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  • Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

  • Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

  • Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

    Overview of the health & wellbeing strategy performance report June 2015 The health & wellbeing strategy (HWBS) dashboard bi-annual report shows how we are performing against the health & wellbeing strategy action plan (2014-16). The report includes an infographic front page that summarises our best achievements and areas for improvement (including all amber and red indicators), followed by a more detailed report summarising performance in each of the 9 key themes of the strategy. All the indicators have been Red/ Amber/ Green rated, except cancer screening (HWI 2.2, 2.3), because we do not yet have a local plan or agreement on performance milestones and indicators. We are also awaiting data around tooth decay in children (HWI 4.5). The current dental survey is underway this year for 5 year olds, with the data to be released in early 2016-17. Our best achievements (Green) Hounslow has achieved well against 8 indicators (Green) in the areas of tobacco control, NHS health checks, care assessments for older people, & obesity reduction in 5 year old children. Smoking prevalence (HWI 1.5) continues to drop in the borough with a near 4 percentage point drop since 2012-13 to 13.2% (2013-14). While 1342 quitters within the last year mean we are on track to exceed our 2015/16 target, although by a slightly smaller margin than last year (HWI 1.6). We are currently exceeding our target for NHS health checks offered (HWI 3.4) by 2%, and delivered (HWI 3.5) by 3%. Our work to reduce obesity in reception age children (HWI 6.3) has resulted in a 1.4 percentage point drop since 2012-13. We are also looking after older people better in the borough by providing 650 more care assessments than we did in 2013-14 (HWI 9.5). For our young people with mental health issues, we have provided timely referrals within 18 weeks for first consultations (HWI 9.6) including reducing waiting times within 18 weeks for those with more severe mental health issues (HWI 9.7). Areas requiring improvement (Amber) Obesity in Year 6 (11 year old children) has not dropped as expected compared to 2013 (HWI 6.4), & currently remains above target at 23.9%. The number of younger adults in care homes (measured as a rate) still remains above target (HWI 9.4), with an increase from the previous year (2014) to the current value of 10/100,000 population. Although rates of dementia diagnosis have improved (HWI 8.3), they remain below the local target of 73%. Our current performance at 66% is closer to the national target of 67%. Demand for neurodisability services has prompted additional funding from our CCG (HWI 9.1), followed by staff recruitment in December 2015 (HWI 9.2) Cancer screening rates (HWI 2.2, 2.3) for both breast (69%) & cervical (67.7%) within the borough are below the England averages of 75.9% & 74.2%. New initiatives have been introduced and continue through 2015-16 to increase breast screening levels across London and Hounslow. A major recommissioning exercise will merge six screening systems into one single London-wide screening programme (April 2016). Actions plans are in place for commissioned services with Ashford & St Peters hospital for cervical screening, with GP visits for supporting the programme starting in September 2015. A local rolling screening improvement action plan covering cervical, breast and bowel screening will be developed between the London Screening team and Hounslow partners in 2015-16, with a service evaluation report due in October 2015 (HWM 2.1).

  • Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

    Areas requiring immediate remedial action (Red) Although the rate of admissions of older people to care homes has increased over the last year, the total number of people in care homes has fallen by 13% over the last 14 months. Despite this drop the indicator is still red (HWI 7.6), because the current number (330) is more than 10% above the target (280). The increasing rate of admissions probably reflects a higher number of older people (as the 80+ population continues to grow) being admitted for short spells towards the end of their lives (i.e. receiving the care and support they need), while overall the number of older people in care homes has fallen as other more suitable care options are provided. Highlight report section 1: Smoking Reduction - Lead Officer Imran Choudhury

    Milestones status Reference Work stream Milestone Date due Comment on Outcome HWM 1.1 Stopping young

    people taking up smoking

    3020 children educated on the harms of smoking in assemblies. 31 young people stopped smoking (achieving 4-week quit). School nurses and welfare officers trained to Level 2.

    April 2015 Planned targets exceeded

    HWM 1.2 Helping tobacco users to quit

    1341 4-week quits (up to Feb 2015)

    June 2015 On track

    HWM 1.3 Reducing the harm of second hand smoke

    All council sites went smoke free for council employees on 11th March 2015. 46 smoke free homes and cars pledges (up to Feb 2015). Maternity sub-group to be established to discuss priorities and incentive pilot. Attended smoking in pregnancy workshop May 15.

    March 2015 End March 2015

    On track

    HWM 1.4 Effective enforcement and legislation

    Seizures of goods resulting from 2 collaborative raids with HMRC, Police and Trading Standards. Public Health transferred £12k to Community Safety to recruit an apprentice. Illegal Tobacco campaign in collaboration with Crime- stoppers (ended February 2015 – outcomes report received mid-March 2015). Apprentice advert gone out and should be in post by August 2015. Sniffer dogs resulted in large seizure of shisha and tobacco.

    End March 2015

    On track

  • Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

    Performance measures Reference Outcome

    (Performance Indicator) Frequency of data publication

    Polarity (higher or lower= better)

    Baseline (year)

    Threshold

    Current result (date)

    Target (March 2016)

    Notes

    HWI 1.5 Fewer people smoking (reduction in smoking prevalence)

    Annual Lower 16.9% (2012- 13)

    0.5% 13.2% (2013/14)

    G

    15% 2013 result shows good improvement

    HWI 1.6 More people quitting smoking (quitters) (annual 4-week quits monitored monthly - three month time lag)

    Annual Higher 1502 (2013- 14)

    5% 1341 (Feb 15)

    G

    1331 On track, this is data for April 2014 – Feb 2015)

    HWI 1.7 Increase number of homes that are smoke- free (more than 50 homes made smoke free in year)

    Annual Higher 50 (2013- 14)

    10% 46 (Feb 15)

    G

    50 On track

    Overall Commentary Completed by /date All planned smoking cessation and tobacco control activities on schedule

    Laura MacLehose – June 2015

    Highlight report section 2 – Cancer Screening - Lead Officer Imran Choudhury Reference Work stream Milestone Date due Comment on Outcome HWM 2.1 Breast & Cervical

    cancer screening Develop local action plans & targets

    April 2015 Action plan being developed between Hounslow and London Screening Team. 2014-15 service evaluation report due October 2015.

  • Soumya Kanti-Chatterjee Senior Public Health Intelligence Analyst 22 July 2015

    Performance measures Reference Measure/Performance

    Indicator Frequency of data publication

    Polarity (higher or lower= better)

    England average (2014)

    Current result (2014)

    Notes

    HWI 2.2 More women screened for breast cancer (Breast cancer screening coverage)

    Annual Higher 75.9% 69% Local action plan and associated targets have not yet been agreed, hence these indicators are not RAG-rated. Kindly see detailed commentary below

    HWI 2.3 More women screened for cervical cancer (Cervical cancer screening coverage)

    Annual Higher 74.2% 67.7% Local action plan and associated targets have not yet been agreed, hence these indicators are not RAG-rated. Kindly see detailed commentary below

    Overall Commentary Completed by /date Breast screening Breast screening is coordinated at national and London levels. Hounslow remains below the national and London coverage levels and achievable target for breast screening. It is above the NW London area team coverage average. A range of new initiatives were put in place through 2014/15 to increase uptake in screening across London, including Hounslow. These included: introduction of pre-invitation letters, second