Sandie Keene, Director of Leeds Adult Social Services, gives an insight into the demography of Leeds and shares her experiences of establishing a Joint Strategic Needs Assessment (JSNA) for the needs of the local population.
Clive Bowman: The future for residential care provisionThe King's Fund
Clive Bowman, Medical Director, Bupa Care Homes, gives a history of care homes in England and looks at the challenges facing residential care provision in the future.
Top 5 reasons to attend the International digital health and care congressThe King's Fund
What is the future for health and social care?
Find out at this three-day event that brings together researchers, policy makers, practitioners and innovators to explore how the innovative use of technology is supporting improvements in the care of people with long-term conditions and other health and social care needs.
The congress is now in it's fourth year and it regularly sells out, attracting more than 500 international delegates who come to hear about the design and application of new technologies; to share experiences; and to showcase new ideas, new research and new innovations in digital health, mobile health, telehealth and telecare.
Jeanette Ives Erickson: Influencing professional nursing practiceThe King's Fund
Jeanette Ives Erickson, Senior Vice President for Patient Care and Chief Nurse, Massachusetts General Hospital and Instructor, Harvard Medical School articulates the importance of a structure for clearly understanding fundamental standards that is accepted and embraced by both the public and health care professionals.
Clive Bowman: The future for residential care provisionThe King's Fund
Clive Bowman, Medical Director, Bupa Care Homes, gives a history of care homes in England and looks at the challenges facing residential care provision in the future.
Top 5 reasons to attend the International digital health and care congressThe King's Fund
What is the future for health and social care?
Find out at this three-day event that brings together researchers, policy makers, practitioners and innovators to explore how the innovative use of technology is supporting improvements in the care of people with long-term conditions and other health and social care needs.
The congress is now in it's fourth year and it regularly sells out, attracting more than 500 international delegates who come to hear about the design and application of new technologies; to share experiences; and to showcase new ideas, new research and new innovations in digital health, mobile health, telehealth and telecare.
Jeanette Ives Erickson: Influencing professional nursing practiceThe King's Fund
Jeanette Ives Erickson, Senior Vice President for Patient Care and Chief Nurse, Massachusetts General Hospital and Instructor, Harvard Medical School articulates the importance of a structure for clearly understanding fundamental standards that is accepted and embraced by both the public and health care professionals.
Martin McShane: Driving quality up with integrationThe King's Fund
Martin McShane, Director of Commissioning Development and QIPP, NHS Lincolnshire PCT Cluster, shares the key integrated care lessons he learnt from the USA and how these can be applied to the NHS.
Improving health and health care in London: Who will take the lead?The King's Fund
John Appleby introduces The King's Fund's report on health and health care in London, considering who will lead improvements and reform after Healthcare for London.
Sarah Pickup: The care and support White Paper - A single, simple and modern ...The King's Fund
Sarah Pickup, President of the Association of Directors of Adult Social Services, talks through the care and support White Paper and where it leaves us in terms of social care reform.
James Thompson explores the data behind the headlines, looking at delayed transfers of care in the NHS and in social care. Focusing on the numbers and survey results from The King's Fund's tenth quarterly monitoring report, he explains why we once again find delayed transfers under the spotlight.
Our infographics highlight some key facts and figures around leadership vacancies in the NHS and some of the difficulties NHS organisations face in recruiting and retaining people for executive positions.
Nicholas Timmins: The shifting nature of the health and social care funding d...The King's Fund
Should the settlement of health and social care in England be re-shaped? And if so, how? Nicholas Timmins looks at the shifting nature of the funding divide in England's health and social care systems, from pre-NHS to the current day. Find out more at: www.kingsfund.org.uk/commission
Ciaran O'Neill on NHS reform - a Northern Irish perspectiveThe King's Fund
Professor Ciaran O'Neill, School of Business and Economics, NUI Galway, gives his perspective on the proposed NHS refoms and outlines the health care system in Northern Ireland.
John Appleby: Health spending in the EU - how does the UK compare?The King's Fund
John Appleby, Chief Economist at The King's Fund, looks at how health spending in the UK compares with other countries and what the prospects are for spending on health care beyond 2015.
Volunteering in acute trusts in England infographicsThe King's Fund
Our new set of infographics looks at volunteering in acute trusts in England – including the important roles volunteers play, the variation in the number of volunteers between trusts and volunteering growth in future.
These infographics are for you to use and share – please just mention The King's Fund when you do so.
Dr Al Mulley: The Secret to Reducing Unwarranted VariationsThe King's Fund
Dr Al Mulley, Director of the Dartmouth Center for Health Care Delivery Science at Dartmouth College, introduces the theory behind good and bad health care variation, looking at the work of Dr Jack Wennberg in the United States.
Population Level Commissioning for the Future
Wednesday 3 December 2014, 1pm – 1.45pm
Dr Abraham George
Assistant Director/Consultant in Public Health
Kent County Council
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
NHS and Liverpool structures, priorities and commissioning workshopInnovation Agency
Presentations at the NHS and Liverpool structures, priorities and commissioning workshop on Tuesday 11 September at The Accelerator Building, Liverpool
Martin McShane: Driving quality up with integrationThe King's Fund
Martin McShane, Director of Commissioning Development and QIPP, NHS Lincolnshire PCT Cluster, shares the key integrated care lessons he learnt from the USA and how these can be applied to the NHS.
Improving health and health care in London: Who will take the lead?The King's Fund
John Appleby introduces The King's Fund's report on health and health care in London, considering who will lead improvements and reform after Healthcare for London.
Sarah Pickup: The care and support White Paper - A single, simple and modern ...The King's Fund
Sarah Pickup, President of the Association of Directors of Adult Social Services, talks through the care and support White Paper and where it leaves us in terms of social care reform.
James Thompson explores the data behind the headlines, looking at delayed transfers of care in the NHS and in social care. Focusing on the numbers and survey results from The King's Fund's tenth quarterly monitoring report, he explains why we once again find delayed transfers under the spotlight.
Our infographics highlight some key facts and figures around leadership vacancies in the NHS and some of the difficulties NHS organisations face in recruiting and retaining people for executive positions.
Nicholas Timmins: The shifting nature of the health and social care funding d...The King's Fund
Should the settlement of health and social care in England be re-shaped? And if so, how? Nicholas Timmins looks at the shifting nature of the funding divide in England's health and social care systems, from pre-NHS to the current day. Find out more at: www.kingsfund.org.uk/commission
Ciaran O'Neill on NHS reform - a Northern Irish perspectiveThe King's Fund
Professor Ciaran O'Neill, School of Business and Economics, NUI Galway, gives his perspective on the proposed NHS refoms and outlines the health care system in Northern Ireland.
John Appleby: Health spending in the EU - how does the UK compare?The King's Fund
John Appleby, Chief Economist at The King's Fund, looks at how health spending in the UK compares with other countries and what the prospects are for spending on health care beyond 2015.
Volunteering in acute trusts in England infographicsThe King's Fund
Our new set of infographics looks at volunteering in acute trusts in England – including the important roles volunteers play, the variation in the number of volunteers between trusts and volunteering growth in future.
These infographics are for you to use and share – please just mention The King's Fund when you do so.
Dr Al Mulley: The Secret to Reducing Unwarranted VariationsThe King's Fund
Dr Al Mulley, Director of the Dartmouth Center for Health Care Delivery Science at Dartmouth College, introduces the theory behind good and bad health care variation, looking at the work of Dr Jack Wennberg in the United States.
Population Level Commissioning for the Future
Wednesday 3 December 2014, 1pm – 1.45pm
Dr Abraham George
Assistant Director/Consultant in Public Health
Kent County Council
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
NHS and Liverpool structures, priorities and commissioning workshopInnovation Agency
Presentations at the NHS and Liverpool structures, priorities and commissioning workshop on Tuesday 11 September at The Accelerator Building, Liverpool
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Large Scale roll-out of telehealth/Telecare : approach and examples – Scotla...flanderscare
Wat is de toekomst van zorg op afstand in Vlaanderen? Dat was de centrale vraag van het event van 17 juni. 100 deelnemers dachten hier samen over na. Studiebezoeken aan andere Europese regio's toonden dat daar reeds op grote schaal met telecare en telehealth gewerkt en geëxperimenteerd wordt.
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
Public Health contribution towards LTC Year of Care Commissioning ModelNHS Improving Quality
Public Health contribution towards LTC Year of Care Commissioning Model
Dr Abraham P. George
Consultant / Asst Director in Public Health
Kent County Council
What is the long term conditions commissioning model?
Bethan George: Creating and using linked data sets Nuffield Trust
Bethan George, Deputy Director at the Waltham Forest, East London and City (WELC) Integrated Care Programme, presents on creating and using linked data sets.
The path to integration: health and social care – Elaine BaylissNHS Improving Quality
Quality of Life and Death Electronic Palliative Care Co-ordination Systems (EPaCCS)
Improving End of Life Care – Elaine Bayliss
The Path to Integration Health and Social Care
The Wirral Way
Elaine Bayliss is an Improvement Manager and Domain Lead for End of Life Care and EPaCCS, NHS IQ
Presented at NHS Confed 2013
How will Sustainability and Transformation Plans (STPs) help deliver the Five Year Forward View?
Matthew Swindells and Simon Enright, NHS England, and Julia Ross, North West Surrey CCG
Day One, Pop-up University 7, 10.00
Similar to Sandie Keene: Whole systems approach to assessing the current and future needs of local populations (20)
Understanding NHS financial pressures: visual resourcesThe King's Fund
This slideset contains key visual elements from our report, Understanding NHS financial pressures: how are they affecting patient care? Please feel free to share and re-use these graphics with credit to The King's Fund.
Nine characteristics of good-quality care in district nursing taken from interviews with patients, carers and staff.
We hope this framework and these slides will be a useful resource for you – please feel free to use them in your work, in documents and presentations.
As part of a joint learning network on integrated housing, care and health, The King's Fund and the National Housing Federation have produced a set of slides illustrating the connections between housing, social care, health and wellbeing.
We hope they will be a useful resource for you – please feel free to use them in your office, in documents or presentations.
District councils’ contribution to public healthThe King's Fund
Our health is primarily determined by factors beyond just
health care. These slides illustrate the ways in which district
councils influence the health of local people through their key
functions and in their wider role supporting communities and
influencing other bodies.
The King’s Fund Events organise more than 20 health and social care events each year. Our highly-regarded conferences attract leading speakers from the government, the NHS, local authorities and the independent and voluntary sectors.
Jos de Blok set up Buurtzorg – which means ‘neighbourhood care’ in Dutch – with a team of four nurses. Today there are nearly 8,000 Buurtzorg nurses in 630 independent teams, caring for 60,000 patients a year. Nurses in Sweden, Norway, Japan and the United States are adopting the Buurtzorg model.
Sharing leadership with patients and users: a roundtable discussionThe King's Fund
‘What more is possible when patients, service users and those delivering services share the leadership task in health and social care?’
We held a roundtable discussion with patient leaders and organisational leads to discuss this question. Our slidepack summaries the conversations, including the opportunities and challenges for patient leaders, and where and how to start shared leadership working.
Making the case for public health interventionsThe King's Fund
In partnership with the Local Government Association, we have produced a set of infographics that describe key facts about the public health system and the return on investment for some public health interventions.
We hope they will be a useful resource for you – please feel free to use them in your office, in documents or presentations.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Couples presenting to the infertility clinic- Do they really have infertility...
Sandie Keene: Whole systems approach to assessing the current and future needs of local populations
1. LEEDS JSNA
A whole system approach to assess
the current and future needs of the
local population
2. Lessons from our journey so far…..
• Ownership
• Integration – into the health and social care
system
• Community involvement
• Analysis – intelligence not information
• Qualitative and quantitative
• Localism – localities are key
3. This is Leeds – population 787,700 ( at present!) –
rising to over 1million by 2033
4. Index of Multiple Deprivation 2010 – 150,00 living in
the most deprived SOAs nationally
5. 2001-2009 components of change
18.0 Live B irths
Deaths
16.0
Net migratio n & Other change
14.0 To tal change
12.0
10.0
8.0
6.0
4.0
2.0
0.0
M id 2001-02 M id 2002-03 M id 2003-04 M id 2004-05 M id 2005-06 M id 2006-07 M id 2007-08 M id 2008-09
6. Understanding the geography
• 33 electoral wards
• 8 Parliamentary constituencies (with one extending beyond the
Leeds MD boundary)
• 3 Management Areas
• 10 Area Committees
• 108 Middle Super Output Areas
• 476 Lower Super Output Areas
• 3 Police Divisions
• 17 Neighbourhood Policing Teams
• 3 ALMOs and 1 TMO
• 28 Extended Services Clusters (school based)
• 38 Neighbourhood Networks (Adult Social Care)
• GP consortia
8. A picture of Leeds – 2008/9 JSNA
It gave clear priorities for partners:
• Responding effectively to demographic change
- Over 75s and children and young people
• Responding effectively to specific health and wellbeing
challenges
- Obesity, alcohol, drugs and smoking
• Counteracting widening inequalities between
neighbourhoods and key vulnerable groups
- Fragmentation across neighbourhoods and communities
9. Key actions from the JSNA 2008/9
• Embed the governance and accountability into wider partnership
arrangements (through Healthy Leeds, Joint Strategic
Commissioning Board)
• Closer alignment of planning and commissioning cycles (LCC and
PCT)
• Process in place – Joint Information Group and Strategic
involvement group for a continuous process/review of HNA and
HNA template agreed for improved quality
• Populate data gaps (e.g. equalities and mental health data in
particular) and improve projections and predictive modelling
• Locality profiling : Development of 108 neighbourhood profiles
at MSOA level
10. Locality profile – example Little London
Neighbourhood Indexes were developed for each middle level SOA, these are
now being revised to include more detailed data
11. Example of Impact – Area Committees
• Joint Health Improvement Managers
• Locality Partnerships
• Prioritisation and Investment
• Actions
– Alcohol
– Multi-Agency Referral Scheme (MARS)
– COPD
– Smoking Cessation
12. Reducing Infant Mortality rates – a locality
approach
Mortality under 1 year per 1,000 live births
30.00
rate per 1,000 live births
25.00
2003-2005
20.00
2004-2006
15.00
2005-2007
10.00
2006-2008
5.00
2007-2009
0.00
Chapeltown Beeston Hill Leeds
source: NHS Leeds Cluster Information Service
Target to Reduce the IM rate in ‘deprived Leeds’ to 7 per 1000 live births by
2013. (Leeds average 5.8; deprived Leeds – 8)
Two demonstration sites – Chapeltown and Beeston - multi agency response
13. Impact of housing on health
Report commissioned from Sheffield Hallam and York
University
• Investing in Leeds’ housing stock will enhance the health of
residents
• Improving the energy efficiency of the Leeds housing stock
will reduce fuel poverty
• There should be an integrated programme of investment in
home safety measures and home adaptations to maintain the
independence of older residents
• Leeds Council should invest in home security measures as
part of an integrated package to improve health by reducing
crime and fear of crime
14. Leeds Housing Strategy
Built on the Leeds JSNA: 3 priorities
- Increasing the supply of affordable housing
- Improving housing quality
- promoting independent living
Research is now leading to:
- an assessment of impact across partners – e.g. police and
burglary reduction due to safety in homes
- An invest to save model now produced to enable LCC to
estimate saving from investments in the housing stock e.g.
energy efficiency and saving on health care for chronic
conditions
15. Financial Inclusion
• Leeds city council led multi-agency financial
inclusion steering – 3 priorities with key initiatives =
affordable credit, debt/money advice, financial
literacy
• Engagement with the voluntary sector – working
with CAB to establish how voluntary sector
information on their clients and areas of need can
add value to the JSNA with a focus on debt.
16. Key challenges going forward –
Qualitative data
• 2009 JSNA acknowledged this as a gap – gathered
surveys on City Council portal; established SIG
• 2010 – Analysis of common themes – using grounded
theory (Nvivo 9 software) – 105 sources gathered
• Aim – to develop a comprehensive consultation library of
qualitative information, analyse the information and
establish themes and recommendations to feed into the
refreshed JSNA
17. Emerging themes
• Children/Young people
• Mental Health
• Transport
• Older People
• Access to Services
• Healthy Lifestyles
18. Analysis – intelligence not information
Review of all Health Needs Assessments completed since 2008
with the aims of:
• To undertake a content review of recently completed needs
assessment, against the priorities and data gaps identified by
the JSNA
• To identify the main themes and priorities arising from needs
assessments
• To develop a proforma for locally produced needs
assessments to lead to quality intelligence
19. Embedding within the commissioning
process
• In 2009 NHS Leeds was recognised for its work on the JSNA
within the WCC process
• The JSNA was taken through both Executive within Leeds City
Council and Scrutiny Committee – embedded in strategies (e.g
the Housing strategy)
• Programme of work used the JSNA analysis in their
commissioning process – maternity services
• However there remains the challenge to embed it through all
commissioning in the city to ensure services are delivered in
relation to needs – the new Health and Wellbeing Board and
Clinical Commissioning groups are an opportunity to revisit this
20. Where are we now?
• Refreshing quantitative data set and analysis of qualitative data to feed
into shadow Health and Wellbeing Board in September and LCC State of
the City report
• Two joint workshops held to consider quantitative and qualitative data and
add ‘the story behind the data’
• Wider workshop planned for all partners in September to consider the 7
quality themes identified by Local Government Improvement and
Development to ensure ownership
• Shadow Health and Wellbeing Board first meeting to explore their role in
relation to the governance of the Leeds JSNA to ensure a whole system
approach to assessing need and agreeing priorities for Leeds for now and
the future.