Healthy Hastings and Rother - Working together to reduce health inequalities - NHS East ...
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Healthy Hastings and Rother Working together to reduce health inequalities Summer 2019
Reducing Health
Inequalities in
Hastings and Rother
As a local GP and chair of the CCG, my key priority is to ensure we
“ have high quality NHS services in our area and to help improve the
health of local people.
In the summer of 2014, the CCG launched the Healthy Hastings and
Rother programme, to tackle long-standing problems of relative poor
health in Hastings and Rother, aimed at reducing health inequalities
by improving local services and supporting people to live healthy and
happy lives.
This summary provides an
update on some of its excellent
projects and achievements over
the last 12 months.
We’re proud of the work of the
programme to date and I am
personally delighted that we
have now been able to share
the learning from this work
with our neighbouring CCG,
which covers the Eastbourne,
Hailsham and Seaford areas. This means even more East Sussex
communities can benefit from the innovative work Healthy Hastings
and Rother has been doing to improve the health and wellbeing
of local people.
We also look forward to continuing these projects and expanding
some of them across the rest of Sussex and East Surrey as we work
”
more closely together with the other CCGs and local partners.
Dr David Warden
Chair, NHS Hastings and Rother Clinical Commissioning Group
More than 187,000
residents
23 GP Practices NHS Hastings and rother CCG
Acute hospital services
Conquest
provided from two main Battle Hospital
Ë Rye Memorial
hospital sites Ë
Hospital
Bexhill
Two community Hospital
Ë
Hastings
hospitals
Bexhill
Eastbourne District
General Hospital
Ë
What is Healthy Hastings and Rother?
The programme aims to reduce galvanise the transformation of
health inequalities by improving health and social care services.
the health and wellbeing of people ESBT has worked to bring together
in Hastings and Rother’s most prevention, primary and community
disadvantaged communities. care, social care, mental health,
acute and specialist care.
It is led by NHS Hastings and
Rother Clinical Commissioning The NHS Long Term Plan commits
Group (HR CCG), and supported us to a greater focus on prevention
by our partners, including general and reducing health inequalities, by
practices, community pharmacies, increasing the NHS’ contribution to
East Sussex County Council, Hastings tackling the most significant causes
Borough Council, Rother District of ill health. Healthy Hastings and
Council, East Sussex Healthcare Rother’s impact and learning to
NHS Trust, Sussex Partnership NHS date will enable HR CCG, along with
Foundation Trust and the voluntary other CCGs across Sussex and East
and community sector. Surrey, to shape our plans with local
people, communities and partners,
The programme was originally which will deliver the ambitions of
part of East Sussex Better Together the NHS Long Term Plan.
(ESBT), set up in August 2014 to
What health inequalities do we have locally? Hastings and Rother contains the eight most deprived council wards in East Sussex. These experiences of deprivation contribute to higher rates of long-term illness, disabilities, cancer, lung disease and heart problems as compared with the rest of England. The contributing factors, which are presented on the next page, mean that people in these communities tend to have worse health and lower life expectancy compared with other areas. Men in the most deprived areas of Hastings are expected to live 11.5 years less than those in other areas of the town - the biggest gap in the south east of England. Life expectancy for both men and women is lower than the England average. Average annual earnings (£20,066) in Hastings are 24% lower than for the South East overall. 26% of children in Hastings and 17% in Rother live in poverty. 62% of the adult population of Hastings is estimated to be overweight or obese. 1 in 5 Hastings adults are estimated to have a common mental health disorder such as anxiety or depression. Almost 1 in 4 Hastings adults are smokers. Alcohol related admissions to hospital are significantly higher in Hastings compared to England. 30% of Hastings residents feel lonely living in their local area. Whilst under-18 conception rates in Hastings have reduced in recent years, they are still almost twice as high as for England overall.
The causes of
health inequality
Social, Access to
economic, Lifestyles and services
environmental behaviour Local people’s ability
to access local
e.g housing, jobs, e.g smoking,
services and support
education, transport, diet, exercise
that will benefit
income
their health
Health outcomes
Reduced life expectancy, higher rates of illness,
disability, and long-term conditions
What we’ve delivered
During 2018/19, working with statutory and voluntary sector partners
and local communities, we have continued to deliver a range of projects
designed to achieve Healthy Hastings and Rother’s five key objectives:
Reduce variation in access to or Empower communities to
quality of services - East Sussex improve health and wellbeing
Healthcare NHS Trust staff - Over 150 volunteers now
trained to Make Every Contact working within our Health and
Count (MECC), enabling them to Wellbeing Community Hubs
have conversations with patients supporting an increase in the
about their health behaviours. number of residents using the
Hubs.
Empower individuals to improve
health and wellbeing - 110 200 residents engaging
ambulance call outs or A&E in behaviour change and
attendances avoided through employment support
our Safe Space project, providing programmes with Optivo and
support to over 500 vulnerable Orbit Housing Associations.
young people in the Hastings
night-time economy. Enhance support for the health
needs of vulnerable population
More than 600 parents and groups - 600 adults received
carers accessed maternal social prescribing support to
and infant well-being support help with their mental health
programmes. and well-being with 220 referrals
made to specialist support and young people. Its priorities
behaviour change services. include promoting and
protecting the emotional
394 people with learning wellbeing and mental health
disabilities identified through of children, young people and
GP Practice audits and added families. All activities align
to registers for annual health with and enhance the impact
checks and health action plans. of the East Sussex Children
Improve the social and Young People’s Mental
determinants of health - fuel Health and Wellbeing Local
poverty reduced in 184 owner Transformation Plan and are
occupied and private rented being targeted with greater
homes through our Healthy intensity and scale at those
Homes Project. experiencing poverty or
disadvantage.
Hastings and Rother is also
currently benefitting from CHART contributes to
other investment programmes, addressing the wider social
including the Department determinants of health by
of Education’s Hastings stimulating local economic
Opportunity Area (HOA) 2017- growth and providing advice
2020 and the European Union and support to vulnerable
funded Connecting Hastings unemployed people in order to
and Rother Together (CHART) help them move closer, and in
programme 2018-2022. to, the labour market.
Healthy Hastings and Rother is
working closely with communities
and organisations to ensure
services are integrated and
accessible to disadvantaged
people.
The HOA is addressing social
mobility amongst children and
Our priorities for 2019/20
The NHS Long Term Plan commits the NHS to a greater focus on
prevention and reducing health inequalities. Healthy Hastings and
Rother will lead work to enable the CCG, in partnership with key
stakeholders, to develop its local plans focused on reducing health
inequalities in our most disadvantaged communities. During 2019/20, we
will therefore:
Use the Sussex and East Surrey- Develop and sustain our CCG’s
wide community engagement organisational culture and
work “Our Health and Care...Our leadership to promote and
FUTURE” to further develop the address equality and health
system, scale and sustainability inequalities.
of evidence-based initiatives to
reduce health inequalities. Ensure Equality and Health
Inequalities Impact Assessment
Continue to share Healthy is an integral part of our CCG’s
Hastings and Rother’s impact policy development and
and learning with our key reporting.
stakeholders.
Use the Social Value Act 2012
to inform our CCG’s priorities,
strategies and policies to help
reduce health inequalities.
Further develop social prescribing
activities to take action on health
inequalities.
To find out more about the work and achievements of Healthy Hastings and
Rother, get in touch.
Alternatively, you can visit our website, where you can find a downloadable
copy of our Key Services leaflet, providing access information on services
commissioned by the CCG and other partners.
HRCCG.enquiries@nhs.net @HastRothCCG
0300 131 4411 www.hastingsandrotherccg.nhs.uk
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