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TRANSCRIPT
Welcome
Working-age population
joint strategic needs assessment (JSNA)
prioritisation event
25 April 2017
County Hall, Preston
Programme for the event
• Welcome and housekeeping
• Overview of working-age population in Lancashire –
the findings
• Workshop one: recommendations
• Workshop two: how to present the findings
• Feedback: what’s the one big thing…?
• Next steps and close
2
Where are we up to in the JSNA process?
Select topic ScopingIdentify working
groupCollect data
Analyse Interpret Identify priorities Review literature
Write recommendations
Consultation Publish findings Warm handover
3
What are the drivers?
• Changes to health and social care provision.
• A lack of data/intelligence around the health and wellbeing of this
population.
• Economic factors – including benefit changes, ongoing austerity
measures, different working conditions (e.g. zero hour contracts) and
financial pressures on families.
• Assets in this population.
What questions should it answer?
• What are the health behaviours of this population?
• What assets are there in the WAP?
• Are there distinctions between the different age groups within the WAP?
• What are the differences in the health and wellbeing of those who are in
work and those who are not?
5
What did we include?
General demographics
Population
Age
Gender
Ethnicity
Religion
Marital status
Deprivation
Mosaic
Economy
Employment
Unemployment
Income levels
Reasons for activity or inactivity
Occupation
Education/skills
Sector breakdown
Health behaviours
JSNA
Filtered by age,
health
conditions,
mental health
substance use,
tobacco,
alcohol, food
nutrition and
physical activity
Lancashire data
Community safety/MADE
Ambulance data
Census data
Data from other partners
Modelled estimates (from literature
review)
Other data
Literature and evidence review
What does this JSNA look
like?7
WAP final report
(with
recommendations)
Lifestyle
behaviours
Long-term
conditions
Adults aged
50+
Non-
standard
and flexible
working
Work, health
and
wellbeing
Lancashire
profile
Individual district profiles
Mapping and
background details
(including commuter
flows and asset
maps)
What are the health behaviours of this
population?
Are there distinctions between the different age
groups within the WAP?
What are the differences in the
health and wellbeing of those
who are in work and those who
are not?
National key findings
32.4 million days of sickness absence were taken due to back pain, neck and
upper limb pain, and other musculoskeletal conditions in the UK (2015)
8
29.2% of men and 44.4% of women (aged 60-64) in England
have arthritis (2015)
8.4% of employed people aged 16-24 in the north west are on a zero hours
contract (Apr-Jun14)
Working shifts for 15+ years increases the risk
of cardiovascular disease by 40%
30% of people in England aged 55-64 provide unpaid help or
support (2015)
9
457,781 of L-14 residents are female, 447,417 are
male (16-64) (2015)
Lancashire findings
Modelled figures put the unemployment rate at
3.6% (L-12) for the 16+ population (Oct15-Sept16)
42.5% of 16-19s and 69.4% of 50+ work full time
(L-14) (July 2016)
21,762 people aged 16-64 were a victim of a violent
crime (2015/16) (L-14)
10An estimated 80,000 of 16-64s have
cardiovascular disease (L-12)
60% of those aged 45-64 are obese or overweight
(self-reported weight) (L-12)
Over 76,000 people aged 45-64 are estimated to
have a MSK condition (L-14)
10.3% of L-14 residents (16+) have a limiting
long-term illness
74% of those aged 45-54 drink alcohol (L-12)
73% of those aged 55-64 drink alcohol (L-12)
11Main cause of death in the L-14 WAP (ICD-10 chapters)
1. Cancer
2. Cardiovascular disease
3. Diseases of the
digestive system
4. External causes of
morbidity and mortality
5. Diseases of the
respiratory system
6. Diseases of the nervous system7. Endocrine, nutritional and
metabolic diseases8. Certain infections and parasitic
diseases
9. Symptoms, signs and abnormal clinical and laboratory findings not elsewhere classified
10. Mental and behavioural disorders
1. Cancer
2. Cardiovascular disease
3. External causes of
morbidity and mortality
4. Diseases of the digestive
system
5. Diseases of the respiratory
system
6. Diseases of the nervous system
7. Endocrine, nutritional and
metabolic diseases
8. Certain infections and parasitic
diseases
9. Diseases of the genitourinary
system
10. Congenital malformations,
deformations and chromosomal
abnormalities
(2013-15)
12Lancashire-14 – top five causes of mortality
2,832
total
deaths
42.7%
from
cancers
15.5%
from heart
diseases
10.8%
from external
causes
10.3%
from digestive
diseases
4,182
total
deaths
32.4%
from
cancers
24.8%
from heart
diseases
13.0%
from digestive
diseases
12.7%
from external
causes
(2013-15)
13Male cancer incidence (15-64) (2012-14)
14Female cancer incidence (15-64) (2012-14)
Overarching recommendations
Support the WHO healthy settings approach
Promote health literacy
Ensure digital inclusion
16Recommendations
Themes
General Over 50’s
Healthy workplaces Healthy people
Workshop one (one hour)
1. There are four sets of recommendations on your table – one for each of the
four themes (general, over-50s, healthy people, and healthy workplaces).
2. Please discuss the first set of recommendations and consider what you can
add to them, for example, is there any good evidence-based practice you’re
aware of which supports them?
3. Rank the recommendations in order of priority (for your group). Please take
15 minutes per theme (sixty minutes in total).
4. Repeat the process for the other three sets of recommendations.
What’s the one big thing….?
18
