Economic Factors • Lowest average wage levels • Inadequate housing and overcrowding • Low educational attainment • 6th most deprived local authority in England • High levels of: • Unemployment • Benefit claimants • Deprivation • Crime • Domestic abuse • Transience
Impact on Health • Worst life expectancy rates for men in England • Third worst for women • Significantly higher number of Children Looked After in comparison with similar areas • Highest rates of liver and lung disease in England • High prevalence of cancer, heart disease and stroke • Add to that high rates of mental illness, suicide, teenage pregnancy and drug abuse
Any questions? Commissioning more of the same …..?
NeighbourhoodsClinical Engagement- Mapping practices and resources Existing services Practice location and size Mosaic Groups of population Libraries, churches etc.
Blackpool Neighbourhoods FAR NORTH (20K) NORTH (30K) CENTRAL EAST (25K) CENTRAL WEST (26K) SOUTH CENTRAL (22K) SOUTH (38K)
Proactive New Models for Primary Care • Extensivist Service focused on High Risk frail elderly Patient cohorts • Re-orienting capacity in General Practice to implement Extended Primary Care Model • Ambition is to materially improve the Quality and Clinical outcome for this patient group • Driving up the quality of patient satisfaction • Reduced usage of Secondary Care - 23-45% reduction in admissions - 20-30% reduction in unscheduled attendances for targeted population
Partnership with Third Sector Fulfilling Lives • £10 million over 7 years • Complex mental health, substance misuse, homeless or criminal justice • Partner - Addaction Better Start • £45 million over 10 years • 0-3 year olds • Partner - NSPCC How good is your memory • Memory tests for 50-90 year olds