REORGANISING TO IMPROVE HEALTH AND TACKLE INEQUALITIES IN GREATER GLASGOW AND CLYDE TOM DIVERS CHIEF EXECUTIVE NHS GREATER GLASGOW AND CLYDE

KEY ELEMENTS OF REORGANISATION Integrated CHCPs (Community Health and Care Partnerships) Sorting out the muddle of community planning in Glasgow City Creating a Corporate Inequalities Team

INTEGRATED CHCPs Five CHCPs cover Glasgow City Bringing health and social services together in integrated organisations - with a major focus on improving children’s health and well-being New organisations with a key responsibility also for improving population health Charged with responsibility further to integrate service provision - building on successful evidence from integrated Addictions and Learning Disability Teams

SORTING OUT COMMUNITY PLANNING THROUGH THE GLASGOW PATHFINDER PREVIOUS ARRANGEMENTS ACROSS PUBLIC SECTOR 15 LHCCs 9 Area Social Work Teams 8 Local Economic Development Companies 29 New Learning Communities Police divisional command arrangements across Council boundaries

Local Community Planning Partnership Outcomes Improving Health Getting People into Work Creating a Culture of Lifelong Learning Creating a Vibrant City Making Glasgow Safer Reduce rates of smoking among adults by 11% by 2008 Reduce the number of people claiming worklessness related benefits by 11,959 by May 2009 Reduce the proportion of adults with no qualifications from 27% to 18% by the end of the plan Increase the proportion of Glasgow residents that participate in sport by 4% each year Reduce residents ’ experience of anti- social behaviour by 5% by 2008 target

Management Arrangements

10 GOALS FOR FOR AN INEQUALITIES SENSITIVE HEALTH SERVICE Collaboration between Corporate Inequalities Team and Glasgow Centre for Population Health Focused on three main headings: - engaging with populations and patients - developing the workforce - the Health Service’s role in society

ENGAGING WITH POPULATION AND PATIENTS (1) Knows and understands its diverse population and the nature of inequality and discrimination it experiences Develops and delivers meaningful engagement with those experiencing inequality and discrimination in order to design services and empower patients Recognises that positive behaviours for health will be more likely to be enacted if strategies for support are specifically designed to take the experience of social class, gender, race, disability, age, sexual orientation and faith into account.

ENGAGING WITH POPULATION AND PATIENTS (2) Understands and removes the obstacles to accessing frontline services and health information and prevents harmful, unlawful discrimination Inquires routinely about the experience of inequality and discrimination when patients present for care and mindfully manages treatment in the light of the issues identified.

DEVELOPING THE WORKFORCE Recruits and retains a workforce that represents, at all levels of the organisation, the diversity of the population Creates a working environment which prevents discrimination and prejudice from affecting patient care and develops the competency of staff leading and implementing an inequalities sensitive health service Reallocates available resources and manages performance in favour of the elements of an inequalities sensitive health service

THE HEALTH SERVICE’S ROLE IN SOCIETY Procures its goods and services to impact positively on health and social inequality Advocates for and contributes to economic and social policy which addresses income inequality, gender inequality, racism, disability discrimination and homophobia, as pre-requisites for good health.