Healthier Communities. Effective Governance

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1 Our Key Priorities Effective Governance Healthier Communities Accessible and sustainable services Our values Excellent outcomes and experience Strong partnerships A Fully Engaged and Skilled Workforce

2 ABMU Key Priorities : Healthier Communities Improved Performance Sustained Performance Decline in Performance 4 Measures 2 Measures 6 Measures Trend Measures Period Value Target Attained Trend % uptake of the influenza vaccination - aged 65 years and over Up to 24/03/ % % uptake of the influenza vaccination - under 65 years in at risk groups Up to 24/03/ % % uptake of the influenza vaccination - pregnant women Up to 24/03/ % % uptake of the influenza vaccination - healthcare workers % uptake of the 5 in 1 vaccine at age 1 % uptake of the MenC vaccine at age 1 % uptake of the MMR1 vaccine at age 2 % uptake of the PCV vaccine at age 2 % uptake of the HibMenC booster vaccine at age 2 Up to 24/03/ % Q3 Oct-Dec % Q3 Oct-Dec % Q3 Oct-Dec % Q3 Oct-Dec % Q3 Oct-Dec %

3 ABMU Key Priorities : Healthier Communities Measures Period Value Target Attained Trend % Welsh resident smokers make a quit attempt via Smoking Cessation Services % Welsh resident smokers CO validated as successfully quitting at 4 weeks % of reception class children (aged 4/5) classified as overweight or obese Apr-14 - Feb % Apr-14 - Feb % 2013/ %

4 STAYING HEALTHY - I AM WELL INFORMED & SUPPORTED TO MANAGE MY OWN PHYSICAL & MENTAL HEALTH Measure 1: % uptake of the Seasonal Flu vaccine 65 years and older, Measure 2: % uptake of the Seasonal Flu vaccine 6 months to 64 Risk, Measure 3: % uptake of the Seasonal Flu vaccine pregnant women, Measure 4: % uptake of the Seasonal Flu vaccine in Healthcare workers. Strategic Aim : Excellent Population Health Strategic Change Programme: Changing for the Better: Staying Healthy Executive Lead : Sara Hayes IMTP Profile Target : WG Target : Current Movement : Period : Apr-15 (1)75% (2) 75% (3) 75% (4) 50% (1)75% (2) 75% (3) 75% (4) 50% Status : Worsening Current Trend: Apr 2015 (1) 65 years and older (3) Pregnant 100.0% 50.0% 0.0% (2) 6 months to 64 Risk (4) Healthcare Workers How are we doing? The HBs uptake of flu vaccination is slightly lower than at the same point last season, for over 65s (1), and under 65s at risk (2). Neath Port Talbot have exceeded their uptake rates for the same point last year. Pregnant women uptake figures are low, but internal audits suggest much higher uptake Staff uptake, had been systematically increasing year on year but has started to plateau. It remains below WG Tier 1 target. However, a greater NUMBER of vaccines have been given this year (total staff). ABMU has achieved the greatest HB % increase in uptake of Fluenz by 2-4 year olds compared to 2013/14 (whilst 3 Health Boards uptake is less than their uptake last year). Increase of 5% compared to last year 09/10 10/11 11/12 12/13 13/14 14/15 (change of target group from 2-3 yr olds to 2-4 yr olds during this period) * 14/15 data is upto 15th April 15 An ABMU GP practice is 1 of only 5 in Wales to achieve T1 target for 65s+ and under 65s at risk. Benchmark 14/15 (1) 65+ (2) < 65@ Risk (3) Pregnant (4) HC Workers Wales 68.1% 49.5% 45.3% 42.9% ABM 65.3% 44.1% 41.2% 41.0% AB 70.0% 53.0% 44.3% 40.0% BCU 70.2% 51.5% 48.8% 49.6% C&V 70.0% 50.5% 45.6% 44.9% CTaf 67.5% 50.0% 45.9% 44.9% HDdA 65.0% 46.3% 42.9% 34.8% Powys 66.6% 47.9% 46.6% 48.6% What actions are we taking? Evaluation of the flubusters campaign Planning an audit of good practice with GP practices (against the VIP pack) Use of Flu Champions to support staff vaccination Representation on national flu planning groups to learn and share good practice Working to improve data reporting for flu vaccine uptake within midwifery department Visits undertaken to high achieving GP practices and learning shared Reviewing and reflecting on the 2014/15 flu season in order to inform planning for 2015/16 Primary Care Flu Planning Group developing action plan for next season Submitted poster presentations to Welsh Immunisation conference, winning first and second prize. How do we compare with our peers? What are the main areas of risk? Currently lowest uptake of HB areas for WG Tier 1 targets in relation to 6 months 64yrs Considerable effort to raise uptake has had little impact on improvement of particularly measure 1 and at risk categories, sixth ranked Health Board for 65 years and older. measure 2 to date, suggesting other elements of the delivery system need to be examined Second highest HB area for uptake of school fluenz programme, have met the target and General Practice need stronger motivation and clearer information on their own rates to achieve better achieved 7.7% increase in uptake on last year s campaign. than last year's uptake rates. Source : Public Health Wales, Weekly Influenza Surveillance Report, (Update 23) 24/3/2015

5 STAYING HEALTHY - I AM WELL INFORMED & SUPPORTED TO MANAGE MY OWN PHYSICAL & MENTAL HEALTH Measure 1: % uptake of the 5 in 1 vaccine at age 1, Measure 2: % uptake of the MenC vaccine at age 1, Measure 3: % uptake of the MMR1 vaccine at age 2, Measure 4: % uptake of the PCV vaccine at age 2, Measure 5: % uptake of the HibMenC booster vaccine at age 2 Strategic Aim : Healthier Communities Strategic Change Programme: Changing for the Better: Staying Healthy Executive Lead : Sara Hayes IMTP Profile Target : WG Target : Current Movement : Period : Dec-14 (1)98% (2) 94% (3) 97% (4) 97% (5) 96% 95% or above Status : Worsening Current Trend: Dec 13 - Dec 14 How are we doing? Our performance in the take up of routine childhood immunisations up to the second birthday has dipped (1) 5 in 1 at age 1 (2) MenC at age 1 (3) MMR1 at age 2 (4) PCV at age 2 (5) HibMenC at age 2 since % 98.0% 96.0% 94.0% 92.0% Benchmark Q3 14/15 5 in 1 MenC MMR1 PCV HibMenC Wales 95.1% 96.2% 94.6% 94.6% 94.2% ABM 96.1% 97.4% 95.3% 94.8% 94.5% AB 96.3% 97.6% 95.0% 95.0% 94.3% BCU 94.9% 95.7% 95.2% 95.3% 95.0% C&V 91.9% 93.7% 92.1% 92.0% 91.3% CTaf 97.7% 98.3% 97.3% 97.5% 97.3% HDda 94.6% 95.9% 94.0% 94.2% 93.5% Powys 94.0% 94.6% 92.7% 94.3% 94.7% What actions are we taking? Investigations at national level on plugging the gap in primary care when school nursing not able to complete the school programme. All Health Visitors now tracking children up to school age who are late for vaccination to facilitate vaccination, including home vaccination where indicated. Engage children in improving their understanding of immunisation so they leave school fully immunised. The Healthy Schools and PreSchools Team is utilising existing communication mechanisms to share information with schools about relevant immunisations, including weekly ebulletins and training for teachers. In the coming year the team are developing work to facilitate preparation for consent giving, to support informed decision making; and help settings to develop a culture of readiness for school, readiness for work/university/travel/etc... in relation to immunisations. Focus on minimising queues for childhood immunisation appointments Working with relevant professionals provide leadership in promoting immunisation. How do we compare with our peers? ABMU HB uptake rates are above the Wales average for all vaccinations listed above What are the main areas of risk? Failing to address public concerns arising from adverse perception regarding immunisation. Primary care may struggle to cope generally or with volume and complexity of immunisation programmes. Inequalities in uptake by deprivation group or some other social characteristic may be masked by high overall uptake rates. Source : Vaccine Uptake in Children in Wales October to December 2014 (COVER 113)

6 STAYING HEALTHY - I AM WELL INFORMED & SUPPORTED TO MANAGE MY OWN PHYSICAL & MENTAL HEALTH Measure 1: % Welsh resident smokers make a quit attempt via Smoking Cessation Services Measure 2: % Welsh resident smokers who are Co validated as successfully quitting at 4 weeks Strategic Aim : Healthier Communities Strategic Change Programme: Changing for the Better: Staying Healthy Executive Lead : Sara Hayes IMTP Profile Target : WG Target : Current Movement : Period : Mar-15 (1) 5% (2) 40% (1) 5% and above (2) 40% and above Status : Worsening Current Trend: (monthly) How are we doing? In quarters 1 and 2 of 2014/15 the only service contributing to the Tier 1 target was Stop Smoking Wales (SSW). For these quarters, ABM University Health Board was slightly below the Welsh average performance for the % of smokers attempting to quit smoking through smoking cessation services. For 2014/15 SSW has contributed 1.6% of the 5% target for treated smokers. In 2014/15, SSW has failed to meet measure 2 of the target (40% of treated smokers are CO validated quitters at 4-weeks) on four occasions. Benchmark Attempts Co Validated What actions are we taking? 29 Level 3 pharmacy smoking cessations schemes have been established across ABM localities. A further 11 will be live by May The 'Start Here' Level 3 marketing campaign continues. Data collection for Level 3 performance has commenced and will contribute to future Tier 1 performance reports. SSW mobile units have visited two hospital sites in March 2015 and the Health Board's hospital based service is due to go live in June Referral pathways are being established in respiratory, cardiovascular and diabetic medicine. A Smoke-free Hospitals working group has been established and draft action plan produced. Additional SSW capacity has been identified until June 2015 to work with GP practices who have identified smoking cessation in their cluster area plans. This will include training in brief interventions and awareness raising. A revised ABMU HB smoking cessation pathway has been uploaded on the GP Portal and COIN system. A referral pathway for dentists and opticians has been established. Work continues with midwifery in increasing CO monitoring compliance and referral of pregnant smokers to smoking cessation services. How do we compare with our peers? What are the main areas of risk? Implementation in all 40 Level 3 pharmacies and current uptake of those level 3 pharmacies that are live. Distribution of 'Start Here' marketing materials has been delayed. Source : NHS WALES OUTCOMES FRAMEWORK, ALL WALES PERFORMANCE SUMMARY (JANUARY 2015)