1

Understanding and addressing health needs in deprived neighbourhoods

How is the neighbourhood important to understanding health?

Tuesday 5 August 2008Aston Villa Football Club, Birmingham

New Deal for Communities National Evaluation

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?

46%

60%

43%

59%

46%

56%

Base: All respondents: NDC Aggregate 19,574 (2002), 19,633 (2004), 15,792 (2006) National: General Household Survey

NDC aggregate

National 00/01

National 02/031

3

National 04/05

% good

Change+%

20042002 2006

5

Limiting long-term illness

QHE3/4 Limiting long-term illness

25%

18%

26%

19%

25%

21%

Base: All respondents: NDC Aggregate 19,574 (2002), 19,633 (2004), 15,792 (2006) National: General Household Survey

NDC aggregate

National 00/01

National 02/03

National 04/05

-1

-1

Change+%

20042002 2006

6

Smoking

QHE7 Do you smoke cigarettes at all nowadays?

37%

25%

40%

27%

38%

26%

Base: All respondents: NDC Aggregate 19,574 (2002), 19,633 (2004), 15,792 (2006) National: General Household Survey

NDC aggregate

National 00/01

National 02/03

National 04/05

-2

-3

Change+%

20042002 2006

7

Satisfaction with doctors

QHE14 How satisfied or dissatisfied are you with your family doctor/GP?

84%

84%

84%

90%

Base: All seen GP in last year: NDC Aggregate 15,795 (2002), 15,694 (2004), 13,045 (2006) National: People’s Panel Baseline

NDC aggregate

National 1998

0

% very/fairly satisfied

Change+%

20042002 2006

8

74%

77%

71%

76%

74%

77%

Access to doctors

QHE13 How easy or difficult is it for you to see your family doctor/GP when you need to?

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+)

NDC aggregate

National 2002

National 2004 1

3

National 2006

% very/fairly easy

Change+%

20042002 2006

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