shadow health and well being board - haringey
TRANSCRIPT
NOTICE OF MEETING
Shadow Health and Well Being Board
TUESDAY, 4TH DECEMBER, 2012 at 13:30 HRS - CIVIC CENTRE, HIGH ROAD, WOOD GREEN, N22 8LE. MEMBERS: Please see membership list set out below.
AGENDA 1. WELCOME AND INTRODUCTIONS - 1.30PM 2. APOLOGIES To receive any apologies for absence.
3. MINUTES (PAGES 1 - 6) To approve the minutes of the meeting held on 23 October 2012.
4. MONITORING THE HEALTH AND WELLBEING STRATEGY - 1.40PM (PAGES 7 -
24) To present the performance matrix for measuring the effectiveness of the Health and
Wellbeing Delivery Plan.
5. HAVCO: THE VISION FOR STRENGTHENING HARINGEY'S VOLUNTARY AND COMMUNITY SECTOR - 2PM
Fitzroy Andrew, Chief Executive, HAVCO
6. CCG COMMISSIONING STRATEGIC PLAN AND PRIMARY CARE STRATEGY -
2.30PM Sarah Price, Chief Officer
7. LBH BUDGET PLANNING - 3.10PM Cllr Vanier, Chair of the shadow Health and Wellbeing Board
8. FUTURE AGENDA ITEMS AND DATES OF FUTURE MEETINGS - 3.20PM Members of the Board are invited to suggest future agenda items.
The proposed dates of future meetings are as follows: 5 February 2013 9 April 2013
9. ANY OTHER BUSINESS To raise any items of AOB.
David McNulty Head of Local Democracy and Member Services 5th Floor River Park House 225 High Road Wood Green London N22 8HQ
Helen Chapman Principal Committee Coordinator Tel: 020 8489 2615 Email: [email protected] Issued: 28 November 2012
Membership of the shadow Health and Wellbeing Board
Organisation Representation
Role Name
Cabinet Member for Adults and Community Services
Cllr Bernice Vanier (Chair)
Leader of the Council Cllr Claire Kober
3
Cabinet Member for Children and Young People
Cllr Ann Waters
Director of Adult social Services
Mun Thong Phung
Local Authority Elected Representatives Officers’ Representatives
2
Director of Children and Young People’s Services
Libby Blake
General Practitioner
Dr Helen Pelendrides 2
General Practitioner Dr Sherry Tang
1 Chief Officer
Sarah Price
NHS Haringey Clinical Commissioning Group (CCG)
1 Vice chair Haringey NCL and Lay Vice Chair lead for public and patient involvement Haringey CCG (designate)
Cathy Herman
Joint Representation Local Authority/NHS 1 Director of Public Health Dr Jeanelle de Gruchy
NHS Commissioning Board
NHS 1 Tbc Tbc
Voluntary and Community Sector
Healthwatch 1 Helena Kania
MINUTES OF THE SHADOW HEALTH AND WELL BEING BOARD
TUESDAY, 23 OCTOBER 2012
Present: Cllr Bernice Vanier (Chair), Dr Jeanelle de Gruchy, Cathy Herman, Helena Kania, Mun Thong Phung, Sarah Price, Dr Sherry Tang, Cllr Ann Waters
In
Attendance:
Helen Chapman, Helena Pugh
MINUTE
NO.
SUBJECT/ DECISION
HSP06.
APOLOGIES
Apologies for absence were received from Libby Blake, Cllr Kober and Dr Helen Pelendrides.
HSP07.
MINUTES
RESOLVED
That the minutes of the meeting held on 11 September 2012 be approved. Matters arising It was agreed that the revised delivery plan should be brought back to the December meeting of the Board.
HSP08.
EVALUATION REPORT FROM DEVELOPMENT SESSIONS
The Board considered the report produced by Tavistock Consulting, which was an evaluation of the development work undertaken by the Board between April and September 2012. Jeanelle de Gruchy gave a presentation summarising the findings of the report and also setting out the statutory and legislative framework around the sHWB – the presentation slides are appended to the minutes for reference. The Board felt that, while the report reflected the thought processes from the development sessions, they did not entirely recognise in the report the progress that was felt to have been made. Added value The Board discussed how it would add value, and the following points were raised:
• It was necessary to focus on what was manageable / achievable within four meetings per year.
• A strategy was needed on how issues arising during the year would be dealt with, where these fell outside of the time-frame for the scheduled meetings. The example of the Teenage Pregnancy Taskforce was given as one way to focus on issues of high priority as they arose.
• The Board needed to be discussing transformation, and how this would be
Agenda Item 3Page 1
MINUTES OF THE SHADOW HEALTH AND WELL BEING BOARD
TUESDAY, 23 OCTOBER 2012
delivered for residents of the borough.
• To have a real impact, priorities had to be followed through for longer than a year – sustained commitment was necessary.
• Areas should be identified where a difference could only be made by working together, to make the most of the Board’s capacity to work across different organisations, as this was where its unique value lay.
The Board considered its existing Terms of Reference (drafted in November 2010) and provided the following feedback: Terms of reference - General
• The key issue was how the abstract ideas covered in the terms of reference would translate into action on the ground. Much of this work was likely to be undertaken by the sub-group structure, overseen by the main Board.
• A review of the existing sub-groups was needed, to check that these were fit for purpose and to see how these could link up effectively with one another; it was agreed that information on the existing groups should be collated before the next meeting of the Board.
• There were a number of governance issues to address, such as the decision-making powers of the Board and whether it would need to include representatives from the opposition political party; these issues could only be resolved once the regulations were issued.
• It was suggested that the Board should focus on systems and how these could be aligned to deliver transformation and integration of services.
Terms of reference - Vision
• It was felt that an additional point should be added to reflect that the Board should be involved across the full range of the Council’s activities, and not just those areas clearly related to health, in order to deliver true transformation.
Terms of reference - Purpose
• Concern was raised regarding the terminology “oversee effective evidence based commissioning and decommissioning for children and adults…” as this wording raised the question of where accountability and responsibility for such decisions lay. It was suggested that this should refer to the overseeing of commissioning intentions, to check that these were in line with the HWB strategy and priorities, and that this should be clarified in the wording.
• Similar concern was raised regarding the point “oversee the allocation of the health improvement grant, joint commissioning and pooled budget arrangements”, and where the governance for these activities was situated.
• It was suggested that the bullet point around strengthening working relationships should be reworded to “Promote the strengthening of working relationships…”
Page 2
MINUTES OF THE SHADOW HEALTH AND WELL BEING BOARD
TUESDAY, 23 OCTOBER 2012
• It was suggested that the point “be accountable for co-ordinating change” should be made more specific.
• It was noted that references to the HSP should be removed; the Board would be accountable to Full Council in its capacity as a Council committee.
Terms of reference - Responsibilities of the shadow Health and Wellbeing Board
• It was suggested that points a) and f) on the existing draft terms of reference should be swapped, so that ‘Integrated working’ became the first item on the list of responsibilities.
• It was suggested that the first bullet point under ‘c) Strategic commissioning’ should be amended to read “to advise on the commissioning of services using evidence from the JSNA”
• The Board discussed what was meant by the Board’s being a commissioning body, and it was felt that it should be made very clear that the Board’s role was in strategic commissioning, and not operational commissioning.
Terms of reference - Core business
• The Board discussed what was meant by ‘partnership agreements’ as set out in the fourth bullet point under core business. It was suggested that the Board would be the appropriate place for oversight of formalised joint working arrangements.
• The Board discussed what performance was being referred to in the point “account for actions and performance through regular reports to the HSP”. It was felt that this would cover those actions which related to the Health and Wellbeing strategy.
• The practicality of “integrate, wherever appropriate, the plans and services of partner organisations” was questioned.
• It was suggested that there was a need to address how the Board would engage with the voluntary sector, and take into account funding that was delivered to voluntary bodies from external sources.
Relationship to sub-groups, membership and meetings
• The Board discussed the structure of sub-groups reporting into the Board, and how this would work. There was an emphasis on integrated working, and the need to avoid any ‘silo’ culture, in managing the relationships between the sub-groups and the main Board.
• The existing chart of sub groups would be circulated with the minutes of the meeting, for members of the Board to comment on.
• The number of meetings was discussed, and it was felt that there should be four formal meetings of the Board per year, with two additional seminars which would engage with a wider group, including the voluntary sector and providers, and enable more informal discussion, based around specific topics.
• With regard to the topics for such seminars, it was suggested that there could be a list, drawn from the priorities in the Health and Wellbeing strategy, from which the topic for a particular seminar could be selected;
Page 3
MINUTES OF THE SHADOW HEALTH AND WELL BEING BOARD
TUESDAY, 23 OCTOBER 2012
depending on the timing of these, the issues arising from the seminars could then inform the subsequent formal meeting of the Board.
• Formal meetings of the Board would be held in public.
• The Board considered how issues arising between formal meetings of the Board would be handled, and it was agreed that a task and finish approach, as had been employed in looking at teenage pregnancy statistics last year, was the preferred option. It was suggested that this should be incorporated into the terms of reference for the Board.
• Once the work on the sub-groups had been completed, there would be a need to look at the remit of the Children’s Trust, to avoid any duplication.
Workplan for the year
• The Board considered the proposed list of key developments as follows: - Regeneration - CCG commissioning plans and primary care strategy - Safeguarding - BEH clinical strategy - Haringey health infrastructure plan - Voluntary sector commissioning and funding framework - (St Ann’s redevelopment)
It was felt that safeguarding should be removed from this list, as this was dealt with elsewhere; it was further agreed that the St Ann’s redevelopment should only be brought as an information item, in order to provide assurance that the Health and Wellbeing strategy was being taken into consideration. It was noted that regeneration would be considered in light of how this would impact on delivery against the priorities in the Health and Wellbeing strategy, and not on the built environment aspects of regeneration. With regard to voluntary sector commissioning, it was suggested that the new Chief Executive of Havco should be invited to attend a meeting of the Board.
• It was not felt that a formal induction process for members of the sHWB was necessary.
• It was reported that there was a meeting in November to look at formalising the level of strategic engagement with the public in respect of commissioning, with a view to advising of the specific points in the year for public input. A further meeting was being held regarding developing an engagement strategy with the voluntary sector from the bottom up.
HSP09.
ANY OTHER BUSINESS
An item on the CCG commissioning intentions would be brought to the December meeting of the Board; a meeting had been held last week on the direction and key strategies, and how this would align with the work of the local authority. It was reported that it was unlikely that there would be a radical change of
Page 4
MINUTES OF THE SHADOW HEALTH AND WELL BEING BOARD
TUESDAY, 23 OCTOBER 2012
direction; the intention was transformation to deliver efficiency and a higher quality of service. Areas of focus were intensive care, multi-disciplinary teams, GP networks, the virtual ward and review of existing care pathways. The funding allocation would not be known until close to Christmas 2012, and this may have an impact on plans. December was felt to be a timely point to report back, and to check that the commissioning intentions tied in with the aims and objectives of the shadow Health and Wellbeing Board.
HSP10.
FUTURE AGENDA ITEMS AND DATES OF FUTURE MEETINGS
• 4 December 2012, 1.30pm
• 5 February 2013, 1.30pm
• 9 April 2013, 1.30pm The meeting closed at 4.30pm.
COUNCILLOR Bern ice Vanier
Chair
Page 5
Page 6
This page is intentionally left blank
Meeting: Shadow Health and Wellbeing Board Date: 4th December 2012 Report Title: Performance matrix for the Health and Wellbeing
Delivery Plan
Purpose To present the performance matrix for measuring the effectiveness of the Health and Wellbeing Delivery Plan.
Summary The Health and Wellbeing Strategy Delivery Plan describes actions to improve the 3 outcomes of the overall strategy. The proposed performance matrix of key indicators will enable the Board to measure the impact of the delivery plan; comments of the 11th September Board on a previous draft have been incorporated. The performance matrix provides the following information, where available (in some cases the data behind the indicator is still in development and not available at this time):
• A description of each indicator, the rationale behind the indicator and any
information that readers may need to be aware of to understand the
performance.
• Trend data, along with an indication as to whether performance has got better
or worse over the reporting period.
• Benchmarking against London and statistical neighbours (Haringey health
data is normally benchmarked against Hackney, Lambeth, Lewisham and
Southwark since it is most similar to these London boroughs based on
demographics, deprivation, etc.)
• Proposed targets for 2012/13 and 2015 (note that in some cases there is a
delay in the data reporting, and therefore the data reported against a year
may relate to an earlier year’s activity). There is an indication as to whether
the target has been set locally or nationally.
Legal/Financial Implications None
Recommendations • The board to agree the measures that have been selected
• The board to agree the targets that will be used to monitor the impact of the
Health and Wellbeing Strategy Delivery Plan
Agenda Item 4Page 7
• The board to agree on the layout and content of the performance report
For more information contact: Name: Jeanelle De Gruchy Title: Director of Public Health Tel: 020 8489 5119 Email address: [email protected]
Page 8
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rmally e
xpressed
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te per 1
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birth
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ear time
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he relea
se of thi
s data.
PPrrooppooss
eedd TTaarrgg
eettss
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ur infant
mortali
ty rate is
at an al
l time lo
w, with a
steady
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since 2
003-05,
rates ar
e highe
r than th
ose for
England
and Lon
don.
Haringe
y's Infa
nt Morta
lity Rat
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ed betw
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4 and 20
10 from
8.1 to 4
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000 live
births.
The gap
betw
een Ha
ringey a
nd Lond
on has n
arrowed
from 2.2
per 100
0 in 200
4-06 to 0
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000 in 2
008-10.
Har
ingey is
ranked 1
st of the
statisti
cal neig
hbours
group. T
he prop
osed ta
rgets ai
m to alig
n Harin
gey wit
h Lon
don's ra
te.
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy rraa
ttee ((ppeerr ''
000000))
LLoonnddoonn
rraattee ((ppee
rr ''000000))
EEaarrllyy aa
cccceessss ff
oorr wwoommee
nn ttoo mmaa
tteerrnniittyy
sseerrvviicceess
((%%))
The per
centage
of wome
n who h
ave seen
a midwi
fe or a m
aternity
healthc
are prof
essiona
l, for he
alth and
social c
are asse
ssment
of need
s, risks
and cho
ices by
12 comp
leted w
eeks of
pregna
ncy.
IInnffaanntt MM
oorrttaalliittyy
RRaattee
Reducin
g the ris
k of infa
nt mor
tality w
ill improv
e the lif
e cha
nces, h
ealth an
d wellb
eing
of both
mother
and the
baby
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk
((11sstt iiss bb
eesstt))1st
(out of 5
)
PPrrooppooss
eedd TTaarrgg
eettss
LLoonngg ttee
rrmm ttrreenn
ddLLoonn
ddoonn rraattee
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk
((11sstt iiss bb
eesstt))
33rrdd== (o
ut of 5)
In Harin
gey, the
percen
tage of E
arly Acc
ess for
women t
o mater
nity ser
vices is
lower th
an Lond
on's. Ha
ringey
is ranke
d 3rd eq
ual of th
e statis
tical ne
ighbours
group.
The pro
posed t
arget of
80% in 2
012/13
aims to
better
the curr
ent rate
for Lon
don.
To give
women t
he full b
enefit
of perso
nalised
matern
ity care
and imp
rove out
comes a
nd exp
erience
for mot
her and
bab
y. Redu
cing the
perc
entage o
f women
who
access
matern
ity servi
ces late
thro
ugh targ
eted out
reach
work fo
r vulner
able and
soc
ially exc
luded gr
oups w
ill prov
ide a fo
cus on
reducing
the
health i
nequali
ties the
se grou
ps face
whilst
also
guarant
eeing ch
oice to a
ll preg
nant wo
men.
HHaarriinnggee
yy rraattee
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2008-10
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
1
Page 9
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eeding
is expe
cted
to redu
ce illne
ss in you
ng chil
dren, wh
ich will
in turn
reduce h
ospital
admissio
ns ove
r under-
1s.PPrroo
ppoosseedd TT
aarrggeettss
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk
((11sstt iiss bb
eesstt))44tthh
(out of
5)
Percenta
ge of inf
ants wh
o are to
tally or p
artially b
reastfee
d at 6-8
week ch
eck
LLoonnddoonn
rraattee
BBrreeaassttff
eeeeddiinngg
aatt 66--88 ww
eeeekkss ((PP
HHOOFF)) %%
HHaarriinnggee
yy rraattee
Percenta
ge of wo
men wh
o curren
tly smok
e at tim
e of del
ivery
%% ooff wwoo
mmeenn ssmm
ookkiinngg aatt
tthhee ttiimm
ee ooff
ddeelliivveerryy
((PPHHOOFF))
In Harin
gey, the
percen
tage of b
reastfee
ding at 6
-8 week
s has im
proved
in the p
ast 2 ye
ars from
65.6%
to 72.1
%. Har
ingey re
mains a
head of
the Lon
don rate
of 67.3%
in 2011
/12 and
ranks H
aringey
4th am
ongst th
e stat
istical n
eighbou
rs group
. The pr
oposed
targets
for Harin
gey aim
to build
on the
improve
ments m
ade in
Haringe
y in the
last 2 r
eported
years.
LLoonngg ttee
rrmm ttrreenn
dd
LLoonnddoonn
rraattee
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk
((11sstt iiss bb
eesstt))In H
aringey
, covera
ge of ch
ildhood
vaccina
tion in t
he first
year ha
s impro
ved from
90.8 in
2009/10
to 92.4%
in 201
1/12, ex
ceeding
London
's cove
rage. Ha
ringey i
s ranke
d 2nd of
the sta
tistical
neighbo
urs grou
p. The
nationa
l target
for 2015
is 95%
which
Haringe
y is aim
ing to m
eet by 2
012/13.
2nd (ou
t of 5)
LLoonnddoonn
rraatteeSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt
iiss bbeesstt))
Percenta
ge of ch
ildren at
age one
who ha
ve rece
ived Dip
theria, t
etanus,
polio, p
ertussis
and Hib
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yy rraattee
Smoking
during
pregnan
cy can
cause s
erious
pregnan
cy-relat
ed healt
h pro
blems.
33rrdd (ou
t of 5)
In Harin
gey, the
percen
tage of w
omen sm
oking at
time of
deliver
y has de
creased
from 8.1
% in 20
07/08 to
4.8%
in 2011
/12. Ha
ringey i
s ranke
d 3rd of
the sta
tistical
neighbo
urs grou
p. The p
erforma
nce in 2
011/12
has
already
exceed
ed the 2
future ta
rgets of
6.0% i
n 2012/1
3 and 5.
8% in 2
015.
Vaccina
tion cov
erage is
the
best ind
icator o
f the lev
el of
protect
ion a po
pulation
will
have ag
ainst va
ccine
preventa
ble com
municab
le dise
ases
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy rraa
ttee
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
2
Page 10
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
37.982.6
77.883.1
BBeetttteerr
8844..559955..00
63.072.2
76.6LLoocc
aallNNaatt
iioonnaall
PPrriioorriittyy
22:: RReedduu
ccee TTeeeenn
aaggee PPrree
ggnnaannccyy
LLoowwRRaatt
iioonnaallee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
70.253.0
51.164.7
WWoorrssee
5588..774477..00
45.644.6
40.737.1
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraattee
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk
((11sstt iiss bb
eesstt))In H
aringey
, there h
as been
an ove
rall incr
ease in
the cov
erage of
MMR d
ose by
the age
of 5 sin
ce 2008
/09,
albeit th
ere was
a decli
ne in pe
rforman
ce in 20
10/11. T
he targe
ts of 84
.5% and
95.0%
follow
the Lon
don tren
d of im
provem
ent.
Percenta
ge of ch
ildren ag
e five ye
ars who
have re
ceived t
wo dos
es of MM
R vaccin
eCChhii
llddhhoooodd
vvaacccciinnaa
ttiioonn ccoovv
eerraaggee YY
eeaarr 55
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
on year
fluctuat
ions in t
he rate,
and the
overall
trend re
mains a
decreas
ing one
. Positiv
ely, the
under-1
6 conce
ption ra
te has d
ecrease
d to its
lowest
rate.
UUnnddeerr 11
88 ccoonnccee
ppttiioonn rraa
ttee ((PPHHOO
FF))Red
ucing un
der 18
concep
tions ha
s import
ant ben
efits for
short an
d long
term hea
lth outco
mes.
Teenag
e parent
s are at
incr
eased r
isk of p
ostnatal
dep
ression
and poo
r mental
hea
lth in th
e three
years
followin
g birth.
They ar
e more
likely th
an older
mother
s to
have lo
w educ
ational
attainm
ent, exp
erience
adult
unempl
oyment
and be
living in
pov
erty at a
ge 30. T
heir
children
experie
nce hig
her rate
s of infa
nt morta
lity and
low
birth w
eight, A
&E adm
issions f
or accid
ents and
hav
e a muc
h highe
r risk of
bein
g born in
to pove
rty. The
15-
17 age g
roup is e
ffective
ly
Number
of conc
eptions
to all wo
men age
d 15-17
per 1,00
0 popula
tion
HHaarriinnggee
yy rraattee ((pp
eerr ''000000
))LLoonn
ddoonn rraattee
((ppeerr ''0000
00))SSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt
iiss bbeesstt))
2010/11
saw an
increas
e in the
under 1
8 conce
ption ra
te from
51.1 per
1000 po
pulation
in the p
revious
year to
64.7
. The ra
te is a lo
t higher
than Lon
don's ra
te. Harin
gey is r
anked 5
th amon
gst its s
tatistica
l neighb
ours
group. T
he targe
ts of 58
.7% in 2
012/13
and 47.
0 in 201
5 follow
the Ha
ringey t
rend of t
he past
4 repor
ted yea
rs.
55tthh (ou
t of 5)
Vaccina
tion cov
erage is
the
best ind
icator o
f the lev
el of
protect
ion a po
pulation
will
have ag
ainst va
ccine
preventa
ble com
municab
le dise
ases
1st (ou
t of 5)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pa
ge
3
Page 11
PPrriioorriittyy
33:: RReedduu
ccee CChhiilldd
hhoooodd OO
bbeessiittyy
LLoowwRRaatt
iioonnaallee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
22.024.0
25.721.5
2255..00WWoo
rrssee2255..00
2255..0022.9
23.624.4
23.52255..00
LLoowwRRaatt
iioonnaallee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
38.536.5
38.635.4
39.3WWoo
rrssee3399..33
3399..3336.2
36.036.9
37.0
PPrreevvaallee
nnccee ooff
oovveerrwwee
iigghhtt aanndd
oobbeessiitt
yy iinn 44--
55 yyeeaarrss
oolldd ((PPHH
OOFF))Exc
ess we
ight (ov
erweigh
t and
obesity
) in chil
dren ofte
n lead
s to exc
ess we
ight in
adults,
and this
is reco
gnised
as a ma
jor deter
minant
of prem
ature m
ortality
and
avoidab
le ill hea
lth.
The per
centage
of prima
ry scho
ol age c
hildren
in Rece
ption (a
ged 4-5
years) w
ith valid
height a
nd weigh
t recorde
d who a
re class
ified as
overwe
ight or o
bese.
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraatteeSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt
iiss bbeesstt))
In Harin
gey, the
percen
tage of o
verweigh
t and ob
ese chi
ldren in
recepti
on has i
ncrease
d from
21.5% in
201
0/11 to 2
5.0% in 2
011/12.
Haring
ey's rate
current
ly reflec
ts the Lo
ndon ra
te. Harin
gey is r
anked 3
rd amon
g its s
tatistica
l neighb
ours gro
up. The
trend ac
ross Lon
don sho
ws an i
ncrease
year on
year in
overwe
ight and
obe
se rece
ption ch
ildren ov
er the la
st 5 yea
rs. Harin
gey's a
im is th
erefore
to maint
ain its c
urrent ra
te to 201
5.3rd
(out of 5
)
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraattee
PPrreevvaallee
nnccee ooff
oovveerrwwee
iigghhtt aanndd
oobbeessiitt
yy iinn 1100--
1111 yyeeaarrss
oolldd ((PPHH
OOFF))Exc
ess we
ight (ov
erweigh
t and
obesity
) in chil
dren
often le
ads to e
xcess
weight
in adult
s, and t
his is
recognis
ed as a
major
determin
ant of p
rematur
e mor
tality an
d avoida
ble ill
health.
The per
centage
of prima
ry scho
ol age c
hildren
in year s
ix (aged
10-11 y
ears) wit
h valid h
eight an
d weigh
t recorde
d who a
re class
ified as
overwe
ight or o
bese.
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk
((11sstt iiss bb
eesstt))Har
ingey's
propor
tion of o
verweigh
t and ob
ese chi
ldren in
Year 6 h
as incre
ased fr
om 35.4
% in 20
10/11 to
39.3
% in 20
11/12. H
aringey
is rank
ed 2nd a
mong its
statisti
cal neig
hbours.
The tre
nd acros
s Londo
n shows
an i
ncrease
year on
year in
overwe
ight and
obese y
ear 6 ch
ildren ov
er the la
st 4 rep
orted ye
ars. Thi
s sugge
sts a st
able targ
et of 39
.3% in 2
012/13
and in 2
015 in l
ine with
2011/12
perform
ance.
2nd (ou
t of 5)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
19
.0
20
.0
21
.0
22
.0
23
.0
24
.0
25
.0
26
.0
27
.0
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
33
.0
34
.0
35
.0
36
.0
37
.0
38
.0
39
.0
40
.0
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
4
Page 12
PPrriioorriittyy
44:: EEnnssuu
rree RReeaadd
iinneessss ffoo
rr SScchhoooo
ll aatt 55 YY
eeaarrss ((pphh
yyssiiccaall,, ee
mmoottiioonnaa
ll,, bbeehhaavv
iioouurraall aa
nndd ccooggnn
iittiivvee))
LLoowwRRaatt
iioonnaallee
HHiigghh
RRaattiioonnaa
llee
22000088//00
99220000
99//1100
22001100//11
11220011
11//1122
22001122//11
33PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
43.043.0
42.054.1
56BBeett
tteerr6600..00
6644..0046.0
50.055.0
60.064.0
This is a
key me
asure o
f early
years d
evelopm
ent acro
ss a
wide ra
nge of d
evelopm
ental
areas.
Percenta
ge of all
children
(at end o
f recepti
on year)
who ac
hieve 78
or more
points a
t Early Y
ears Fou
ndation
Stage w
ith at lea
st 6 poi
nts eac
h acro
ss Comm
unicatio
n, Lang
uage an
d Litera
cy and P
ersonal,
Social a
nd Emot
ional sca
les.PPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
dd
Children
's early
life
develop
ment is
strongly
rela
ted to a
n indivi
dual's
lifelong
healthy
develop
ment.
Many fa
ctors as
sociate
d with
poor he
alth and
wellbe
ing in
later life
have be
en show
n to
have th
eir origin
s in pre
gnancy
and
early c
hildhoo
d.A m
easure o
f a child
's devel
opment
and em
otional
well bei
ng.Data
will not
be availa
ble for t
his indic
ator unt
il April 2
013.
do not h
ave a g
ood lev
el of de
velopme
nt (comp
ared to 4
1% in E
ngland).
CChhiilldd dd
eevveellooppmm
eenntt aatt 22
--22..55 yyeeaa
rrss ((PPHHOO
FF))
56% of H
aringey
's Early
Year's F
oundati
on stage
childre
n achiev
ed 78 or
more p
oints an
d 6 or m
ore poin
ts in
PSE and
CLL in
2012/13
, the hig
hest pe
rcentage
in the p
ast 5 ye
ars. Ha
ringey i
s 8 perc
entage p
oints be
hind
London
's perce
ntage an
d is ran
ked 5th
of its s
tatistica
l neighb
ours gro
up. Har
ingey m
issed its
target o
f 60.0%
in 2
012/13
by 4 per
centage
points.
The nex
t target
set is 6
4.0% in 2
015.
5th (ou
t of 5)
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraatteeSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt
iiss bbeesstt))
SScchhooooll
rreeaaddiinneess
ss ((PPHHOO
FF)).. AAttttaa
iinnmmeenntt
aatt EEYYFF
SS ((%% aatttt
aaiinniinngg aa
ggoooodd
lleevveell ooff
ddeevveelloopp
mmeenntt 7788
++ ppooiinntt
ss aanndd 66
++ iinn PPSS
EE aanndd
CCLLLL))
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
2008/09
2009/10
2010/11
2011/12
2012/13
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
5
Page 13
OOuuttccoomm
ee 22:: AA rr
eedduucceedd
ggaapp iinn ll
iiffee eexxppee
ccttaannccyy
PPrroodduucc
eedd bbyy PPuu
bblliicc HHee
aalltthh aanndd
SSttrraatteegg
yy aanndd BB
uussiinneessss
IInntteelllliigg
eennccee TTee
aammP
erf
orm
an
ce K
ey
:
Be
tte
r -
Imp
rov
em
en
t in
pe
rfo
rma
nce
ov
er
rep
ort
ed
ye
ars
Wo
rse
-D
ecl
ine
in
pe
rfo
ma
nce
ov
er
rep
ort
ed
ye
ars
PPrriioorriittyy
55:: RReedduu
ccee SSmmookk
iinngg
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
22112244
22115500
22225500
LLooccaall
LLooccaall
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
14.8NA
1166..002200..00
LLooccaall
LLooccaall
The num
ber of s
mokers
who acc
ess sto
p smokin
g servic
es, set
a quit da
te and a
re still n
ot smok
ing 4
weeks a
fter the
quit dat
e. A targ
et to inc
rease th
e numbe
r of quit
ters has
been se
t, althou
gh it is
becomi
ng diffic
ult to re
cruit as
the pro
portion
of smok
ers in th
e popula
tion dec
reases.
NA
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy rraa
ttee LLoonn
ddoonn rraattee
largely
in the ea
st.
NNuummbbeerr
ooff 44 ww
eeeekk ssmm
ookkiinngg qq
uuiitttteerrss
Smoking
is the l
argest ri
sk fact
or for pr
emature
diseas
e and
mortali
ty. There
fore, a
reductio
n in sm
oking ra
tes amo
ngst the
populat
ion will
increas
e life ex
pectanc
y con
siderabl
y.
The num
ber of H
aringey
residen
ts receiv
ing sup
port thro
ugh the
Haringe
y Stop S
moking
Service w
ho are a
ssessed
4 week
s after
the des
ignated
quit dat
e and de
clared t
hat he/s
he has n
ot smok
ed even
a singl
e puff on
a cigar
ette in t
he past
two wee
ks.PPrroo
ppoosseedd TT
aarrggeettss
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy
LLoonnddoonn
The pro
portion
of peop
le that a
ccess s
top smo
king sev
ices wh
ose em
ploymen
t is clas
sified as
being "
Routine
and Ma
nual"
PPrrooppooss
eedd TTaarrgg
eettss
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))
Smoking
rates te
nd to be
high
est amo
ngst low
er soc
io-econ
omic gr
oups. It
is th
erefore
importa
nt to
target s
mokers
from low
er soc
io-econ
omic gr
oups to
add
ress ine
qualitie
s in
health o
utcomes
.Cur
rently th
e Depa
rtment
of Healt
h's defi
nition of
Routin
e and M
anual d
oes not
include
those w
ho are
unempl
oyed.
NA
%% ooff ssee
rrvviiccee uuss
eerrss wwhhoo
aarree ""RRoo
uuttiinnee oorr
MMaann
uuaall""
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
20
60
20
80
21
00
21
20
21
40
21
60
21
80
22
00
22
20
22
40
22
60
2011/12
2012/13
2015
Ha
rin
ge
y
Lon
do
n
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
5.0
10
.0
15
.0
20
.0
25
.0
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
1 o
f 5
Page 14
PPrriioorriittyy
66:: IInnccrreeaa
ssee PPhhyyss
iiccaall AAcc
ttiivviittyy
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
3344..553355..00
3377..00LLoocc
aallLLoocc
aall
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
23.121.3
21.5WWoo
rrssee2233..11
2255..0021.5
21.020.2
LLooccaall
LLooccaall LLooww
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
45.44488..22
4455..00LLoocc
aallLLoocc
aall
PPaarrttiicciipp
aattiioonn iinn
SSppoorrtt
((11 ttiimmee
ss 3300 mmiinn
ss dduurr
aattiioonn))
Lack of
sufficie
nt phys
ical
activity
costs th
e NHS
over
and is o
ne of the
top few
risk
factors
for prem
ature m
ortality.
Percenta
ge of ad
ults (16
+) doing
at least
150 min
utes of a
t least m
oderate
intensit
y physic
al activity
per wee
k in bou
ts of 10
min
utes or m
orePPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
dd
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))The
percen
tage of a
dults pa
rticipati
ng in sp
ort and
recreat
ion has
decline
d in the
past 3 y
ears from
23.1
% to 21
.5% but
has rem
ained ab
ove the
London
percen
tage. Th
e target
is to in
crease t
he perc
entage o
f adults
to 25%
by 201
5.
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))NA
AAdduulltt pp
aarrttiicciippaa
ttiioonn iinn ss
ppoorrtt aann
dd aaccttiivvee
rreeccrr
eeaattiioonn
LLoonnddoonn
rraattee
Lack of
sufficie
nt phys
ical
activity
costs th
e NHS
over
and is o
ne of the
top few
risk
factors
for prem
ature m
ortality.
Perc
entage o
f adults
(aged 1
6+) part
icipating
in at lea
st 30 m
inutes o
f sport a
t modera
te intens
ity at lea
st once
a week
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yyLLoonn
ddoonn
Lack of
sufficie
nt phys
ical
activity
costs th
e NHS
over
and is o
ne of the
top few
risk
factors
for prem
ature m
ortality.
Perc
entage o
f the adu
lt popula
tion (ag
e 16 yea
rs and o
ver) in a
local ar
ea who p
articipat
e in spo
rt and ac
tive recr
eation,
at mod
erate in
tensity,
for at lea
st 30 m
inutes o
n at leas
t 12 day
s out of
the last
4 week
s (equiva
lent to 3
0 minut
es on 3
or more
days
a week).
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraatteeSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
NA
HHaarriinnggee
yy rraattee
NA
PPrrooppoorr
ttiioonn ooff
pphhyyssiiccaa
llllyy iinnaacc
ttiivvee aadduu
llttss ((PPHH
OOFF))
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
33
.0
33
.5
34
.0
34
.5
35
.0
35
.5
36
.0
36
.5
37
.0
37
.5
2011/12
2012/13
2015
Ha
rin
ge
y
Lon
do
n
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
5.0
10
.0
15
.0
20
.0
25
.0
30
.0
2009/10
2010/11
2011/12
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
43
.0
44
.0
45
.0
46
.0
47
.0
48
.0
49
.0
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
2 o
f 5
Page 15
PPrriioorriittyy
77:: RReedduu
ccee AAllccoohh
ooll MMiissuuss
ee
LLoowwRRaatt
iioonnaallee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
1,3
86
1,6
33
1,9
49
2,2
57
2,4
72
Wo
rse
1,9
00
1
,85
0
1,3
78
1,4
83
1,6
84
1,9
12
2,0
38
LLooccaall
LLooccaall
PPrriioorriittyy
88:: RReedduu
ccee tthhee RR
iisskk ooff CC
aarrddiioovvaa
ssccuullaarr DD
iisseeaassee ((
CCVVDD)) aann
dd CCaanncc
eerr HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
66004477
55000000
77000000
LLooccaall
LLooccaall
2009/10
with m
iddle ag
ed and o
lder me
n accou
nting fo
r the ma
jority of
these a
dmissio
ns.
Alcohol
misuse
is the t
hird-
greatest
overall
contribu
tor to
ill health
, after s
moking
and
raised b
lood pre
ssure. A
lcohol
consum
ption is
a contr
ibuting
factor to
hospita
l admis
sions
and dea
ths from
a diver
se rang
e of con
ditions.
Natioan
lly, over
1 million
hos
pital ad
mission
s relate
d to
alcohol
in 2009
/10.
Amissio
n rate p
er 100,0
00 for w
holly attr
ibutable
and par
tially attr
ibutable
alcohol
related
conditio
ns.PPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy ((pp
eerr 110000,,00
0000))LLoonn
ddoonn ((ppee
rr 110000,,0000
00))SSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
Alcohol
related
hospita
l admis
sions co
ntinue t
o rise in
Haring
ey follo
wing th
e nation
al and r
egional
trends.
The adm
ission
rate, 2,4
72 per 1
00 000 p
opulatio
n, is abo
ve the n
ational
and Lon
don ave
rages w
hich sug
gests th
ere is a
higher
level of
need in
the are
a. The y
ear on y
ear perc
entage i
ncrease
has, ho
wever, s
lowed d
own, wi
th a red
uction f
rom 16%
to 9%
since th
e previo
us year.
Targ
ets are
set to b
ring Ha
ringey i
n line w
ith curre
nt Lond
on perfo
rmance
.5th
(out of 5
)
AAllccoohhooll--
rreellaatteedd
hhoossppiittaa
ll aaddmmiiss
ssiioonnss
((PPHHOOFF))
TTaakkee uupp
ooff NNHHSS
HHeeaalltthh
CChheecckk
ss ((PPHHOO
FF))
HHaarriinnggee
yy
An incre
ased up
take is
importa
nt to ide
ntify ear
ly sign
s of poo
r health
leading
to opp
ortunitie
s for ea
rly inte
rvention
s.Num
ber of e
ligible p
eople w
ho rece
ived an
NHS Hea
lth Chec
kPPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
ddLLoonn
ddoonnSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
In 2011
/12 Har
ingey ex
ceeded
its targ
et by a
conside
rable nu
mber, w
hich exp
lains w
hy the t
arget for
201
2/13 is l
ower. B
y 2015 t
he progr
am will
be availa
ble to m
ore GP
practice
s, with a
larger p
ool to
recruit f
rom, he
nce the
increas
ed targe
t.NA
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
-
50
0
1,0
00
1,5
00
2,0
00
2,5
00
3,0
00
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y (
pe
r 1
00
,00
0)
Lon
do
n (
pe
r 1
00
,00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0
10
00
20
00
30
00
40
00
50
00
60
00
70
00
80
00
2011/12
2012/13
2015
Ha
rin
ge
y
Lon
do
n
Pa
ge
3 o
f 5
Page 16
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
65.07700..00
7700..00NNaatt
iioonnaall
NNaattiioonnaa
ll
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
44.05533..00
6600..00LLoocc
aallNNaatt
iioonnaall
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
74.07777..00
8800..00LLoocc
aallNNaatt
iioonnaall
Cervica
l screen
ing is
estimat
ed to sa
ve 4,500
lives
in Engla
nd each
year.
Early de
tection
greatly
increas
es the p
rognosis
.
CCaanncceerr
SSccrreeeenn
iinngg ccoovv
eerraaggee --
BBrreeaasstt
SSccrreeeenn
iinngg ((PPHH
OOFF))
Early de
tection
of bowe
l can
cer incr
eases t
he chan
ces
of succ
esful tre
atment
and
survival.
The pro
portion
of the eli
gible po
pulation
screen
ed for b
owel can
cer.PPrroo
ppoosseedd TT
aarrggeettss
Early de
tection
of breas
t can
cer incr
eases t
he chan
ces
of succ
esful tre
atment
and
survival.
Breast
screenin
g is
estimat
ed to sa
ve 1,400
lives.
Early de
tection
greatly
increas
es the p
rognosis
.
The per
centage
of wome
n aged 5
3-70 wh
o are eli
gible fo
r breast
screenin
g with a
screen
ing test
result i
n the pr
evious t
hree yea
rs.
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
NA
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraatteeSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraattee
NA
LLoonngg ttee
rrmm ttrreenn
dd
CCaanncceerr
SSccrreeeenn
iinngg ccoovv
eerraaggee --
CCeerrvviixx
((PPHHOOFF))
CCaanncceerr
SSccrreeeenn
iinngg ccoovv
eerraaggee --
BBoowweell
SSccrreeeenn
iinngg
LLoonngg ttee
rrmm ttrreenn
ddSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
The pro
portion
of the eli
gible po
pulation
screen
ed for c
ervical c
ancer.
LLoonnddoonn
rraatteeSSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
NA
PPrrooppooss
eedd TTaarrgg
eettssHHaarr
iinnggeeyy rraa
ttee
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
71
.0
72
.0
73
.0
74
.0
75
.0
76
.0
77
.0
78
.0
79
.0
80
.0
81
.0
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
62
.0
63
.0
64
.0
65
.0
66
.0
67
.0
68
.0
69
.0
70
.0
71
.0
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
4 o
f 5
Page 17
PPrriioorriittyy
99:: SSuupppp
oorrtt PPeeoo
ppllee wwiitthh
LLoonngg TT
eerrmm CCoo
nnddiittiioonnss
((LLTTCCss))
LLoowwRRaatt
iioonnaallee
22000077//00
88220000
88//0099
22000099//11
00220011
00//1111
22001111//11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
14.011.7
1100..00 LLooccaall LLooww
RRaattiioonnaa
llee
22000066--00
88220000
77--0099
22000088--11
00220000
99--1111
22001100--11
22PPeerr
ffoorrmmaanncc
ee220011
22//1133
22001155
90.386.1
78.7WWoo
rrssee7766..55
7755..0079.5
75.375.5
LLooccaall
LLooccaall
Cardiov
ascular
diseas
e (CVD)
is o
ne of the
major c
auses o
f dea
th in und
er 75s i
n Englan
d. To e
nsure th
at there
continu
es to b
e a redu
ction in
the rate
of prem
ature m
ortality
from CV
D, ther
e needs
to be co
ncerted
acti
on in bo
th preve
ntion an
d trea
tment.
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yy rraattee ((pp
eerr 110000,,00
0000)LLoonn
ddoonn rraattee
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))In H
aringey
, the num
ber of d
eaths fro
m all CV
diseas
es has d
eclined
from 90.
3 per 10
0,000 in
2008 to
78.7
per 100
,000 in 2
010, alt
hough H
aringey
is still b
ehind th
e Londo
n rate. T
argets h
ave bee
n set to
continu
e the im
provem
ent to 7
5.0 per
100,000
by 201
5. Harin
gey is r
anked 2
nd out o
f its five
statisti
cal neig
hbours.
2nd (ou
t of 5)
Number
of death
s from a
ll cardio
vascular
disease
s (includ
ing hea
rt diseas
e and st
roke), in
people
aged un
der 75 p
er 100,0
00 pop
ulation
A house
hold is c
lassified
as fuel
poor wh
en it wo
uld nee
d to spe
nd more
than 10%
of its in
come on
energy
in order
to maint
ain an
adequa
te level o
f warmth
. The Fu
el Pove
rty Ratio
is defin
ed as: R
equired
fuel co
sts (ie r
equired
usage x
price)/In
come. If
this rati
o is gr
eater tha
n 0.1 th
en the h
ouseho
ld is fue
l poor. T
here is a
two yea
r time lag
in repo
rting.
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yyLLoonn
ddoonn CCaarrddiioovv
aassccuullaarr
mmoorrttaall
iittyy ((uunndd
eerr 7755))
((PPHHOOFF,,
aallll aaggee
ss,, NNHHSSOO
FF))
FFuueell ppoo
vveerrttyy ((PP
HHOOFF))
There is
compell
ing evid
ence
that the
drivers
of fuel p
overty
(low inc
ome, po
or energ
y effic
iency an
d energy
prices)
are stro
ngly link
ed to liv
ing at
low tem
perature
s and th
e rece
nt Marm
ot Revie
w Team
repo
rt showe
d that lo
w tem
perature
s are st
rongly
linked t
o a rang
e of neg
ative
health o
utcomes
.SSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
The per
centage
of thos
e in Fue
l povert
y has re
duced f
rom 14.
0% to 1
1.7% bet
ween 20
09 and 2
010.
The targ
et has b
een set
to redu
ce this
percenta
ge furth
er to 10.
0% by
2015.
NA
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
0.0
2.0
4.0
6.0
8.0
10
.0
12
.0
14
.0
16
.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y
Lon
do
n
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2006-08
2007-09
2008-10
2009-11
2010-12
2012/13
2015
Ha
rin
ge
y r
ate
(p
er
10
0,0
00
) Lo
nd
on
ra
te
Pa
ge
5 o
f 5
Page 18
OOuuttccoomm
ee 33:: IImmpp
rroovveedd mm
eennttaall hhee
aalltthh aanndd
wweellllbbee
iinnggPPrroo
dduucceedd bb
yy PPuubblliicc
HHeeaalltthh
aanndd SSttrr
aatteeggyy aann
dd BBuussiinn
eessss IInntt
eelllliiggeenncc
ee TTeeaamm
Pe
rfo
rma
nce
Pe
rfo
rma
nce
Ke
y:
Be
tte
r -
Be
tte
r -
Imp
rov
em
en
t in
pe
rfo
rma
nce
ov
er
rep
ort
ed
ye
ars
PPrriioorriittyy
1100:: PPrroo
mmoottee EE
mmoottiioonnaa
ll WWeellllbb
eeiinngg ooff
CChhiillddrree
nn aanndd YY
oouunngg PP
eeooppllee
Wo
rse
-W
ors
e -
De
clin
e i
n p
erf
om
an
ce o
ve
r re
po
rte
d y
ea
rs
LLoowwRRaatt
iioonnaallee
22000077//00
88220000
88//0099
22000099//11
00220011
00//111122
001111//1122
PPeerrffoorrmm
aannccee
22001122//11
33220011
5510.4
6.86.8
6.644..33
BBeetttteerr
88..99 LLooccaall
LLoowwRRaatt
iioonnaallee
22000077//00
88220000
88//0099
22000099//11
00220011
00//111122
001111//1122
PPeerrffoorrmm
aannccee
22001122//11
33220011
5536.4
33.6BBeett
tteerr3355..00 LLoocc
aall
- There
are an e
stimated
21,595
childre
n (36.4%
) living i
n povert
y, largel
y in the
east of
the bor
ough - t
he 9th h
ighest p
roportio
n of chi
ldren liv
ing in p
overty i
n the U
K (8th in
London
).- An
ecdotal
eviden
ce sugg
ested th
e Totten
ham riot
s increa
sed anx
iety and
concern
s regard
ing pers
onal sa
fety am
ong chi
ldren an
d young
people
living in
Tottenh
am.grou
p. Aroun
d 35% a
re repea
t referra
ls. - Th
e Harin
gey You
th Offen
ding Ser
vice has
a case
load of 3
96: 7%
serving
a custo
dial sen
tence, 4
% on ba
il or rem
and; an
d 8% chi
ldren in
care (D
ec. 201
1).- 3.4
% of yo
ung peo
ple age
d 16-19
were N
ot in Edu
cation,
Employm
ent or T
raining
(NEET)
as at Oc
tober 20
12; 59.2
% were
young w
omen.
LLoonnddoonn
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))The
percen
tage of N
EET has
decline
d year o
n year fr
om 200
7/08 to 2
011/12,
exceed
ing the
2012/13
target in
the
past 4 y
ears.
NA
Young p
eople w
ho are n
ot eng
aged in
educati
on, emp
loyment
or traini
ng are a
t grea
ter risk
of a ran
ge of
negativ
e outcom
es, incl
uding
poor he
alth, de
pression
or earl
y parent
hood.
HHaarriinnggee
yy
NNuummbbeerr
ooff cchhiill
ddrreenn iinn
ppoovveerrtt
yy ((PPHHOO
FF))
%% ooff 1166
--1188 yyeeaa
rr oollddss nn
oott iinn eedduu
ccaattiioonn,,
eemmppllooyymm
eenntt oorr tt
rraaiinniinngg
((NNEEEETT))
((PPHHOOFF))
Percenta
ge of 16
-18 year
olds no
t in edu
cation,
employm
ent or tr
aining
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
There is
eviden
ce that
childho
od pove
rty lead
s to
prematur
e morta
lity and
poor
health o
utcomes
for adu
ltsPPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy rraa
ttee LLoonn
ddoonn rraattee
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))The
propor
tion of c
hildren
in pove
rty has r
educed
from 36.
4% in 2
009/10
to 33.6%
in 2010
/11, a re
duction
of 1,50
5 childre
n from 2
1,595 to
20,190
. The 20
10/11 pe
rforman
ce has e
xceede
d the 20
15 targe
t.NA
Percenta
ge of ch
ildren liv
ing in h
ouseho
lds whe
re incom
e is less
than 60
% of me
dian hou
sehold
income
before h
ousing
costs.T
here is a
two
year tim
e lag in r
eporting
this dat
a.
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
2004-06
2005-07
2006-08
2007-09
2009-11
2011-13
Ha
rin
ge
y r
ate
(p
er
'00
0)
Lon
do
n r
ate
(p
er
'00
0)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
0.0
2.0
4.0
6.0
8.0
10
.0
12
.0
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y
Lon
do
n
Pro
po
sed
Ta
rge
ts
32
.0
32
.5
33
.0
33
.5
34
.0
34
.5
35
.0
35
.5
36
.0
36
.5
37
.0
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
1
Page 19
PPrriioorriittyy
1111:: SSuupp
ppoorrtt IInn
ddeeppeenndd
eenntt LLiivvii
nngg
HHiigghh
RRaattiioonnaa
llee
HHiigghh
RRaattiioonnaa
llee
22000088//00
99220000
99//1100
22001100//11
11220011
11//1122220011
22//1133
ttoo ddaattee
PPeerrffoorrmm
aannccee
22001122//11
33220011
5547.2
PPrrooppoorr
ttiioonn ooff
ccaarreerrss ww
hhoo rreeppoo
rrtt tthhaatt tt
hheeyy
hhaavvee bbee
eenn iinncclluu
ddeedd oorr
ccoonnssuulltt
eedd iinn
ddiissccuussss
iioonnss aabboo
uutt tthhee pp
eerrssoonn tthh
eeyy ccaarree
ffoorr ((AASS
CCOOFF))
Census
).
AAdduullttss ww
iitthh lleeaarrnn
iinngg ddiissaa
bbiilliittiieess
iinn sseettttllee
dd aacccc
oommmmooddaa
ttiioonn..
NA
People
with lea
rning
disabilit
ies who
are in s
ettled
accomo
dation a
re likely
to hav
e better
outcome
s than
those w
ho are n
ot.
The per
centage
of adult
s with le
arning d
isabilitie
s known
to Coun
cils with
Social S
ervices
Respon
sibilities
(CASSR
s) in set
tled
accomm
odation
at the t
ime of t
heir ass
essment
or latest
review.
PPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy rraa
ttee LLoonn
ddoonn rraattee
SSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
Carers
should
be resp
ected as
equ
al partn
ers in s
ervice
design
for thos
e indivi
duals fo
r imp
roves ou
tcomes b
oth for
the care
d for pe
rson and
the
carer, re
ducing
the cha
nce of
breakdo
wn in c
are
The pro
portion
of posit
ive resp
onses t
o the qu
estion "In
the last
12 mon
ths, do
you fee
l you hav
e been i
nvolved
or cons
ulted as
much a
s you
wanted
to be, in
discus
sions ab
out the
support
or servi
ces prov
ided to t
he perso
n you ca
re for?".
Data is
not curr
ently av
ailable.
0.0
5.0
10
.0
15
.0
20
.0
25
.0
30
.0
35
.0
40
.0
45
.0
50
.0
2012/13 to
date
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
2
Page 20
PPrriioorriittyy
1122:: AAdddd
rreessss CCoo
mmmmoonn MM
eennttaall HHee
aalltthh PPrroo
bblleemmss aamm
oonngg AAdd
uullttss
HHiigghh
RRaattiioonnaa
llee
22000088//00
99220000
99//1100
22001100//11
11220011
11//1122220011
22//1133
ttoo ddaattee
PPeerrffoorrmm
aannccee
22001122//11
33220011
5566
1111440
115500
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//111122
001111//1122
PPeerrffoorrmm
aannccee
22001122//11
33220011
5515.0
88..001155..00
- A high
rate of w
orkless
ness; N
orthumb
erland P
ark has
the hig
hest pr
oportion
of worki
ng age p
eople c
laiming
JSA in L
ondon (
GLA, Ju
ly 2011
).- Ov
ercrowd
ed hous
ing: 22%
of hous
eholds
(20,455
), largel
y in the
east of
the bor
ough (C
ensus,
2001).
- Domes
tic viole
nce rate
s are se
ven tim
es highe
r in the
deprive
d parts o
f east H
aringey
than th
e level
in the w
est of th
e boroug
h. It con
stitutes
30% of a
ll violent
crime w
hich is h
igh whe
n compa
red to o
ther Lon
don bor
oughs.
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))The
program
is in its
first yea
r in Har
ingey. C
urrently
it is est
imated
that 264
people
will hav
e been t
rained i
n MH
FA by Ap
ril 2013
.
NA
EExxtteennss
iioonn ooff II
AAPPTT pprroo
vviissiioonn ii
nn lliinnee ww
iitthh nnaattii
oonnaall gguu
iiddaannccee
NA
Common
mental
illness is
likel
y to affe
ct at lea
st 1 in 4
peo
ple duri
ng their
lives. M
any
instanc
es requ
ire the s
upport
of brief
interven
tions to
avoid
the prob
lem bec
oming w
orse.
IAPT of
fers the
opportu
nity for
individu
als to s
peak op
enly
about th
eir probl
ems wi
th train
ed advis
ors, wh
o both
support
the ind
ividual
and
signpos
t them to
addition
al serv
ices.
Proportio
n of peo
ple with
common
mental
illness a
ccesss
IAPTPPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
dd
Poor me
ntal hea
lth is a
stigmat
ising con
dition th
at can
often go
uniden
tified an
d often
leaves t
he suffe
rer feeli
ng alon
e and is
olated.
Mental
Health F
irst Aid
(MHFA)
is a
progrem
that he
lps prof
essiona
ls to ide
ntify
common
mental
health
problem
and pro
vide adv
ice on s
ervices
.
Mental h
ealth fir
st aid is
an edu
cation p
rogram
aimed
the MH
FA cours
e teach
es deleg
ates ove
r two da
ys how
to recog
nise the
signs
and sym
ptoms of
common
mental
health i
ssues, p
rovide h
elp on a
first aid
basis an
d effect
ively sign
post tow
ards sup
port ser
vices
PPrrooppooss
eedd TTaarrgg
eettssLLoonn
gg tteerrmm
ttrreenndd
HHaarriinnggee
yy rraattee MM
HHFFAAHHaarr
iinnggeeyy rraa
ttee MMHHLL
NNuummbbeerr
ooff ppeeoo
ppllee ttrraaii
nneedd iinn mm
eennttaall hhee
aalltthh
ffiirrsstt aaiidd
((iinncclluuddii
nngg mmeennttaa
ll hheeaalltthh
lliigghhtt))
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraattee
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))
0
20
40
60
80
10
0
12
0
14
0
16
0
2012/13 to date
2012/13
2015
Ha
rin
ge
y r
ate
MH
FA
Ha
rin
ge
y r
ate
MH
L
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
2.0
4.0
6.0
8.0
10
.0
12
.0
14
.0
16
.0
2011/12 Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
3
Page 21
PPrriioorriittyy
1133:: SSuupp
ppoorrtt PPee
ooppllee wwiitt
hh SSeevvee
rree aanndd EE
nndduurriinngg
MMeennttaall
HHeeaalltthh
NNeeeeddss
HHiigghh
RRaattiioonnaa
llee
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//111122
001111//1122
PPeerrffoorrmm
aannccee
22001122//11
33220011
5587.0
70.1WWoo
rrssee7755..00
LLoowwRRaatt
iioonnaallee
22000066--00
88220000
77--0099
22000088--11
00220000
99--111122
001100--1122
PPeerrffoorrmm
aannccee
22001111--11
33220011
33--1155
8.59.2
9.988..00
88..007.2
7.07.1
PPrrooppoorr
ttiioonn ooff
aadduullttss ii
nn ccoonnttaacc
tt wwiitthh
sseeccoonndd
aarryy mmeenn
ttaall hheeaalltt
hh sseerrvviicc
eess lliivviinn
gg iinnddee
ppeennddeenn
ttllyy wwiitthh oo
rr wwiitthhoo
uutt ssuupppp
oorrtt..
PPrrooppoorr
ttiioonn ooff
aadduullttss ii
nn ccoonnttaacc
tt wwiitthh
sseeccoonndd
aarryy mmeenn
ttaall hheeaalltt
hh sseerrvviicc
eess iinn pp
aaiidd eemmpp
llooyymmeenntt..
mental h
ealth ar
e in the
east of
the bor
ough.
People
with me
ntal hea
lth prob
lems w
ho are in
w ork a
re mor
e likely
to be in
control
of thei
r condit
ion than
those
unempl
oyed.
Data is n
ot curre
ntly ava
ilable.
NA
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))The
mortali
ty rate fr
om suic
ide and
injury o
f undert
ermined
intent h
as incre
ased in
Haring
ey from
8.5 per
100
,000 in 2
008 to 9
.9 per 1
00,000 i
n 2010.
This is in
contras
t to the
London
figure w
hich has
stayed
level
around 7
.1 per 1
00,000 i
n the re
ported
3 years.
Targets
havfe b
een set
to narro
w the ga
p betwe
en Harin
gey
and Lon
don.
MMoorrttaalliitt
yy rraattee ff
oorr ssuuiiccii
ddee aanndd
uunnddeetteerr
mmiinneedd
iinnjjuurryy ((PP
HHOOFF))
People
with me
ntal hea
lth prob
lems w
ho live
indepen
dently a
re more
likely
to be in
control
of their l
ives
than tho
se who r
equire m
ore sup
port.
The per
cenatge
of peop
le in con
tact with
second
ary men
tal healt
h condit
ionswho
are livin
g indep
endentl
y.PPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
ddLLoonn
ddoonn rraattee
SSttaa
ttiissttiiccaall
nneeiigghhbboo
uurrss rraannkk
((11sstt iiss
bbeesstt))
HHaarriinnggee
yy rraattee
LLoonnddoonn
rraattee
Deaths
from sui
cide are
avo
idable. A
reducti
on in th
e suic
ide rate
is a me
asure o
f the
succes
s of me
ntal hea
lth serv
ices.
Rate of d
eaths fro
m suicid
e and in
jury of u
ndeterm
ined inte
nt per 1
00,000 p
opulatio
nPPrroo
ppoosseedd TT
aarrggeettss
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy rraa
ttee ((ppeerr 11
0000,,000000))
4th (out
of 5)
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
2.0
4.0
6.0
8.0
10
.0
12
.0
2006-08
2007-09
2008-10
2009-11
2010-12
2011-13
2013-15
Ha
rin
ge
y r
ate
(p
er
10
0,0
00
) Lo
nd
on
ra
te
Pro
po
sed
Ta
rge
ts
0.0
10
.0
20
.0
30
.0
40
.0
50
.0
60
.0
70
.0
80
.0
90
.0
10
0.0
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y r
ate
Lo
nd
on
ra
te
Pa
ge
4
Page 22
PPrriioorriittyy
1144:: IInnccrr
eeaassee tthh
ee NNuummbb
eerr ooff PPrr
oobblleemmaatt
iicc DDrruugg
UUsseerrss
iinn TTrreeaatt
mmeenntt
HHiigghh
RRaattiioonnaa
llee
22000077//00
88220000
88//0099
22000099//11
00220011
00//111122
001111//1122
PPeerrffoorrmm
aannccee
22001122//11
33220011
551
9.4
20
.51
6.7
22
.31
8.4
Wo
rse
2222..332233..00
9.1
11
.81
1.5
13
.71
5.0
LLoonngg ttee
rrmm ttrreenn
ddHHaarr
iinnggeeyy
LLoonnddoonn
SSttaattiissttii
ccaall nneeiigg
hhbboouurrss
rraannkk ((11ss
tt iiss bbeess
tt))Har
ingey's
percenta
ge of dru
g users
who hav
e succe
ssfully c
omplete
d their t
reatmen
t has w
orsened
over the
past 5
years. H
aringey
's comp
letion ra
te has b
een con
sistentl
y better
than Lon
don.
Whilst H
aringey
's perfo
rmance
is still b
etter tha
n the na
tional a
verage a
nd the s
uccess
ful comp
letions f
or opiat
e users
(eg. her
oin) is w
ithin the
top qua
rtile in c
omparis
on to ou
r statisti
cal neig
hbours,
there a
re conc
erns ove
r the dec
rease in
suc
cessful
complet
ions am
ongst n
on-opia
te users
and the
high ra
te of re-
presenta
tions am
ongst o
piate us
ers (33%
in qua
rter 2, 2
012-13
). 1st
(out of
5)
heroin u
sers) alo
ng with u
sers of o
ther sub
stances
such as
cannab
is, khat,
and ben
zodiaze
pines.
of the tre
atment
populat
ion - th
e most
represe
nted age
group i
s people
in their
twentie
s (37%
) and m
any are
poly-su
bstance
misuse
rs- a t
hird hav
e a co-
existing
mental
health p
roblem
, particu
larly pre
valent a
mongst
some BM
E group
s, youn
ger use
rs and t
hose in
or refer
red from
the crim
inal jus
tice sys
tem- 15
% in trea
tment re
ported
regular w
ork or s
tudy.
%% ssuucccc
eessssffuullllyy
ccoommpplleett
iinngg ddrruu
gg ttrreeaattmm
eenntt ((aass
aa pprrooppoo
rrttiioonn ooff
aallll aadduu
llttss iinn ttrr
eeaattmmeenntt))
((PPHH
OOFF))Indi
viduals
achievin
g this
outcome
demons
trate a
significa
nt improv
ement in
hea
lth and w
ell being
in term
s of in
creased
longev
ity, redu
ced blo
od-born
e virus
transmi
ssion, im
proved
parentin
g skills a
nd impr
oved
physica
l and ps
ycholog
ical
health.
Percenta
ge of dru
g users
that left
drug tre
atment
success
fully (fre
e of dru
g(s) of d
epende
nce) wh
o do not
then re
-presen
t to trea
tment
again w
ithin six
months
PPrrooppooss
eedd TTaarrgg
eettss
Pro
po
sed
Ta
rge
ts
Pro
po
sed
Ta
rge
ts
0.0
5.0
10
.0
15
.0
20
.0
25
.0
2007/08
2008/09
2009/10
2010/11
2011/12
2012/13
2015
Ha
rin
ge
y
Lon
do
n
Pa
ge
5
Page 23
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