Health Checks And Inequalities In Camden


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Health Checks And Inequalities In Camden

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