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Health priorities for Charnwood, 2010 and beyond

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Health priorities for Charnwood, 2010 and beyond Dr Mike McHugh Consultant in Public Health NHS Leicestershire County and Rutland 7/9/10 What is health? – PowerPoint PPT presentation

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Title: Health priorities for Charnwood, 2010 and beyond


1
Health priorities for Charnwood,2010 and beyond
  • Dr Mike McHugh
  • Consultant in Public Health
  • NHS Leicestershire County and Rutland
  • 7/9/10

2
What is health?
  • Health is a state of complete physical, mental,
    and social well-being and not merely the absence
    of disease or infirmity
  • WHO, 1948

3
Charnwood Demography
  • 164,800 people
  • 86 white British
  • 3 white other
  • Sizeable populations of South Asian people i.e.
    Indian and Bangladeshi in Loughborough
  • Charnwood is more affected by socio-economic
    deprivation than Leicestershire as a whole
  • Loughborough and Shepshed are less affluent and
    smaller

4
Levels of Health in Charnwood
  • Health of people in Charnwood generally better
    than England average
  • Life expectancy significantly higher for both men
    and women
  • Levels of drug misuse, hospital stays for alcohol
    related harm, deaths from smoking and road
    injuries and deaths all appear better than
    average
  • BUT

5
BUT..
  • the Tyranny of averages
  • .. and also the issue of health inequalities

6
Children and Young People
  • Diagnosis of children (aged 15 years and under)
    with Autistic Spectrum Conditions (ASC) has
    increased ten-fold in the last 10 years.
  • 286 teenage conceptions 2004-2006
  • 18 of Leicestershire pupils in year eight and 10
    reported using drugs (national average 16)
  • 9.3 of reception age children obese
  • 23.8 are overweight or obese
  • 15 of year 6 children are obese, 30 are
    overweight or obese

7
Adults
  • Charnwood has highest premature mortality from
    cardiovascular diseases in LCR 401 premature
    deaths (2004-2006)
  • 21,839 people on GP registers with diagnosed
    Hypertension (15.3 of the adult population)
  • 6,794 people are on GP diabetes registers
  • 1,959 people on GP registers with chronic
    obstructive pulmonary disease

8
Adults continued
  • 34,088 adults are obese (highest out of all other
    districts)
  • Only 27.7 of adults eat 5 portions of fruit or
    vegetables per day
  • Only 26 of the adult population exercise for 30
    minutes or more at least 3 times per week
  • 24,175 binge drinkers, 26,027 hazardous drinkers,
    5,953 harmful drinkers
  • 31,564 adults smoke

9
Smoking
  • biggest preventable cause of premature death and
    illness
  • biggest driver of inequalities
  • relatively quick impact in CVD
  • What are we doing about it? (Smokefree Future
    2010)
  • motivating and assisting every smoker to quit
  • stopping the inflow of young people recruited as
    smokers
  • protecting families and communities from
    tobacco-related harm

10
Older people
  • In 2008 11,101 people over 65 had a limiting long
    term illness
  • 8,162 people over 65 years unable to self care
  • Proportion of elderly increasing
  • Biggest use of resources in urgent care
  • Continuing care
  • Dementia care

11
Health Inequalities
  • Significant health Inequalities exist within
    Charnwood
  • e.g. men from least deprived areas can expect
    to live over 9 years longer than those in most
    deprived areas

12
All age all cause mortality
13
We dont just have socio-economic inequity
  • BME
  • Asylum seekers
  • Homeless
  • Travellers
  • Offenders
  • Sexual orientation
  • Gender
  • Age
  • Rurality

14
Health inequities
  • The presence of systematic disparities in health
    (or its social determinants) between more and
    less advantaged social groups
  • Defining equity in health, J Epidemiol Community
    Health 2003, 57(4)254-258

15
What causes health inequity?
  • If the causes of health inequalities are
    social, economic, cultural and political, then so
    should be the solutions.
  • -Sir Michael Marmot, Chair of the Scientific
    Group on Health Inequalities 2010

16
(No Transcript)
17
So what can we do to tackle health inequalities
in Charnwood?
18
1.Support families, mothers and children
  • Close the gap in infant mortality between
    advantaged and disadvantaged communities
  • Improve maternal and child health, and child
    development

19
2.Engage communities and individuals
  • Strengthen disadvantaged communities
  • Tackle crime and substance misuse
  • Support vulnerable groups
  • BME
  • Older
  • Mentally ill/LD
  • Homeless
  • Offenders
  • Travellers
  • Asylum Seekers
  • Rural

20
3.Prevent illness and provide effective treatment
and care
  • Reduce risk through effective prevention
  • Early detection, intervention and treatment
  • Improve access to effective treatment
  • CVD
  • Cancer
  • Diabetes
  • Mental illness
  • OTIMISE NHS CARE

21
4. Address underlying (wider) determinants of
health
  • Poverty (especially child poverty)
  • Early years, parenting
  • Education, training and skills
  • Employment
  • Social Cohesion
  • Housing
  • Transport

22
Strategic Goals for NHS LCR
  • Tackling major killers
  • Cardio vascular disease (CVD) mortality
  • Cancer mortality
  • Tackling major risk factors
  • Smoking
  • Alcohol
  • Diabetes control
  • Better quality services
  • Complex elderly
  • Mental health
  • End of life
  • Patient experience

Life expectancy and inequalities are overarching
One priority outcome in each goal.
23
Charnwood Priorities Summary
  • CYP issues-teenage pregnancy, obesity, drugs,
    alcohol
  • Adults- Premature mortality-CVD, cancer, obesity
  • Older increasing population
  • Health Inequalities

24
Lets focus on
  • Partnership working to address health
    inequalities-smoking, substance abuse, alcohol,
    obesity, teenage pregnancy/sexual health
  • Remember wider determinants of health
  • Engage socially excluded
  • Premature mortality
  • Children, young people, parenting, families
  • Lets get most out of NHS-work with primary care
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