Infectious Disease | Boltons Health Matters
Skip to main content

Infectious Disease

 

This is the JSNA chapter on Infectious Disease. Theme chapters summarises implications for commissioning, who is at risk and why, the level of need in the population, service provision and use, unmet needs, what works in terms of evidence, community views and priorities, any related equality impact assessments, unmet service needs/gaps and recommendations for further needs assessment work. 

The purpose of this document is to provide a clear overview of the current health protection situation within Bolton highlighting any on-going challenges or issues.

Key Points

  • Bolton has robust emergency planning.
  • The rate of new tuberculosis cases is reducing in Bolton but it is still higher than England as a whole.
  • Flu immunisation uptake is highest in the over 65 group, it has been increasing year on year and is now at 74.1%.
  • Flu immunisation uptake is lowest in pregnant women with 47.9% taking up the vaccination.
  • Bolton CCG lies just below average when comparing the flu immunisation uptake in 2, 3 and 4 year olds when compared nationally.
  • Bolton has excellent uptake of key childhood vaccinations and has significantly higher uptake of the MMR, HPV, Men C and PCV when compared to both the North West and England.
  • The screening uptake for abdominal aortic aneurysm (AAA) and diabetic retinopathy screening is higher in Bolton than nationally.
  • Breast screening uptake in the North West was on a par with England while bowel screening uptake was slightly below the national uptake.
  • The HIV prevalence in Bolton is increasing annually in line with the national figures; this is predominantly due to the increased life expectancy of individuals with HIV.
  • The uptake of HIV testing in both women and Men who have Sex with Men (MSM) is higher in Bolton than in the North West and England. However, Bolton has a higher rate of late HIV diagnosis than the North West and England.
  • The number of cases of MRSA and C. diff in Bolton has stayed relatively stable over the last 2 years, while in Greater Manchester there has been an overall increase.

The flu plan will aid the development of strong and flexible operational plans by local organisations and emergency planners within the NHS and local government. It provides the public, and healthcare professionals, with:

  • an overview of the co-ordination and the preparation for the flu season
  • signposting to further guidance and information

This resource can be accessed by clicking here: http://bit.ly/1xuZwpp

This resource describes how public health in a number of councils has started to use the opportunities of a local government setting to improve health and wellbeing.

The case studies were chosen because they show a range of ways in which public health in councils is approaching working with local business. They include councils spread across England, covering both rural and urban environments and with varying levels of deprivation and affluence. The LGA looks forward to seeing many more such examples of local energy and innovation in the months and years to come, and seeing the measurable impact it will have. The challenge for us all is not just to identify good practice, but to champion and share it.

Case studies include:

  • Creating a healthier workplace
  • Creating a less obeseogenic enviornment
  • Improving child vaccination rates
  • Working with early year providers

You can download the resource by clicking here: http://bit.ly/1zSrjOh

This resource describes how public health in a number of councils has started to use the opportunities of a local government setting to improve health and wellbeing.

The case studies were chosen because they show a range of ways in which public health in councils is approaching working with local business. They include councils spread across England, covering both rural and urban environments and with varying levels of deprivation and affluence. The LGA looks forward to seeing many more such examples of local energy and innovation in the months and years to come, and seeing the measurable impact it will have. The challenge for us all is not just to identify good practice, but to champion and share it.

Case studies include:

  • Creating a healthier workplace
  • Creating a less obeseogenic enviornment
  • Improving child vaccination rates
  • Working with early year providers

You can download the resource by clicking here: http://bit.ly/1zSrjOh

NICE has developed public health briefings for a range of different topics. These briefings are meant for local authorities and their partner organisations in the health and voluntary sectors, in particular those involved with health and wellbeing boards. This briefing summarises NICE's recommendations for local authorities and partner organisations on identifying and managing tuberculosis (TB) in vulnerable people who may find it difficult to access services for diagnosis and treatment in traditional healthcare settings. This includes adults, young people and children from any ethnic background, regardless of migration status, whose social circumstances, language, culture or lifestyle (or those of their parents or carers) make it difficult to:

  • recognise the clinical onset of TB
  • access diagnostic and treatment services
  • self-administer treatment (or in the case of children and young people have treatment administered by a parent or carer)
  • attend regular appointments for follow-up.

This resource can be viewed by clicking here: http://publications.nice.org.uk/tuberculosis-in-vulnerable-groups-lgb11. It is particularly relevant to health and wellbeing boards.

This briefing summarises NICE's recommendations for local authorities and partner organisations on identifying and managing tuberculosis (TB) in vulnerable people who may find it difficult to access services for diagnosis and treatment in traditional healthcare settings. The guidance can be accessed and downloaded by clicking here: bit.ly/1lS1k51

This report presents data on liver disease in the North West of England, describing the burden by age, sex, deprivation and geography. It explores routinely available data for the main causes of liver disease; alcohol, hepatitis B and C and fatty liver disease. It will be a useful resource for Directors of Public Health, health and wellbeing boards, commissioners and providers of services and others involved in liver disease. The data is commonly shown at a local authority level, when it is available.

NICE's formal guidance on prevention and control of healthcare-associated infections.

Follow the link for full details: http://guidance.nice.org.uk/PH36

NICE's formal guidance on reducing differences in the uptake of immunisations.

Follow the link for full details: http://guidance.nice.org.uk/PH21

Share this: