1. Health Inequalities Awareness Training 25 th September 2014 Field Place Welcome and Introduction Renée Dickinson, Public Engagement Manager Office: 01903 708498Mobile: 07919 166369 Web: www.coastalwestsussexccg.nhs.ukwww.coastalwestsussexccg.nhs.uk Twitter@CWSCCG

2. 09:30 –Welcomes and Introductions – objectives for the session, Renée Dickinson, Public Engagement Manager for the CCG- 09:45 to 10:15 – What do we mean by Health Inequalities, Debra Balfour, Inequalities lead WSCC Public Health 10:15 to 10:45 - The current picture of inequalities in Coastal, Ross Maconachie, JSNA Data and Research Manager, Public Health and Jacqueline Clay, Public Health lead 10:45 to 11:15 – Making the most of our community resources, Sally Tabbner, Head of Public Health Contracts and Performance 11:15 to 12:00 Commissioners’ Challenge Renée to set the brief for the challenge. 12:00 – 12:45 – How can our work in commissioning help to reduce Health Inequalities? Rhani Dhillon, Locality Lead CCG and GP Lime Tree Surgery with Matt White supporting 12:45 to 13:00 – Questions and Close

3. Public Reference Panel - The scrutiny committee for Public Engagement within our commissioning projects and processes. West Sussex has the most unequal health outcomes across the South East of England Health Inequalities need to be addressed proactively Systematically engrained within our commissioning processes Why are we here today?

4. The Coastal West Sussex Patch Coastal WS CCG covers almost 65% of West Sussex We have 6 Localities There are 54 GP practises An annual budget of more than £580million Total population now exceeds 482,000

5. The CWS Population

6. Mosaic Public Sector Profile: Coastal West Sussex Population vs. England Population  Groups A, B, E, F, G and H are significantly overrepresented within Coastal West Sussex.  Together, these groups make up over 64% of the population.  Senior Security alone account for 17% of the population, whilst Aspiring Homemakers account for a further 11.6%.

8. Key MOSAIC groups in CWS Groups B ‘Prestige Positions’, L ‘Transient renters’ and M ‘Family Basics’ have been identified as key Mosaic Groups. These three groups are all over represented in Coastal West Sussex when compared to the England population. In particular Groups L and M are over represented for many of the health conditions partly due to these being more elderly groups. They are unlikely to use A&E inappropriately probably due to the fact that if they are in hospital it is for longer term conditions. Group B is also the only group to not be under represented in any of the health conditions.

9. Key MOSAIC Groups 10.2% Population in Coastal West Sussex 9.9% Population in Coastal West Sussex 8.0% Population in Coastal West Sussex

10. 17.1% Population in Coastal West Sussex 7.0% Population in Coastal West Sussex 11.6% Population in Coastal West Sussex Key MOSAIC Groups

11. Mosaic Public Sector General Health (Good to Bad) & CWS Population Breakdown 3.5 % 0.8 % 5.3 % 0.1 % 8.7 % 9.9 % 2.3 % 8.0 % 10.2 % 11.6 % 6.6 % 7.0 % 17.1 % 2.6 % 6.2 % Key Group X % Percentage of CWS Population

12. We asked you to tell us……

13. What does the term Health Inequalities mean to you?

14. What does the term Equality and Diversity mean to you?

15. How do you think that your role could help to reduce health inequalities? “Helping to enable recognition” “Commissioning care that is accessible” “Highlighting bad practise” “Treating everyone as equals” “Making useful data available” “Representing different community groups”

16. The CCG Vision In 2019 patients will tell us: My wellbeing is as important as my physical health I feel safe and confident that I will be looked after well I have access to a choice of high quality, responsive services seven days a week I am in control of my health and my medical conditions are well managed The care I receive is built around me I am supported when I become unwell I feel part of my community

17. Seven areas of transformation: Patient participation in their NHS Urgent and proactive care Mental health and learning disabilities Planned care Children, young people and maternity Primary care Taking care of the essentials

18. 09:30 –Welcomes and Introductions – objectives for the session, Renée Dickinson, Public Engagement Manager for the CCG- 09:45 to 10:15 – What do we mean by Health Inequalities, Debra Balfour, Inequalities lead WSCC Public Health 10:15 to 10:45 - The current picture of inequalities in Coastal, Ross Maconachie, JSNA Data and Research Manager, Public Health and Jacqueline Clay, Public Health lead 10:45 to 11:15 – Making the most of our community resources, Sally Tabbner, Head of Public Health Contracts and Performance 11:15 to 12:00 Commissioners’ Challenge Renée to set the brief for the challenge. 12:00 – 12:45 – How can our work in commissioning help to reduce Health Inequalities? Rhani Dhillon, Locality Lead CCG and GP Lime Tree Surgery with Matt White supporting 12:45 to 13:00 – Questions and Close

19. You now have the opportunity to; speak with and learn from our colleagues that are here representing the Health and Wellbeing Hubs and Voluntary Action Worthing. - find out about projects and initiatives that are active within our communities and speak to our colleagues who are on the ground about the issues that are affecting the local populations. As a group, we want you to use this information to think about how you can better recognise and identify health inequalities that will relate to your transformational area. For example, Mental health and learning disabilities, you may find it interesting to find out about what services there are for people who need help with drug misuse and who is accessing these services. Patient Participation in their NHS then it may be interesting to look at the different mechanisms for engaging with the population and whether or not this provides equal access for involvement. You can choose to look at the transformation area as a whole or to concentrate on a more specific area, it’s up to your team. This is really about getting used to thinking about how we can review specific local needs for every clinical programme of change. We will be sharing our thinking in the next session that Rani will lead.