Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director,...

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Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council

Transcript of Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director,...

Page 1: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Support from the Start

East Lothian’s Equally Well test site

Dr Sue Ross – Executive Director, East Lothian Council

Page 2: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

East Lothian One of 32 Scottish Unitary

Councils Known as ‘Edinburgh’s

garden’ Fastest growing population in

Scotland (90,155) A good place to live, bring up

families & retire to. Lot of service pressures esp.

housing, and care services for older people

Health is slightly above Scots average

Inequality is the issue

Page 3: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

20th century trends in life expectancy in Scotland and 16 other Western European countries

Life expectancy in years

30

40

50

60

70

80

1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000

Scotland

Page 4: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Health Inequality in East Lothian

Breastfeeding Rates

64.5

46.8

22.9 22.5

34

0

10

20

30

40

50

60

70

North Berwick East Lothian Wallyford &Whitecraig

Prestopnans Tranent N

Percentages – source Community Health Profile 2004

Page 5: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Health Inequality in East Lothian

Smoking during pregnanacy

16.9

24

31.930.9

32.1

0

5

10

15

20

25

30

35

North Berwick East Lothian Wallyford &Whitecraig

Prestopnans Tranent N

Percentages – source Community Health Profile 2004

Page 6: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Health Inequality in East Lothian

Children in workless homes

7.2

12.6

24.2

21.7 21.7

0

5

10

15

20

25

30

North Berwick East Lothian Wallyford &Whitecraig

Prestopnans Tranent N

Percentages – source Community Health Profile 2004

Page 7: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Ministerial Taskforce Report – June 2008

    “Scotland’s health is improving rapidly but it is not improving fast enough for the poorest sections of our society. Health inequalities remain our major challenge”

Page 8: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

The National Programme

• Health inequalities as Health Ministers’ top priority

• Key priority areas of children’s very early years; the big killer diseases of cardiovascular disease and cancer; drug and alcohol problems and links to violence; and mental health and wellbeing

• Established eight test site to find new ways of working at a community partnership level

Page 9: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Community Planning Partners making a difference by focusing services on pathways that can reduce health inequality in the early years of life.

Page 10: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

The Test Site approach

Consistent parenting, safe, nurturing early years, supportive education

Health behaviours

Opportunity to escape poverty. To have decent

housing, social networks, self esteem, control

Page 11: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Key Elements of Approach

Leadership – strategic, service & community champions

Learning – what works Engage with Communities Mainstream services Innovation

Page 12: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

Activities

Action learning sets Health & Early Years Learning Network Civic Conversation Social marketing Service mapping & redesign Measuring and evaluating change

Page 13: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.
Page 14: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

And finally

This is a change process – if we keep on doing what we have always done then we will not address the equity issues in our community

Page 15: Support from the Start East Lothian’s Equally Well test site Dr Sue Ross – Executive Director, East Lothian Council.

More information

Web log

http://edubuzz.org/blogs/equallywell/