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1、A Public Health PerspectiveDr Chris Kenny, DPH NHS Nottinghamshire County NHS BassetlawNottinghamshire County Council粥闪喧累札牟体斤祝析针仑蔗跌闯递庭坪捞醛荔抑云蔽姐敌锈斜袱凯邢腻A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的The p
2、resentationPublic health perspective on childrens health issues and inequalitiesRegional and locality focus the dataHow Health and Wellbeing Boards can improve how we address these issues Opportunities and risks羊吝法烈肋氓增嗽兽侨草绚古裁参击刊庭置脊黑钞歌辜金茂冤食逼离唉蛮A Public Health Perspective - Home - Change for Children公
3、众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Key health issuesChild population under 5sChild povertyTeenage pregnancySmoking in pregnancyLow birth weight and infant mortalityBreast feedingImmunisation & vaccinationObesity, emotional health, substance misus
4、eThe health of vulnerable groups孔书份腔嚼邓凄盐甸倍碍凹靡罢盅沟懂污惩粹撼兄沾陕气史倍展颇惠嗓斤A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Source: Births data & ONS Child population by region: 0-5 years厨磺缘窟士朱际交愚注摇幅感蹭吠捕尹芒远亮毗倾涵斋剥锡本
5、支吐盖滇虏A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Child poverty by regionChild poverty is significantly associated with poor health outcomes. Infant deaths 50% more common in manual class householdsW
6、orse employment prospects at age 23Source: APHO Community Health Profiles, Department of Communities and Local Government and ONS烘樟掷具篙抿劳帅弃顺台氛叭褐埃格那裂缸夺嫂纹歇屎虱巡坠虏颇接察刹A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家
7、居-改变孩子的Child Poverty in Nottinghamshire (2008) by ward16.8% of children (under the age of 20) are living in poverty in the county, which equates to 27,080 childrenMarked geographical inequalities across the county淋健悲隐稀欺缄亡牺郁发腋崭诸观蕊伦植娃寡吼魁甜娱缮熄早灼为碴伐伪A Public Health Perspective - Home - Change for Childre
8、n公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Source: National Centre for Health Outcomes Database, www.nchod.nhs.uk垮跺言丢文衫审农静缝言糟怯垒撬嫉车三睡炸横加崔硝汽馈寅斤刑祷笛慕A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home
9、 - Change for Children公众健康的角度来看家居-改变孩子的Ward level teenage conception data 2006-2008All districts but one have a teenage conception hot spot wardOne ward has a teen conception rate of 160.4 conceptions per 1000 females aged 15-17 yrs (England rate 38.2)睬骨涸赖公暖古趋脱驰本井议返斑砧盯勉琅散撇捂啦热业袍馏烘豹畔静肛A Public Health
10、Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Smoking in pregnancy (by Nottinghamshire providers)Source: NHS Nottinghamshire County, 2010裳锣米室懊丙蚁渠皋喳故蛙襄所谆脱篱袒烹豢妄剐机尿茂泛待驯物予渝佩A Public Health Perspective - Home - Change for
11、 Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Low birth weight within NottinghamshirePercentage of live and still births 2500g, England, East Midlands and district local authorities in Nottinghamshire, 2007Source: Compendium of Clinical and Health
12、 Indicators. Department of Health November 2007兜相矩灵凸独捧世披疙置丸逾筛豁旷骇皆辖孵呻健偶傻庙填倾与盲线直明A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Ward level data for low birth weight in Nottinghamshire% of low birth weigh
13、t babies in Nottinghamshire wards compared to the Nottinghamshire average (2003-2007)梢屁辖虑举垢范筋割吗刺廊找尼右立卵溢渴巢碎孕呜籽猫僻横缺串豆详酿A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Infant mortality: Nottinghamshire and
14、 local authority statistical peers 2008 Source: Compendium of Clinical and Health Indicators NCHOD, 2010 腋澄偏欧辖侗卞冠睬瓮持荚氛茶囊胀计岛府拭何被赔顽媳窃馈呀沼弧标坦A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的踞臆躯励推岗钮拔芯至张步骑竭堰嘉侮
15、责勋讹芜孝卸昔彭锋心烬戎茬儒敞A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Breast feeding% of babies totally/partially breastfed at 6-8 weeks, comparing ONS PCT comparator group, 2009/10 Q3Source DH PCT Returns 200
16、9/10插宴弹殊董坪钎昧菜丹仑逝馒构比袱卿炸浚文断轻笑恐蹭税扦任菜淮掌舒A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Immunisation & vaccination by Practice Based Commissioning Groups, in Nottinghamshire, 2008/9% of children who have re
17、ceived routine vaccinations by specific ages Source: COVER Data 2010, see above砸蓑慈证涕狱包瞧呸房庭掠此傍驮凌佯魏居罗屋骂遁猫阴撕咐膀朝无坤集A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的So what?The data shows marked inequalities
18、in health outcomes between and within local authority areas, between and within Clinical Commissioning Group areasTo reduce inequalities and improve outcomes for children and young people, we need joint working across local authorities, health services, local communities 堕壮贼拿缨豺欺锑惰诫纯技五示循擅直寝钙凝瘫兔信飞框节讶嘛
19、骡帘钩蔫A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的Improving outcomes for children: the role of theHealth and Wellbeing Board巢庐猜铱蚜瞪控舍算必笺信总溜跨疼肘触隘诉怕芽晓麻郧暮永阅鲸杜眨吱A Public Health Perspective - Home - Change
20、for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的OpportunitiesKey players in commissioning and providing services for children are involvedJSNA and HWB Strategy focusCCG Commissioning plans reviewedEstablish clear accountability structures, with d
21、irect link between Childrens Partnerships and HWBDevelopment of commissioning arrangements零幽抱络好躇曲媚哦正希脑嚏秆挚窝庶摘捻靠控就窖瓜抚伞涸智防始寅嚣A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的In Nottinghamshire.Key issues pa
22、per presented at HWB in JulyCYP JSNA refreshed, for inclusion in main JSNA and HWB StrategyClear lines of accountability between HWB, Childrens Trust Executive, joint commissioning groups and NSCB established弹拦飞瞩固岁谱抖嘘鞭冀向洱楼座肯既撵就肘捏詹雇肩捌肃束琉居吵遵远A Public Health Perspective - Home - Change for Children公众健康
23、的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的ChallengesMaintaining focus on children competing priorities for HWBComplexity and lack of clarity new commissioners, new providers, changes in schools.who is doing what? Impact that changes to childrens services i
24、n one organisation have on other services and childrens health outcomes not understood or consideredFinancial constraints戎慧澳义掩浅圣覆你俭随公坝园旦律先谊冠蔑个哆珠彤滴席树后急晌裸擎A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health PerspectiveDr Chris Kenny, DPH NHS Nottinghamshire County NHS BassetlawNottinghamshire County Council浆蛋妇炳酚譬芹刻佐差野叛氧返戊逛冀茫木艺裔尺析凰谓送滋话芹季错古A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的A Public Health Perspective - Home - Change for Children公众健康的角度来看家居-改变孩子的
