Health challenges
Everyone who lives in Hackney knows that the borough is home to
an extremely diverse population. Rich and poor, black and white,
young and old. Everyone's here. Although the City's population is
much smaller, it also has many extremes. Ultimately, the local
population is the beginning and end of what matters in Hackney and
the City, creating needs but also providing the energy and
resourcefulness to meet those needs.
Our Outcomes
NHS City and Hackney has set targets to achieve better health
in key target areas.
Improve health and reduce health
inequalities
We will work to increase life expectancy
to 77 for men and 82 for women by the year 2013. In this time, we
hope to reduce the gap in life expectancy between our most and
least deprived communities by at least 3%, by improving outcomes in
our most deprived communities.
Improve access to high quality primary care
resulting in better management of long term
conditions
We will achieve a 5% improvement
in the management of diabetes, narrowing the gap between the local
population and the rest of the UK.
Tackle the emergency led health economy, reducing
emergency admissions
We intend to halt
the projected rise in alcohol related hospital
admissions. These numbers are significantly high locally
and alcohol is an important contributor to health inequalities.
Although the increase in admissions has slowed in the last two
years it is projected to increase significantly. Many of these
admissions and much of the harm caused by alcohol is avoidable
through effective harm reduction and treatment services closer to
home.
Improve the prevention, early detection and treatment of
cancer
Smoking is the most significant preventable
contributor to poor health and health inequalities. Smoking
cessation services are cost effective, and we have made good
progress in overcoming operational barriers to increase uptake of
services. Our trajectory reflects our ambition to increase service
activity while meeting the challenge of improving uptake of
services in a very deprived and diverse area.
Improve the detection and prevention of high
blood pressure, reducing premature death from heart disease and
stroke
Introduction of vascular health
checks will build on progress already made in identifying
hypertensive patients. Effective blood pressure control is a better
outcome measure and represents more stretch in terms of primary
care quality and care closer to home. Our trajectory is based on
benchmarking and historic performance. We intend to achieve an
increase in blood pressure control by 2% by 2013 (replacing BP
prevalence)
Improve the life chances of children (including
maternity)
Childhood obesity is a significant local
priority affecting nearly 40% of year 6 children. Our trajectory is
challenging, but the problem is amenable to change through close
collaboration with partners in delivering our Healthy Weight
Strategy. We intend to achieve a 2% reduction in childhood obesity
by 2013
Improve mental health and well-being
There
are high levels of mental health need across Hackney and our review
highlighted the limitations of outcome indicators currently
available. Improving engagement in drug treatment services remains
a priority given a large number of problem drug users have not had
contact with services and the harm drug use continues to cause in
Hackney. Our intention is to reduce drug dependency by increasing
the number of people in effective treatment, with a 27%
rise by 2013.
Reduce the spread of communicable
diseases
TB remains a local priority, but affects a
relatively small proportion of our population. Prevention of onward
transmission remains key and effective treatment rates have now
been achieved. Increasing the numbers of children immunised against
MMR to 90% at aged two and five by 2012/13 (replacing effective TB
treatment completion)
Imrpove the patient user and carer
experience
Improving the experience of patients,
service user and carers is a vital indicator of our success in
meeting the needs and aspirations of our population. We continue to
emphasise the importance of healthcare providers understanding the
needs and experience of their users. We aim to achieve 5% increase
in satisfaction levels in primary care by 2012/13.
Commissioning Strategic Plan
The Commissioning Strategic Plan (CSP) sets out the way in which
NHS City and Hackney, will realise its ambition to improve the
health and well being of residents of the City of London and the
London Borough of Hackney, over the coming five year period. Our
aim is to improve overall life expectancy to 77 for men and 82 for
women by the year 2013. We want to reduce the gap in life
expectancy between our most and least deprived communities by at
least 3%.
NHS City and Hackney’s role is to promote health and well being,
reduce inequalities and to ensure that services are available to
meet the health needs of the population. The CSP sets out our
vision for the next five years and how it will be achieved.
As local leaders of the NHS, we work with local partners to
determine priorities and our joint ambition. The quality of
our plan is testimony to the strength of the partnership and
clinical engagement within NHS City and Hackney.
Commissioning
Strategic Plan 2010 - 2015 2.66Mb
Commissioning Strategic
Plan 2009 - 2013 2.83Mb
The Health and Wellbeing Profile for Hackney and the City
(formerly known as the Joint Strategic Needs
Assessment)
What is it?
Hackney
Council and the City of London Corporation has teamed up
with the NHS City and Hackney to jointly assess the
health and well-being of their local communities.
Data collected for the Health and Wellbeing Profile for Hackney and
the City will be used to improve the way the councils and
the NHS City and Hackney commission services and set
priorities for local people.
It will produce a ‘big picture’ of local needs and provide evidence
on the best way to tackle inequalities and help vulnerable
people.
Why do we need one?
Many factors affect people’s health and well-being: earnings,
lifestyle, education, culture, the types of work people do as well
as age, gender and genetics.
In the past, local agencies often assessed their communities’ needs
in isolation. This meant lots of duplication and inefficiency with
little ‘joined up thinking’ by agencies who were frequently
providing services to the same ‘customer’ groups.
With the joint assessment, it is hoped to get a better
understanding of what local people need.
What will happen?
The councils and NHS City and Hackney will be talking to local
agencies dealing with health and well-being, as well as collecting
data to produce an assessment of current and future needs.
Who will be involved?
The Joint Director of Public Health for NHS City and Hackney and
the London Borough of Hackney are leading a working group of
key people from the council, NHS City and Hackney and
other agencies. The group will research and prepare the Health and
Wellbeing Profile of Hackney and the City.
How can you be
involved?
To find out how you can have your say on the 2009 Health and
Wellbeing Profile of Hackney and the City, please click
here.
Health and wellbeing
profile 3.5Mb
Key Findings
135Kb