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NHS Highland Director of Public Health Annual Report 2024 - Health Inequalities

Argyll and Bute Council · 29 January 2025
Back to Argyll and Bute HSCP Integration Joint Board (IJB) — 29 January 2025 and its agenda

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NHS Highland
Meeting: NHS Highland Board
Meeting date: 28 January 2025
Title: Director of Public Health Annual Report:
Health Inequalities
Responsible Executive/Non-Executive:  Tim Allison, Director of Public Health & Policy
Report Author: Tim Allison, Director of Public Health & Policy
1 Purpose
This is presented to the Board for:
 Awareness and Discussion
This report relates to a:
 Legal requirement
This report will align to the following NHS Scotland quality ambition(s):
Safe, Effective and Person Centred
This report relates to the following Strategic Outcome(s)
Start Well Thrive Well Stay Well Anchor Well
Grow Well Listen Well Nurture Well Plan Well
Care Well Live Well Respond Well Treat Well
Journey Well Age Well End Well Value Well
Perform well Progress
well
All Well Themes X
2 Report summary
2.1 Situation
The Annual Report of the Director of Public Health for 2024 is presented.
2.2 Background
Directors of Public Health are required to produce an annual report concerning
the state of health of their local population. There is no set format for the report

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and in recent years the reports have tended to focus on individual themes rather
than acting as a repository for population health intelligence.   
2.3 Assessment
The report for 2024 is brought to the Board of NHS Highland along with a
presentation.  A link is provided for the full report.  
The report sets out information about the health and wellbeing of people in
Highland and Argyll and Bute and focuses on health inequalities. It starts with
information about the overall health of the population including people’s life
expectancy and how things have changed over several years. Then there is a
chapter about health inequalities, what they are and how they affect local people.
This is followed by a section about ways of tackling health inequalities. The
remainder of the report consists of chapters looking at different groups of people
or different factors that relate to health inequalities including chapters on children,
on vaccination, on the effects of alcohol and on under-represented groups. The
report is not a comprehensive review of health inequalities but is intended to
generate action which will tackle this important priority for NHS Highland and its
partners. There are recommendations for action which are designed to help all
agencies work to reduce inequality.
2.4 Proposed level of Assurance
This report proposes the following level of assurance:
Substantial  Moderate
Limited  None
Comment on the level of assurance
There is substantial assurance that the requirement for the publication of the
report is met. Other elements of public health reporting will continue to need
further work as will implementation of the recommendations from the report.
3 Impact Analysis
3.1 Quality/ Patient Care
Tackling health inequalities is an important part of both quality improvement and
patient care.  It is vital that health inequalities remain a major aspect of NHS
Highland strategy and service delivery.
3.2 Workforce
It is important that the board’s staff members are aware of the impact of health
inequalities and the need to act to reduce their effects. A focus on employability
and inequalities is also important both to support the community and strengthen
the workforce.

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3.3 Financial
There are no direct financial implications from the paper. Tackling health
inequalities will entail costs but there are also possibilities for savings. Addressing
health inequalities is a fundamental part of the work of the board and its partners,
for example through community planning.
3.4 Risk Assessment/Management
Risks are managed in line with NHS Highland’s policy.
3.5 Data Protection
No personally identifiable information is involved.
3.6 Equality and Diversity, including health inequalities
The focus of the report is on health inequalities; these include inequalities relating
to protected characteristics. 
3.7 Other impacts
No other impacts to note.
3.8 Communication, involvement, engagement and consultation
The principles of public and user involvement and engagement are embedded in
public health actions.  
This is an independent report from the Director of Public Health.   
3.9 Route to the Meeting
This is an independent report from the Director of Public Health. Considerable
work has been undertaken within the Public Health Directorate to produce the
report.
4 Recommendation
The Board is asked to note and discuss the 2024 Director of Public Health Annual
Report.
4.1 List of appendices
The full report can be accessed using this link: 
https://indd.adobe.com/view/ff013007-f1c4-414c-84be-d2e99d8d3a29