1. Health Inequalities - a briefing for staff Quentin D. Sandifer, Director of Public Health, NHS Camden and London Borough of Camden

2. Health map - Barton and Grant (2006) 3.

Male life expectancy gap between the worst (St Pancras & Somers Town) and the best (Hampstead) wards has fallen from 11 years to eight years

Male life expectancy across the borough has increased and is now almost in line with the average for England

The gap in mortality rate between the four worst wards and the borough average has decreased

The good news! 4. Preventing illness, and providing effective treatment and care

ProActive Camden Physical Activity Strategy 2010

Mental Health

• Community development workers outreach

• Changing Outcomes Programme

• Mental Health First Aid Training

• IAPT programme (improving access to psychological therapies)

• • Books on prescription service

• • Computerised cognitive behavioural therapy programmes for anxiety and depressing eg Beating the Blues mental health employment strategy

Drug and Alcohol

• Screening /interventions in the community for alcohol

• Drug Intervention Programme

• licensing

Enhanced Services in primary care for PWLD/Physical Activity Peer Support

Smoking

• Health Act 2006 ban on smoking in public places/smoking ban in Camden council introduced in 2007

• Camden Smokefree Alliance established 2006

• Smokefree Camden Health Bus

• Smoke free alliance action plan 2009/10

• Smoking cessation clinics inin deprived wards

5. But Mind the Gap!

Graph Shows 8 Year Decrease in Male Life Expectancy (5 year rolling average 2003-2007)

along the Northern Line within the London Borough of Camden.

6. Addressing the underlying determinants of health

Place shaping

Regeneration 100m investment

• employment schemes

Decent homes / Estate Regeneration

Pathways for All/overcrowding

• engaging new tenants

• health champions training for housing options staff

Employment

• Job Centre Plus Progress to Work

• outreach for BME groups

Education raising attainment/pupil tracking/White Working Class project

Open spaces

• 43 parks and open spaces/development of 29 play areas aimed at 8-13 year old outdoor gyms in 8 parks in deprived wards

Fuel Poverty

Green Transport Strategy since 1997 current version 2008-12

• Reduced traffic by 24% since 1997 , car use down by 36%, cycling increased by 65%

• Health walk maps (with NHS)

• Walk to work week

• Camdens Walking Plan/ Cycling plan

Community safety

• Making people feel safe encourages people to get out and about

7. Engaging communities and individuals

Camden Active Health Team (CAHT)

• Clinical Referral for Physical Activity (CRPA) scheme

• community exercise programmes

• Shape Up

Healthy Communities Action Group

• Green gyms

ProActive Camden

Good food for Camden Strategy 2009-12

8. Under 75, all person mortalitycirculatory disease, 2005-2007 9. The Killer Facts

There is an 8 year gap in male life expectancy between Hampstead and St Pancras & Somers Town, and a 7 year gap in female life expectancy between Hampstead and Kentish Town

St Pancras & Somers Town and Kilburn wards are amongst the 15 wards with thelowest male life expectancy in London.

Circulatory disease (32% of all deaths) and cancer (28% of all deaths) are the biggest killers in Camden.

10. NHS Health Checks

• • NHS Health Checks are available to ALL across the borough

• • Highlights potential long term problems, including:

• • • Heart disease

• • • Stroke

• • • Diabetes

• • • Kidney disease

• • Free, simple and only takes 20 minutes

• • Making a difference now and in the future

• • Take action now before its too late

Crowndale Centre Meeting Rooms 11. One Check, Many Routes of Access

GP surgeries

Pharmacies

High street shop front premises

In the community (i.e. temporary or mobile sites (including our health bus )

Community as one-off outreach sessions

Crowndale Centre Meeting Rooms 12. NHS Health Checks in Camden informed by Social Marketing People Like Me Campaign targeting Men 13.

Improve your health and reduce health inequality Any Questions?