HPG Annual Report Dr Kathryn Cobain Public Health Consultant On - PowerPoint PPT Presentation

HPG Annual Report Dr Kathryn Cobain Public Health Consultant On Behalf of the Director of Public Health www.worcestershire.gov.uk

2 Overview • Council statutory duty ensure all parties discharge their roles effectively for protection of local population • The DPH has pleasure in reporting overall robust performance • All partners have worked hard in year to address issues that were reported on last year and ensure robust system wide solutions and processes • Fragmentation in the system and a need to work closer together www.worcestershire.gov.uk

3 Screening programmes • Uptakes generally around national averages. BUT this means in bowel screening programme 40% eligible don’t uptake screening! • Downward trend of uptake in breast and cervical cancer screening programmes • Missed opportunity! Screening programmes should be aiming for 100% • Inequalities/higher risk (lifestyle/socioeconomic factors) are less likely to be screened • Need to better understand local screening profile and develop action to improve uptake • Also locally not on trajectory for implementing of bowel scope www.worcestershire.gov.uk

4 Vaccination programmes • Uptake in some programmes is reducing. • Some are now below national clinical standard to control disease and ensure patient safety! (Child programme) Flu • Flu vaccination key element for system resilience over the winter period • Good uptake in healthcare workers locally! Need to embed flu vaccination uptake in social care workforce • Under 65 at risk! only half of those eligible receive a vaccine! www.worcestershire.gov.uk

5 Other Issues highlighted by HPG 17/18 • Poor air quality intermittent and linked to congested streets at peak traffic times • WRS successful performance but challenges to maintain preventive versus reactive activity evident (PHRFG) • There have been a number of incidents this year in equitable healthcare provision for our prison population • Local Health Resilience Partnership (LHRP) Audit highlighted a number of issues to be resolved in system wide surge capacity • System pieces of work completed this year now need to be embedded (TB service review, Oral health needs assessment, Surge capacity and UTI avoidance work) www.worcestershire.gov.uk

6 Summary Work better together to…….. 1. Reach 100% uptake in screening and immunisation programmes and reduce access inequalities 2. Ensure system resilience in promoting uptake of health and social care flu immunisations 3. Ensure system resilience to balance preventive and reactive work within Worcestershire Regulatory Services 4. Ensure and advocate for equitable healthcare access for prisoners 5. Embed system work completed on TB, Surge Capacity, Oral health and Infection avoidance. www.worcestershire.gov.uk

7 Cancer 1 Standard 2 Geography Indicator Lower threshold 2010 2011 2012 2013 2014 2015 2016 2017 Worcestershire 81.0 81.8 82.2 80.7 79.4 79.6 79.5 79.2 2.20i - Cancer screening coverage - breast cancer (%) 70 80 England 76.9 77.1 76.9 76.3 75.9 75.4 75.5 75.4 Worcestershire 77.4 77.5 77.1 75.5 75.5 75.5 75.0 74.9 2.20ii - Cancer screening coverage - cervical cancer (%) 75 80 England 75.5 75.7 75.4 73.9 74.2 73.5 72.7 72.0 Worcestershire 62.4 62.1 62.1 2.20iii - Cancer screening coverage - bowel cancer (%)* 55 60 England 57.1 57.9 58.8 www.worcestershire.gov.uk

8 ANNB/DESP/AAA Lower threshold 1 Standard 2 Indicator Geography 2013 2014 2015 Worcestershire 0.0 0.0 0.0 2.20ix - Infectious Diseases in Pregnancy Screening – Hepatitis B Coverage (%) #N/A #N/A England 97.9 97.4 98.1 Worcestershire 0.0 0.0 0.0 2.20viii - Infectious Diseases in Pregnancy Screening – Syphillis Coverage (%) #N/A #N/A England 98.0 97.4 98.2 Lower threshold 1 Standard 2 Indicator Geography 2013/14 2014/15 2015/16 2016/17 Worcestershire 0.0 0.0 0.0 0.0 2.20vii - Infectious Diseases in Pregnancy Screening – HIV Coverage (%) ≥ 95% ≥ 99% England 98.9 98.9 99.1 99.5 Worcestershire 0.0 0.0 0.0 0.0 2.20x - Sickle Cell and Thalassaemia Screening – Coverage (%) ≥ 95.0% ≥ 99.0% England 98.9 98.9 99.1 99.3 Worcestershire 99.1 0.0 99.1 0.0 2.20xi - Newborn Blood Spot Screening – Coverage (%) ≥ 95.0% ≥ 99.9% England 93.5 95.8 95.6 96.5 Worcestershire 98.8 99.4 99.8 0.0 2.20xii Newborn Hearing Screening – Coverage (%) ≥ 97% ≥ 99.5% England 98.5 98.5 98.7 98.4 Worcestershire 0.0 0.0 0.0 2.20xiii - Newborn and Infant Physical Examination Screening – Coverage (%) ≥ 95.0% ≥ 99.5% England 93.3 94.9 93.5 Worcestershire 0.0 0.0 0.0 2.20v – Diabetic eye screening - uptake (%) ≥ 70.0% ≥ 80.0% England 82.9 83.0 82.2 Worcestershire 86.3 84.8 84.3 85.8 2.20iv – Abdominal Aortic Aneurysm Screening – Coverage (%) ≥ 75% ≥ 85.0% England 77.4 79.4 79.9 80.9 www.worcestershire.gov.uk

9 Flu/Shingles 1 Standard 2 Indicator Lower threshold Key Geography 2010/11 2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 Worcestershire 92.4 84.8 87.4 3.03xii - Population vaccination coverage - HPV (%) 80 90 <80 80-90 >=90 England 89.4 87.0 87.2 Worcestershire 74.9 71.6 72.4 72.0 72.9 73.3 73.1 3.03xiii - Population vaccination coverage - PPV (%) 65 75 <65 65-75 >=75 England 70.5 68.3 69.1 68.9 69.8 70.1 69.8 Worcestershire 73.3 74.8 74.0 74.3 74.2 72.6 72.7 3.03xiv - Population vaccination coverage - Flu (aged 65+) (%) 70 75 <70 70-75 >=75 England 72.8 74.0 73.4 73.2 72.7 71.0 70.5 Worcestershire 52.2 53.7 52.3 54.9 54.1 49.4 53.4 3.03xv - Population vaccination coverage - Flu (at risk individuals) (%) 50 55 <50 50-55 >=55 England 50.4 51.6 51.3 52.3 50.3 45.1 48.6 Worcestershire 38.0 39.1 40.2 3.03xviii - Population vaccination coverage - Flu (2-4 years old) (%) 30 40 <30 30-40 >=40 England 37.6 34.4 38.1 Worcestershire 64.5 58.5 50.8 3.03xvii - Population vaccination coverage - Shingles vaccination coverage (70 years old) (%) 50 60 <50 50-60 >=60 England 59.0 54.9 48.3 www.worcestershire.gov.uk

10 Childhood immunisations www.worcestershire.gov.uk