Local Area Profiling – Highlighting Inequalities and Identifying Priorities

1. Local Area Profiling – Highlighting Inequalities and Identifying Priorities Liz Rochelle Assoc. Screening Manager NHS Walsall Dr. Barbara Watt Consultant in Public Health NHS Walsall Opportunities for Excellence in Health and Social Care Wolverhampton University 9th June 2011

2. Overview • Background • Walsall Area Partnerships • Area Partnerships Health profiling • the process, the indicators, the challenges • Dissemination • Impact • Case studies

3. Background: Walsall Area Partnerships • Walsall Local Strategic Partnership: new model of neighbourhood management and engagement: • six area partnerships identified each with dedicated area manager • increased levels of partnership engagement • direct reporting and action processes – ‘working smarter’ / cut out bureaucracy • ‘four level model’ • emphasis on community derived priorities • development of area plans, prioritising actions for communities e.g. ASB, litter, green spaces

4. Background: Walsall Area Partnerships • Health improvement not seen as a priority by the community • No holistic set of health outcome information at Area Partnership level • Opportunity to identify community level health needs/priorities and to provide guidance on appropriate interventions • Public Health Area Partnership reps

5. Area Partnerships: development of health profiles • A. Consultation • stakeholders: wide involvement in developing approach to profiles • indicators of health: what measures of health can/should we use? • geographical basis: what community areas can we provide meaningful information at?

7. Area Partnerships: development of health profiles • Examples of indicators • Basic demographics – population size, age profile, ethnicity, deprivation profile • Long term conditions prevalence • Average age at death in years by cause • Infant mortality rate • Proportion of obese children • Chlamydia screening • Accident and emergency self referrals rate per 1,000 pop • ACORN segmentation profile to inform marketing / social media campaigns in the areas

8. Area Partnerships: development of health profiles • B. Prioritisation • Pick out key health issues for the Area Partnership as a whole • Identify community level inequalities within Area Partnerships • Priority matrix for quick review of issues • C. Key interventions • For each priority issue what are the key services or interventions that are available or would be suitable for the communities in the AP?

9. Health profiles

10. Health profiles

11. Health profiles Interactive “Atlas” on website (pending)

12. Health profiling local areas: the challenges • Time and resource • Agreeing on health indicators - tension between using current strategic priorities as indicators or letting the indicators drive the priorities • Data collection and collation – not everything we wanted was available or accessible • Interpretation of data for partners

13. Impact • Local Area Plans • Robust health input to Area Plan priorities and action plans • enabled inequality-based planning • baseline/context information for providers of local services • targeting of services into areas of greatest need

14. Case Studies • Littering / traffic congestion identified as priorities by communities – PH tied this to obesity agenda/ reduced activity levels- walking buses / healthy food mapping / planning • Links made with SERCO, Walsall Housing Group to deliver NHS Health Checks in community identified priority areas. • Out reach sexual health / community engagement with youth services and established providers to identify right place right time.

15. Chlamydia screening in Brownhills

16. Beer Goggles in Aldridge

17. Thank you Questions?