Understanding and addressing health needs in deprived neighbourhoods

1
New Deal for Communities National Evaluation

• Understanding and addressing health needs in
  deprived neighbourhoods
• How is the neighbourhood important
• to understanding health?
• Tuesday 5 August 2008
• Aston Villa Football Club, Birmingham

2
Overview of NDC progress

• Slow movement in health outcomes
• Health standards remain below local and national
  benchmarks
• NDCs struggling to link local problems,
  intervention and outcomes

3
Influencing factors

• Time lag between actions and outcomes
• Resources and relationships
• Easier to measure place based outcomes

4
Health status
QHE1 Over the last 12 months, would you say that
your health has on the whole been good, fairly
good or not good?
Change
2004
2002
2006
good
3
NDC aggregate
National 00/01
National 02/03
1
National 04/05
Base All respondents NDC Aggregate 19,574
(2002), 19,633 (2004), 15,792 (2006) National
General Household Survey
5
Limiting long-term illness
QHE3/4 Limiting long-term illness
Change
2004
2002
2006
NDC aggregate
-1
National 00/01
National 02/03
-1
National 04/05
Base All respondents NDC Aggregate 19,574
(2002), 19,633 (2004), 15,792 (2006) National
General Household Survey
6
Smoking
QHE7 Do you smoke cigarettes at all nowadays?
Change
2004
2002
2006
-3
NDC aggregate
National 00/01
National 02/03
-2
National 04/05
Base All respondents NDC Aggregate 19,574
(2002), 19,633 (2004), 15,792 (2006) National
General Household Survey
7
Satisfaction with doctors
QHE14 How satisfied or dissatisfied are you with
your family doctor/GP?
Change
2004
2002
2006
very/fairly satisfied
0
NDC aggregate
National 1998
Base All seen GP in last year NDC Aggregate
15,795 (2002), 15,694 (2004), 13,045 (2006)
National Peoples Panel Baseline
8
Access to doctors
QHE13 How easy or difficult is it for you to see
your family doctor/GP when you need to?
Change
2004
2002
2006
very/fairly easy
NDC aggregate
3
National 2002
1
National 2004
National 2006
Base All seen GP in last year NDC Aggregate
15,795 (2002), 15,694 (2004), 13,045 (2006)
National Ipsos MORI Omnibus 2002 (2,068 adults
aged 16), 2004 (2,032 adults aged 16), 2006
(1,989 adults aged 16)
9
Digging deeper into NDC progress

• However, more noticeable change in health
  outcomes
• in individual NDC areas
• for specific groups of residents

10
Key lessons

• Importance of partnership working
• Experiences of health differ according to age,
  ethnic group and gender
• Understanding and addressing local needs