An overview of the workforce demographics and health inequalities

1
An overview of the
workforce demographics and health inequalities

• Ruth Monger
• Strategic Workforce Planning
• South Central SHA

2
Objectives of the Session

• National and Local Demographics
• Workforce Profiles - SHAs
• Health Inequalities

3
Population Size
East of England 5.4 million South Central 3.9
million South East Coast 4.2 million
4
UK Age Wave
5
SHA Midwifery Age Profiles

• Source Sept 2006 census

6
Applied Locally E of England

• Over next ten years
• Age related turnover midwives (1765wtes)
• Range
• Area A 14.39 loss
• Area B 8.07 loss

7
Birth Rates SHA Trends
8
Scope of Midwifery Practice

• 1989 -90 doctors attended 24 of births,
• midwives attended 76
• 2004 - 5 doctors attended 36 of births,
• midwives attended 64

Source Kings College Report Maternity Support
Workers
9
Workforce info National
Growth of 900 wte midwives since 1997 2005
18949 wte practising midwives
Source Maternity Matters DH 2007
10
Comparative Staff Groups by SHA
WTEs Sept 2006 Census
11
Current Skill Mix Local Examples
Teaching hospital
District General Hospital
NB Two examples from existing services of actual
Midwifery staff in post (wtes), July 2007, using
Agenda for Change bandings.
12
PSA Targets

• Reduce health inequalities by 10 by
• 2010 as measured by infant mortality and
• life expectancy at birth.
• Reducing the under 18 conception rate by
• 50 by 2010.
• Halting the year on year rise in obesity among
• children under 11 by 2010

13
DH Public Service Agreement (PSA) targets

• Maternity services have central part to play
• in contributing to DH PSA targets
• Infant mortality
• Smoking cessation
• Breastfeeding- deliver an increase of 2 points
  per year in initiation rates-focusing on women
  from disadvantaged groups
• Childrens Centres

14
Live Births delivered at home by SHA, 2005, with
95CL
England
babies
15
Live or Still Births with a low birth rate lt 2500
grams by SHA 2005, with 95CL
babies
England
16
Infant Mortality aged under 1year by SHA 2003 -
05 with 95 CL
live births
England
17
Mothers Initiating Breastfeeding, including not
known by SHA Q3 2006/7
at time of delivery
England
18
Summary

• We need to understand the impact of national
  local demographics on our workforce.
• What can our SHA and local Workforce Profiles
  tell us? What opportunities do we have?
• Do we understand our local health inequalities
  and how are can we improve?