Saturday 15 October 2016

Cabinet to consider Brent's STP

The Brent Cabinet will be considering a report on the Brent and North West London Sustainability and Transformation Plans (STPs) on 0ctober 24th, three days after the draft NW London STP is due to be delivered to NHS England.

The Brent STP fits within the NW STP and is meant to consider Brent specific issues which are listed as:
The Brent specific health and well-being gaps have been identified as:
o   · Common mental health disorders (CMD): large numbers and projected to increase - in 2014, an estimated 33,959 people aged 18 to 64 years were thought to have a CMD
o   · Severe and enduring mental illness: affects 1.1% of the population
o   · Mental well-being: the percentage of people with depression, mental health issues or other nervous disorders in employment is 23% also lower than both the England rate (36%)
o   · Significant and growing challenges to provide housing which potentially further undermine mental wellbeing
o   · Childhood obesity: Brent is in the worst quartile nationally in terms of the % of children aged 10-11 classified as overweight or obese – 38%
o   · Diabetes: by 2030 it is predicted 15% of adults in Brent will have diabetes
o   · Long Term Conditions: 20% of people have a long term condition
o   · Dementia: prevalence of dementia in people aged 65 years and over is 2,225 2016) (and 80% of prevalence is diagnosed)
o   · STIs/HIV: 1,404 STIs per 100,000 population compared to 829 in England
o   · Health-related behaviour: physical inactivity: worst in West London; nutrition: 47% get 5 a day; tobacco use; alcohol; take up of immunisations

The Brent specific care and quality gaps have been identified as:
o   · Caring for an ageing population: 35% of all emergency admissions in Brent are for those aged 65 and over; once admitted this group stays in hospital longer, using 55% of all bed days.
o   · End of Life Care: Brent has one of the highest percentages of deaths taking place in hospital in the country
o   · Primary care: wide variation in clinical performance; Brent is in the worst quartile nationally for patient experience of GP services.
o   · Long Term Condition management: Brent is in the worst quartile nationally in terms of people with a long-term condition feeling supported to manage their condition.
o   · Cancer: Brent is in the second lowest quartile nationally in terms of GP referral to treatment for cancer and worst quartile in terms of cancer patient experience.
o   · Serious and long-term mental health needs: people with serious and long term mental health needs have a life expectancy 20 years less than the average.

 Clearly these are extremely serious issues and the test is whether the STP, which many see as a cover for cuts, will address them. The full report going to Cabinet is below:

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