Download Health - Salford City Partnership

Health Trends
SSP Executive 18th December
In the past 20 years...... of Life and LE
• How long we can expect to live for has increased both nationally
and in Salford
LE in UK (years)
1991-93
2008-10
Males
73.69
78.58
Females
79.12
82 .57
LE in Salford
(years)
1991-93
2008-10
Males
70.8
74.8
Females
76.5
79.9
LE: Life Expectancy
What people die from in Salford
Death rates are significantly higher than England
SSP Health Priorities
Objective 5: We will promote positive attitudes to sexual health and
wellbeing by:
Action 5.1: Reducing teenage pregnancy
Objective 6: We will increase life expectancy by:
Action 6.1: Reducing smoking
Action 6.2: Increasing levels of physical activity
Action 6.3: Increasing healthy weight
Action 6.4: Improving children's health and giving all a good start in life by
engaging with families and schools
Measuring trends
Action 5.1:
Reducing teenage pregnancy: trend
Conceptions to women under 18, 2001 - 2009
Salford and comparators
England
North West
Greater Manchester (Met County)
Salford
70
60
Rate per 1,000
50
40
30
20
10
0
2001
2002
2003
2004
2005
2006
Year
Source: Office for National Statistics
2007
2008
2009
2010
Teenage Pregnancy
Successes
 2008 NST visit led to intense focus & senior level
engagement
 Young people’s aspirations improving e.g. NEET
reducing and GCSE results improving
 Additional resources into contraception and sexual
health services
 Increased uptake of training across a wider range of
sectors
Teenage Pregnancy
Risks
 RSE no longer mandated
 Teenage pregnancy rates rise in times of higher
unemployment
Recommendations
 Ensure teenage pregnancy prevention and support for young
parents is integrated and implemented effectively
 Commission targeted services that respond to the needs of a
shared client/target groups - young people who drink alcohol,
have mental health issues, etc are also more likely to become
pregnant
Action 6.1: Reducing smoking: trends
Prevalence of smoking among persons aged 18 years and over
North West
England
Salford MCD
35%
30%
25%
20%
15%
10%
5%
0%
April 2009 March 2010
July 2009 - June Oct 2009 - Sept January 2010 2010
2010
December 2010
April 2010 March 2011
July 2010 - June October 2010 - January 2011 2011
September December 2011
2011
Source: London Health Observatory: Integrated Household Survey
April 2011 March 2012
Smoking
Successes
• Over 5,500 smokers access stop smoking services with 2,000 four-week quits
• Increased access to stop smoking support e.g. Salford Reds rugby club
• Several successful prosecutions for illicit tobacco
• Over 14,800 under 16s are in smoke free homes
Risks
• Economic climate – potential increases in illicit tobacco
Recommendations
• Continue to de-normalise tobacco smoking, particularly in deprived areas
Action 6.2:
Increasing physical activity: trends
Physical activity - 1 session a week (at least 4 sessions of at least
moderate intensity for at least 30 minutes in the previous 28 days)
England
North west
Salford
37
36
Percentage
35
34
33
32
31
30
29
2005/6
2007/8
2008/9
2009/10
Year of survey - note - no survey undertaken in 2006/7
Source: Sport England
2010/11
2011/12
Physical Activity
Successes
• Olympic and Paralympics
• School Sport Partnership
• Free swimming
Risks
• No statistical change in PA levels in recent years
• Even less adults take 5 times 30 minutes of moderate PA
(national recommendation)
Recommendations
Priorities walking and cycling
• Facilitate volunteering in local sport clubs
•
Action 6.3:
Increasing healthy weight: trends
Source: National Child Height and Weight programme
Healthy weight
Successes
• Obesity in Reception and Year 6 aged children has fallen at a
faster rate than the GM and England averages
• New weight management pathways for children and adults
Risks
• 1 in 10, 4-5 year olds and 1 in 5 10-11 year olds are obese
• Maternal obesity is increasing
Recommendations
• Encourage
sector lead improvements to increase physical activity
and healthy eating in early years and school settings
• Increase the availability of healthy foods and physical activity
opportunities in local communities
Action 6.4: Improving children's
health: trends
Infant mortality under 1 year 2003/5 to 2008/10 Salford and
comparators
England
North West
Salford
6.5
crude rate per 1000 live births
6
5.5
5
4.5
4
3.5
3
2003-5
2004-6
2005-7
Source: Compendium of clinical indicators
2006-8
2007-9
2008-10
Action 6.4: Improving children's
health: trends
Breastfeeding initiation
% of all maternities
England
Salford PCT (5F5)
North West (Q31)
80%
70%
60%
50%
40%
30%
20%
10%
0%
2010/11 Q1
2010/11 Q2
2010/11 Q3
Source: Department of Health
2010/11 Q4
2011/12 Q1
2011/12 Q2
2011/12 Q3
2011/12 Q4
2012/13 Q1
Immunisations
 Childhood immunisations – good coverage
• Flu immunisation coverage
65+:
At risk groups:
74%
50.7%
(England 72%)
(England 50.4%)
Improving children’s health
Successes
• Childhood immunisations
• Early booking (by 12th week of pregnancy)
Risks
• Infant mortality & associated indicators e.g. smoking
in pregnancy
• Hospital Admissions for alcohol, injuries and selfharm
• Oral Health
Improving children’s health
Recommendations
•
•
•
•
•
Increase breastfeeding initiation
Reduce child poverty
Reduce the prevalence of obesity
Reduce smoking in pregnancy
Reduce under 18 conceptions
Determinants of Life Expectancy
Joint health and wellbeing strategy
“To close the life
expectancy gap
between Salford
and the UK average
by 25% over the
next three years.”
Strategy priorities
Ensure all children have the
best start in life and continue to
develop well during their early
years
Local residents access quality
healthcare appropriately; where
healthcare is focused on
providing services placing greater
attention on ageing, vulnerable
and diverse populations where
inequalities exist
Local residents achieve and
maintain a sense of wellbeing by
leading a healthy lifestyle,
supported by resilient communities
which effectively use social capital
Summary
• Improvements in many health areas including
SSP priorities
• Scale / speed of improvement not reached
national levels
• Priorities remain and are linked with HWB
Strategy and other areas e.g. alcohol, wider
determinants
• New challenges e.g. population structures