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All Directors of Public Health (DPH) in England have the statutory duty to write an Annual Report. This is an independent report on the state of the health and wellbeing of the local population. This year, the 2018/19 report for Derby is made up of four bulletins that explore topics previously raised in last year’s annual report.
Bulletin Four, the latest bulletin, reviews child poverty. One-third of UK children live in poverty and two-thirds of children in poverty have at least one parent in work. Poverty drivers include low paid work, worklessness, high living expenses and inadequate benefits. It is known that poverty harms childhoods, life chances and wider society through reduced outcomes in education, health and communities.
Bulletin Three covers Adverse Childhood Experiences (ACEs) and social mobility in Derby. ACEs are traumatic events occurring in childhood which have a lasting negative impact on individual’s health and social outcomes in adulthood. Contributing events include abuse, neglect and household challenges. The impact on individual’s with multiple ACEs is wide ranging but is associated with a higher risk of early death, violence (interpersonal and self-directed), substance misuse (drug and alcohol), mental ill health and sexual risk taking.
Bulletin Two examines work, worklessness and inclusive growth in Derby. Moving people into good work is important for everyone as good quality work benefits individuals, their families, local communities and businesses. There are also cost savings to society such as reducing costs associated with homelessness, crime, benefits, and health care. Features of good work include fair pay, job security, decent working conditions, a work life balance, job control, training and progression opportunities.
Bulletin One discusses health inequalities, their impact both on our local population and on our health and care system and the things we can do to make a positive change. Men and women in Derby have low healthy life expectancy. This means that men live in poor health, with long-term conditions, from aged 60 years and women from aged 58 years. In addition, there are wide inequalities: Derby is in the top ten local authorities in England for the widest gap in healthy life expectancy. Therefore, Derby has large differences in outcomes between the most deprived and least deprived populations. As a result, this first bulletin outlines the reasons why healthy life expectancy needs to rise in Derby and has made recommendations for improvement.
The 2018-2021 Pharmaceutical Needs Assessment (PNA) has been produced for both Derby City Council and Derbyshire County Council Health & Wellbeing Boards. The PNA is a statement of current pharmaceutical services provided in the local area. It assesses whether or not provision is satisfactory to meet the health, wellbeing and care needs of the local population, and makes recommendations where gaps are identified. PNAs must be used as the basis for determining market entry to a pharmaceutical list. At time of publication the 224 community pharmacies across Derby and Derbyshire represent a rate of 21 per 100,000 population across our area, and are considered to provide adequate pharmaceutical services based on need. For more information about your local pharmacy, including opening times and available services, please search the NHS Choices website.
Derby Health and Wellbeing Board brings together Councillors and lead officers from Derby City Council, with Executive GPs and lead officers from Southern Derbyshire Clinical Commissioning Group (CCG), NHS England, Health Watch Derby and other key public services. Health and Wellbeing Boards were established under the Health and Social Care Act 2012 to act as a forum in which key leaders from the health and care system work together to improve the health and wellbeing of their local population. The Board meets regularly, with one of the key functions being to develop and oversee the implementation of the city’s Joint Strategic Needs Assessment and Health and Wellbeing Strategy.
The population of Derby is younger, more diverse and more deprived than the England average. 257,000 people reside in Derby City and 24.7% of people are from an ethnic minority group. Derby is one of the 20% most deprived district/unitary authorities. Life expectancy for both men and women is lower than the England average. The health of people in Derby is generally worse than the England average. The local priorities for Derby include giving children the best start, promoting healthier lifestyle choices, and population immunisation, screening and early diagnosis. The Health Profile 2018 shows the health summary for Derby City compiled by Public Health England, while the Child Health Profile for Derby 2017 highlights outcomes specific to children and young people.