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Health Inequalities: a brief Buckinghamshire

Buckinghamshire County Council. Health Inequalities: a brief Buckinghamshire. Dr Ravi Balakrishnan Consultant in Public Health Medicine. Source: https://www.regjeringen.no. To cover. What are health inequalities? Equalities act Health inequalities: some examples Summary.

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Health Inequalities: a brief Buckinghamshire

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  1. Buckinghamshire County Council Health Inequalities: a briefBuckinghamshire Dr Ravi Balakrishnan Consultant in Public Health Medicine Source: https://www.regjeringen.no

  2. To cover • What are health inequalities? • Equalities act • Health inequalities: some examples • Summary

  3. What are health inequalities? “.. are unjust differences between people or groups due to social, geographical, biological or other factors ..these differences have a huge impact as they result in people who are worst off experiencing poorer health and shorter lives." NICE These differences are UNFAIR and are mostly MODIFIABLE Source: http://www.drcath.net/snapfacts/medical

  4. Source: http://www.healthyfife.net/health-inequalities/

  5. Source: University of Bristol Law School Blog

  6. Nine Protected characteristics NHS: 10th Carers Source: University of Bristol Law School Blog

  7. Buckinghamshirepopulation Population: 550,000 Male <Female % ethnic minority: 10.6% (Eng: 13.2%) Children (0-19): 25% (132,000) (Eng:23.7%) School children ethnic minority: 31.6% (Eng:30%) Children in poverty (<16): 10.8% (1 in 10) Eng: 20.1% (1 in 5)

  8. Sex: How many years a boy / girl expected to live at birth? Life expectancy at birth (female) Life expectancy at birth (male) Boys < Girls at birth: by 3 years

  9. Deprivation index

  10. Life expectancy by Deprivation Gap for Men & Women Life expectancy in the most deprived areas of Buckinghamshire than in the least deprived areas is 6.5 years lower for men 4.9 years lower for women

  11. Premature DeathsDeaths from all causes, under 75 years (2011-2015)

  12. Inequalities gap People living in the most deprived areas of Buckinghamshire have premature mortality rates that are higher than the national average, and the inequalities gap persists over time.

  13. Pregnancy, Birth % of low birth weight (<2500g), all births, by deprivation quintile (DQ1 to DQ5*) in Bucks, 2014

  14. Early Years % of all children, and of children eligible for free school meals, achieving a good level of development at the end of reception, Bucks, 2012/13 – 2014/15

  15. Early Years % of children achieving a good level of development by deprivation quintiles in Bucks, compared to the county and national averages, 2014/15

  16. Ethnicity

  17. Overcrowding (2011)

  18. Overcrowding (2011)

  19. Emergency hospital admissions for all causes (2011/12-2015/16)

  20. Emergency hospital admissions for all causes (2011/12-2015/16)

  21. Deaths from circulatory disease, under 75 years (2011-2015)

  22. Deaths from circulatory disease, under 75 years (2011-2015)

  23. Limiting long term illness or disability (2011)

  24. Deprivation, BME and Emergency admissions Example: Oakridge and Castlefield: High deprivation Emergency Hospital admissions for Heart disease and 64% Ethnic minority groups

  25. Carers • 49,500 Bucks residents identified themselves as carers (2011 census) • 1 in 10 (9.8%) of the total population. • Carers UK survey (2014):currently 16,220 carers in their 1st year of caring • Smoking: More likely to smoke and less likely to take up cessation service • Alcohol: more likely to drink and less likely to help • Mental Health: High prevalence of MH disorder • Almost half (48%) had developed additional physical health problems as a result of caring • Carers reported more serious health problems such as heart attacks and hernias than others. • 1 in 9 of the people carers cared for were also rushed into hospital or social care as a result of their carer’s breakdown. • Breakdown can force carers to make sudden decisions, such as quitting work

  26. Summary

  27. What can be done to improve health and reduce inequalities? How we can add years to life and life to years for the needy? Healthy lifestyle choices and opportunities • Smoking • Alcohol • Healthy eating • Physical activity • Sexual health • Wellbeing Access to and experience of health and social care • Identifying Specific Needs • Commissioning services based on individual need • Improve Access • Accessibility (materials, infrastructure, processes) • Increase Awareness (of services, of supports available) • Targeted Communication (of needs, health literacy, confidence, trust)

  28. What can be done? An example High Priority for smoking cessation service • • Living in the most deprived areas • • Routine and manual workers • • Pregnant women who smoke • • Children and young people • • Mental health service users • • Prisoners • • BME including Pakistani males, Polish people and Irish people • • People with a long-term condition (LTC) • • People using secondary care services Weight Management Service • Lowered eligibility criteria for certain ethnic groups https://www.theguardian.com Source: http://womanz.co.in

  29. Buckinghamshire County Council Thank you

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