Community Voices in Health

Dr. Kay Eilbert

Interim Director of Public Health

Our PopulationDiverse Community (50% BME)ONS 226,000+GP registered 260,000Population Study 243,000 (our ONS estimate for 2031)6th Highest NI and GP reg from overseas in London30% of Population under 3047,000 people live in social housing of which 65% live entirely on benefits2,293 children live in single parent families in social housing With more than 3 children3 of our wards have unemployment of over 19%Key Facts7 year life expectancy gap between the North and SouthBiggest killers CVD and cancer Poor user/patient satisfactionAcute sector productivity poorToo many people die in hospital8th highest mortality from diabetes

Address Causes and Symptoms

Challenges

Reduce inequalitiesImprove choice and user

satisfactionImprove quality and

productivityImprove health of at risk

populationPopulation GrowthFlat real terms funding Status quo not an option:- £24million deficit by 2014 if we do nothing

Making it happen•24 prioritised initiatives linked to our 10 priority outcomes and goals

• Clinical and stakeholder engagement

• JSNA and comparative benchmarking

• Healthcare for London pathway analysis

• Market Analysis – VFM, Quality, Capacity, • Access,

• Priority setting evaluation – National priorities, • health and cost benefits

• Clinical and stakeholder engagement

Strategic Initiatives1. Prevention + Early presentation + Intervention (e.g. obesity screening)

2. Choice + Access (e.g. mental health)Improved care pathways (e.g. cancer, EOLC)

3. Shifts from hospital to polysystem delivery (e.g. 40% acute activity)

4. Proactive case management for long term conditions (e.g. diabetes, CVD)

5. Effective use of market and contract management (e.g. POLCE)