www.wiltshire.gov.uk

---

• Accessibility Help
• Main content of page
• Main navigation of page
• Turn off accessibilty style

---

Action Navigation

• About Us
• What's new
• News
• Whats On
• Links
• Contact Us

---

You are here: Wiltshire County Council > Home > Council > Wiltshire Strategic Board > Government Targets - Local Area Agreement

Secondary Navigation

Government Targets - Local Area Agreement

Healthy Communities

Due to the cross cutting nature of this Local Area Agreement some targets relevant to this block will be shown under other blocks.

The Healthy Communities Block has developed from the work of Healthier Wiltshire - a multi agency project with the overall goal of making Wiltshire the healthiest county by 2014.

In the early phase of the LAA it was agreed to separate out Older People from the block to give Older People its own identity and to emphasise that Healthy Communities is about all age groups adopting healthier lifestyles.

The headline outcome is mandatory – improve health and reduce health inequalities.

The sub outcomes have been chosen with the twin aims of the main outcome in mind and each has a flavour of targeting deprived communities or harder to reach groups.

Recently completed work by the South West Regional Public Health Information service has highlighted that in the region as a whole, and also in Wiltshire, the overall health of the population, as measured by Life Expectancy, is improving. However health inequalities are widening between areas of highest deprivation and those of lower deprivation.

It has been agreed that although the reduction in health inequalities needs to be tackled as part of a longer term initiative, it would be helpful to use the LAA as a stepping stone towards the achievement of this aim. An overall target has been agreed which is to see the gap maintained at (or reduced from) its present level. The improving overall trend in life expectancy and the resultant decline in death rates is expected to continue.

There are parts of the programme of work that are more developmental and will be refreshed as Year One of the LAA draws to a close. There are also a number of indicators and targets that directly reflect the activities to be undertaken, whereas others are more generic and will be affected by the totality of the activities (and by other factors).

The LPSA targets have been included in full as part of the programme.

Block Lead (first point of contact)

Sarah Fussell, Healthier Wiltshire  Tel – 01225 757520

Outcome Healthy 1:

Improve Health and Reduce Health Inequalities through targeted activities in and between local communities where life expectancy is lowest and/or deprivation highest with specific reference to lifestyles which influence the following:

• Coronary Heart Disease (CHD)
• Stroke
• Cancer
• Accidents
• Mental Health and Wellbeing

Sub Outcome 1.1:

Reduce levels of binge drinking, population drinking in excess of recommended Government targets and under age drinking

Activities:

1. Develop community engagement programmes in local communities where crime due to alcohol highest and deprivation highest
2. Use employers as focus for other campaigns and workplace policies
3. Support healthy schools programme emphasising schools in deprived areas
4. Target staff training programmes

Partners:

Alcohol Harm Reduction Group, Safer Wiltshire Executive, WCC, Police, Health Services (PCT and AWP), Users, Voluntary Sector

.	.	Targets	.	.
Performance Indicators:	Baseline	2007/2008	2008/2009	2009/2010
1) Number of completed and successful community programmes	0	1 in target localities	2 in target localities	3 in target localities
2) Number of completed campaigns in workplaces	2	50% of WiSB orgs	5 other orgs 100+ employees each	5 other orgs 250 + employees total
3) Number of targeted individuals attending tier 2 young people specific training programmes	TBC	5% increase pa	5% increase pa	5% increase pa

Sub Outcome 1.2:

Halt rising trend of obesity in adult population (improve diet)

Activities:

1. Review and develop Implementation plan for Wiltshire wide Obesity Strategy; amend content of locality training programme to reflect healthy eating issues, and then roll-out to targeted areas as identified through Food Mapping exercise; pro-active engagement with the food industry.
2. Commission health services against an agreed care pathway for the prevention of overweight and obesity, the management of adults who are overweight and obese including surgical interventions for the morbidly obese within allocated resources; utilise Obesity registers and other practice based data.
3. Through the Exemplar Employer initiative establish a “Healthy Food awards” scheme for employers providing healthy food in the workplace.

Partners:

Healthy Eating Alliance, Rural Executive, PCT, WCC, LSPs, Employers, Leisure Services, Practice Based Commissioners, Private sector (e.g. not for profit food organisations)

.	.	Targets	.	.
Performance Indicators:	Baseline	2007/2008	2008/2009	2009/2010
1) All Age All Cause Mortality  (AAACM): i) Total ii) Gap between highest quintile and all other electoral wards	1) i) 554.3 deaths per 100,000: 2003-5 1)ii) 51.7 deaths per 100,000: 2003-5	1)i) 517.4   1)ii) maintain/ reduce	1) 506.5 1)ii) maintain/ reduce	1) 495.9 1ii) maintain/ reduce
2) To be developed as implementation plan for Strategy established - will reflect effectiveness of commissioned health services, appropriate use of anti-obesity medicines and outcomes from relevant schemes subject to funding availability	N/A	2) Establish whether GP practices have robust info for obesity register	2) Set targets with focus on practices serving deprived communities	2) Set targets with focus on practices serving deprived communities
3)i) % WiSB employees eating 5 fruit and vegetable portions per day  (LPSA)	64.8%:HW survey-2005	.	3) i) 69.8%	.
3)ii) Numbers of employers achieving Healthy Food awards	.	3)ii) Award designed	.	3)ii) 3 large employers

Sub Outcome 1.3:

Halt rising trend in obesity in the 0 - 19 population (improve diet)

Activities:

1. Introduce new school food standards through appropriately commissioned school meals services.
2. Implement Wiltshire Healthy School programme
3. Complete annual weight and height measurements of Reception Year and Year 6 within national timescale; measure incidence in primary care of diabetes
4. Ensure maintenance of the schools fruit and vegetables scheme and increase consumption
5. Increase breast feeding initiation rate by 2% per annum, targeted at women from disadvantaged groups.

Partners:

Healthy Eating Alliance, PCT, WCC, Schools, Independent sector

.	.	Targets	.	.
Performance Indicators:	Baseline	2007/2008	2008/2009	2009/2010
1)i) Number of schools compliant with final food based and nutrient based standards for lunch 1)ii) New school meal contract in place with appropriate quality standards	1)i) N/A (introduced Sept 06) 1)ii) N/A	.	1) 100% of primary schools	1) 100% of secondary schools
2)% of schools engaged in the Healthy Schools programme	N/A (revised programme)	2) 75% of schools achieving Healthy Schools status	2) 75% of schools achieving Healthy Schools status	2) 100% of schools engaged in Healthy Schools programme
3)Height and weight measurements of children in reception and Year 6; i) %coverage ii) % overweight and obese 3)iii) Monitor incidence of <19 year olds presenting with Type I and Type II diabetes.	3)i) 85% reception, 40% year 6 3)ii) 12% & 7% reception, 12% & 11% year 6 N/A	3)i) 85% reception, 50% year 6 3)ii) Reduction in numbers of overweight and obese children 3i)ii) Establish whether GP practices have robust info for register	3)i) 85% reception, 60% year 6 3)ii) Reduction in numbers of overweight and obese children 3)ii) Set targets with focus on practices serving deprived communities	3)i) 85% reception, 70% year 6 3)ii) Reduction in numbers of overweight and obese children 3)ii) Set targets with focus on practices serving deprived communities
4)i) All 4 – 6 year olds attending an LEA maintained primary or special school receive a free piece of fruit / veg. every school day.	4)i) Programme in place	4)i) Continuation of  programme	4)i) Continuation of programme	4)i) Continuation of programme
4)ii) % of year ten school children eating 5+ portions of fruit and veg per day (LPSA)	4)ii) 57%:HW survey-2005	.	4)ii) 62%	.
5) Breast feeding; i) initiation rates ii)rates at 8 weeks	5)i) 79.5% 5)ii) TBC	5)i) 81% 5)ii) 1.5% increase	5)ii) 82.5% 5)ii) 1.5% increase	5)ii) 84% 5)ii) 1.5% increase

Sub Outcome 1.4:

Halt rising trend of obesity in population (increase physical activity)

Activities:

1. Improve recreation and sports facilities and access in target communities where rate of participation is lowest and deprivation highest
2. Use schools as focal point via Schools Sport Partnerships and Travelwise
3. Develop active aging programme for older people
4. Develop community programmes which encourage greater use of existing facilities in clubs and elsewhere
5. Review and standardise (best practice) GP exercise referral programmes

Partners:

Wiltshire and Swindon Activity and Sports Partnership (WASP), WCC, DCs, PCT, Leisure services, Community First, Age Concern, Schools, Community groups, Clubs, GPs

.	.	Targets	.	.
Performance Indicators:	Baseline	2007/2008	2008/2009	2009/2010
1) % of population taking part in moderate intensity activity– at least ½ hour per day 5 times per week: i)Total ii) Deprived/target areas	1)i) 24.1%: Active England Survey 2006 1)ii) Target areas via Wiltshire People's Voice surveys (annual)	1)i) 1% pa increase	1)i) 1% pa increase	1)i) 1% pa increase 1)ii) 4 % + over 3 years in target areas
iii) WiSB employees (LPSA)	1)iii) 47.6%: HW survey- 2005;	.	1)iii) 50.6%	.
iv) Year ten school children (LPSA)	1)iv) 82.3% HW survey- 2005;	.	1)iv) 84.3%	.
2)i) Schools achieving 2hrs high quality Sport/PE per week 2)ii) Schools and others offering 4hrs sports to all children	2)i) 82% per school returns; 2)ii) N/A	2)ii) Establish baseline – via additional questionnaire to national survey	2)i) 86 % of pupils	2)i) All schools engaged 2)ii) Set targets
3) and 4) Number of defined community programmes (see Older People’s Block ref 2.1)	3) (see Older People’s Block sub outcome 2.1)	3)(see Older People’s Block sub outcome 2.1)	3) (see Older People’s Block sub outcome 2.1)	3) (see Older People’s Block sub outcome 2.1)
5) Number of referrals from appropriate exercise referral schemes	5) N/A	5) Baseline established for number of people accessing exercise referral schemes	5) Increase in numbers attending	5) Increase in numbers attending

Sub Outcome 1.5:

Reduce the incidence of CHD, Stroke and cancers through reducing the incidence of smoking and the harmful effects of smoke

Activities:

1. Deliver smoking cessation services targeted to manual workers, pregnant women and other people living in deprived areas; support employers introducing smoke free premises and sites ahead of proposed legislation.
2. Promote Smoke Free Wiltshire Awards especially in schools
3. Work with Healthy School Team to deliver smoking prevention messages to young people.
4. Work with retail outlets to prevent sales of tobacco products to children and young people

Partners:

PCT, GPs, DCs ,WCC, Schools, Retailers

.	.	Targets	.	.
Performance Indicators:	Baseline	2007/2008	2008/2009	2009/2010
1i) Smoking prevalence – % WiSB employees who smoke (LPSA)	1)i) 13.3%: HW Survey-2005	.	1)i) 11.3%	.
1)ii) Number of people who have quit smoking 4 weeks since their quit date	1)ii) Quit rates per PCT LDP TBC	1)ii) Achieve 4 week quit targets as per PCT LDP for 2006/07 and 2007/08 TBC 1)iii) Wiltshire quit rate in line with national average	1)ii) Achieve 4 week quit targets as per PCT LDP for 2008/09 when set and agreed 1)iii) Wiltshire quit rate in line with national average	1)i) Achieve 4 week quit targets as per PCT LDP for  2009/10 when set and agreed 1)iii) Wiltshire quit rate in line with national average
2) Number of schools achieving Platinum smoke free award	2) 4% (10)	2) 25% (61)	2) 50% (122)	2) 75%(245)
3) % of year ten school children who smoke (LPSA)	3) 20.7%:HW survey-2005	.	3) 18.7%	.
4) Number of prosecutions arising from sales to underage young people OR improved retailer compliance resulting from repeated test purchases OR number of complaints	.	4) Agree and set target post change in law (Oct 07)	4) Reduce numbers	4) Reduce numbers
LPSA2 Target	Mandatory Target	.	.	.

Developmental programme

In order to achieve the main target for the mandatory outcome there needs to be both a continuation in the overall reduction in All Age All Cause Mortality (AAACM) and a reduction in (or at least maintenance of) the gap in AAACM between areas of highest deprivation/health inequalities and all other areas.

Some early work in association with the South West Public Health Observatory has identified 14 local areas (known as super output areas - SOAs) where deprivation using the index of multiple deprivation is in the highest or second highest quintile nationally, as well as in the highest quintile locally. These will be the main “target” areas referenced in the sub outcomes above.

These areas are within the following electoral wards:

• Bemerton (2 SOAs)
• Calne Abberd
• Chippenham Hill Rise
• Devizes North (2 SOAs)
• Melksham North
• St Edmund and Milford
• St Martin and Milford
• Trowbridge Adcroft
• Trowbridge Drynham (2 SOAs)
• Trowbridge John of Gaunt
• Westbury Ham

Further developmental work is planned in support of childhood accidents and mental health and emotional wellbeing. Programmes have not yet reached the stage where clear indicators can be agreed and targets set accordingly. However the following activities will be pursued:

Reduce the incidence of all accidents in people under 19 years:

1. Target interventions to reduce risk taking behaviours by young people (cross reference Children and Young People’s Block)
2. Understand accident data (accidental, non-accidental, in the home, road traffic collisions)
3. Using relevant data, implement action plan that supports the Wiltshire Childhood Injury Prevention Strategy according to identified priority areas

Increase the awareness of mental heath problems within communities:

1. Implement local alcohol and drugs harm reduction programmes, for all ages (cross reference Safer and Stronger Blocks).
2. Increase awareness of work related stressors by Exemplar employers, and ensure development of local policies and procedures that support affected members of staff.
3. Increase awareness of the potential impact of deprivation and health inequalities on the mental health status of individuals (all ages) -  Cross reference Children and Young People’s Block for bullying.

Contact Details

By Post

Project Manager
Healthier Wiltshire
Room 241B
2nd Floor, County Hall
Bythesea Road
Trowbridge
Wiltshire
BA14 8LE

By Email

healthier@wiltshire.gov.uk

By Telephone

01225 757520

Opening Hours

Monday to Friday 9am - 5pm

Search the site