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Immunisation

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

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

This is the Childhood Accidents JSNA Indicator Sheet from the Child and Maternal Health section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.

Headlines

  • In general Bolton has better childhood immunisation coverage than is average for both England and the North West region;
  • Child immunisation coverage as a whole is typically between 90% and 100% and so the differences between small areas of Bolton are often not significant;
  • Immunisations for children in care has shown recent improvement but some of our peers have 100% coverage;
  • As a more recently established immunisation, HPV coverage in Bolton has shown improvements over recent years, particularly for those receiving all three doses where we have improved to be the second highest of our statistical peer group.

This is the Influenza Immunisation JSNA Indicator Sheet from the Behaviour and Access to Services section. JSNA Indicator Sheets summarise the current position and recent trends for Bolton, comparators to Bolton, and inequalities across population groups and geographical areas of Bolton.

Headlines

  • Bolton's current uptake of influenza vaccination in the 65 and over population is lower than both the North West and the England average figure;
  • Bolton's pattern of uptake has followed the national trend whilst consistently having a slightly lower uptake; 
  • However, Bolton has an uptake very close to average for its statistical peer group;
  • Across all the key condition groups for influenza vaccination Bolton has higher uptake than is average for both the North West and England, but for pregnant women and frontline health staff the level of uptake is not as promising.

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