Appendix A
A PLACE WHERE PEOPLE CAN LIVE HEALTHY LIVES
PRIORITY: GIVE EVERYONE IN LANCASHIRE THE CHANCE OF BETTER HEALTH
OUTCOME
EXAMPLE(S)
Developed relationships with HEO&SCs On 2 April 2003, officers from Blackpool with Darwen Borough Council, Blackpool Borough
Council, Cumbria and Lancashire Cumbria County Councils met to compare work
in Blackpool, Blackburn and Cumbria to
programmes and forge closer working relationships. A further meeting was also held on 25
establish links for future joint working;
June 2003 at County Hall, which (in addition to those authorities listed above) was attended by
representatives from Sefton Borough Council. Although no further sessions have been held,
these proved useful in encouraging dialogue between the relevant Health Scrutiny
Committees. A good example of this co-operation is the recent Joint Lancashire and Sefton
Health Overview and Scrutiny Committee, established to report on the proposals to transfer
General Medical Services from the Ormskirk District General Hospital to the Southport and
Formby District General Hospital.
Responded to all requests for information The County Council provides traffic data to all Districts as part of the current and potential
and worked with partners to resolve air
future air quality review. In areas where the air quality objective is not anticipated to be met,
quality issues under the air quality
the County Council in partnership with the Districts works to establish Air Quality Management
management process.
Areas and produce measures to improve air quality. The County Council is currently working
with Lancaster City Council on Lancashire’s first Air Quality Management Area.
PRIORITY: PROMOTE GOOD HEALTH WITH CHILDREN, YOUNG PEOPLE AND FAMILIES
OUTCOME
Worked to reduce teenage pregnancies
in Lancashire
EXAMPLE(S)
1. Links with local and regional media has increased, resulting in an increased amount of
positive coverage. The Partnership has joined forces with What Now? and the local
radio station Rock FM to launch the high profile ‘Think Safe Sex’ radio campaign, which
resulted in increased numbers of young people contacting What Now?’s helpline.
Young people know where to access good quality information, advice and support.
2. A successful conference aimed at people working with vulnerable young people
attracted 150 delegates from a wide range of disciplines and provided an opportunity to
address a range of issues associated with teenage pregnancy and vulnerable people.
3. The development of the condom distribution scheme led by Preston Primary Care Trust
(PCT) on behalf of Wyre, Fylde, Chorley and South Ribble and West Lancashire PCT’s
is a good example of a more co-ordinated approach from health partners across the
County.
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PRIORITY: PROMOTE GOOD HEALTH WITH CHILDREN, YOUNG PEOPLE AND FAMILIES (cont)
OUTCOME
Increased school participation in the
Healthy Schools initiative
Provided supported nursery placements
to children assessed as having Special
Educational Needs following their 3rd
birthday
Implemented procedures to meet the
needs of children under 2 with significant
and complex Special Educational Needs
EXAMPLE(S)
475 schools have been recruited to the Lancashire Healthy Schools Partnership, with
additional support for 137 schools where 20% of children receive free school meals.
Those children not meeting the criteria but on Action / Action Plus code of practice have also
received support from a Special Support Assistant since Sept 2003.
The “Including Special Learners” document published in June 2003.
PRIORITY: HELP PEOPLE LIVE AS INDEPENDENTLY AS THEY CAN
OUTCOME
Increased the provision for people being
supported at home
EXAMPLE(S)
1. Our provision for people supported at home continues to grow. We support 283
extracare sheltered housing places across the County, 107 of which came on stream
between September 2003 and January 2004. We are working on longer-term forecasts
for likely future need for this sort of provision: this will be outlined in the extracare
Sheltered Housing Commissioning Strategy that we expect to produce in November
2004.
2. The take-up of Direct Payments has increased by 73% over 2003/2004. On 31/3/04
327 Services users received Direct Payments compared with 188 a year before. The
pattern of increase is similar for adult service user groups receiving Direct Payments
which on 31/3/04 included:
- 98 Older people
- 71 people with a Learning Disability
- 145 people with a Physical Disability
- 6 people with a Sensory Impairment.
- 7 people with a Mental Health problem.
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PRIORITY: HELP PEOPLE LIVE AS INDEPENDENTLY AS THEY CAN (cont)
OUTCOME
Encouraged greater use of our mobile
library facilities by elderly people,
especially those who are housebound or
have access problems.
Worked on initiatives to reduce doorstep
malpractices, including overcharging for
building repairs
EXAMPLE(S)
Purchased and provided a library service to 61 care homes, 31 sheltered accommodation
units and 2 day-care centres in an area stretching from Silverdale to Poulton le Fylde and
Knott End.
In 2003/04, the Trading Standards Service joined the County Council ‘Maturity Matters’
initiative to improve doorstep protection and awareness for elderly people and vulnerable
residents. The Trading Standards Service also worked in partnership with other agencies to
promote a Private Member’s Bill seeking to outlaw cold calling by ‘dodgy builders’ and actively
intervened in 50 doorstep mis-selling scams to protect elderly residents from overcharging for
house repairs.
PRIORITY: MAKE LANCASHIRE A HEALTHIER PLACE TO LIVE BY THE WAY WE DELIVER OUR SERVICES
OUTCOME
EXAMPLE(S)
Introduce traffic-calming measures to
encourage travel choices that encourage
exercise
Delivered a programme of over 70 traffic-calming measures across Lancashire. An important
part of the process included consultation with stakeholders and residents affected by
proposals.
Promoted initiatives to ensure that our
advice and enforcement in respect of
products and food safety is effective in
protecting the public, including the most
vulnerable
In 2003/04, the Food Service (Trading Standards and County Analysts) inspected 4,402 food
businesses to ensure compliance; and checked 2,011 food samples to ensure quality
standards and claims were being met. The Trading Standards Service investigated 1,000
food-related complaints and removed from sale 3,700 items of consumer products judged to
be unsafe.
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PRIORITY: MAINTAIN A HEALTHY WORKPLACE AND PROMOTE HEALTHY LIVING TO OUR STAFF
OUTCOME
Use thorough health and safety and risk
assessments to ensure healthy practices
EXAMPLE(S)
1. Started a three-year health and safety training programme to develop certain basic
health-and-safety competencies. Each Directorate has been allocated funding on a
per-head basis to provide training.
2. Trained several employees in each directorate to undertake health-and-safety
management audits.
3. Started a 3-5 year programme to achieve OHSAS 18001 Occupational Health and
Safety Management System accreditation in each Directorate and DSO.
4. Ensured high safety standards by seeking accreditation from the Adventurous Activities
Licensing Authority of all outdoor education activities.
Promoted activities on Control of
Substances Hazardous to Health
(COSHH)
To promote health and safety in relation to COSHH, the County Analyst has increased training
to promote COSHH awareness and started to develop an inter/intranet-based database to
make hazard information readily available to all. The Trading Standards service has enforced
legislation that controls the disposal of household garden chemicals that are no longer
approved for use on safety grounds.
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LIVE HEALTHY LIVES – KEY PERFORMANCE INDICATORS
BV12: The proportion of working days/shifts lost due to sickness
absence
Good is low
8.95
8.9
8.85
8.8
8.91
8.75
8.72
8.75
8.7
8.65
8.6
2001/2002
2002/2003
2003/2004
LESS3 - Number of schools engaged in the Healthy Schools
programme
Good is high
600
521
500
358
400
300
200
100
0
2002/2003
2003/2004
PAFC29 - Proportion of physically disabled people helped to
live at home per 1,000 population aged 18 - 64
Good is High
4.35
4.3
4.3
4.25
4.2
4.15
4.1
4.1
4.1
2001/2002
2002/2003
4.05
4
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2003/2004
PAFC30 - Proportion of people with learning disabilities
helped to live at home per 1,000 population aged 18 - 64
Good is High
3
2.5
2.7
2.1
2.3
2
1.5
1
0.5
0
2001/2002
2002/2003
2003/2004
PAFC31 - Proportion of people with mental health problems
helped to live at home per 1,000 population aged 18 - 64
Good is High
3.5
3
2.5
2
1.5
1
0.5
0
3.1
2.5
1.9
2001/2002
2002/2003
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2003/2004