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Health and Wellbeing Luton Forum

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					   Health and Wellbeing


      Pam Garraway,
           Chair
Health and Wellbeing Board
         Joint Strategic Needs
          Assessment (JSNA)
• Identifies areas which show high levels of
inequality, providing focus for future activity
• Addendum completed during 2009
• 2011 – fully updated
• Health inequality strategy driven from
  JSNA data
        What do we know?

Mortality rates – Females (NI 120)
• 08/09 Luton 570 rate per 100,000 of
  population
• National 487
• EoE 458
• 09/10 is 562
• target for 10/11 is 500
        What do we know?

• Prevalence of smoking is higher than
  nation and regional averages
Stop Smoking (NI 123)
• 08/09 989 Quitters against target of 955
• EoE average 846 Quitters
• 09/10 882 Quitters against target of 940
• 10/11 target is 946
Journey through Social and Health
          Care pre-2008
• 999 into hospital - Long Stay, delayed
  discharge
• Go to GP – referral
• Social Care Assessment
• Similar model for social care
• Residential Home/Nursing Home
• Home Care / Day Care

• Outcome - Little choice ,no control, traditional
  institutional style care, no measure of quality
                  Journey Today
• Hospital Admission, GP referral or social care referral management
  team
• Joint Assessment – social and health
• Discharge Planning commences at point of admission
• Twice weekly teleconference with partners - prevents delays in
  discharge (NI 131)
• Numbers on the hospital discharge list March 09 (135), March 10
  (25)
• Prevention initiatives
• Reablement
• If residential care required – improved quality of care (CRILL)
• Extra care accommodation – 2 new extra care homes
Outcome - reduced length of hospital stay, discharge in a safe and
  timely manner. Reduced level of care, and reduced readmittance.
            Profile of Mrs D
•   Smokes
•   Demographic – MSOA
•   Gender (F)
•   Age     (65)
•   Tenure (Social Housing)
•   Health (mild stroke)
                          Prevention
•   Telecare
•   Minor DFG‟s
•   Advocacy       “voices for all”
•   Toe nail Cutting
•   Timebanking
•   Bobby Scheme
•   Full of Life
•   Wellbeing Clubs
•   Home Repair Service (Age Concern)
•   Information and Support for carers
•   PrimeTime
•   Effective communication

Outcome – Broad and culturally diverse range of support services to aid
  independent living
                 Reablement
Condition deteriorates -
• Stays at home, free reablement package for up to 6
  weeks – increase in service users becoming
  independent
• Advice & Information
• Minor DFG‟s
• Effective signposting /Voluntary/Charitable Orgs
• In touch Service.

Outcome – reduced package of care that meets
 customers needs (NI 142)
            Mrs D has a full Stroke
• Dial 999 - Hospital admission
• Person Centred Joint Assessment
• 28 beds St. Marys for discharge - Success! 78% go
  home with no or reduced care
• NI 125      Discharge within 91 days
• Resource Allocation System (RAS)
• Assessments and support plans completed - support
  delivered timely and in the right manner (NI 132/133)
• Personal Budget -NI 130
• Review
Outcome - Increased Choice & Control, Reduced package
  of care, Outcomes Monitored
               Challenges

• Physical activity (NI 8)
• Low levels of reported activity (Active
  People survey)
• Links to obesity, including childhood
  obesity
• Healthy Places, healthy lives
             Challenges

• Safeguarding
• Lifestyle factors
• An ageing population, and the services
  they will require
              Challenges

• Transforming primary and community
  service
• Introduction 3 digit number (111)
• White Paper „Liberating the NHS‟
  – GP consortia
  – Statutory Health & Well Being Board
  – Healthwatch

				
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posted:7/21/2011
language:English
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