Renewing Action for a Healthier Barnsley - Public Health Strategy 2018 to 2021 - Public Health Strategy 2018 to 2021 Produced by Barnsley ...
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Renewing Action for a Healthier Barnsley Public Health Strategy • 2018 to 2021 Public Health Strategy 2018 to 2021 Produced by Barnsley Metropolitan Borough Council, Public Health Directorate Design by Beth Heath
FOREWORD
Renewing our Public Health Strategy is an opportunity for us to refect on what we have
achieved with our partners to improve the health and wellbeing of Barnsley residents. We
want to renew our actions for a healthier Barnsley by working collaboratively to improve our
residents’ health and wellbeing at an accelerated pace. This approach strengthens our eforts
on prioritising policy level action to support individual behaviour change in order to improve
healthy life expectancy and reduce health inequalities.
The priority areas set out in this strategy have been selected for the impact they have in Barnsley
on avoidable illness and early death, and the consequences of both in terms of lost quality of
life, lost economically productive years and pressure on health and social care services. The
priorities also respond to key fndings from recent Director of Public Health Annual Reports.
In the 2016 report1, we heard about the impact of alcohol, depression, smoking, food and
exercise and how residents of Barnsley want to be “the best of the best”. The 2017 ‘A day in the
life of…’ report2 based on diaries of local residents describes people’s daily challenges that
afect their physical and mental health, and describes how to help individuals, their family, Cllr Jim Andrews
and their friends live healthier lives.
We have designed our approach to complement the existing strategic plans of the council
and the health and care system. Our Public Health Strategy will contribute specifcally to the
Health & Wellbeing Strategy, and the Barnsley Plan. Deputy Leader of the Council
We are grateful to our partners and colleagues across the council for their input in developing Cabinet Spokesperson
our renewed Strategy. for Public Health
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COPY VIA ANY OF THE FOLLOWING WAYS:
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Council, P O Box 634, Barnsley, S70 9GG
2
1
https://www.youtube.com/watch?v=_lhPPDhzH1I
2
https://www.barnsley.gov.uk/media/7655/director-of-public-health-2017-annual-report.pdf
Improving the oral
OUTCOMES AND PRIORITIES ACHIEVEMENTS health of children
As illustrated in Figure 1, (on page 4) our Public Health Strategy 2018-
2021 vision and long term outcomes remain as they were in our 2016-2018
4.3% reduction in adults 11% increase in the proportion
Strategy. The responsibility of delivering these long term outcomes lies smoking in Barnsley from of Barnsley children free from
with not only the public health distributed model but with collective action 22.5% in 2014 to 18.2% in 2017 dental decay
across the health and care system in Barnsley. Organisations with statutory
responsibilities work in partnership with all agencies, the voluntary sector
and local residents to make a contribution to public health. The successes Creating a 4.5% increase in the
of this partnership are evident in our local achievements. However, there smokefree number of child courses
is still more work to do to achieve our vision; that all Barnsley children are generation of f luoride varnish
given the best start in life and all our residents enjoy a happy, healthy life.
We have reviewed our 2016-18 priorities and these work areas all have 61% of adults are physically
Increasing levels
active and 28% of adults are
successfully established programmes in place and have achieved a of physical activity
physically inactive
number of signifcant results in the last 3 years. These existing priorities are
now business as usual and the programmes of work are well established
and show progress.
NEW PRIORITY AREAS 2016-2018 •
•
Oral Health of Children
Smokefree Generation
& BEYOND
TO 2021 • Physical Activity
To complement our 3 existing priorities, we have selected 3 new priority
areas; food, alcohol and emotional resilience. All the priority areas will
have robust action plans developed and shared with partners. Targets
for our public health priorities will be aligned to the developing work on PUBLIC
2018- • Food
the outcomes framework for the emerging Integrated Care Partnership. HEALTH • Alcohol
Figure 4 (on page 13) previews the work planned in these six areas. 2021 •
PRIORITIES Emotional Resilience
3 Public Health Strategy | 2018 to 2021
FIGURE 1
PUBLIC HEALTH STRATEGY
THE PUBLIC HEALTH STRATEGY WILL CONTRIBUTE TO ACHIEVING A
BRIGHTER FUTURE AND A BETTER BARNSLEY BY ENSURING CHILDREN
HAVE THE BEST START IN LIFE AND EVERYONE ENJOYS A HAPPY
HEALTHY LIFE WHEREVER THEY LIVE AND WHOEVER THEY ARE.
THE THREE BARNSLEY COUNCIL PRIORITIES WHICH WILL HELP US ACHIEVE THE VISION ARE:
WE WILL CONTRIBUTE TO THE THREE PRIORITIES THROUGH
OUR FOUR LONG TERM PUBLIC HEALTH OUTCOMES:
TO DEMONSTRATE WE ARE MAKING A DIFFERENCE IN A SHORTER
TIMESCALE WE WILL FOCUS ON SIX PUBLIC HEALTH PRIORITIES OUR RESIDENTS WILL OUR RESIDENTS
START LIFE HEALTHY WILL LIVE LONGER
AND STAY HEALTHY HEALTHIER LIVES
EMOTIONAL
FOOD ALCOHOL
RESILIENCE
WE NARROW THE GAP WE PROTECT OUR
IN LIFE EXPECTANCY COMMUNITIES FROM HARM,
ORAL HEALTH SMOKEFREE PHYSICAL AND HEALTH BETWEEN HEALTH INCIDENTS AND
OF CHILDREN GENERATION ACTIVITY THE MOST AND LEAST OTHER PREVENTABLE
HEALTHY HEALTH THREATS
4 Public Health Strategy | 2018 to 2021FIGURE 2
WHAT MAKES US HEALTHY?
As little as 10% of the population’s
Health improvement and inequality continue to be a
challenge for the borough and this is infuenced by a health and wellbeing is linked to
number of determinants. These determinants include
political, social, economic, environmental and cultural
access to health care.
factors which shape the conditions in which we are born,
grow, live, work and age. Achieving a healthy population We need to look at the bigger picture:
requires greater action on these factors to keep all our
residents well, not simply action on treating ill health
alone.
The food
we eat
Figure 2 shows that our health is shaped by factors
outside the direct infuence of health care. Published data
shows that there is a gap of almost 18 years in healthy Education
life expectancy between people living in the most and Good work & skills
least deprived areas of the UK. This gap that is explained
not by our ability to access health care but by diferences
in our experience of the things that make us healthy
Transport
including good work, education, resources, our physical
environment and social connections. Our
surroundings
Housing
18
Money & resources Family, friends
The healthy life expectancy gap & communities
between the most and least
deprived areas in the UK is:
YEARS But the picture isn’t the same for everyone.
5 Public Health Strategy | 2018 to 2021Healthy Life Expectancy WHAT IS HEALTHY
WHAT IS LIFE
at birth in Barnsley EXPECTANCY? LIFE EXPECTANCY?
The average number of years
a person would expect to live We all have a role in improving healthy
based on current mortality rates. life expectancy and reducing health
inequalities. We need to promote active,
WHAT IS HEALTHY healthy lifestyles to address some of the
LIFE EXPECTANCY?
81.9 years 78.2 years
important public health and employment
The average number of years challenges facing our residents. By providing
a person would expect to live
Life expectancy Life expectancy in good health based on curent equal opportunities for our local residents
for females for males mortality rates and self-reported to work and lead healthy lives, both the
2014-2016 2014-2016 good health. physical and mental health of the borough
in Barnsley in Barnsley as a whole is likely to improve and contribute
to narrowing the gap in life expectancy and
22.1
health between the most and least healthy.
In return, individuals and local health and
social care services will beneft from a
reduced burden of chronic disease and
Years
59.8 58.6
disability, as well as equipping people to live
19.6
fuller longer working lives; benefting our
years years local economy.
Healthy life Healthy life Although the latest data available from the
expectancy expectancy Years Ofce for National Statistics identifes that
for females in for males life expectancy and healthy life expectancy
Barnsley in Barnsley Are spent not has improved for both women and men
2014-2016 2014-2016 in ‘good’ health born in Barnsley there is still more to do.
*Source, ONS, 2014 – 2016
6 Public Health Strategy | 2018 to 2021Review of progress 4.3% REDUCTION IN ADULT SMOKING
with public health The latest smoking prevalence
data demonstrates local
Alongside this, there has
been a 5.1% reduction in
impact, as there has been Barnsley adults in routine
strategy priorities a 4.3% reduction in adults
smoking in Barnsley from
and manual occupations
smoking from 32.6% in 2014
2016 – 2018 22.5% in 2014 to 18.2% in 2017.
This is better than the national
to 27.5% in 2017. This again
is better than the national
reduction in the same time reduction in the same period
period from 17.8% in 2014 to from 29.6% in 2014 to 25.7%
14.9% in 2017. in 2017.
SMOKING
Our ambition to continue to drive
forward ‘make smoking invisible’
A CLeaR assessment was
impacts every part of the Council and undertaken in June 2017. We
our partners. From supporting the achieved 70% of the available
development of smokefree markets, points, a 30% increase from
our 2013 peer assessment.
smokefree play parks and smokefree
schools. We will continue to work with
Public Health England to develop
All 24 key play parks
licensing policies for tobacco sales. are now smokefree to ensure
Every part of the system has a crucial our children can play in a safe
role to play if we are to achieve environment where smoking
is invisible.
our ambition to reduce smoking
prevalence to less than 10% by 2022 as We are the frst We continue We are the
northern town to issue a to raise frst northern
outlined in the Tobacco Alliance Action The Breathe 2025 campaign
Fixed Penalty Notice for awareness town to
Plan, the Barnsley Plan and South rolled out across Barnsley,
smoking in cars and are of illicit introduce a
working towards seeing the next
Yorkshire & Bassetlaw Integrated Care generation of children being the only Local Authority tobacco smokefree
smokefree growing up in a town to be actively enforcing and how to town centre
System outcomes.
free from tobacco. this national legislation. report it. zone.
7 Public Health Strategy | 2018 to 2021Please do not
smoke in or Smokefree
FUTURE PRIORITIES “If I see my
parents smoking
around our Barnsley
FOR ACTION it might make school! programme
9 out of 10 was awarded
me start” local people ‘Highly
• Continue to drive forward ‘make smoking Leon – Age 7 support
Commended’
Laithes Primary School, smokefree
invisible’, working towards a reduction in Barnsley zones in the Public
adult smoking prevalence of 10% by 2020. Health
category, LGC
• Evaluate the smokefree schools pilot and Awards 2018.
roll out to all other primary schools across
the borough. Make Smoking Invisible
• Support Barnsley Hospital in delivery of
the Risky Behaviours CQUIN3.
We are the frst northern town to
• Support Barnsley Hospital in audit against implement a ‘smokefree market’.
NICE 484 and lead development of
improvement plan.
• Support development of smokefree
Smoking has been embedded in
other areas of work and included in key
OPPORTUNITIES
markets across the borough. policies and action plans such as the • SUSTAINING AND GROWING MOMENTUM
Anti-Poverty Plan for Barnsley. • CONTINUING TO REDUCE SMOKING PREVALENCE
• Continue to lead Barnsley Tobacco
Alliance. • REDUCING THE WIDE INEQUALITIES IN SMOKING
PREVALENCE ACROSS THE BOROUGH AND
• Review progress against the revised Local ACROSS DEMOGRAPHICS
We are ensuring retailers
Action Plan on a quarterly basis. aren’t selling to under 18’s by
• Complete another CLeaR peer assessment carrying out underage test sales.
Help us make smoking
aiming to improve even further. invisible to children.
• Investigate the possibilities ofdisinvestment PLEASE DON’T
A new BMBC Smoking at Work Policy
in shares in the tobacco industry from
has been introduced that encourages SMOKE IN THIS
pension fund investments working with and supports staf to quit smoking. MARKET SQUARE.
collegues across South Yorkshire. Children who see adults smoking are more likely to
take up the habit. 97% of Barnsley residents don’t
want their children to smoke.
3
CQUIN – Commissioning for Quality & Innovation We have provided training/
4
www.nice.org.uk/guidance/ph48 information to retailers to ensure
they are aware of the legislations. Barnsley’s #Smokefree Generation
8 Public Health Strategy | 2018 to 2021A new Strategic
PHYSICAL ACTIVITY Physical Activity
Partnership has
been established
Physical activity, active travel and air quality are key elements to progress a
of the Public Health Strategy working across the Public Health whole system
approach to
distributed model with external partners. Developing a new tackle physical
inactivity and
Strategic Physical Activity Partnership and 3 year Physical Activity
to develop
Plan (2018-2021), along with new investment, will enable us to a refreshed
Physical Activity
build community assets to increase levels of daily physical activity. Plan 2018-2021
to align with the
We are unable to compare the data in fgure 3 with previous years Public Health
as the way this information is gathered has changed. Our efort Strategy.
and resources have focused on inactive children, young people
and adults who have the most health beneft to gain.
Sport England funding Active Travel Strategy
secured to deliver a project 2018-2021 will be A Town
over the next 3 years progressed to build the Centre Bike
that supports families to commitment to improving Race &
be more active together cycling and walking Community
In the last 12 12 active walks Ride -
Funding throughout the week. across the borough.
months over developed across ofering an
1,444 Barnsley obtained to the borough. Over the opportunity
leisure cards improve the last 12 months over for people to
have been issued standard of 1,827 participants ride on a 1km
17 playing Secured funding to pilot a project that uses closed Town
to eligible have attended and community activity champions and builds capacity Centre circuit
residents to access pitches 19 people have across the Dearne to increase activity amongst route.
cheaper sport and across the become volunteer adults in low level employment.
leisure facilities. borough. walk leaders.
FIGURE 3
Together with our
partners, Inclusive Ping
Pong, we have delivered
‘Barnsley Walking
for Health’ a guide
PUBLISHED DATA FOR BARNSLEY DEMONSTRATES THAT...
27.7%
60.9%
led volunteer
a number of tailored
scheme funded for of adults are of adults are
bat and chat sessions
for older people at
a further 3 years physically active physically inactive
up to 2020. (achieving 150 minutes (achieving less than 30 minutes
Barnsley Age UK.
physical activity per week) physical activity per week).
9 Public Health Strategy | 2018 to 2021In partnership with Barnsley Premier Leisure Research - We are
and the Football Foundation we secured funding currently commissioning
to install full size match artifcial grass pitch at an Active Travel study to
Dorothy Hyman Sports Centre. The pitch will be inform our future Active
utilised by a variety of sessions including junior Travel Strategy and
training and adult fexible football. commissioning processes.
Active Travel Hub -
the current cycle hire
provision in Barnsley
Town centre will
be expanded as a
community cycling and
FUTURE PRIORITIES FOR ACTION walking ofer.
• Develop senior level commitment through the development of
a borough wide Physical Activity Strategy.
• Continue to progress a Council wide Active Travel Strategy to
Tour de Yorkshire saw an estimated audience of Successful PING!
improve levels of cycling and walking to work and/or school.
26,650 line the Barnsley route. We used this as Table Tennis Festival
• Bring in investment to support the development of physical an opportunity to raise the profle of active travel saw a record number of
activity programmes. and the various opportunities that exist across the people picking up a bat
borough to gain training and support for people to with 9,073 participants
• Continue to drive forward Daily Mile or equivalent schemes in cycle for leisure, education and work purposes. recorded.
schools.
• Further develop a borough wide ofer for table tennis through
PING!
• Continue to support key sport and physical activity initiatives –
Creating Connections etc. OPPORTUNITIES
• Review progress against the new Strategy and Local Action • SUPPORTING INACTIVE PEOPLE TO BECOME MORE ACTIVE
Plan on a quarterly basis. • ENABLING ALL KEY STAKEHOLDERS TO REMAIN COMMITTED TO
• To ensure our residents understand that exercise isn’t just IMPROVING LEVELS OF PHYSICAL ACTIVITY ACROSS THE BOROUGH
about sport but about fnding a physical activity that they can • IMPROVING ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES
enjoy and that suits their level of mobility and ftness, such as
dancing, walking, stretching, DIY, housework or gardening etc. • EXPLORE OPPORTUNITIES TO DEVELOP THE ACTIVE TRAVEL AND HEALTHY
STREETS APPROACH WORKING ACROSS THE SHEFFIELD CITY REGION.
10 Public Health Strategy | 2018 to 2021IMPROVING THE ORAL
HEALTH OF CHILDREN WHAT
HAVE W
We recognise the importance of good oral health to
ACHIE E
ensure every child has the best start in life. To achieve VED?
improvements in tooth decay levels in children we have
11%
worked to provide more intensive exposure to fuoride
as children grow up; both at home, at school and in the
dental practice.
increase in the
Improving the oral health of children continues to be a
public health priority. We know that fuoride remains
proportion of Barnsley
the most efective means of preventing tooth decay. children free from
dental decay
The latest data demonstrates our impact, as there has
been an 11% increase in the proportion of children free
from dental decay from 58.8% in the 2011/12 dental
survey to 69.8% in 2015/16. Alongside this there has
4.5%
increase in the number
been a 4.5% increase in the application of fuoride
of child courses of
varnish in Barnsley children from 59.2% in 2014/15 to
fuoride varnish
63.7% in 2015/16.
application
Working with NHS Communication links
Dental practices have been set up between A programme of
England and the Local
Tooth brushing in Barnsley have Barnsley Hospital and training for early
Dental Committee
clubs are been encouraged local dentists to ensure years, nurseries and
we have increased
established in all to undertake brief children attending for reception staf to
the use of fuoride extractions have the
Family Centres intervention training support delivery of
varnish in Barnsley required follow up and
across Barnsley. on smoking and daily tooth brushing
dental practices by any DNA’s are not lost in
alcohol. has been introduced.
targeted work. the system.
11 Public Health Strategy | 2018 to 2021An Oral Health Needs The Public Health Tooth brushing
Assessment has Nursing Service packs have been
been undertaken includes oral health distributed to the most
in partnership promotion to be vulnerable families
with Public Health delivered at key in the borough via
England. contact points. food banks.
More Barnsley OPPORTUNITIES
families are
attending a • TO USE THE OPPORTUNITY FOR PUBLIC
dentist than the HEALTH NURSING SERVICE TO PROMOTE
national average. ORAL HEALTH. BMBC has led the way in encouraging healthy eating
though removal of vending machines and full sugar drinks,
and there may be opportunities to promote this in other
public settings e.g. leisure centres.
Working with
Barnsley Hospital
we now provide
tooth brushing
packs and oral
health advice to
families attending FUTURE PRIORITIES
the hospital for
dental extractions. FOR ACTION
• Encourage and support more Early Years
settings to start a tooth brushing club.
Superhero
campaign has been • Continue to roll out ‘Sugar Free Barnsley’ by
launched across encouraging organisations to stop selling
the borough with full sugar drinks.
leafets, posters
• Evaluation of the tooth brushing packs
and brushing charts
given out to families distribution and brushing clubs.
via schools and • Explore the feasibility for interventions that
dental practices. increase fluoridation at a population level.
12 Public Health Strategy | 2018 to 2021FIGURE 4
OUR PUBLIC HEALTH PRIORITIES
EMOTIONAL
FOOD ALCOHOL RESILIENCE
Food is extremely important to our local Although alcohol has been part of Resilience is the ability to cope with and rise
population, the health and wellbeing of our our culture for centuries and many to the inevitable challenges, problems and set-backs
residents, the local economy and the environment. people use it sensibly, its misuse has become you meet in the course of your life, and to come
Food gives us pleasure, allows us to share and a serious and worsening public health back stronger from them. It is having the ability to
celebrate and connect with others. problem in the UK. bounce back in the event of adversity.
The vast majority of people know that The misuse of alcohol – whether as The Five Year Forward View for Mental Health
eating a healthy diet, as well as being physically chronically heavy drinking, binge-drinking included an important recommendation for Public
active is good for them and will help to prevent or even moderate drinking in inappropriate Health England to establish a Prevention Concordat for
weight gain, but for many people it can be a circumstances not only poses a threat to the Better Mental Health ensuring a prevention-focused
real struggle to put this into practice. We know health and wellbeing of the drinker, but also approach to improving mental health for everyone.
that more than 7 out of 10 (73.1%) adults in to family, friends, communities and wider This covers prevention in the widest sense from the
Barnsley are classifed as overweight or obese; society through such problems as crime, promotion of good mental health through to living
this is signifcantly worse than the England anti-social behaviour and loss of productivity. well with mental health problems and everything
average of 61.3%. It is also directly linked to a range of health in between. The recommendations of the Five Year
issues such as high blood pressure, mental Forward View for Mental Health were accepted
By working together and in partnership
with the local community we can go further ill-health, accidental injury, violence, liver in full by government on 9 January 2017.
to positively infuence the food environment; disease and sexually transmitted infections.
We will work across the local system to ensure we are
to promote and make healthier food choices, A programme of work is being developed able to deliver against the concordat whilst meeting
enabling us all to live healthier lives. to tackle the availability, afordability and local need, increasing equity and reducing health
We are therefore developing a Food Plan acceptability of alcohol use in Barnsley. This inequalities. Specifc work programmes will include:
Strategy that will address issues around healthy will include a revised Alcohol Strategy for the • Improving our needs and asset assessment
weight, but is not limited to that alone. The Plan is borough and the development of an Alcohol with efective use of data and intelligence
about changing the food environment and culture Alliance to deliver the actions from the Strategy.
• Improving our partnerships,
within Barnsley as well improving access to quality We will also work with key partners to address
collaborations and alignments
food. Our approach will focus on the policies the rise in alcohol related hospital admissions.
To support this we are working to explore • Translating need into deliverable commitments
and structures which we all live, work, shop, eat
and learn within. diferent approaches to alcohol harm data. • Defning success outcomes
13 Public Health Strategy | 2018 to 2021ORAL PHYSICAL
HEALTH SMOKING ACTIVITY
Tooth decay is the main Smoking prevalence in Barnsley is reducing but we still Leading a physically active
oral health problem have one of the highest smoking rates in the country. lifestyle has been proven to
afecting children with improve both the length and
signifcant impacts on The latest data illustrates that 18.2% of the adult quality of life for individuals and
their daily lives including population in Barnsley are smokers - signifcantly higher reduces the burden of disease
pain, sleepless nights and than the England average of 14.9%. and disability. Being active can
time missed from school. There is a wide variation between wards where the proportion of boost workplace productivity;
There are wide inequalities adult smokers ranges from 12% to 29%. The prevalence amongst reduce sickness absence, crime
in the distribution of routine and manual workers within Barnsley is higher than and anti-social behaviour.
tooth decay. In Barnsley the overall prevalence at 27.5% compared to 18.2%.
the average number of Physical inactivity is the
decayed teeth in some The smoking prevalence at age 15 of 10.7% is signifcantly fourth largest cause of disease
wards is fve times higher worse than the England average of 8.2%. and disability in the UK.
than in other less deprived
Although recently smoking in pregnancy has Children and young people who
wards of the borough.
seen a large reduction at 15.4%, this is still signifcantly higher are physically active are more
Over 600 Barnsley children
than the England average of 10.7%. likely to continue the habit into
are admitted to hospital
adult life and can bring benefts for
every year for the removal
Smoking attributable mortality and admissions are signifcantly academic attainment and attention.
of decayed teeth.
higher in Barnsley when compared with the regional average.
Barnsley falls below the national
The main risk factors Roughly £62million per year is spent on tobacco by the smokers of and regional average for physical
for tooth decay are diets Barnsley. This is on average around £1,323 per smoker per year. activity participation with the
high in sugars and lack latest fgures from the Active Lives
of exposure to fuoride, Each year in Barnsley smoking costs society around £63.5 Survey indicating that 60.9% of
therefore tooth decay is million; this includes factors such as lost productivity, the cost of adults achieve the recommended
largely preventable. social care and smoking-related house fres (ASH Ready levels of 150 minutes of moderate
Reckoner, The local cost of tobacco, May 2018). intensity physical activity a week.
The Global Burden of 27.7% of Barnsley adults are
When net income and smoking expenditure is taken into
Disease study (2010)5 classifed as inactive. Both fgures
account, 8,326 (32%) households with a smoker fall below the
provides evidence of are signifcantly worse than
poverty line. If these smokers were to quit, 2,140 households
the impact of poor oral the Yorkshire and the Humber,
would be elevated out of poverty, these households include
health on children. and England averages.
around 1,707 dependent children6.
Global Burden of Disease study (2010) https://www.thelancet.com/gbd/2010
14
5
6
ASH Estimates of poverty in England adjusted for expenditure on tobacco, October 2015You can also read
