Dr Aleksej Heinze, Senior Lecturer, Salford Business School, University of Salford
Health Trends SSP Executive 18 th December. How long we can expect to live for has increased both...
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Transcript of Health Trends SSP Executive 18 th December. How long we can expect to live for has increased both...
Health Trends
SSP Executive 18th December
• How long we can expect to live for has increased both nationally and in Salford
LE in Salford (years)
1991-93 2008-10
Males 70.8 74.8
Females 76.5 79.9
LE in UK (years) 1991-93 2008-10
Males 73.69 78.58
Females 79.12 82 .57
In the past 20 years...... of Life and LE
LE: Life Expectancy
What people die from in SalfordDeath rates are significantly higher than England
SSP Health PrioritiesObjective 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
Source: Office for National Statistics
Teenage PregnancySuccesses 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 PregnancyRisksRSE no longer mandated
Teenage pregnancy rates rise in times of higher unemployment
RecommendationsEnsure 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
Source: London Health Observatory: Integrated Household Survey
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
Source: Sport England
Physical ActivitySuccesses • 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 weightSuccesses • 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
Source: Compendium of clinical indicators
Action 6.4: Improving children's health: trends
Source: Department of Health
Immunisations Childhood immunisations – good coverage
• Flu immunisation coverage65+: 74% (England 72%)At risk groups: 50.7% (England 50.4%)
Improving children’s healthSuccesses • 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 self-harm
• 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
“To close the life expectancy gap between Salford and the UK average by 25% over the next three years.”
Joint health and wellbeing strategy
Strategy priorities
Ensure all children have the best start in life and continue to develop well during their early years
Local residents achieve and maintain a sense of wellbeing by leading a healthy lifestyle, supported by resilient communities which effectively use social capital
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
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