Contents of presentation • A profile of Gloucester • Burden of disease in Gloucester • Factors affecting the burden of disease: • The impact of socio-economic factors on health • Data taken from the social marketing tool HealthACORN. • Commissioning brief: Looking at ‘what works’ when promoting healthy lifestyle choices • Summary
The projected shift in numbers and proportions of children, adults and older people over the next 16 years.
Key issues for Gloucester Overall health indicators are similar or better than England average except for: • Early death rates from circulatory disease (coronary heart disease and stroke) • Rates of diabetes recorded on GP registers • Early deaths from respiratory disease • New cases and early death rates from cancer (including malignant melanoma) • Rates of anxiety and depression • Children living in poverty • Uptake of Chlamydia screening in people aged 15-24 years
Early death rates from circulatory disease Source: eJSNA, Compendium of Clinical and Health Indicators, National Centre for Health Outcomes Development (NCHOD)
Rates of diabetes Source: JSNA, Vital Signs Monitoring March 2009, PCCAG, Quality and Outcomes Framework
Respiratory diseases Source: eJSNA, Compendium of Clinical and Health Indicators, National Centre for Health Outcomes Development (NCHOD)
Cancer Source: eJSNA, Compendium of Clinical and Health Indicators, National Centre for Health Outcomes Development (NCHOD)
Mental health Source: eJSNA, Mental Health Observatory, North East Public Health Observatory (NEPHO)
Uptake of Chlamydia screening Source: eJSNA, National Chlamydia Screening Programme Vital Signs Indicator, May 2010  The variance in the district and county % data is due to the National Chlamydia Screening Programme using two different denominator sources for the population data.
Key lifestyle factors that influence health and wellbeing • Smoking and tobacco control • Physical activity in children and adults • Healthy eating in children and adults • Alcohol misuse
Correlations between reported lifestyle behaviours, emotional health and wellbeing and deprivation in children
Conceptual Framework Source: Fair Society, Health Lives - The Marmot Review – Strategic review of health inequalities in England post 2010
Index of Multiple Deprivation(IMD)and HealthACORN IMD Three sub domains: • ‘Employment Deprivation’; ‘Living Environment’ & ‘Income deprivation’ HealthACORN: • Group 1 - levels of illness are above average • Group 2 - based on lifestyle factors
Reported lifestyle behaviours, emotional health and wellbeing and deprivation - Gloucester
Why aim for a smokefree future? • Why be more physically active? • Why eat well? • Why does safe and responsible drinking matter? • Why does promoting sexual health matter? • Mental health and wellbeing: Why does it matter? • Why does sun awareness matter?
Summary • Gloucester has a number of key health issues • Wider determinants and lifestyle behaviours are often interlinked • Addressing these will take concerted efforts • There are specific steps that local partners, alongside health care providers, can take to make a real difference to the health and wellbeing of people in Gloucestershire.