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Health Checks And Inequalities In Camden
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Health Checks And Inequalities In Camden


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  • 1. Health Inequalities - a briefing for staff Quentin D. Sandifer, Director of Public Health, NHS Camden and London Borough of Camden
  • 2. Health map - Barton and Grant (2006)
  • 3.
    • Male life expectancy gap between the ‘worst’ (St Pancras & Somers Town) and the ‘best’ (Hampstead) wards has fallen from 11 years to eight years
    • Male life expectancy across the borough has increased and is now almost in line with the average for England
    • The gap in mortality rate between the “four worst wards” and the borough average has decreased
    The good news!
  • 4. Preventing illness, and providing effective treatment and care
    • ProActive Camden – Physical Activity Strategy 2010
    • Mental Health
      • Community development workers – outreach
      • Changing Outcomes Programme
      • Mental Health First Aid Training
      • IAPT programme (improving access to psychological therapies)
        • Books on prescription service
        • Computerised cognitive behavioural therapy programmes for anxiety and depressing eg Beating the Blues – mental health employment strategy
    • Drug and Alcohol
      • Screening /interventions in the community for alcohol
      • Drug Intervention Programme
      • licensing
    • Enhanced Services in primary care for PWLD/Physical Activity Peer Support
    • Smoking
      • Health Act 2006 – ban on smoking in public places/smoking ban in Camden council introduced in 2007
      • Camden Smokefree Alliance established 2006
      • Smokefree Camden Health Bus
      • Smoke free alliance action plan 2009/10
      • Smoking cessation clinics in in deprived wards
  • 5. But Mind the Gap!
    • Graph Shows 8 Year Decrease in Male Life Expectancy (5 year rolling average 2003-2007)
    • along the Northern Line within the London Borough of Camden.
  • 6. Addressing the underlying determinants of health
    • Place shaping
    • Regeneration £100m investment
      • employment schemes
    • Decent homes / Estate Regeneration
    • Pathways for All/overcrowding
      • engaging new tenants
      • health champions training for housing options staff
    • Employment
      • Job Centre Plus Progress to Work
      • outreach for BME groups
    • Education – raising attainment/pupil tracking/White Working Class project
    • Open spaces
      • 43 parks and open spaces/development of 29 play areas aimed at 8-13 year old – outdoor gyms in 8 parks in deprived wards
    • Fuel Poverty
    • Green Transport Strategy since 1997 current version 2008-12
      • Reduced traffic by 24% since 1997 , car use down by 36%, cycling increased by 65%
      • Health walk maps (with NHS)
      • Walk to work week
      • Camden’s Walking Plan/ Cycling plan
    • Community safety
      • Making people feel safe encourages people to get out and about
  • 7. Engaging communities and individuals
    • Camden Active Health Team (CAHT)
      • Clinical Referral for Physical Activity (CRPA) scheme
      • community exercise programmes
      • Shape Up
    • Healthy Communities Action Group
      • Green gyms
    • ProActive Camden
    • Good food for Camden Strategy 2009-12
  • 8. Under 75, all person mortality circulatory disease, 2005-2007
  • 9. The Killer Facts…
    • There is an 8 year gap in male life expectancy between Hampstead and St Pancras & Somers Town, and a 7 year gap in female life expectancy between Hampstead and Kentish Town
    • St Pancras & Somers Town and Kilburn wards are amongst the 15 wards with the lowest male life expectancy in London.
    • Circulatory disease (32% of all deaths) and cancer (28% of all deaths) are the biggest killers in Camden.
  • 10. NHS Health Checks
        • NHS Health Checks are available to ALL across the borough
        • Highlights potential long term problems, including:
          • Heart disease
          • Stroke
          • Diabetes
          • Kidney disease
        • Free, simple and only takes 20 minutes
        • Making a difference now and in the future
        • Take action now before it’s too late
    Crowndale Centre Meeting Rooms
  • 11. One Check, Many Routes of Access
    • GP surgeries
    • Pharmacies
    • High street shop front premises
    • In the community (i.e. temporary or mobile sites (including our health bus )
    • Community as one-off outreach sessions
    Crowndale Centre Meeting Rooms
  • 12. NHS Health Checks in Camden informed by Social Marketing “People Like Me” Campaign targeting Men
  • 13.
    Improve your health and reduce health inequality Any Questions?