Health Improvement Plan for South East Glasgow Health Improvement Plan for South East Glasgow March 2010
We have engaged with many groups, communities and organisations to develop this plan and we look forward to working in partnership with them to deliver it over the next three years.
Health Improvement Plan for South East Glasgow Welcome I am delighted to introduce the first Health Improvement Plan for South East Glasgow. As you know we face many challenges in improving the health and well being of the people who live in the South East of Glasgow. This is why we have been working to develop a coherent plan that responds to these challenges. We have engaged with many groups, communities and organisations to develop this plan and we look forward to working in partnership with them to deliver it over the next three years. Bailie James Scanlon Chair, South East Glasgow Health Thematic Management Group and Chair, South East Glasgow Community Health & Care Partnership Contents 1 Introduction 1.2 What do we mean by health? 2 South East Area Characteristics 2.1 Area overview 2.2 Key data 3 Proposed health improvement priorities for 2009-12 3.1 Priorities 3.2 Geographies 4 How we will deliver the Health Improvement Agenda 5 How will we know that we have delivered on the plan? 6 How to get involved
1 Introduction The South East Glasgow Health Improvement Plan is for the period 2009-12, during which we hope to make substantial progress in health outcomes for local communities. This plan has been produced by a range of organisations working together. These partners are: The South East Glasgow Community Health and Care Partnership (CHCP), Culture and Sport Glasgow, the Housing Sector, Strathclyde Police, Strathclyde Fire and Rescue, Glasgow City Council, Job Centre Plus, Langside and Nautical Colleges, Glasgow South East Regeneration Agency, the Voluntary Sector, Glasgow Community Safety Services and community residents. It is hoped that everyone with an interest in improving the health of people in South East Glasgow will use this Plan. through 2009-12, we hope to make substantial progress in the health outcomes for local communities 1.2 What Do We Mean By Health? Being healthy means different things to different people. For example, a person who has managed to give up smoking would identify not smoking as a means of achieving better health, or an elderly person may consider themselves in good health if their arthritis has eased off sufficiently that they have been able to make a trip out to their local shops. People assess their health according to their own circumstances and expectations.
Health Improvement Plan for South East Glasgow 2 South East Glasgow Characteristics There are sixteen distinct areas within South East Glasgow. These are: Battlefield, Carmunnock, Castlemilk, Cathcart, Croftfoot, Crosshill, Greater Gorbals, Govanhill, Kings Park, Langside, Mount Florida, Pollokshields, Shawlands, Simshill, Strathbungo and Toryglen. The area has a population of just over 100,000 and includes some of the most deprived communities in Glasgow. There is also a large black and minority ethnic (BME) population, and we have an increasing number of people living in the South East who come from Poland and Slovakia. In addition approximately 700 asylum seekers live in the area and it is estimated that approximately 3000 people of Roma origin have arrived in recent years, located primarily within Govanhill. Health and Wellbeing among people across different areas of South East Glasgow varies significantly, for example in terms of life expectancy. There are striking contrasts in health which have been carefully considered in developing our thinking on how we improve health. While we have many services to improve health in South East Glasgow, (including stop smoking services and work with children on dental health) we will need to consider further targeted support in areas of greatest need. 1 Gorbals 1 2 East Pollokshields Shawlands 2.1 Social Work Offices 1 Gorbals 2 East Pollokshields 3 Castlemilk Health Centres 1 Gorbals 2 Govanhill 3 Castlemilk Forsyth House 2 Govanhill Toryglen Battlefield Kings Park Croftfoot 3 Castlemilk Carmunnock 3
2.2 Key data In 2008 the Glasgow Centre for Population Health produced Community Health and Wellbeing profiles for all CHCP areas. Below are some of the key health indicators for South East Glasgow. In the period 2004-2006 alcohol related hospital admissions were 264% above the Scottish average in Gorbals and only 72% above in Kings Park and Mount Florida. In the period 2004-2006 domestic abuse incidents were 61% above the Scottish average in Castlemilk but 62% below in Cathcart and Simshill. In Govanhill suicide rates were 53% above the Scottish average between the period 2001-2005, in Kingspark and Mount Florida they were 87% below. There is also a marked difference in life expectancy for the area for example a man in Carmunock can expect to live to 76.9 where as a man from Gorbals has a life expectancy of 63.4 Drug related deaths between 1997-2006 in Toryglen were 144% above Scottish average but 78% below the average in West Pollokshields Data from the 2001 census shows that in Shawlands the number of children living in workless households was 8% above the Scottish average and in Gorbals it is 218% above. Smoking during pregnancy also shows big variations with the rate being 77% above Scottish average in Toryglen and 52% below in Langside and Battlefield in the period 2004-2004. Dental Hospital admissions for children living in Gorbals between 2003-2006 were 70% above Scottish average and Carmunock 62% below.
Health Improvement Plan for South East Glasgow 3 Proposed Health Improvement Priorities for 2009-12 Taking into account the information presented, priorities were developed by all partners. These priorities have a topic and geographic focus and are the areas where all organisations working together wish to make a real impact on health and wellbeing during 2009-12. Gorbals East Pollokshields 3.1 Priority Themes Building community capacity Supporting children and families Improving mental health and well being Addressing addiction and its impacts Weight Management Castlemilk Toryglen Govanhill
Greater Gorbals Govanhill 3.2 Geographies We plan to work more intensely in the five areas of South East Glasgow that have the greatest need. Greater Gorbals (comprising the three communities of Hutchesontown, Laurieston and the Oatlands) remains an area of significant need. Greater Gorbals fares worse than the Scottish average in almost every indicator, with concentrations of worklessness, addictions, high levels of crime and high levels of road traffic accident casualties among children. The Health Forum has discussed the need to work with particular sectors of the population, such as families with children, and men who are often disconnected from services. Govanhill is an area which suffers from income deprivation, poor housing and the challenges of responding to the needs of a very varied community which includes the indigenous population, a high black and ethnic minority population (19%) and people of Roma origin. The local Health Forum has prioritised working with older people and carers, and commissioned research in April 2009 to find out older peoples views on health and accessing services.
Health Improvement Plan for South East Glasgow East Pollokshields The population of East Pollokshields is very diverse in terms of ethnicity, faiths and cultures, but there is also the significant variation in health experience between East and West Pollokshields. The health issues in this area range from poor mental health, domestic abuse, diabetes and the use of alcohol, drugs and tobacco. In response to local need the Health Improvement Team planned and has now opened the Pollokshields Health Shop. This provides a community base, to offer improved access to a range of health and social care services, with an emphasis on new and additional services which have been locally identified. It will also signpost residents to other local services based in Pollokshields or in South East Glasgow as a whole. Toryglen The Community Health Profile highlights that Toryglen has many health issues. Mental health has been highlighted within asylum seeking families due to the asylum process. Respite for parents has been raised as an issue within the local Health Forum along with cooking classes and there have been 10 classes held, the groups taking part have ranged from young carers, young people and parents from the local mother and toddler groups. Castlemilk In the Langside and Linn area, Castlemilk remains the area of poorest health. Like Gorbals, Castlemilk fares worse than the Scottish and South East average figures in almost every indicator. Addiction is a key concern within Castlemilk, which applies across all ages and impacts on whole families. Poor self esteem and low levels of confidence are identified by local organisations and service providers. In response to this local research was undertaken during 2009 to look at local priorities and experience of health and wellbeing. The Health Forum is now looking to progress the findings from the research.
4 the environment, housing quality, employment, income and diet all influence and contribute to general health How we will deliver the Health Improvement Agenda The plan takes a wide view of health, recognising that there are many factors which influence and contribute to our general health. These include our environment, housing quality, employment and financial situation, and what we eat and drink. The Health Thematic Management Group (HTMG) led by the CHCP will take the lead on the implementation of the plan and report to the two community planning partnership boards within the South East (Langside & Linn and Pollokshields & Southside Central). There is representation from each of the health forums on the HTMG and other key partners. These forums work in the key geographic areas mentioned. They are held in Govanhill, Gorbals, Langside and Linn, East Pollokshields and Toryglen. The forums bring together a wide range of statutory and voluntary sector organisations, as well as local people, to bring forward priorities and encourage joint working on these. They also offer a basis for taking forward the priorities in the Plan, and seeking local solutions. For each priority theme described in the plan we are also developing a group to ensure progress for example: Food Action South East (FASE) This group will take the lead on Weight Management, physical activity and develop a range of programmes. FASE partners will work together around issues of food, nutrition, weight management, physical activity and develop programmes such as cooking classes and community growing schemes. South East Addictions Partnership (SEAP) SEAP is made up of various voluntary and statutory partners including South East CHCP, Community Addictions Teams, SEAL community health project, The Way to go Café, Community Planning and South East Alternatives. Priorities of this group include prevention and recovery as well as raising awareness with events such as Getting Real about Drugs and Alcohol (GRAND) and Alcohol Awareness week.
Health Improvement Plan for South East Glasgow 5 How will we know that we have delivered on the plan? 6 Progress in implementing the Health Improvement Plan will be reported upon to local residents through the Community Planning Community Reference Groups, the Health Forums and the CHCP s Public Partnership Forum. The wider community will also be kept informed in various ways, including for example, through the use of local press and media and the Community Planning newsletters that are produced for the South East. How to get involved The Healthy thematic Management group or Themed Groups Contact: Nichola Brown: 0141 232 9636 nichola.brown2@ggc.scot.nhs.uk Health Forums Contact: Victoria McAlpine: 0141 232 9645 victoria.mcalpine@ggc.scot.nhs.uk For more information on: Public Partnership Forum Made up of voluntary organisations and members of the public this group links patients, carers, and the wider public and lets them have their say in the development of local health and social care services. This gives people the opportunity to influence how services are provided. Contact: Adam Khan: 0141 276 3900 adam.khan@sw.glasgow.gov.uk
Produced by South East CHCP Health Improvement Team Mansionhouse Unit 100 Mansionhouse Road Langside G41 3DX Tel: 0141 201 6158 / 0141 232 9617