SERVICE SPECIFICATION Service “Keeping Well” Commissioner Lead Doncaster CCG Provider Lead Practice name…… Period 1st May 2017 31st March 2018 – Date of Review November 2017 1. Population Needs Doncaster has a lower life expectancy than the national average with men living to an average of 77.5 years and women living to an average of 81.6 years. Doncaster ranks 124 of 150 local authorities for the number of people who die prematurely. The leading causes of premature death are from diseases that can be prevented such as cancer, cardio-vascular disease and respiratory disease. The causes of these diseases are, in part, linked to a number of unhealthy behaviours these include smoking, physical inactivity, poor diet and high levels of alcohol consumption. In Doncaster 74% of adults are overweight or obese, 22.7% of people currently smoke and 33.6% of people are physically inactive. Doncaster also has higher rates of alcohol related emergency hospital admissions than the national average. The spread of disease risk factors, disease prevalence and life expectancy in Doncaster is not evenly distributed. There is a difference in life expectancy of 8.9 years for men and 7.2 years for women between the highest and the lowest wards. A model for prevention (Figure 1) has been developed for Doncaster and endorsed through the Health and Wellbeing Board to communicate prevention at different levels from addressing the causes of the causes of ill health, to reducing disease risk factors and detecting disease early, to proactive management of existing long term conditions. This model also helps to communicate how disease prevention can take place at different levels within general practice. specification is primarily concerned with This “Keeping Well” Primary Prevention; however in order to deliver this effectively it will need to have links with the Wider Determinants part of the model and may also have an impact on Secondary Prevention through the earlier identification of undiagnosed disease. Figure 1 for Prevention – Doncaster’s Model In Doncaster we recognise that GPs and their practice teams have a crucial role to play in
SERVICE SPECIFICATION Service “Keeping Well” Commissioner Lead Doncaster CCG Provider Lead Practice name…… Period 1st May 2017 – 31st March 2018 Date of Review November 2017 1. Population Needs Doncaster has a lower life expectancy than the national average with men living to an average of 77.5 years and women living to an average of 81.6 years. Doncaster ranks 124 of 150 local authorities for the number of people who die prematurely. The leading causes of premature death are from diseases that can be prevented such as cancer, cardio-vascular disease and respiratory disease. The causes of these diseases are, in part, linked to a number of unhealthy behaviours these include smoking, physical inactivity, poor diet and high levels of alcohol consumption. In Doncaster 74% of adults are overweight or obese, 22.7% of people currently smoke and 33.6% of people are physically inactive. Doncaster also has higher rates of alcohol related emergency hospital admissions than the national average. The spread of disease risk factors, disease prevalence and life expectancy in Doncaster is not evenly distributed. There is a difference in life expectancy of 8.9 years for men and 7.2 years for women between the highest and the lowest wards. A model for prevention (Figure 1) has been developed for Doncaster and endorsed through the Health and Wellbeing Board to communicate prevention at different levels from addressing the causes of the causes of ill health, to reducing disease risk factors and detecting disease early, to proactive management of existing long term conditions. This model also helps to communicate how disease prevention can take place at different levels within general practice. This “Keeping Well” specification is primarily concerned with Primary Prevention; however in order to deliver this effectively it will need to have links with the Wider Determinants part of the model and may also have an impact on Secondary Prevention through the earlier identification of undiagnosed disease. Figure 1 – Doncaster’s Model for Prevention In Doncaster we recognise that GPs and their practice teams have a crucial role to play in