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Health and Wellbeing

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Health Improvement Partnership

The Health Improvement Partnership aims to support the people of Wiltshire to lead happy and healthy lives.  This encompasses not only the individually determined factors such as genetic make up and lifestyle but also the wider determinants such as social and community networks and general socio-economic, cultural and environmental conditions.  It is an ambition of the Wiltshire Assembly that Wiltshire is the healthiest county in England by 2014.

The Health Improvement Partnership in Wiltshire is working to:

  • promote health and wellbeing
  • ensure quality of life is sustained for the longest time
  • ensure the individual is at the heart of what we do
  • promote positive personal choice and individual responsibility


Wellbeing Wheel of Measures

An interactive ‘wheel’ to help understand the nation's well-being:


Determinants of health and wellbeing
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Determinants of Health and Well-being

The Office for National Statistics released “Key Statistics” and “Quick Statistics” for small areas in February 2013.  The ONS page contains more information.

More detailed analyses of the census estimates are provided for general health, disability and unpaid carers.  These ONS reports look at England, Wales, the regions and local authorities.

Wiltshire versions of these reports have been prepared by Public Health Intelligence:

These reports compare Wiltshire with the rest of the country and analyse Lower Super Output Areas (LSOAs) and Community Areas to provide insight into differences within the county.

Monitoring of general health is important for determining fitness for work, need for care and benefits and social capital.  Information on disability informs care needs and independent living, and has relevance to equality legislation.  Unpaid care makes a vital contribution to the supply of care and can also affect employment opportunities and social and leisure activities of those providing it.

The results highlight the distribution of good and poor health across Wiltshire and how it has changed between 2001 and 2011.  Age was shown to be a major determinant of ill-health; disability and unpaid care.  Inequalities analysis, including, the Slope Index of Inequality, showed poor health is linked to socio-economic disadvantage within Wiltshire.  The influence of military personnel and dependents was highlighted both directly in terms of health status but also indirectly in terms of the influence of the age profiles of local areas.

The 3 Wiltshire health reports contain maps showing the distribution of ill-health; disability and unpaid care in both 2001 and 2011.  Three accompanying PDFs have also been created which interactively allow the viewer to switch between the 2001 and 2011 results by selecting different layers on the same map. The instructions on how to view the results are included in the PDFs.

Health Profiles Directory

Wiltshire Public Health team has produced a directory of the main health profiles produced by Public Health Observatories and other organisations. The directory includes a list and links to all profiles, as well as the publisher and publication information. Health Profiles are useful for understanding the needs of the local population and comparing the performance of Wiltshire against national averages.

2015 Health Profile for Wiltshire

Health Profiles have been developed by Public Health England (PHE) to improve availability and accessibility of health and health-related information. The Profiles provide a snapshot overview of health for each local authority in England. They are intended to help local government and health services make plans to improve local people's health and reduce health inequalities.

Health Profiles include a set of indicators that show how the area compares to the England average. These include some factors that affect health and some important health outcomes. They are reviewed each year to reflect important public health topics. The Health profile for Wiltshire can be accessed below.

2014 Local Health Profile for Wiltshire

The Association of Public Health Observatories published health profiles for local authority areas and the 2014 profile for Wiltshire can be accessed below.

2013 Local Health Profile for Wiltshire

The Association of Public Health Observatories published health profiles for local authority areas and the 2013 profile for Wiltshire can be accessed below.

 2012 Local Health Profile for Wiltshire

The Association of Public Health Observatories published health profiles for local authority areas and the 2012 profile for Wiltshire can be accessed below.  The profile presents comparative information for Wiltshire on deprivation, mortality, communities, children and young people’s health, adults’ health and lifestyle, disease and poor health and life expectancy and causes of death.

 2011 Local Health Profile for Wiltshire

The Association of Public Health Observatories published health profiles for local authority areas and the 2011 profile for Wiltshire can be accessed below. 

2010 Local Health Profile for Wiltshire

The Association of Public Health Observatories published health profiles for local authority areas and the latest profile for Wiltshire can be accessed below. This information can also be viewed via an interactive mapping tool, which can be accessed here.

The ‘What Matters to You’ Survey was carried out between September and December 2013 asking Wiltshire residents to comment on a range of topics that affect life where they live. Over 6,100 people responded to the survey. The survey results provide a valuable insight into the attitudes of Wiltshire residents about a range of items including health and lifestyle behaviours such as healthy eating, physical activity, smoking, alcohol and disability. The barriers to a healthier lifestyle are also explored along with general life satisfaction and the effects of the economic downturn.

The health and lifestyle responses have been analysed and two reports produced describing the findings. The main report provides the results for each health related question and differences between ages, genders or deprivation have been highlighted when appropriate. The Community Area report provides the results by community area. Both reports can accessed from the following links.

For more reports based on the 'What Matters to You' survey please visit the consultation section.

From 1 April 2013 the Wiltshire Heath and Wellbeing Board became responsible for the development and publication of the Pharmaceutical Needs Assessment (PNA), a statement of the needs for community pharmaceutical services of the population in its area.

There are a number of different areas within a PNA which a health and wellbeing board should consider which include but are not limited to, the demography of the area, different needs within localities, whether there is sufficient choice with regard to obtaining pharmaceutical services and likely future needs.

Ultimately a PNA should enable NHS England to commission pharmaceutical services that meet the diverse pharmaceutical needs of people within a health and wellbeing board’s area.

In 2017/18 the most recent PNA was developed which will take affect on the 1st of April 2018.

The 2015-2018 PNA along with a Supplementary Statement can be found below.

The following services & support are available to all Wiltshire Public Health staff:

  • Literature searching support and training.  We will undertake your literature search for you.

  • Current awareness services.  This is the provision of regular searches linked to an individual’s information profile on a clearly defined topic area of interest or responsibility to enable the individual to stay up to date.  It is also the provision of journal contents pages on a regular basis when published.

  • Support and training in using electronic healthcare information resources

  • Sourcing of articles & books free of charge

Contacts details:

Royal United Hospital
Combe Park
Bath BA1 3NG

Telephone: 01225 824897
Email: ruh-tr.library@nhs.net

Staffed Hours

  • Monday 8.30am-5.00pm

  • Tuesday 8.30am-5.00pm

  • Wednesday 8.30am-5.00pm

  • Thursday 8.30am-5.00pm

  • Friday 8.30am-4.00pm

Public Health England

Public Health England's (PHE) mission is to protect and improve the nation's health and to address inequalities. PHE is an executive agency of the Department of Health.

A publication timetable for 2014 provides important dates on the release of statistical information.

Indices of Deprivation

The government, through the Department for Communities and Local Government (DCLG), has produced a set of data that aids the assessment of levels of deprivation across England. These data, known as the Indices of Deprivation, provide information at small geographic levels (LSOA level) and are an important tool for identifying the most disadvantaged areas. Within this there is an index reflecting health deprivation and disability. For more information and a Wiltshire breakdown of the indices of deprivation please see the community section.

Open Data Communities: Wiltshire

This site is the Department for Communities and Local Government's first step towards more open, accessible and re-usable data.

A series of dashboards have been created for Wiltshire covering Housing, Finance, Deprivation, Wellbeing and Geography and can be access here:


The history of NHS reform

This interactive timeline brings 70 years of reform to the National Health Service to life, charting the evolution of this public institution from its inception in the post-war years through to the present day.


NHS trust research league tables

The National Institute for Health Research has published a new league table ranking each NHS trust in terms of its clinical research activity, based on data from the National Institute for Health Research’s clinical research network.  Trusts can see their ranking against institutions of a similar size and type.  Wiltshire PCT has the equal 3rd highest number of recruiting studies amongst Primary Care Trusts.

The league table can be found here: NHS Trust League Table

Acute Trust Quality Dashboard

The East Midlands Quality Observatory (EMQO) has created dashboards for acute trusts based on the NHS Outcomes Framework.  It brings together indicators from various sources providing an indication of quality across the 5 domains of the Framework.  A sixth domain has been created for the dashboard “Organisational approach to quality” which contains a number of metrics which look at organisational behaviour.

Indicators have been selected drawing from the NHS Outcomes Framework, 2011/12 NHS operating Framework and other sources to populate the domains with relevant measures that are able to be populated with valid and robust data.  The aim of the dashboard is to stimulate questioning and investigation, share learning and enable service improvement.

Dashboards and further information can be accessed from the EMQO website.

The Summer 2012 dashboards for local acute trusts can be downloaded here:


Commissioning Board local data packs

The NHS Commissioning Board (NCB) has released local data packs for Clinical Commissioning Groups (CCGs).  There are Local Authority (LA) and CCG versions with different indicators in them and Wiltshire’s versions are below:

LA version:

CCG version:

Note that most of the Public Health indicators in the LA version are proxies and have often combined males and females by taking a simple average.  Each CCG/LA is also compared to the Official for National Statistics (ONS) cluster.

More information and profiles for other areas are available from the NHS Commissioning Board (NCB) website

The NCB also produces CCG bulletins

Resources from the 16th South West Public Health Development School

The 16th South West Public Health Development School held on 25 and 26 September 2012 in Dartington.  The South West Public Health Observatory website contains copies of presentations and workshop notes from the event along with the feedback on the School.


Health and Wellbeing: Implementing the Act

The Health and Social Care Act 2012 is intended to give local authorities a much stronger role in shaping services, and responsibility for local population health improvement. New statutory Health and Wellbeing Boards will bring together local commissioners of health and social care, elected representatives and representatives of Healthwatch - a new consumer body for health, to agree an integrated way to improving local health and well-being. Reforms introduced by the Act mark a fundamental change in the way local care needs are identified and addressed.

This event brought together a range of perspectives to consider the challenges and opportunities of implementing the new policies, and the evidence needs and resources available to support decision making in this framework.

The following presentations are now available to view or download: http://www.swo.org.uk/events/health-and-wellbeing/

Policy and Implementation

  • Health and Social Care Act 2012 - Introduction and Overview: Ian Winter CBE, Deputy Director, Health and Social Care, Department of Health

  • The Role of the Emerging Health and Wellbeing Boards and JSA Development in Wiltshire: Maggie Rae, Corporate Director of Public Health and Public Protection, NHS Wiltshire and Wiltshire Council

  • Housing and Health - Making the Connections: Amy Biddis, Policy Officer, National Housing Federation

  • The Importance of Voluntary and Community Sector Involvement with Local Authority Public Health, Health and Wellbeing Boards and Needs Assessments Dr Michael McBeth, Head of Quality Assurance and Subject Leader: Sociology and Health Studies, Bath Spa University

Evidence to Support Delivery

  • Public Health England and Information Requirements for Local Authorities: Paul Brown, Deputy Director, South West Public Health Observatory

  • Using Evidence to Inform Service Development: Steve Clover, Head of Public Protection - Commercial and Communities, Public Protection Service, Wiltshire Council

The Practicalities of Delivery

  • Different Approaches: Jon Poole, Research and Intelligence Manager, and Helen Edelstyn, Strategy and Plan Manager, Bath and North East Somerset Council

The future of health and social care timeline

This timeline produced by the King’s Fund picks out some of the key trends – from changes in population make-up to advances in technology – that will affect how health and social care is delivered over the next 20 years.


The health and care system from April 2013

This interactive diagram gives an overview of the new health and care system from April 2013.  It illustrates the statutory bodies that will make up the new system, oriented around people and communities and where they receive their local health and care services.  Click on the organisations to find out more about their specific role. 


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