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