Health Analysis Team

What did we do with 2011 census data?

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Our analysis focuses on...

• Health and unpaid care

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What have we worked on?• Time comparisons 2001-2011

General Health

Disability

Provision of Unpaid care

• Inequalities analysesThe gender gap in unpaid care provision: is there an impact on health and economic position?

Ethnic variations in general health and unpaid care provision

Health Gaps by Socio-economic Position of Occupations in England, Wales, English Regions and Local Authorities, 2011

How do People Rate their General Health? An Analysis of General Health by Disability and Deprivation

How do People Rate their Health? An Analysis of General Health by Long-term Limiting Illness and Deprivation

Activity Limiting Health Problems by Socioeconomic Position

Inequality in General Health and Activity Limiting Health Problems and Disabilities by IMD 2010 Area Deprivation

• Geographical analysesLocal authorities variation in general health for males and females, England and Wales, 2011

Local authorities variation in activity limitation (disability) for males and females, England and Wales, 2011

Healthy Life Expectancy at birth and at age 65: Clinical Commissioning Groups (CCGs) 2010-12

Disability Free Life Expectancy at Birth, at age 50 and at age 65: Clinical Commissioning Groups (CCGs) 2010-12

Unpaid care expectancy across NHS Clinical Commissioning Groups, England 2010-12

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DISABILITY-FREE AND UNPAID CARE LIFE EXPECTANCY

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What it involved?

• DFLE and UCE extend the life table • Death counts and mid-year population data

(2010-12) are mixed with• Health prevalence data from 2011 census

Those who answered ‘limited a little’ or ‘limited a lot’ defined as having a disability

Those who indicated that they provided care for any duration per week are classified as a carer

Why do these analyses?

• Reducing inequality in health is an overarching objective for Department of Health, NHS England, Public Health England and the Welsh Government

• the Marmot review profiled inequality in health expectancy across population sub-groups

• Health and Social Care Act 2012• 211 CCGs created

• Responsible for the allocation of NHS funds and setting priorities for services including emergency, maternity, hospital, community and mental health services.

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Furthermore....

• Informing current debates/planning decisions regarding pensions and social care needs

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DISABILITY-FREE LIFE EXPECTANCY

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Table 1: Disability-free life expectancy (DFLE) and life expectancy (LE) for the top and bottom five ranked CCGs at birth, males, 2010-12

Years, percentages

CCG DFLE rank DFLE   LE With disability Proportion of life spent disability

free (%)Top five            NHS Guildford and Waverley 1 70.2 * 82.2 12.0 85.4NHS Surrey Downs 2 69.9 * 81.8 12.0 85.4NHS Wokingham 3 69.7 * 81.6 11.8 85.5NHS Richmond 4 69.5 * 81.7 12.1 85.2NHS Windsor, Ascot and Maidenhead 5 69.3 * 81.2 11.9 85.3England   64.1   79.2 15.1 80.9Bottom five            NHS Knowsley 207 57.3 ** 76.6 19.4 74.7NHS Liverpool 208 57.2 ** 76.1 18.8 75.3NHS Blackpool 209 56.4 ** 74.0 17.5 76.3NHS Bradford City 210 55.6 ** 73.1 17.5 76.1NHS North Manchester 211 55.1 ** 73.5 18.4 75.0

Table 2: Disability-free life expectancy (DFLE) and life expectancy (LE) for the top and bottom five ranked CCGs at birth, females, 2010-12

Years, percentages

CCG DFLE rank DFLE   LE With disability Proportion of life spent disability

free (%)Top five            NHS Surrey Downs 1 70.8 * 85.1 14.3 83.1NHS Richmond 2 70.7 * 85.9 15.3 82.2NHS Guildford and Waverley 3 70.6 * 85.1 14.6 82.9NHS Wokingham 4 70.3 * 84.5 14.2 83.1NHS Surrey Heath 5 70.0 * 84.3 14.4 83.0England   65.0   83.0 18.0 78.4Bottom five            NHS Liverpool 207 58.8 ** 80.2 21.4 73.3NHS Knowsley 208 58.4 ** 80.7 22.3 72.4NHS Central Manchester 209 58.2 ** 79.6 21.3 73.2NHS North Manchester 210 56.6 ** 78.6 22.0 72.0NHS Bradford City 211 54.8 ** 78.6 23.8 69.7

On average females are expected to live a longer life than males in England, but will spend a greater proportion (and more years) of their life with disability

People living in the North are expected to live a larger proportion of their lives with disability as they (on average) have a shorter life expectancy compared to those CCGs in the South

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UNPAID CARE EXPECTANCY

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QUESTIONS

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