HARINGEYS PUBLIC HEALTH INTELLIGENCE TEAM November 2015 2 - PowerPoint PPT Presentation

HEALTH AND UNEMPLOYMENT IN HARINGEY HARINGEY’S PUBLIC HEALTH INTELLIGENCE TEAM November 2015

2 HaringeyStat Setting the scene haringey.gov.uk

The case for change 3 HaringeyStat Robust evidence showing positive impact of employment on physical health  and mental wellbeing;  Potential financial gains to health system from positive employment outcomes; Those in employment place less demand on GP appointments ,  medication and hospitalisation;  Employment helps with self-management of Long Term Conditions and other chronic conditions;  Reduces inequalities and worklessness as a root cause of complex and multiple disadvantages. haringey.gov.uk

Haringey’s labour market 4 HaringeyStat  2.23 million wider-London new job openings between 2010 and 2020 and Haringey is part of this network with excellent transport links however local job offer per population is ranked low (in the bottom 15 LAs in the UK).  84,000 workforce jobs or 0.45 for every working age resident in Haringey; lower than London (0.93) and national (0.80) averages) .  Haringey has higher unemployment rate (7.1%) than London (6.6%) and Great Britain (5.2%) and significantly more residents on out of work benefits (11.3%) than the London average (9%).  Levels of workless households (19%) are also higher than the London average (15%). haringey.gov.uk

Haringey occupations 5 HaringeyStat Managerial, Professional and Associate professional: 52% Admin and Skilled trades:17% Service, Sales, Process and Elementary: 31% haringey.gov.uk

Haringey sought occupations of benefit claimants v Job Centre vacancies 6 HaringeyStat Biggest sought occupation and vacancy gaps in Managerial and Sales roles. Vacancies for Skilled Trade and Associate Professional & Tech jobs doesn't match sought occupation NB: Only a proportion of total job market vacancies will be demand. advertised through the Job Centre. Estimates suggest up to 70% of all job openings are never formally advertised. haringey.gov.uk

7 HaringeyStat Economically inactive population in Haringey haringey.gov.uk

Around 1 in 4 working age (16+) Haringey residents are economically inactive 8 HaringeyStat 9 th highest overall economic inactivity rate in London (2015) Around double the amount of women (1 in 3) are economically inactive compared to men. haringey.gov.uk

Who are Haringey’s economically inactive cohort? 9 HaringeyStat 25% (45, 900) of working age population in Haringey is economically inactive One third of Others are parents those claiming out looking after young of work benefits family (third) , students (37%) and retired (7%) haringey.gov.uk

Out of work benefits claimant rate – 4 th highest in London 10 HaringeyStat Haringey’s out of work benefit claimant rate has decreased by 28% from 2010, but remains well above the London rate. Haringey 11.3% (21,350) London 9% haringey.gov.uk

Out of work benefits claimants by ward 11 HaringeyStat Northumberland Park (11) has the highest rate of out of work benefit claimants at 24%, followed by Tottenham Green (15) at 19% and Tottenham Hale (16) at 18%. The lowest rate is found in both Crouch End (4) and Muswell Hill (9) at 5%. 13 wards have a higher proportion of out of work benefit claimants than the Haringey average (11.3%). The highest rates of out of work benefits claimants are situated in the east. haringey.gov.uk

Overrepresentation of 45+ out of work benefit claimants 12 HaringeyStat Younger age groups Under 25s, 25-34s, 35-44s under-represented Older age groups 45-54s, 55-59s, 60-64s over-represented 50% men 50% women haringey.gov.uk

Participation in volunteering by age 13 HaringeyStat In addition, or instead of employment, volunteering can be an important part of personal lives and communities. However after the age of 49, participation reduces incrementally with increased older age (National). Volunteering has been shown to be Formal & associated with decreased depression, a Informal 23% reduction in mortality risk for 55+ volunteers and increased social engagement volunteering with the community. haringey.gov.uk

Out of work benefit definitions 14 HaringeyStat Job Seekers Allowance (JSA) Unemployment benefit paid by the Government of the United Kingdom to people who are unemployed and actively seeking work. It is part of the social security benefits system and is intended to cover living expenses while the claimant is out of work. Employment Support Allowance (ESA) Out-of-work welfare benefit paid in the United Kingdom to people who are having difficulty finding work because of their long-term illness or disability. haringey.gov.uk

Health-related employment benefits 15 HaringeyStat In 2008... Incapacity Benefit, ESA Severe Disability Allowance, Income Support Work Capability Assessment ESA Support group ESA Work-related Not eligible more severe Low level health activity group disablement/incapacity. related problems and Payment of this is Payment of this is not directed to JSA limited to 12 months limited to 12 months haringey.gov.uk

Job Seekers Allowance (JSA) 16 HaringeyStat JSA Short term , if enough Long term NI was paid when employed If not enough NI is paid and working (6 month maximum and less than 16 hours (indefinite). supported to actively seek job). There could be a large number of those who have low-level health issues but are not recognised/supported and who get worse and tip over to ESA (particularly developing mental health conditions due to unemployment ). haringey.gov.uk

JSA rates decreasing but ESA/Incapacity Benefit claims remain consistent 17 HaringeyStat Mirroring national trends, JSA claimants have decreased in the last 3 years – while ESA/IB claimants have remained constant. 6.7% ESA / IB 3% JSA 12,770 Claimants 5,600 claimants (Feb 2015) haringey.gov.uk

Most ESA/IB claims are long term 18 HaringeyStat Around 70% of all ESA/IB claimants are long-term claimants, one year and over. 49% of claims are for two years or more. Total number of Haringey ESA/IB/SD claimants Feb 2015: 12,770 haringey.gov.uk

Long term ESA and JSA claimants by age 19 HaringeyStat 41% of all 45-49 year old JSA claimants have been claiming for over 1 year, compared to 16% of 25- 29 year olds. 85% of all 45-54 year old ESA claimants have been claiming for over 1 year, compared to 66% of 16- 24 year olds. haringey.gov.uk

Over- representation of ‘Mixed’ ethnic group ESA claimants 20 HaringeyStat Mixed ethnic minority groups (include white/black Caribbean; white/black African and white/Asian) are the most common ESA claimants at 35% , despite only accounting for 5% of the estimated working age population. White ethnic groups (include White other) are under-represented. 33% of all claimants vs 62% of the working age population haringey.gov.uk

21 HaringeyStat Unemployment and health-related problems haringey.gov.uk

Around 1/2 ESA/IB claims are for mental health conditions (primary) 22 HaringeyStat Most common claims are for ‘Mental or behavioural disorders’ (46%). The 2 nd most common condition is ‘Musculoskeletal system and connective tissue’ (14%). The 3 rd most common is ‘Clinically undefined conditions’ (11%). The claimants are classified by the primary claim condition cited: comorbidities are not captured and some claimants will have several conditions. haringey.gov.uk

Health related unemployment 23 HaringeyStat 1, 782 ESA claimants have MSK problems 5, 920 ESA/IB claimants have mental ill health 12, 730 ESA/IB claimants 5, 600 JSA claimants 21, 770 out of work benefit claimants 45,900 economically inactive 180, 000 working age population in Haringey haringey.gov.uk

Diagnosed health conditions related to unemployment in Haringey 24 HaringeyStat  Over 3,500 people with serious mental illness and a further 16,000 with common mental ill health are registered with local GPs;  Approximately 47,000 of the registered population have one or more long-term conditions and almost 40% of those have co-morbidity;  Almost 10% of GP-surveyed population reported back problems and arthritis, joint problems (respectively), while only 0.15-0.45% on GP registers have rheumatoid arthritis and osteoporosis. haringey.gov.uk

The impact of co-morbidity 25 HaringeyStat Dep & SEMI CHD & DM Dep & DM Dep & SEMI & COPD DM Dep & cancer Frequent combinations of CHD & comorbidities in adults CHD & COPD HF Dep & DM & CHD CKD CHD & CKD DM & cancer DM & DM & COPD CHD CLD Dep & CHD & & AF CLD CeVD AF-atrial fibrillation; CeVD - cerebrovascular disease; CHD - coronary heart disease; CKD - chronic kidney disease; CLD - chronic liver disease; COPD - chronic obstructuve pulmonary disease; Dep - chronic depression; DM - diabetes; HF - heart failure; SEMI - severe mental illness. haringey.gov.uk

26 HaringeyStat Inequalities in employment outcomes for people with health problems haringey.gov.uk

Severe mental illness and employment rate HaringeyStat Adults in secondary mental health services in paid employment 4.1% 3.2% Haringey is below the England and London average, for both males and females (2014/15) haringey.gov.uk