younger people health pack hertfordshire

Hertfordshire Public Health Service

Workshops for Third Sector Agencies

Younger People Health Pack

February 2014

Jim McManusDirector of Public HealthHertfordshire Public Health ServiceHertfordshire County CouncilCounty Hall, Postal Point CH0231Pegs LaneHertford SG13 [email protected]

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

http://jsna.hertslis.org

http://jsna.hertslis.org/

mailto:[email protected]

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

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 opportunity for the voluntary sector to contribute to policy development, build relationships, and discuss new commissioning arrangements.

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?

http://jsna.hertslis.org

http://jsna.hertslis.org/

Younger People’s Health Information Pack

Contents

A) Population Structure in Hertfordshire 2012......................................................................4

B) Population Projections.....................................................................................................4

C) Deprivation in Hertfordshire.............................................................................................9

D) Child Poverty in Hertfordshire..........................................................................................9

E) Health............................................................................................................................10

F) Disability Allowance.......................................................................................................10

G) Long-term illness...........................................................................................................11

H) Hertfordshire Schools Survey........................................................................................11

I) Obesity............................................................................................................................12

J) National Child Measurement Programme......................................................................13

K) Dental Decay.................................................................................................................14

L) Mental Health.................................................................................................................15

M) Hospital Admissions......................................................................................................16

Links and Resources..........................................................................................................16

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A) Population Structure in Hertfordshire 2012

Below is a population pyramid for Hertfordshire in 2012 which shows the distribution of age groups across the population. The line shows the age distribution for England. In Hertfordshire there are more children aged 0 to 14 than in England.

2012 Mid Year Estimate by Sex and Age Group- Hertfordshire and England

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85-89

90+

10.0 8.0 6.0 4.0 2.0 0.0 2.0 4.0 6.0 8.0 10.0

Ag

e G

rou

p

% of Total Population

Males Females England

B) Population Projections

The graph above shows that population estimates for young people (aged 0-19) in Hertfordshire, are estimated to increase by 17% between 2010 and 2035. This is a change from 274,900 to 322,600 people.

The graphs below show the population changes for young people in each of Hertfordshire’s districts.

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Broxbourne: Number and % increase in people aged 0-192010 to 2035

Number % Change f rom 2010 Source: ONS - 2010 based Population Projections

In Broxbourne, a 22% increase is estimated between 2010 and 2035 (from 22,900 to 27,900) which is higher than for Hertfordshire (17%).

0%

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East Hertfordshire: Number and % increase in people aged 0-192010 to 2035


In East Hertfordshire, a 10% increase is estimated between 2010 and 2035 (from 34,600 to 38,000 people), lower than for Hertfordshire (17%).

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North Hertfordshire: Number and % increase in people aged 0-192010 to 2035


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In North Hertfordshire a 13% increase is estimated between 2010 and 2035 (from 30,500 to 34,600) lower than for Hertfordshire (17%).

0%

1%

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Stevenage: Number and % increase in people aged 0-192010 to 2035


In Stevenage an 8% increase is estimated between 2010 and 2035 (from 20,600 to 22,300 people) lower than Hertfordshire (17%).

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Welwyn Hatfield: Number and % increase in people aged 0-192010 to 2035


In Welwyn Hatfield a 31% increase is estimated between 2010 and 2035 (from 27,800 to 36,300 people) higher than Hertfordshire (17%).

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32,000

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Dacorum: Number and % increase in people aged 0-192010 to 2035


In Dacorum an 11% increase is estimated between 2010 and 2035 (from 35,000 to 38,700 people) which is lower than Hertfordshire (17%).

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25%

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Hertsmere: Number and % increase in people aged 0-192010 to 2035


In Hertsmere, a 21% increase is estimated between 2010 and 2035 (from 24,900 to 30,200 people) higher than Hertfordshire at (17%).

0%

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St Albans: Number and % increase in people aged 0-192010 to 2035


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In St. Albans, a 21% increase is estimated between 2010 and 2035 (from 35,900 to 43,400 people) higher than Hertfordshire at (17%).

0%

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25%

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Three Rivers: Number and % increase in people aged 0-192010 to 2035


In Three Rivers, a 19% increase is estimated between 2010 and 2035 (from 22,000 to 26,100 people) higher than Hertfordshire at (17%).

0%

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Watford: Number and % increase in people aged 0-192010 to 2035


In Watford, a 21% increase is estimated between 2010 and 2035 (from 20,700 to 25,100) higher than Hertfordshire at (17%).

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C) Deprivation in Hertfordshire

The map below shows how deprivation is distributed across Hertfordshire. The darker the area the more deprived the area is. The dark blue areas show the most deprived areas in the county.

D) Child Poverty in Hertfordshire

Childhood Poverty Trend

33874

4004

4101

3519

3478

2708

30703133 4579

2298

2984

50

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England Hertford-shire

Steven-age

Brox-bourne

WelwynHatfield

NorthHerts

EastHerts

Watford Herts -mere

Dacorum ThreeRivers

StAlbans

East & North CCG Herts Va l leys CCG

Ch

ildre

n "

In P

ove

rty"

pe

r 1

,00

0 0

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po

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Numbers represent the approximate number of children living in poverty Source: HMRC - Children in low income familes measure

Although there has been a clear reduction in child poverty in England this is not true for all the Hertfordshire districts. For example Stevenage, Broxbourne and Welwyn Hatfield have not seen a reduction. As a result, the rate of child poverty for Hertfordshire has remained stable although some districts, such as Watford, St Albans and Hertsmere have seen a decline from 2007 to 2011.

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E) Health

(Source: ONS – 2011 Census Table DC3302EW)

The vast majority of young people in Hertfordshire aged 0-15 reported good or very good health in 2011. However variation exists between districts, with 97% reporting good or very good health in Stevenage compared to over 98% in East Herts and St Albans. A similar pattern is seen for the 16-24 age group, with the lowest proportion in good or very good health present in Stevenage.

F) Disability Allowance

930

Peo

ple

800

Peo

ple

650

Peo

ple

650

Peo

ple

650

Peo

ple

760

Peo

ple

460

Peo

ple

570

Peop

le

810

Peo

ple

500

Peo

ple

0%

5%

10%

15%

20%

25%

North Herts Stevenage Broxbourne Welwyn Hatfield

East Herts St Albans Three Rivers

Hertsmere Dacorum Watford

East & North Herts CCG Herts Valleys CCG

Disability Allowance Ages 17 and Under [2013]

Source: DWP, Disability Living Allowance 2013

(Source: DWP – Disability Living Allowance)

The highest prevalence of young people claiming disability allowance, which can be considered as a proxy measure for disability, is found in North Hertfordshire, Stevenage and St Albans within Hertfordshire. In North Hertfordshire, 20.1% of all Disability Living Allowance claimants are under 18, compared to 15.7% in Watford, and 17.7% in Hertfordshire.

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G) Long-term illness

(Source: ONS – 2011 Census Table DC3302EW)

Within Hertfordshire, young people aged 0-15 and 16-24 reported the highest prevalence of life-limiting health problems in Stevenage and North Hertfordshire districts. Those aged 15-24 reported higher prevalence of day-to-day activities ‘limited a little’ and ‘limited a lot’ across all districts compared to those aged 0-15.

H) Hertfordshire Schools Survey

How many portions of fruit and vegetables did you eat yesterday?

4%

9%

13%

19%

21%

17%

9%

4% 4%

7%

11%

15%

24%

22%

12%

6%

2% 2%

0%

5%

10%

15%

20%

25%

30%

None 1 2 3 4 5 6 7 8 or more

Primary

Secondary

Source: Health Related Behaviour Questionnaire 2012

The graph above shows the responses from both primary and secondary school pupils in Hertfordshire on how many portions of fruit and vegetables they ate the previous day. The results show that only 34% of primary pupils and 22% of secondary pupils had eaten five or more portions of fruit and vegetables. At the other end of the scale, 4% of primary pupils and 7% of secondary pupils stated they ate no fruit or vegetables the previous day.

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Primary Pupils: How many times last week did you exercise and have to breathe harder and faster?

2%4%

11%

19%

45%

18%

0%

10%

20%

30%

40%

50%

Never Once Twice Three times Four times Five times ormore

2010 2012

Source: Health Related Behaviour Questionnaire 2012

The graph above shows how much exercise primary school pupils in Hertfordshire reported doing in the previous week during 2010 and 2012. Forty five percent reported exercising five times of more in both 2010 and 2012. Two percent said they did no exercise and 36% exercised three or less times (under half the recommended amount) in the previous week.

I) Obesity

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The map above shows how childhood obesity is often present in areas with high deprivation. The yellow dots show the areas which have a significantly higher number of obese children (Year 6) than Hertfordshire. All of those areas have darker blue backgrounds indicating higher deprivation levels.

J) National Child Measurement Programme

The chart above shows the changes in overweight and obesity in Hertfordshire children at reception and year 6. Purple represents the percentage of overweight children and yellow the percentage of obese children. Year 6 pupils have a higher percentage of overweight and obesity than reception pupil which suggests that early intervention is required to prevent obesity later in life. Obesity levels for reception pupils decreased between 2006/07 and 2012/13, however the same is not true for year 6 pupils.

The two charts below show how overweight and obesity in children vary between the Hertfordshire districts. Broxbourne in particular had a greater percentage of overweight and obese year 6 children in 2012/13 than all the other districts. St Albans and East Hertfordshire both had the lowest percentages of overweight and obese children at year 6 and reception. In addition, these two districts are the least deprived in Hertfordshire.

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K) Dental Decay

Percentage of 5 year olds with experience* of dental decay in 2011/12

0

5

10

15

20

25

30

35

ENGLAND

Hertfor

dshir

e

Watfo

rd

Steve

nage

Welw

yn H

atfiel

d

Dacoru

m

Broxb

ourn

e

Hertsm

ere

East H

ertfo

rdsh

ire

Three

Rive

rs

St Alba

ns

North H

ertfo

rdsh

ire

Per

cen

tag

e

Source:HSCIC compendium of population health indicators*Experience of dental decay includes missing, f illed and decayed teeth

The above chart shows that nearly 24% of children have experienced dental decay by the age of five. This means that 1 in 4 five year olds will have either at least one decayed, filled or missing tooth. Watford has the highest percentage at 32.3% and North Hertfordshire has the lowest percentage at 17.9%.

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L) Mental Health

(Source: http://www.youngminds.org.uk/training_services/policy/mental_health_statistics)

Based on proportions provided by Green et al. (2005) for estimating common mental health problems in young people, it is estimated that St Albans, East Herts and Dacorum have the highest number of young people affected by Mental Health conditions; this however is due to the larger population of young people in these districts. Green et al. (2005) suggest that:

9.6% Under 16’s affected by Mental Disorder 5.8% Under 16’s affected by Conduct Disorders 3.3% Under 16’s affected by Anxiety 1.5% Under 16’s affected by Hyperkinetic Disorder (Severe ADHD) 0.9% Under 16’s affected by Depression

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M) Hospital Admissions

89 1034

5

101

1034

7

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Hertfordshire England

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spita

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00

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Hospital Admissions for Mental Health Conditions Under 18's

2010-2011 2011-2012

(Source: ChiMat – 2013 Child Health Profiles)

Hospital admissions for mental health conditions represent the extreme end of mental health, and admissions for under 18’s are low in number. Hertfordshire saw a slight increase in under 18 admissions between 2010-11 (35.7 per 100,000) and 2011-12 (39.9 per 100,000), with an increase of 13 admissions. The rate in Hertfordshire is significantly below that for England (93.7 per 100,000 in 2010-11, 91.3 per 100,000 in 2011-12).

Links and Resources

• http://jsna.hertslis.org- Health and Wellbeing in Hertfordshire• http://www.hertlis.org- Local Information System • http://www.chimat.org.uk/ - Child and Maternal Health Intelligence Network• http://www.noo.org.uk/NCMP - National Child Measurement Programme

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http://jsna.hertslis.org-/

http://www.hertlis.org-/

http://www.noo.org.uk/NCMP

http://www.chimat.org.uk/

younger people health pack hertfordshire

Health & Medicine