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1.In November the Health and Wellbeing Board endorsed the Improving Liver Health in Derbyshire Plan* (a Public Health document); specifically designed to accelerate action on the key risk factors for liver disease, namely alcohol, obesity and viral hepatitis. 

Some of the issues discussed included:  

i.Latest evidence of higher levels of use of Tier 2 services locally – the modest drinker’s category.

ii.Chesterfield having the highest rates of alcohol related liver disease in the County. 

iii.Implications of people living with children. 

iv.The massive increase in non-opiate treatment service users.

v.Ageing drug misuse – crack cocaine

vi.Not having any Tier 4 services available in Derbyshire- for in-patient detox. 

vii.Derbyshire’s need for healthier places to support recovery - places to do healthy things, without alcohol.  

viii.The new drug to support alcohol misuse, now available through specialist therapists in social services, i.e. talking therapies.

ix.The need for asset building, empowerment and social capital work in communities; existing services are a challenge and professionals are wary about discharging to no support. There is Voluntary Sector potential. Service users say just want to do something useful, fun etc. Questioned access to social capital projects or potential of the Erewash Innovation model.

x.Public Health are looking at Healthy Workplaces, First Contact, vSPA and the wider community

*The Improving Liver Health in Derbyshire Plan will be circulated by NDVA as soon as it is formerly published. 

2.A61 Corridor – there will be a framework for including health into planning, applied for Healthy New Towns*, but not heard anything yet. 

*Healthy New Towns is a new initiative, to put health at the heart of new neighborhoods and towns across the country. There will be a renewed focus on new affordable housing by offering support from the NHS to help “design in” health and modern care from the outset. Up to five long-term partnerships will initially be selected from across the country.

3. Health Checks/Equity Audit – was a targeted approach.  Sampled invitations given, but not reflected in the uptake; high risk i.e. men, disadvantaged still not engaging.  A set of recommendations to be made about how move forward. 

4.The recent Domestic Violence and Sexual Abuse Health Assessment is generally considered to be a good piece of work which has helped to re-commission community services.   A single helpline for domestic abuse for county to start in New Year. 

5. Multi morbidity in care homes.  Work identify burden of disease in care homes has been going on for years. Many residents are living with multiple conditions. This new work, led by Kate Needham, NDCCG will develop over time and allow to commission appropriately. 

6. State of Cancer in Derbyshire – A Derbyshire Cancer Steering Group, accountable to the JSNA and Health and Wellbeing Board, has been formed to create a resource that can be used by health and social care partners, voluntary sector and the public to provide understanding of the current and future state of cancer within Derbyshire. The group will work to collate existing national strategy, reports and guidance, data tools and profiles, and key links onto a dedicated resources page on the Derbyshire Observatory.

 

Note: The ageing population and increasing prevalence of lifestyle risk factors such as obesity mean that cancer incidence is increasing, with a 20-30,000 new cases expected each year by 2020.  Cancer prevalence is projected to increase to 3.4 million people by 2030.  Breast, lung, prostrate and colorectal account for half of all diagnoses, and 40% of all cancers can be attributed to lifestyle factors.  

A five-year strategy ‘Achieving world-class cancer outcomes: a strategy for England 2015-2020’ was published in July 2015 (Click here to open) and gives 95 recommendations. As an example, I’ve pulled out no.73 (Section 7.7 - Provision of Care in the Community) which states, “Cancer is not the only condition where survival has dramatically improved and people are now living long-term with the consequences of their condition or treatment. Many of the services that would benefit those living with cancer would also benefit those with other long-term conditions. Furthermore, our cities, towns and villages can be designed and developed in ways which promote a sense of wellbeing and liveability through integrated physical and social assets and infrastructure. This approach enables organisations to support residents living with and beyond cancer from becoming isolated or trapped within a narrow home, work or family environment.”  

Recommendation 73: CCGs and HWBs should work to identify and promote best practice in approaches to support people living with and beyond cancer. They should involve individuals and organisations beyond the NHS, for example employers, community organisations, and charities.

 

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