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Councillor Douglas Yates
Health and Well-Being Spokesperson
COSLA
Improving the Nation’s Health
in Partnership
Cllr Douglas Yates
COSLA
Great Expectations
Life Expectancy Trends: Scotland and
Other Western European Countries
It’s Just Deprivation
All ages, both sexes: cause-specific standardised mortality ratios 2003-07, Glasgow relative
to Liverpool & Manchester, standardised by age, sex and deprivation decile
Calculated from various sources
350
300
248.5
229.5
Standardised mortality ratio
250
200
168.0
150
126.7
112.2
111.9
All cancers
(malignant
neoplasms)
Circulatory system
131.7
100
50
0
Lung cancer
External causes
Suicide (inc.
undetermined intent)
Alcohol
Drugs-related
poisonings
Public Finance and Scarcity
• What is the total resource available?
• How are these resources currently spent?
• What services need more resources and what
would be their cost effectiveness?
• Could some services be provided as effectively
with fewer resources?
Think Total Resource
Drug and alcohol services spend
2007/08
Treatment and care
£115.8m
9%
Prevention £10.6m
3%
5%
Criminal justice services
£16.2m
9%
Enforcement &
regulation £8.9m
6%
Essential services £4.9m
68%
Other £16.4m
Building on Christie Report
Work closely with individuals and communities to
understand their needs, maximise talents and
resources, support self reliance, and build resilience.
Concentrate the efforts of all services on delivering
integrated services that deliver results
Prioritise preventative measures to reduce demand
and reduce inequalities
Economics of Disinvestment
RSCOP Projected (to 2014/15) Emergency
Admission Beddays Rate aged 75+
6500
6000
Ayrshire & Arran
5500
Dumfries &
Galloway
rate per 1000 aged 75+
Fife
5000
Grampian
4500
Highland
4000
Lanarkshire
Tayside
3500
3000
2500
2000
2009 2010 2011 2012 2013 2014 2015
- To retain the same number
of beds as 2009/10 we
need to achieve a 12%
reduction in the bed-day
rate by 2014/15.
- By 2020/21 to retain the
same number of beds we
have to have achieved a
24% reduction in the bedday rate.
Health and Social Care Integration
•
•
•
•
National Partnership
Local Partnership
Commissioning Partnership
Partnership with Citizens