Anysh i r e P r i m a r y C a r e Tr u s t A n n u a l R e p o r t 2 0 0 8/ 0 9
Delivering a Healthier Anyshire
Improving health and services A Joint Strategic Needs Assessment (JSNA) is the means by which PCTs and local authorities will describe the future health, care and wellbeing needs of local populations and the strategic direction of service delivery to meet those needs. The JSNA provides analyses of data to show the current health and well-being of local communities, highlighting where inequalities exist and looks forward three to five years, so that services can be planned to meet future needs. Discovering Anyshire’s health needs Since April 2008, the Local Government and Public Involvement in Health Bill has required PCTs and local authorities to co-operate to plan health and care services in an holistic way in their area. A JSNA is ‘joint’ because it forms the basis of this co-operation. The JSNA then underpins the Local Area Agreement and the choice of local outcomes and targets.
‘‘Smoking, more than any other factor, cuts peoples life expectancy’’
The JSNA enables the development of the whole health and social care response to the needs identified, so it more closely meets the wants and needs of local people. It not only encompasses the measured needs of local communities, but also seeks the views of local people to help the planning of services. Evidence of effectiveness is also an important component of the JSNA, as it helps guide us towards what works, so that we invest in the best services in the future.
Improving health and wellbeing is one of the strands. This strand focuses on reducing health inequalities and increasing opportunities for healthier lifestyles, together with improving independence, choice and control. The key actions within this strand are to: • Increase average life expectancy and reduce health inequalities • Support 8,500 people to stop smoking over three years • Increase self directed support by redesigning social care to create a service that is more personalised and offers more choice • Support more vulnerable people to achieve independent living
Reducing the health risks of smoking The Anyshire JSNA is progressing through various phases. The first phase gathered together all the available information on current health and care, enabling us to identify gaps in our knowledge. The next phase will add in the evidence for effectiveness whilst plans are made to gather the views of local communities. The JSNA is an ongoing process, with regular updates as newer information becomes available.
Better health by local agreement The Anyshire Local Area Agreement (LAA) was established on 1 April 2006 to bring together local partners including the PCT, local authorities, police, fire service and voluntary sector to set local targets agreed by central government to address a range of needs in the county. The agreement contains key targets that are considered critical to improving Anyshire.
Delivering a Healthier Anyshire
Smoking, more than any other factor, cuts people’s life expectancy - on average, smokers can expect to live 16 years less than non-smokers. As well as being the prime cause of cancer and heart disease, it also causes many other fatal conditions and chronic illnesses among adults. Reducing smoking involves: • Health education to prevent people starting to smoke, for example with children through the Healthy Schools initiative
• Brief advice and specialist support to help people give up smoking. We have dedicated stop smoking staff allocated to the most deprived areas • Tobacco control - promoting a smoke free environment and making smoke free the norm
In 2007/08 the Anyshire NHS Stop Smoking Service has helped 2,635 people to stop smoking - 100 more than the tough target set at the start of the year. The number of smokers has decreased dramatically across the east of England in recent years. Locally, the service particularly aims to help those most heavily addicted to smoking and those from disadvantaged/hard to reach groups that also find it more difficult to give up smoking. Specialist advisers are aligned to the five practice based commissioning group areas. They are responsible for the co-ordinated delivery, development and monitoring of stop smoking services within their allocated locality. They are also responsible for the delivery of training and ongoing professional support to front line staff, ensuring all interventions are delivered within NICE guidance and promote quality of service. The service offers free and confidential specialist advice and support on giving up smoking. For more information call 0800 013 0553 or email stop.smoking@Anyshirepct.nhs.uk
Tackling obesity-promoting healthy eating and increasing physical activity Nationally, obesity has continued to rise across all groups, with 23% of adults and 10% of children obese. It is predicted that two in five people in the UK could be obese by 2025, rising to one in two by 2050 (Government Office for Science, 2007). Across Anyshire, 9.3% of 4-5 year olds and 15.1% of 10-11 year olds are obese and it is estimated that there are 86,000 obese adults.
‘‘England has a vision to become the ‘best region’ in tackling childhood obesity’’
The Government ambition is to become the first country to reverse the rising numbers of obese and overweight people by ensuring that all individuals are able to maintain a healthy weight. They have made childhood obesity a priority over the next three years and the NHS in the east of England has a vision to become the ‘best region’ in tackling childhood obesity. In Anyshire, we have challenging targets to reverse the increase in childhood obesity over the next three years in addition to tackling adult obesity.
Above Starting early: children in Anyshire’s nurseries enjoy active play
A n y s h i r e P r i m a r y C a r e Tu s t A n n u a l R e p o r t 2 0 0 8 / 0 9
Issue 1 2008/09
The Public Health Annual Report for Anyshire is produced as a series of issues throughout the year. This issue contains the Health Profiles produced by the association of public health observations. These provide an overview of the health of Anyshire and it constituent local authorities. Subsequent issues of the Public Health Annual Report will focus on health issues in more detail. The health profiles presented remind us that •
The health of people in Anyshire is generally similar to or significantly better than the England average. However, rates of breastfeeding initiation and GCSE achievement are both worse than the England average. Measures of health better than the England average include the rate of hip fracture in people aged over 65 and hospital stays for alcohol related illness
There are health inequalities within Anyshire by location, gender, income and ethnicity. For example the largest difference in life expectancy between men living in the most least deprived areas within Anyshire is seen in Anyford and is almost 7 years
Over the past ten years, rates of death from all causes have decreased for men and women in Anyshire and have remained better than or close to the England averages. Early deaths due to heart disease and stroke and due to cancer have not reduced at the same rate as the England averages, but remain below the England values
• Over 1 adult in 5 smokes and smoking kills around 570 local people per year • Although the rate of teenage conceptions is lower than the England average, rates have risen in Anyford • Although overall the level of childhood obesity is similar to that of England, this hides wide local variation. Almost 1 adult in 4 is obese
INSIDE 1. Health Profile 2008 Anyshire 2. Health Profile 2008 Anyford 3. Health Profile 2008 Mid Anyshire 4. Health Profile 2008 South Anyshire
Healthcare when and where you need it We are making it easier to see your doctor and get the services you need
The local leader of the NHS www.anyshire.nhs.uk
Registering with or changing GPs If you are not registered with any doctor or would like to change your GP, you can find out about GP surgeries in your area, the services they offer and opening times by contacting NHS Anyshire on 01234 409432 or visiting the NHS Choices website at www. nhs.uk
Choose your hospital The NHS is giving you more choice over your healthcare. Now you can choose the hospital where you would like to be treated, in the NHS or independent sector. Choose a hospital that you are familiar with, one that is close to your family or one that can treat you more quickly. You may be able to choose a hospital that offers faster diagnostic tests. Ask your GP about the choices available.
Shorter waiting When your GP refers you to a specialist, you can expect your treatment to start within 18 weeks. This means better planning of tests and appointments, quicker diagnosis and earlier treatment. Help us to help you be seen sooner by: • Talking to your GP about your treatment to make sure you understand and agree to when and how you can expect treatment • Having a diary with you so you are ready to book appointments that are convenient for you • Keeping your appointments or letting the hospital or clinic know as soon as possible if you need to cancel or rearrange • Thinking about any questions you might want to ask and writing them down if this helps • Keeping a list of all medicines you are taking • Following any advice to get you ready for your treatment, such as stopping smoking or losing weight
Get the right treatment You now have a range of choices to ensure that you always get the right treatment for your needs. The next time you or a member of your family is feeling unwell and you are not sure what to do, use this checklist to help you decide. •
Treat yourself at home - a wellstocked medicine cabinet will help you with many common health problems, such as colds and flu, coughs, sore throats, indigestion, toothache, headaches and constipation. If you have children, don’t forget to include medicines for them too. And always consult a doctor if the problem persists or worsens
• Ask your pharmacist - for free expert advice on everyday illnesses, cuts and bumps, medicines, healthy eating, obesity and giving up smoking •
Contact NHS Direct - for confidential healthcare advice and information round the clock. Call 0845 46 47 to speak to an advisor or go online at www. nhs.uk or through NHS Direct Interactive via the red button on your digital TV remote. A text phone service is available on 0845 606 46 47
Contact your GP surgery - for general medical advice and treatment, prescriptions, referral to a specialist or hospital, if needed, and jabs and tests
NHS Walk In Centres - there are now two walk-in centres in Anyshire, where you can see an experienced nurse or doctor without an appointment for minor injuries and illnesses: - Putnoe Walk-in Centre in Queens Drive, Anyshire is open from 8am to 8pm seven days a week. Telephone: 01234 292969 - Luton Walk-in Centre in Chapel Street, Luton is open from 10.30am to 7.30pm Monday to Friday and 9am to 3pm on Saturday. Telephone: 01582 556400
Urgent care - when it’s not an emergency, but is too urgent to wait if your GP surgery is closed, phone the surgery for the out of hours number. You may be seen at home or offered an appointment at various centres in Anyshire during out of hours
Emergency hospital treatment - for severe breathing difficulties, chest pains, loss of blood, suspected broken bones or other medical emergencies, go to an A&E department or call 999 for an emergency ambulance
Emergency dental care - contact your dentist for emergency care arrangements. If you are not registered with a dentist, contact NHS Direct on 0845 46 47 for information about out of hours emergency dental treatment
Remember, A&E and 999 are for medical emergencies
STOP SMOKING SERVICE â€˘
Anyshire Stop Smoking Service 0800 123456
STUB T OUT The health benefits of quitting smoking 20 Minutes
Blood pressure and pulse rate returns to normal. Circulation improves in the hands and feet, making them warmer.
Oxygen levels in the blood return to normal. Chances of a heart attack start to fall.
Carbon monoxide is eliminated from the body. The lungs start to clear out mucus and other debris.
Nicotine is no longer detectable in the body. The ability to taste and smell is improved.
Breathing becomes easier as the bronchial tubes relax. Energy levels increase.
Circulation improves throughout the body making walking easier.
Breathing problems such as coughing, shortness of breath, and wheezing improve. Overall lung function is increased by 5-10%.
Risk of heart attack falls to about half that of a smoker.
Risk of lung cancer falls to about half that of a smoker. Risk of heart attack falls to about the same as someone who has never smoked. SOURCE: Nicotinell
Your Guide to Local Health Services 2009
Up-to-date information on local health services and useful contact numbers - Keep it handy
The Local Leader of the NHS www.anyshire.nhs.uk
About this guide As the leader of the NHS in Anyshire, we want you to have access to high quality local healthcare services when and where you need it. We also want to give you the advice and support you need to help you enjoy as healthy a life as possible. Weâ€™ve produced this guide to keep you informed on how we are spending your money and how you can access the range of healthcare services available to you. It has useful health tips, contact numbers and websites to health and social care organisations. Thereâ€™s also space to add any additional numbers you may need. I hope you will find it useful. A N Other Chief Executive, NHS Anyshire
Tell us what you think We welcome your feedback on this guide. Do you find the information useful? Is it clear and easy to follow? Is there any other information you would like? Please use the contact details on the back of this guide if you have any comments. If this guide has reached you in error, please accept our apologies. We do our best to ensure that all Bedfordshire residents receive our guide. Occasionally it may be delivered to some people living in neighbouring NHS authorities. We still hope everyone finds the more general health advice and information useful.
What we do NHS Anyshire, formerly Anyshire Primary Care Trust (PCT), manages all NHS money spent on healthcare in the county and is responsible for improving the health and wellbeing of the 420,000 people who live here. Our work includes planning, developing and commissioning services provided by hospitals, GPs, dentists, pharmacists and optometrists, by mental health services and community services such as district nursing, health visitors and therapists. We published our five year plan for local health services in March 2009. Called A Healthier Anyshire, it sets out our ambition to make health services in Anyshire world class over the next few years. To achieve this, we will:
• Invest more of the money we spend on prevention, which means more of a focus on healthy lifestyles and early intervention • Invest more in services in local communities, so that more treatment can be provided closer to home and hospitals can concentrate on more complex care • Offer patients more choice and convenience about when, where and how they are treated What do you think? We are consulting on our strategy until 1 June 2009. You will find information in GP practices, libraries and other public places. You can also go to our website www.anyshire.nhs.uk to find out more or call us on 01234 567890.
How we spend your money NHS Anyshire spent £477m on healthcare services 2007/08 which is an increase of approximately 9% on the previous year. The pie chart below shows where the money was spent.
% 1% 7% 7% 12% 12%
5.67 35.18 35.22 56.52 58.15
A Administration B PCT Provided Services C Other Community Services D Prescribing E Primary Medical Services (eg GPs) F Other Family Health Services G Maternity Services H General and Acute Hospital Services I A&E J Mental Health and Learning Disability Services
Our financial accounts for 2006/07 are published in our annual report which is also available on our website or by calling 01234 567890. www.anyshire.nhs.uk
CATCH IT • BIN IT • KILL IT Swine Flu Treatment Collection Points Swine flu is a new variety of flu that is spreading over the whole world. Symptoms include sudden onset of fever, cough or shortness of breath. Other symptoms can include headache, sore throat, tiredness, aching muscles, chills, sneezing, runny nose or loss of appetite. To help to limit the spread of swine flu it’s important to make sure that if you have symptoms, you don’t leave the house - don’t visit your GP or hospital - you should phone your GP or call NHS Direct on 0845 46 47 or go to the website www.nhs.uk If you think that you might have ‘swine flu’ stay at home, get a friend or a family member to collect treatment for you from one of the listed treatment collection points listed below.
Any Road Surgery, Anyshire................................................................................. 01234 567890 Any Road Surgery, Anyshire................................................................................. 01234 567890 Any Road Surgery, Anyshire................................................................................. 01234 567890 Any Road Surgery, Anyshire................................................................................. 01234 567890 Any Road Surgery, Anyshire................................................................................. 01234 567890 Any Road Surgery, Anyshire................................................................................. 01234 567890 Any Road Surgery, Anyshire................................................................................. 01234 567890 Any Road Surgery, Anyshire................................................................................. 01234 567890