Wandworth Local Health and Care Plan - October 2019

47 Our Vision: We want people to live and remain as healthy as they can, for as long as they can. Our priorities go across the age spectrum focusing on prevention, supporting independence, good health and wellbeing and enabling local communities to become more resilient Responding to the needs of Wandsworth Residents Focus on Impact for Wandsworth residents Start Well Rationale - the health divide is evident from childhood; what happens in childhood lays down the foundation for health and wellbeing throughout life Start Well Charter Commitment to ensuring good experiences for children looked after, children known to children’s social care and children with special educational needs and disabilities (SEND) and complex needs Childhood Obesity • In Wandsworth 1 in 6 children are overweight when starting school and this grows to 1 in 3 when leaving school. Children’s and Young People’s Mental Health • An estimated 2,800 children aged 5-16 have mental health disorders in Wandsworth; half of lifetime mental disorder has arisen by the age of 14 and 75% by the mid-20s. Therefore, services to prevent mental disorder have greatest impact in pre-teenage years. Risky behaviours • It is estimated that 12% of 15-year-olds in Wandsworth partake in 3 or more risky behaviours Childhood Obesity • The prevention and management of childhood obesity Children’s and Young People’s Mental Health • Improving resilience and emotional and mental wellbeing, and experience of and access to mental health services Risky behaviours • Protecting children from the impact of risky behaviours • Improved patient experience • Improved access to services • Reduced stigma • Person centred services tailored to individual and family needs Live Well Rationale -Good mental health is the foundation for living well Integrating Physical and Mental Health approaches • Increasing numbers of people aged between 16 and 74 have a common mental health disorder such as depression and anxiety • 22% of people attending A&E had mental health issues • 44% of adults in Wandsworth drinking more than the recommended limit of per week Chronic disease management - Diabetes • Increased diabetes prevalence • An estimated 9.0% of people in Wandsworth with nondiabetic hyperglycaemia who are at increased risk of developing diabetes Integrating Physical and Mental Health approaches Chronic disease management - Diabetes • Developing a care model that underpins a holistic approach to self-management and focuses on prevention and health inequalities. • Improved access, earlier diagnosis and improved recovery rates • Improved wellbeing and independence • Greater LTC control and outcomes • Improved access to services • Improved glycemic control and quality of life. Age Well Rationale - healthy life expectancy is shorter than overall life expectancy and the average person can expect 15 years of deteriorating health Joined Up Health and Social Care More people are living into older age; the number of people aged 65 or over is projected to increase by 44% in the next 20 years. • The rate of hospital admissions for injuries due to falls in those aged 65 and over is significantly higher than the national and regional averages • Inequalities in life expectancy and healthy life expectancy Dementia • Increasing rates of diagnosis and awareness, which has system wide implications for both health and care Isolation • Isolation in older age is a preventable cause of physical and mental health problems. 39% of > 65s in Wandsworth live alone. Isolation in older age often disproportionately affects people living in more deprived areas or who are on low incomes Health and Social Care Integration • Proactive and preventative services, rapid response, improving discharges, enhanced support to care homes and falls prevention Dementia Awareness and early diagnosis, integrating dementia care into other care planning streams Isolation Increasing adult and older people’s access to community based activities • Improved patient experience • Reduction in falls and ambulance callouts • Fewer emergency admissions and A&E 47