Resident Engagement Event 31 st October 2018 Dr Gopal Mehta and - - PowerPoint PPT Presentation

South West A Resident Engagement Event

31st October 2018 Dr Gopal Mehta and Jennifer Walker

What is a Neighbourhood?

“Where we grow up, and the community we live in, has a massive influence on our health and wellbeing”

• GP practices have joined together to form 8 neighbourhoods along with their partners

from hospital, community, mental health, social care, housing services, community groups and local voluntary groups. Each Neighbourhood covers a population of around 30-50,000 people.

• Practices will work together and with the services listed above to coordinate health and

social care for people in their local area, and consider how to make the best and most effective use of local services.

• Each Neighbourhood is developing a set of priorities based on the health and social

needs of their particular area. There is also a strong focus on preventing ill health, reducing unnecessary hospital admissions and supporting people to gain control of their

• wn health and wellbeing.

What are our Neighbourhoods?

How did we decide on the areas?

• Looked at and explored a number of options
• Ward boundaries
• Local communities
• GP registered populations
• Children Centres
• Used national evidence of what has worked in other places
• Using GP practice populations as way of making the neighbourhoods offered a

number of advantages

• However…
• This will be reviewed
• We don’t want to split community groups and will work out which neighbourhood will be the

lead if they are split

• We are going to work with local councillors to make a strong link between wards and

neighbourhoods

Why do we need Neighbourhoods?

• There is an 7% difference between number of under 5 year olds

registered at GPs between the two most different neighbourhoods?

• 4.9% SW2 and City
• 12% NE1
• Did you now SE1 has the largest percentage of over 65 registered with

GP

• But even more significant variation by practice (Sorsby 12% and Trowbridge c. 2%)
• On the index of social deprivation there is also variation between

neighbourhoods

• SE2 highest (well above London and England average) and NW2 and SW2 + City

lowest (but still above London and England average)

• NE2 has the highest prevalence of diabetes of all neighbourhoods but

also the largest percentage of adults registered as obese

• More housebound patients in NW2 and NE2 than in the other

neighbourhoods

• Social isolation higher in SE1 and SE2 than in the other neighbourhoods

Did you know?

One size/approach doesn’t fit all - Neighbourhoods allow targeted approaches

• Significant variations in need across different areas
• Deprivation much more significant in Hackney Wick Ward than in Stoke Newington Ward

Opportunities to improve outcomes by working at a local level – Neighbourhoods allow opportunity to test approaches in areas of highest need

• Hackney performs less well than the London average across a range of life course indicators
• Immunisations at 12 months and 5 years
• Childhood obesity
• Adult smokers, adult binge drinking and deaths from drug overdose
• Male life expectancy
• Uptake of flu vaccinations

Evidence from Safeguarding Adult Reviews – Neighbourhood Teams can create trust, collaboration and improved communication

• Recent safeguarding adult reviews have shown a common theme relating to the need to improve “interagency working and communication”

Importance of work to improve population health – Neighbourhoods offer a framework to promote and deliver prevention work at a local level

• City and Hackney is committed to improving health outcomes and reducing health inequalities while there is increasing demand on public services

while spending is being squeezed

• Investment in prevention can have a range of impacts which help meets these goals while managing these pressures

What changes/differences can you expect to see as a resident?

• Local health (including mental health) and social care teams
• More joined up care
• Less repetition
• Improved communication across teams
• Plans agreed with residents
• Better access to services outside of health and social care
• Increased peer support
• Local volunteering
• Condition specific support
• Potential for more (needs driven) localised services

Teams within Neighbourhoods will…

Identify and nurture local leadership Communicate well across

• rganisational

boundaries Understand and focus on what their population needs Use evidence and good practice well Empower and listen to local residents Work effectively and collaboratively together

Work together to focus on prevention and broader determinants of heath

Work together to improve staff experience

Why are we holding this event?

We want to know what matters to you as residents in your area What you tell us that will help us shape the priorities for the work we are doing and we can feed it into the local leaders This will help us understand the potential gaps we have You use and experience the services we provide and understand the area you live in It will also help us to share information about what we’re doing better with you and on the things that matter to you And you can then shape how services are delivered in the local area

Some questions for you…

What other ways do you think we could get residents views on the area they live in? What are the best ways

• f feeding back

information to you about what we’re doing?

Any questions/more information

• If you’d like to get more involved with neighbourhoods, there are lots
• f opportunities
• Email
• Emily@healthwatchhackney.co.uk
• If you’d like more information about neighbourhoods
• Email
• Jennifer.walker9@nhs.net