support from the start east lothian’s equally well test site dr sue ross – executive director,...
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Support from the Start
East Lothian’s Equally Well test site
Dr Sue Ross – Executive Director, East Lothian Council
East Lothian One of 32 Scottish Unitary
Councils Known as ‘Edinburgh’s
garden’ Fastest growing population in
Scotland (90,155) A good place to live, bring up
families & retire to. Lot of service pressures esp.
housing, and care services for older people
Health is slightly above Scots average
Inequality is the issue
20th century trends in life expectancy in Scotland and 16 other Western European countries
Life expectancy in years
30
40
50
60
70
80
1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000
Scotland
Health Inequality in East Lothian
Breastfeeding Rates
64.5
46.8
22.9 22.5
34
0
10
20
30
40
50
60
70
North Berwick East Lothian Wallyford &Whitecraig
Prestopnans Tranent N
Percentages – source Community Health Profile 2004
Health Inequality in East Lothian
Smoking during pregnanacy
16.9
24
31.930.9
32.1
0
5
10
15
20
25
30
35
North Berwick East Lothian Wallyford &Whitecraig
Prestopnans Tranent N
Percentages – source Community Health Profile 2004
Health Inequality in East Lothian
Children in workless homes
7.2
12.6
24.2
21.7 21.7
0
5
10
15
20
25
30
North Berwick East Lothian Wallyford &Whitecraig
Prestopnans Tranent N
Percentages – source Community Health Profile 2004
Ministerial Taskforce Report – June 2008
“Scotland’s health is improving rapidly but it is not improving fast enough for the poorest sections of our society. Health inequalities remain our major challenge”
The National Programme
• Health inequalities as Health Ministers’ top priority
• Key priority areas of children’s very early years; the big killer diseases of cardiovascular disease and cancer; drug and alcohol problems and links to violence; and mental health and wellbeing
• Established eight test site to find new ways of working at a community partnership level
Community Planning Partners making a difference by focusing services on pathways that can reduce health inequality in the early years of life.
The Test Site approach
Consistent parenting, safe, nurturing early years, supportive education
Health behaviours
Opportunity to escape poverty. To have decent
housing, social networks, self esteem, control
Key Elements of Approach
Leadership – strategic, service & community champions
Learning – what works Engage with Communities Mainstream services Innovation
Activities
Action learning sets Health & Early Years Learning Network Civic Conversation Social marketing Service mapping & redesign Measuring and evaluating change
And finally
This is a change process – if we keep on doing what we have always done then we will not address the equity issues in our community
More information
Web log
http://edubuzz.org/blogs/equallywell/