Health Improvement National Performance Framework

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Health ImprovementNational Performance Framework

• Paul Ballard
• Deputy Director of Public Health
• NHS Tayside
• Honorary Senior Lecturer
• Dundee University Medical School

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Purpose
Purpose Targets
Strategic Objectives
National Outcomes
National Indicators and Targets
HEAT Targets/SOA Menu of Local Indicators
Local SOA/NHS LDP/Corporate Objectives
JHIPs
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PURPOSE

• To focus government and public services on
  creating a more successful country with
  opportunities for all of Scotland to flourish
  through increasing economic sustainable growth

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Purpose Targets (7)

• Economic Growth
• Productivity
• Participation
• Population
• Solidarity
• Cohesion
• Sustainability

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Strategic Objectives (5)

• This supports the delivery of the Governments
  Purpose
• Wealthier and Fairer
• Smarter
• Healthier
• Safer Stronger
• Greener

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National Outcomes (15)

• Each of the National Outcomes informs one or
  more of the Strategic Objectives e.g.
• Our children have the best start in life and are
  ready to succeed
• We live longer, healthier lives
• We have tackled the significant inequalities in
  Scottish society

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National Targets and Indicators (45)

• These support the delivery of the National
  Outcomes. These National Targets and Indicators
  are drawn up for both the NHS and Local
  Authorities (LAs). Some are applicable to one or
  the other but many will require partnership
  working. There are too many to list here but
  here are the health improvement partnership
  indicators.

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National Targets and Indicators (45)

• 60 of school children in primary 1 will have no
  signs of dental disease by 2010
• Increase the average score of adults on the
  Warwick-Edinburgh Mental Well-being Scale by 2011
• Increase healthy life expectancy at birth in the
  most deprived areas
• Reduce the percentage of the adult population who
  smoke to 22 by 2010
• Reduce alcohol related hospital admissions by
  2011
• Reduce mortality from coronary heart disease
  among the under 75s in deprived areas

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HEAT Targets (30)Health Improvement (7)

• Reduce mortality from Coronary Heart Disease
  among the under 75s in deprived areas
• 80 of all three to five year old children to be
  registered with an NHS dentist by 2010/11
• Achieve agreed completion rates for child healthy
  weight intervention programme by 2010/11
• Achieve agreed number of screenings using the
  setting-appropriate screening tool and
  appropriate alcohol brief intervention, in line
  with SIGN 74 guidelines by 2010/11

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HEAT Targets (30)Health Improvement (7)

• Through smoking cessation services, support 8 of
  each NHS Boards smoking population in
  successfully quitting (at one month post quit)
  over the period 2008/09 2010/11
• Reduce suicide rate between 2002 and 2013 by 20,
  supported by 50 of key frontline staff in mental
  health and substance misuse services, primary
  care and accident and emergency being educated
  and trained in using suicide assessment
  tools/suicide prevention training programmes by
  2010
• Increase the proportion of newborn children
  exclusively breastfed at 6-8 weeks from 26.6 in
  2006/07 to 33.3

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SOA Menu of Local Outcome Indicators
Measure Indicator Data Source
Standard Mortality Ratios in LA Deaths per 100,000 from CHD and all cancers ISD, General Register Office for Scotland (GROS) Community Profiles
Health Inequalities in LA Deaths from CHD among the under 75s in deprived areas Proportion of live singleton births of low birth rate Pregnancies among 12-15 year olds Dental caries in Primary 1 Obesity levels in Primary 1 GROS SNS GROS
Impact of alcohol consumption Deaths per 1000 population alcohol related hospital admissions ISD
Impact of smoking Deaths per 1000 population GROS
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Better Health Better Care (BHBC) and the Scottish
Local Government Single Outcome Agreements (SOAs)

• BHBC is the National Strategic Document for the
  NHS and includes HEAT targets
• The SOA is the National Strategic Document for
  Local Authorities which sets out the outcomes
  which each Local Authority is seeking to achieve
  and uses the National Outcomes and National
  Indicators
• The menu of local outcome indicators guides LAs
  to planning specific local outcomes
• Both the BHBC and SOA underline the need for
  partnership working via Community Planning

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NHS Local Delivery Plans (LDPs) and Corporate
Objectives

• Annual LDPs and Corporate Objectives outline what
  the local NHS will do to meet the HEAT targets
  and other local health priorities

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Local Outcomes

• In order to achieve the HEAT and SOA local
  indicators it is crucial that Community Planning
  partners develop their own local priorities,
  outcomes and indicators
• The LDPs and NHS Corporate Objectives and menu of
  local outcome indicators provide information on
  outcomes and indicators
• The JHIPs are a critically important local
  partnership mechanism for identifying local
  priorities, indicators and outcomes

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Proposed Worked Examples LA/HEAT
COSLA/LA Local Indicators HEAT National Indicators National Outcomes
Levels of smoking among adults/young people Through smoking cessation services, support 8 of your Boards smoking population in successfully quitting (at one month post quit) over the period 2008/09 2010/11 Reduce the percentage of the population who smoke to 22 by 2010 We live longer, healthier lives
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Proposed Worked Examples LA/HEAT
JHIP Dundee City Indicators HEAT COSLA/LA Local Indicators
More detailed Health Improvement Plan Reduce of population (16) who smoke (baseline 29) NHS Tayside will work with Dundee City Council to achieve this target (e.g. LDPs and Corporate Objectives Through smoking cessation services, support 8 of your Boards smoking population in successfully quitting (at one month post quit) over the period 2008/09 2010/11 Levels of smoking among adults/young people