Tameside Strategic Partnership

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1. Overarching Indicators

1.1 Life Expectancy

Outcomes Framework:

  • Public Health 0.1 Increased Healthy Life Expectancy
  • Public Health 0.2 Reduced differences in life expectancy and healthy life expectancy between communities
  • NHS 1b Life Expectancy: Males and Females

Implications for the population’s health and well-being:

The life expectancy indicators are intended to provide a snap shot of the general health status of the population and an overview of the health inequalities affecting communities.

Health Inequalities is the term used to describe differences in the health and well-being of individuals and groups. It describes the differences in health experiences and health outcomes between different population groups according to: socio-economic status, geographical areas, age, disability, gender, ethnic group, religious belief and sexual orientation.

Benchmarking:

Overall Life Expectancy in Tameside/Tameside and Glossop for both males and females is below the average for Greater Manchester, the North West and England as can be seen on the figure below. There has been no marked improvement in Life Expectancy in Tameside since 2006-2008.

Figure 1: Life Expectancy at Birth (2008-2010), all ages, 3 year rolling average

Graph showing life expectancy at birth

Source: NHS Information Centre, 2012

For the 2008-2010 figures, NHS Tameside & Glossop is ranked at 136 for male life expectancy, and 142 for female life expectancy, out of 151 PCTs. Tameside MBC is ranked at 309 for male life expectancy, and 310 for female life expectancy, out of 326 Local Authorities.

At risk or vulnerable groups:

  • People living in deprived areas
  • People experiencing financial pressures and insecure employment
  • Children and families living in poverty and poor housing
  • Black and Minority Ethnic Groups
  • Adults with poor educational attainment

Deprivation is a major factor influencing our population’s health needs, influencing health inequalities and life expectancy and there is link between areas of higher deprivation and areas with low life expectancy levels. This link can be seen in Tameside and Glossop: Ashton St Peters and Hyde Godley are two of the most deprived wards and correspondingly they suffer some of the lowest rates of life expectancy 73.9 years and 74.9 years respectively.

In Tameside and Glossop there is over a ten year difference between the wards with the highest (Old Glossop 85.8 years) and lowest (Hadfield North 72.4 years) life expectancy. In Tameside there is over an eight year difference between the wards with the highest (Denton West 81.8 years) and lowest (Hyde Godley 74.9 years) life expectancy.

Figure 2: Life Expectancy at Birth (Tameside and Glossop 2008-2010) 3 year rolling average

Graph showing life expectancy at birth by ward

Source: NHS Tameside and Glossop Public Health Directorate 2012

Map 1: Deprivation in Tameside and Glossop (IMD 2010)

Map showing levels of deprivation

Source: NHS Tameside and Glossop 2012

National and local policy context

What interventions work?

The Marmot Review (2010) recognised and reinforced the approach to reducing health inequalities across the life course and across the social gradient. A life course approach to health and reducing health inequalities focuses on the different elements of the experience of health, from the moment of conception through childhood and adolescence to adulthood and old age.

To improve life expectancy and reduce health inequalities, the causes of premature illness and death (deaths of people aged 75 or under) need to be tackled with a focus on those that have the greatest impact on our population relative to the rest of England and those that disproportionately affect particular communities. It is essential therefore that the causes and how to prevent them are understood. These will relate both to the environment in which people live and closely linked to that, their lifestyle and behaviour.

The main causes of death (in all ages) in Tameside and Glossop mirror those of England and the North West Region. The most recent mortality data shows that circulatory diseases (heart disease and stroke) and cancers remained the main causes of death 37% and 28% respectively. Respiratory Diseases account for 15% of deaths in Tameside and Glossop.

Deaths in people under 75 years are considered preventable and therefore premature. In Tameside and Glossop a higher percentage of women die prematurely as a result of cancer than men (43% compared to 37%), but cancer is still the main cause of premature death for men. However 33% of men die prematurely from circulatory disease compared to 28% of women. Additionally 10% of deaths in the under 75’s are due to respiratory diseases.

Lifestyle factors especially smoking, harmful alcohol consumption, poor diet and lack of exercise contribute to these largely preventable diseases. They also contribute to other risk factors including diabetes, high blood pressure, obesity and high cholesterol that have a direct impact on CVD, cancer and respiratory disease.

However lifestyle factors cannot be considered in isolation from the environment in which people live nor the services (including health services) which support communities, families and individuals to better health. Therefore interventions that can significantly reduce an individual’s risk of premature illness are central to improving life expectancy rates across Tameside and Glossop.

The key to ensuring a more healthy population is a significant investment and prioritisation in “wellness” services and flexible personalised services closer to home. This will mean a change in investment profiles and service redesign to ensure a preventative approach to improving health, increasing life expectancy and tackling health inequalities.

Early intervention and prevention is everyone’s business and must:

  • Facilitate access to universal services
  • Build social capital within local communities
  • Be embedded in primary and secondary care
  • Ensure people have greater choice and control over meeting their needs

What are we doing now?

  • Implementing robust partnership structures that are addressing the wider determinants of health
  • Promoting financial inclusion and tackling income inequalities
  • The Workplace Health Improvement Programme to support people in making healthier choices and in living healthier and longer lives
  • Embedding Prevention and Early Intervention into all frontline services
  • The Tameside Housing Strategy Action Priorities
  • Affordable Warmth Access Referral Mechanism
  • Primary Care Services – levelling up quality between practices including early identification of people with risk factors, disease management, expert patient programmes, pathway approach to Long Term Conditions management, vaccination and screening uptake, including dementia screening.
  • Lifestyle Very Brief Advice (VBA) and Brief Advice (BA) and Brief Interventions (BI) by frontline practitioners to encourage people to stop smoking, maintain a healthy weight, drink alcohol within recommended levels.
  • Provision of Health Improvement and Well-being Services, including:
    • Active Aging
    • Workplace Health Improvement
    • Smoke Free
    • Stop Smoking Service
    • Weight Matters
    • Health Trainers/Well-being advisors
    • Community Health Development and Community Engagement
    • Oral Health Promotion
    • Physical activity and active recreation

What needs to happen next, and by whom?

  • A strategic shift towards and investment in early intervention and prevention
  • The development and implementation of Health and Well Being Strategies across Tameside and Glossop through the effective engagement with a wide range of partners and Council departments to improve health and life expectancy
  • Social Marketing and Community Engagement Campaign
  • Developing a Healthy Schools Programme
  • Effective working at Neighbourhood level and building strong relationships with communities
  • Programme of Health Equity Audit (HEA) to ensure different population groups get the services they need
  • JSNA to identify health needs and work towards more effectively meeting those needs
  • Ongoing commitment to improving access to health services and improving outcomes for all
  • Refreshed focus on early years maximising appointments to engage with families antenatal and in pre-school years.

Health and Well Being Boards in Tameside and Derbyshire and The Tameside Strategic Partnership and associated partnerships including the Tameside Health Partnership should be responsible for the above actions.

 
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