever


Issues for scrutiny

Issues for scrutiny

  • Collective responsibility

  • Specific role of scrutiny

  • Which issues to select and why


Easy to change

Easy to change?

Work in pairs

1. Are there changes you would like to make which might improve your health but you find hard to do?

2. Why is it so hard

3. What might help?

Feedback on 2 & 3


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