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Community

The Borough of Bolton has a resident population of approximately 280,000. The health and social care system comprises a number of statutory organisations along with a GP Federation and vibrant community and voluntary sector:

  • Bolton Foundation Trust
  • Bolton Council
  • Bolton Clinical Commissioning Group
  • Greater Manchester West Mental Health Trust
  • Bolton Federation
  • Bolton CVS
  • HealthWatch Bolton

These organisations and wider stakeholders have worked jointly to develop Bolton’s Health and Care Locality Plan to deliver real improvements in health and wellbeing for Bolton people and make services more sustainable for the future, in terms of money and patient care.

Headlines

  • Acorn is a segmentation tool that groups households based on where they live, and helps to understand the different types of communities that make up a larger population and their likely needs, behaviours and opinions relating to a wide range of topics.
  • Acorn is based in where people live, but many people spend a substantial amount of time away from home, at work. Workplace Acorn describes the people who work in each local area. Their Acorn type is determined using their home address, and where people work is estimated from 2011 census data. Ward worker populations are very variable, so Workplace Zones can be used to build up new geographies.
  • Bolton’s workforce population is fairly evenly split: just over a quarter of workers belong to each of ‘4 Financially stretched’ and ‘3 Comfortable communities’ while just under a quarter belong to each of ‘5 Urban adversity’ and ‘1 Affluent achievers’.
  • Compared with residents, the Bolton workforce contains relatively higher proportions of the more affluent Acorn categories and lower proportions of the more deprived Acorn categories. This results in a more even distribution of workers across wards and more homogenous makeup of ward workers than seen in the resident population. Although the differences are smaller, the wards with the highest proportion of affluent residents still tended to be those with higher proportions of affluent workers and relatively fewer deprived workers.
  • The wards containing Bolton town centre (Great Lever, Halliwell and Crompton) are among the most deprived in terms of residents, but when the workforce is considered the wards have a profile much more typical of Bolton as a whole.
  • The insights gained from Acorn data are particularly useful when combined with locally collected data. Acorn data could be used to add value particularly by providing detail about people’s lifestyle choices in wider areas of their life. Workplace Acorn could be used to target employers where workers are likely to be made up of particular Acorn types, groups and categories. It could also be used to guide promotion of products and services which are aimed at the worker population rather than the resident population, particularly where there are large differences between the two.

This resource collection contributes to the emerging evidence base by drawing out the key messages from independent evaluations of their Dementia Friendly Community (DFC) programmes. This collection consists of three resources (please click on title to access resource):

  1. Shared learning from programmes
  2. Evaluation of Bradford Dementia Friendly Communities Programme
  3. Evaluation of York Dementia Friendly Communities Programme

Ways Forward

  • The active, meaningful engagement of people with dementia and their families is fundamental.
  • DFCs must engage with, and achieve equity for, all people with dementia, whatever their circumstances.
  • Practical barriers to inclusion must be addressed if normal lives are to be continued.
  • The human rights of people with dementia and carers must be recognised and promoted.
  • DFCs must be underpinned by ongoing awareness raising, training and positive media coverage.
  • Connections and networks, within and beyond the community, are at the heart of DFCs.
  • Local grassroots community activity is the bedrock of DFCs.
  • This activity must be supported by strong strategic planning, commissioning and leadership.
  • Both primary and secondary health providers have a vital role to play in supporting social inclusion
  • There is no template - each community must develop its own approach.

These are a collection of examples of best practice as undertaken by the National Conversation on Health Inequalities (NCHI) that covered a wide spectrum of public health activity. Please click on the links below to go to the case studies:

 

 


These documents outline the problem of social isolation in relation to public health.

Presented in 3 sections, they include:

  • evidence on the link between social isolation, poor health outcomes and health inequalities
  • identification of who is at risk of social isolation and what impact this has on health inequalities
  • possible interventions to reduce social isolation in identified populations

They can be accessed by clicking here: http://bit.ly/1QF6jSz

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here: http://bit.ly/1NvW6YD

These documents outline the effects of working conditions on public health and set out information about how local public health partnerships can influence job creation.

They can be accessed by clicking here: http://bit.ly/1iNZ2Vb 

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here: http://bit.ly/1NvW6YD


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: http://bit.ly/1YaS9Oi

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here: http://bit.ly/1NvW6YD

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: http://bit.ly/1NvW6YD

 


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: http://bit.ly/1YaSDUm

This resource is part of the ‘Local Action on Health Inequalities’ Collection that can be accessed by clicking here: http://bit.ly/1NvW6YD

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