improving health & wellbeing & reducing health inequalities in fife fife health &...
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Improving health & wellbeing &
reducing health inequalities in Fife
Fife Health & Wellbeing Fife Health & Wellbeing AllianceAlliance
Reducing Health InequalitiesReducing Health Inequalities
Health varies in Fife in relation to• Socio-economic status• Gender • Ethnicity• Place of residence• Other inequalities
All cause mortality rate per 100000 All cause mortality rate per 100000 population aged under 65, by population aged under 65, by
interzone, Fife and Scotland, 2006interzone, Fife and Scotland, 2006
0
100
200
300
400
500
600
700
800
rate
per
100
000
po
pu
lati
on
ag
ed u
nd
er 6
5
Fife Scotland
Interzone
Percentage of women smoking in Percentage of women smoking in pregnancy by interzone, Fife and pregnancy by interzone, Fife and
Scotland, 2005-07Scotland, 2005-07
0
5
10
15
20
25
30
35
40
45
50
interzone
per
cen
t Fife
Scotland
Percentage of S4 children attaining English and Maths at SCQF level 3 and above, 2006
Looked after children 40%
Fife 89%
Scotland 91.3%
Risk factors for teenage pregnancy
• Poor attendance rates and dislike of school
• Poor educational attainment
Reducing health inequalitiesReducing health inequalities
What works?
Environment/legislation/regulation/
fiscal policies
Income support/reducing price barriers
Improving accessibility of services
Prioritising disadvantaged groups
Starting young/offering intensive support
FHWA
Children’s Services Group
Sustainable Communities Group
Health & Social Care Partnership
Fife Housing Partnership
DAAT
Improving Health & WellbeingImproving Health & WellbeingWell-being
Population health
Health inequalities
Individual behaviours
Economic, and physical environments
LONG-TERM HIGH LEVEL
OUTCOMES
INTERMEDIATE OUTCOMES
SHORT-TERM OUTCOMES
Outputs
Inputs
Processes
Performance management
SOA Community Plan
JHIP Outcome Indicators
Outcomes related to JHIP focus areas
HIF & FSF Agreements
INDICATORS Current State
Trend
OUTCOME: REDUCED HEALTH INEQUALITIES
All cause mortality under 65 years rate per 100,000 population in 20% most deprived areas compared to 20% least deprived areas in Fife
Smoking in pregnancy in 20% most deprived areas compared to 20% least deprived areas in Fife
Low birth weight babies in 20% most deprived areas compared to 20% least deprived areas in Fife
All cause mortality under 75 per 100,000 population in regeneration areas compared to Fife
Cancer mortality under 75 rate per 100,000 population in regeneration areas compared to Fife
Coronary heart disease mortality under 75 rate per 100,000 population in regeneration areas compared to Fife
OUTCOME: HEALTHIER ENVIRONMENTS AND COMMUNITY WELLBEING
Current State
Trend
% of Council-owned homes meeting Scottish Housing Quality Standard
Annual number of affordable housing units delivered through government subsidy
Annual number of affordable housing units delivered through private sector
N/A
% of Fife residents rating their area as a very good or fairly good place to live
Young people and alcohol
Reducing Heroin use in under 20s
Older people receiving intensive care at home as a % of older people receiving long term care at home or in a care home
OUTCOME: HEALTHIER LIFESTYLES
Breastfeeding
Teenage pregnancy
Young people and physical activity
Young smokers
Hospital admission rates for coronary heart disease
Hospital admission rates for respiratory disease
Cancer registrations
Fruit and vegetable consumption
Food poisoning notifications
Physical activity
Clear Leadership on health Clear Leadership on health inequalitiesinequalities
• Links across partnerships and agencies
• Influencing how/where services are delivered
Issues
Implementing/monitoring Implementing/monitoring JHIP activityJHIP activity
• Local service delivery
• Evaluation
• Learning from what works
• Targeting activity
• Developing better measures
Issues