1. Gateshead Local Strategic Partnership JSNA for Circulatory Disease Jean Brown, Public Health Management Consultant Don Watson, Development Officer, Gateshead Council Andy Billett, Public Health Analyst

2. JSNA priority - adults/older people Premature mortality due to cardiovascular disease - inequality gap is not narrowing Life expectancy gap – 20% (M), 30% (F) due to circulatory disease “Tackle circulatory disease through early identification of those at high risk and working closely with PCT led initiatives to reduce risk factors”

3. Changing service delivery Implementing an identified JSNA priority Prevention –CVD risk assessment programme Community care –Rehabilitation in the community –Social care

4. Modelling and forecasting Liverpool University IMPACT model Modelled contribution of different interventions to improve heart health towards reducing mortality Use results to –predict effect of planned interventions –modify balance of delivery

5. Moving resources upstream Implementing an identified JSNA priority Shifting resources from acute to community-based services and preventative measures –Our Health, Our Care, Our Say –Results from local consultation Monitoring shift of resources from acute care to prevention – financial modelling

6. Financial modelling Proposed output

7. Engagement with Stakeholders Commissioners –predicting health outcomes that should result from changes to service delivery –monitoring financial outcomes as services change Population and “at risk” population –extent of health issue for local populations –risk factors – diet, exercise, smoking –available “health check” and interventions

8. Small area health profiles Sources: All age all cause mortality rates 2004-2006, NCHOD at www.nchod.nhs.uk and NHS South of Tyne and Wear for small areas; diabetes prevalence, QOF from NHS Information Centre; uptake of MMR, 2007/08, NHS South of Tyne and Wear; smoking and 5 a day prevalence, 2008 South of Tyne and Wear Lifestyle Survey; educational attainment, Gateshead Council LEA; non-car ownership, 2001 Census, ONS; housing turnover, Gateshead Councilwww.nchod.nhs.uk an index of 100 represents poorest health, unhealthiest lifestyle, lowest car ownership etc.

9. Any questions?