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How we will know we are making a difference

Improving overall health and wellbeing status is a long-term endeavour and for each priority area we have identified headline high-level metrics that will tell us what impact we have had over the next five years.

To ensure we can track trends over time and compare against benchmarks we are using relevant indicators from national profiles and frameworks, taken largely from the Public Health Outcomes Framework (PHOF), OHID health profiles and the Adult Social Care Outcomes Framework (ASCOF). Local short- and medium-term indicators will be developed alongside the integrated action plan so that we can track progress over the life of the strategy.

Priority: Ageing Well

Strategic Actions

  • Prevent the development and progression of frailty by promoting active aging and reducing social isolation.
  • Invest in prevention activities and improve communication to ensure residents better understand the risk factors for dementia and falls.
  • Ensure that people are supported at home to avoid admission to hospital unless clinically justified.
  • Support people aged over 80 years to continue to live safely in their own homes, where this is the right choice for them.
  • Ensure carers feel supported in their role alongside being able to maintain their own health and wellbeing.
  • Improve awareness of sources of information and support.

High-level long-term metric(s)

  • Estimated dementia diagnosis rate (aged 65 and over) (PHOF E15)
  • Hip fractures in people aged 65 and over (PHOF E13)
  • Hip fractures in people aged 65 to 79 and over (PHOF E13)
  • Hip fractures in people aged 80 and over (PHOF E13)
  • Emergency hospital admissions due to falls in people aged 65 and over (PHOF C29)
  • Emergency hospital admissions due to falls in people aged 65 to 79 (PHOF C29)
  • Emergency hospital admissions due to falls in people aged 80 and over (PHOF C29)
  • Social care-related quality of life score (ASCOF 1A)
  • Proportion of residents who use services who have control over their daily life (ASCOF 1B)
  • Proportion of people who use services who reported that they have had as much social contact as they would like (ASCOF 1I1)
  • Proportion of carers who reported they have had as much social contact as they would like (ASCOF 1I2)
  • Proportion of people who use services who find it easy to find information about services (ASCOF 3D1)
  • Proportion of carers who find it easy to find information about services (ASCOF 3D2)

Priority: Mental Health and Wellbeing

Strategic Actions

  • Prevent mental ill health and promote wellbeing
  • Promote good mental health and wellbeing across all age groups in Bexley
  • Undertake local research – to better understand local healthcare inequalities in mental health
  • Support those working with individuals and communities with a focus on suicide prevention and mental health first aid
  • Increase community-based care and supporting communities
  • Improving clinical and care services
  • Improving crisis care pathways

High-level long-term metric(s)

  • Self reported wellbeing: people with a low satisfaction score (PHOF C28a)
  • Self reported wellbeing: people with a low worthwhile score (PHOF C28b)
  • Self reported wellbeing: people with a low happiness score (PHOF C28c)
  • Self reported wellbeing: people with a high anxiety score (PHOF C28d)
  • Premature mortality in adults with severe mental illness (PHOF E09a)
  • Suicide rate (PHOF E10)
  • Hospital admissions as a result of self-harm (10-24 years) (OHID)
  • Emergency Hospital Admissions for Intentional Self-Harm (PHOF C14b)
  • School pupils with social, emotional and mental health needs: % of schools pupils with social, emotional and mental health needs (School age) (OHID)
  • Adults in contact with secondary mental health services who live in stable and appropriate accommodation (Persons) (PHOF B06b)
  • Estimated prevalence of common mental disorders: % of population aged 16 & over (OHID)
  • New referrals to secondary mental health services, per 100,000 (<18yrs) (OHID)
  • New referrals to secondary mental health services, per 100,000 (All ages) (OHID)

Priority: Obesity

Strategic Actions

  • Increase the availability of healthier and affordable food
  • Create an environment that inspires physical activity
  • Recognise the links between obesity and mental health
  • Support a healthy lifestyle through good livelihoods
  • Equip the workforce to contribute to the obesity agenda
  • Provide quality services that support weight management
  • Embed healthy lifestyles across the agenda
  • Communicate core and targeted lifestyles messages

High-level long-term metric(s)

  • Reception: Prevalence of overweight (including obesity) (PHOF C09a)
  • Year 6: Prevalence of overweight (including obesity) (PHOF C09b)
  • Percentage of physically active children and young people (PHOF C10)
  • Percentage of adults aged 16 and over meeting the ‘5-a-day’ fruit and vegetable consumption recommendation (PHOF C15)
  • Percentage of adults (aged 18 plus) classified as overweight or obese (PHOF C16)
  • Percentage of physically active adults (PHOF C17a)
  • Percentage of physically inactive adults (PHOF C17b)
  • Obesity in early pregnancy (PHOF C03a)

Priority: Children and Young People

Strategic Actions

  • Take a ‘think family’ approach
  • Make it easy to access services
  • Make it easy to access information
  • Build community resilience
  • Take a prevention and early intervention approach
  • Target support at those that need it most to help tackle health inequalities
  • Listen to children and young people
  • Prepare young people for adulthood

High-level long-term metric(s)

  • Drinking in early pregnancy (PHOF C03b)
  • Smoking in early pregnancy (PHOF C03c)
  • Low-birth weight of term babies (PHOF C04)
  • Proportion of New Birth Visits completed within 14 days (PHOF C07)
  • Child development: percentage of children achieving a good level of development at 2 to 2 ½ years (PHOF C08a)
  • School Readiness: percentage of children achieving a good level of development at the end of Reception (PHOF B02a)
  • School Readiness: percentage of children with free school meal status achieving a good level development at the end of Reception (PHOF B02b)
  • Hospital admissions caused by unintentional and deliberate injuries in children (age 0 to 14 years) (PHOF C11a)
  • Hospital admissions caused by unintentional and deliberate injuries in young people (aged 15 to 24 years) (PHOF C11b)
  • 16 to 17 year olds not in education, employment or training (NEET) or whose activity is not known (PHOF B05)
  • Percentage of looked after children whose emotional wellbeing is a cause for concern (PHOF C12)