herts third sector public health workshop older people

www.hertsdirect.orgThink Intelligence, Think Intelligently

Third Sector Public Health Workshop...Older People

Thursday 6th March 2014Jim McManus, Director of Public Health

Thanks to Jo Mackenzie, Stephany Villanueva, Raj Nagaraj, Mark Jordan and Joel Bonnet for developing these slides


Background• Voluntary groups make an important contribution to

improving and protecting the health of the population – from targeted work with vulnerable people to self-management and direct interventions. Public Health skills and capacity, joined with the voluntary sector’s connections and “can do” mindset could produce a major improvement in the health of Hertfordshire and also help integrate care for people across all sectors.

• The workshops will be an excellent opportunity for the voluntary sector to contribute to policy development, build relationships, and discuss new commissioning arrangements.


About the workshops• four workshops to explore the role the voluntary

sector can play influencing the development of public health policy and delivering services.

– Wednesday, 26 February, 14:00 – 16:30: Public Health and Younger People

– Thursday, 6 March, 09:30 – 12:00: Public Health and Older People

– Tuesday, 11 March, 14:00 – 16:30: Public Health and Long Term Conditions

– Tuesday, 18 March, 09:30 – 12:00: Public Health and Mental Health


Workshop Questions• Each workshop will consider four questions:

– What is the scope of public health, and what contribution can the voluntary sector make to service delivery, policy development, campaigning and tackling health inequalities?

– How can the voluntary sector help improve resilience, self-management and secondary prevention, and so help reduce unnecessary hospital admissions?

– How can the voluntary sector be better commissioned to deliver public health interventions? How can relationships between the voluntary sector and commissioners (DH, local public health commissioners, GPs, and others) be improved?

– What scope is there to apply commissioning innovations such as payment by results or a Total Place approach to public health commissioning?


Hertfordshire Population (2012)


Life Expectancy

17

18

19

20

21

22

2004-06 2005-07 2006-08 2007-09 2008-10

Life

exp

ecta

ncy

at 6

5 (y

ears

) Male and female life expectancy at 65, Hertfordshire and East of England, 2004-06 to 2008-2010

Hertfordshire: Female East of England: Female

Hertfordshire: Male East of England: Male

Source: ONS


Life expectancy and DeprivationLife expectancy and disability free life expectancy in Hertfordshire

55

60

65

70

75

80

85

90

0.05.010.015.020.025.030.0

DeprivationIndex of Multiple Deprivation (higher number = high deprivation)

Age

Life expectancy Disability free life expectancySources: EMPHO/LHO, 2006-10; ONS 1999-2003; DCLG, 2010


Deprivation


Population Projections

0%

10%

20%

30%

40%

50%

60%

70%

80%

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

2010 2015 2020 2025 2030 2035

Hertfordshire: number and % increase in over 65s

Hertfordshire total number of persons 65+

% increase since 2010


Long-term conditions

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

2012

2016

2020

2012

2016

2020

2012

2016

2020

2012

2016

2020

2012

2016

2020

2012

2016

2020

2012

2016

2020

2012

2016

2020

2012

2016

2020

2012

2016

2020

N Herts. E Herts. Brox. Wel Hat. Stev. Dac. St Alb. H.mere Three R. W.ford

East & North Herts CCG Herts Valleys CCG

# Of P

eopl

e

Long-Term Conditions Projections


Long Term Conditions

Long Term Health Problem or Disability by Health by Age

0

10

20

30

40

50

60

0 to 15 16 to 24 25 to 34 35 to 49 50 to 64 65 to 74 75 to 84 85 and overAge

Perc

enta

ge o

f Pop

ulati

on (%

) Hertfordshire: Bador very bad health

Hertfordshire: Day-to-day activitieslimited a lot

England: Bad orvery bad health

England: Day-to-day activitieslimited a lot


Dementia

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

2012 2014 2016 2018 2020

Num

ber o

f peo

ple

Year

People aged 65 and over predicted to have dementia, by age, projected to 2020, Hertfordshire

90+

85-89

80-84

75-79

70-74

65-69

Source: www.poppi.org.uk


Falls

0

500

1,000

1,500

2,000

2,500

3,000

Ste

vena

ge

N H

ertfo

rdsh

ire

Bro

xbou

rne

Wat

ford

E H

ertfo

rdsh

ire

Her

tsm

ere

Dac

orum

St A

lban

s

Wel

wyn

Hat

field

Thre

e R

iver

sDSR

per

100

,000

pop

ulat

ion

District

Hospital admissions due to falls, 65 years and over, directly standardised rate per 100,000 population,

Hertfordshire, by district 2010/11

East of EnglandHertfordshire

Source: www.injuryprofiles.org.uk


Physical Activity

Adults with no physical Activity during the week - Hertfordshire

36.3%

50.0%

70.1%

34.4%

53.7%

70.0%

38.7%

50.3%

71.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

16 to 34 35 to 54 55+ 16 to 34 35 to 54 55+ 16 to 34 35 to 54 55+

2007/08 2008/09 2009/10


Obesity

36.2% 36.3% 35.5% 32.1% 31.1%

23.6% 24.0% 25.4% 28.4% 28.3%

19.0% 18.5% 17.6% 17.6% 18.4%

12.3% 12.1% 12.0% 12.1% 11.9%

8.9% 9.1% 9.4% 9.9% 10.3%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2012 2014 2016 2018 2020

Projection of Older people with a BMI of 30+ [Hertfordshire]

85+

80-84

75-79

70-74

65-69

Source: POPPI, 2012


Thanks!• [email protected]

mailto:[email protected]

herts third sector public health workshop older people

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