Health, Disease and Mortality | Boltons Health Matters
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Health, Disease and Mortality

These documents set out the purpose of the Social Value Act and outline how it affects local public health bodies.

They include information about:

  • what social value means and how and it is used
  • reasons to act on social value
  • local action for local public sector commissioners

They can be accessed by clicking here:

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here:

The Marmot Review (2010) made a range of recommendations to reduce health inequalities in England.

Building on the Review, the UCL Institute of Health Equity has produced 4 papers which include evidence, and examples of practical action that can be taken at a local level to reduce health inequalities. They are designed for people working in local services, particularly:

  • directors of public health and public health teams
  • people working in local authorities services that may influence health and wellbeing, such as planning
  • health and wellbeing boards

These practice resources build on a series of papers published in 2014 to support local action on health inequalities.

You can view this resource by clicking here:


Health literacy refers to the skills, knowledge, understanding and confidence needed to use health and social care information and services.

These documents explain how:

  • these individual factors influence public health

  • local health providers can improve health literacy

They can be accessed by clicking here:

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here:

This document is for people with responsibility for suicide prevention in local authorities and their partner agencies. The document includes:

  • the meaning of the term ‘suicide clusters’
  • identification of suicide clusters
  • suggestions for who may be at risk of suicidal acts due to the influence of other people’s suicidal behaviour,
  • the mechanisms involved in suicide clusters
  • the effects of suicide on other individuals

The steps required at local level to prepare for a suicide cluster are described alongside suggested responses to possible suicide clusters.

Finally, best practice is provided on how to evaluate responses to a cluster, and on using the experience to improve further suicide prevention measures.

This resource can be accessed by clicking here:

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.

This guideline makes recommendations on improving the health and wellbeing of employees, with a particular focus on organisational culture and context, and the role of line managers.

The aim is to:

  • promote leadership that supports the health and wellbeing of employees
  • help line managers to achieve this
  • explore the positive and negative effect an organisation’s culture can have on people’s health and wellbeing
  • provide a business case and economic modelling for strengthening the role of line managers in ensuring the health and wellbeing of employees.

The guideline is for employers, senior leadership and managers (including line managers) and employees. It will also be of interest to those working in human resources, learning and development teams, professional trainers and educators, occupational health, health and safety, trade unions and professional bodies. In addition, it may be of interest to other members of the public.

This can be accessed by clicking here:

This report provides an examination and analysis of suicide and self-harm in Bolton. For the offical statistic a three year pool is ued by Public Health England to improve the reliability of the data. PHE publish the offical suicide rate nationally, for the North West, and for Bolton - the official rate is the directly standardised rate (DSR) for suicide and injury undetermined.

The report summarises the key health issues for men living in East part of the borough. The report provides latest statistics for the specific areas of Bradshaw, Breightmet, Little Lever and Darcy Lever, and Tonge with the Haulgh,.The majority of data is taken from the Bolton Health & Wellbeing Survey which is a few years out of date but is still the most reliable sub-Bolton level data we have available. The survey is due to updated this year.

This document shows progress against the actions set out in Living Well for Longer: National support for local action which followed a call to action from the Secretary of State. bThe report shows that there has been improved prevention, early diagnosis and treatment of the 5 big killers:

  • cancer
  • stroke
  • heart disease
  • lung disease
  • liver disease

It also outlines the next steps for ongoing improvements across the system in reducing premature mortality. You can access the resource by clicking here:

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:

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