Health in Enfield: Measuring Success Joint Health and Wellbeing - PowerPoint PPT Presentation

Health in Enfield: Measuring Success Joint Health and Wellbeing Board Public Health Intelligence Gayan Perera Evie Lodge Striving for excellence www.enfield.gov.uk

Enfield’s population is growing Projected Population Percentage Change • Total population in Enfield in 2019 = 339,471 people Between 2019 and 2024 % Increase/ • Over the next 5 years, the overall population in Enfield is Ward change Upper Edmonton 35.7% projected to grow by 4.6% Cockfosters 13.6% Highlands 10.7% • Upper Edmonton has the largest projected growth (35.7%), Southgate Green 7.8% this may be due to the Meridian Water development. Grange 6.5% Ponders End 3.9% Bush Hill Park 3.0% Five Year Population Projections in Enfield 30000 Winchmore Hill 2.8% Projected number of people 2019 2024 Lower Edmonton 1.9% 25000 Palmers Green 1.7% 20000 Town 1.5% Southgate 1.2% 15000 Edmonton Green 1.1% 10000 Haselbury 0.7% Bowes 0.6% 5000 Turkey Street 0.5% 0 Enfield Lock 0.4% Bowes Bush Hill Park Chase Cockfosters Edmonton Green Enfield Highway Enfield Lock Grange Haselbury Highlands Jubilee Lower Edmonton Palmers Green Ponders End Southbury Southgate Southgate Green Town Turkey Street Upper Edmonton Winchmore Hill Enfield Highway 0.2% Southbury 0.1% Chase -0.3% Jubilee -1.3% Ward name Enfield 4.6%

Enfield Key demographics North Constituency • Most wards have similar or higher life expectancy than England overall. • High proportions of children living in poverty (significantly worse than England overall) Edmonton Constituency • Youngest population • Highest number of older people living in deprivation • High proportions of children living in poverty East Constituency (significantly worse than England overall) • Oldest population (16,303) of Highest scores on the Index people aged over 65 of Multiple deprivation (2015) • Highest life expectancy at birth • Lowest life expectancies in Enfield • Highest proportion of • Most wards have significantly people from Black and higher life expectancy than Minority Ethnic England overall. Backgrounds

Five key Diseases in Enfield 7,477 people 3,511 people 7,265 people recorded with coronary Recorded with recorded as having heart disease COPD (1.1%) cancer (2.3%) (2.3%) [2017/18] [2015/16] [2017/18] 19,261 people 19,821 people 16+ estimated to 18+ diagnosed have a common with type 2 mental diabetes disorder (8.0%) [2017/18] (19.3%) [2017]

More than 50% of Deaths in Enfield Circulatory disease – coronary heart disease, stroke, heart failure, high blood pressure Cancer – (1) lung cancer; (2) bowel cancer; (3) breasts and prostate cancers [2014] Respiratory disease – including flu, pneumonia, COPD, infections

Major behaviours causing ill health

How are we going to measure success • Overarching indicators • Priority 1: Healthy Diet • Priority 2: Being Active • Priority 3: Being Smoke Free • Priority 4: Being Socially Connected • Long term indicators

Overarching Indicators Overarching Indicators Gap in male life expectancy between the most and least deprived areas of Enfield Gap in female life expectancy between the most and least deprived areas of Enfield Overweight and obese children (4 to 5 year olds) Overweight and obese children (10 to 11 year olds)

Map of Female Life Expectancy Overarching indicators Life expectancy (LE) in Enfield 80.3 years 84.5 years [2015-2017, ONS] • Life expectancy at birth in Enfield significantly better than England averages, however still wide variation within the borough. • 6.3 years difference in Female LE between the highest and lowest (Highlands and Haselbury: 87.2years, Upper Edmonton 80.9 years) • 7.8 years difference in male LE between the highest (Highlands: 83.4years, Upper Edmonton 75.6 years) Healthy Life expectancy (HLE) • Over 15 years lived in ‘poor health’ in Enfield 65.1 years 65.5 years • Gap in LE and HLE is wide in more deprived areas • Females in Edmonton Green live 28 years in ‘poor health’ [2015-2017, ONS] Data Source: Office for National Statistics

Prevalence of Excess Weight Among children . National Child Measurement Programme 2017/18 One in Four children in Reception Year is overweight or obese in Enfield (24.9%) Recent trend is decreasing Two in Five children in Year 6 is overweight or obese in Enfield (41.1%) Recent trend is increasing There are high proportions of overweight and obese children in Enfield. The percentage of excess weight in children in Enfield is significantly higher than in England overall. Child overweight (including obesity)/excess weight: BMI ≥ 85 th centile of the UK90 growth reference

Prevalence of excess weight by ward Year 6 Reception Year

Overarching Indicators Overarching Indicators Current Target for 2023 Gap in male life expectancy between the most and 7.48 years (2015/17) Close the gap by 20% by 2023 least deprived areas of Enfield Gap in female life expectancy between the most 5.2 years (2015/17) Close the gap by 20% by 2023 and least deprived areas of Enfield Halt the increase of overweight/obese Overweight and obese children (4 to 5 year olds) 24.9% (2017/18) children by 2023 Halt the increase of overweight/obese Overweight and obese children (10 to 11 year olds) 41.1% (2017/18) children by 2023

Priority 1: Healthy Diet Indicators Priority 1 Indicators Number of fast food outlets in Enfield Healthy Catering Commitment – Number of food outlets signed up Local plan of how to restrict unhealthy fast food outlets Healthy Schools award Overweight and obese children (4 to 5 year olds) Overweight and obese children (10 to 11 year olds) Overweight and obese adults

Priority 1: Healthy Diet 305 fast food outlets in Enfield Fruit and Veg: [2019] 3 out of 5* adults (58.7%) eat the recommended ‘5-a-day * Based on self-report data from the Active lives survey [2017/ 2018] Both the consumption of fruit and veg and the numbers of fast food outlets per 100,000 population is similar to in London and England overall

Priority 1: Healthy Diet Excess weight over the Life course 70.0 ( Prevalence of Overweight and Obesity ) Enfield London 60.0 56.7 England 50.0 Percentage % 41.1 40.0 30.0 24.9 20.0 10.0 0.0 Reception year (4-5 years) Year 6 (10-11 years) Adults (18 years +)

Priority 1: Healthy Diet Three in Five adults in Enfield are overweight (38%) or obese (19%) The reported 2017/18 percentage of overweight and obese adults in Enfield is significantly lower than in England overall. In the past few years the percentage of adults with excess weight in Enfield (2016/17 - 61.4%, 2015/16 – 63.5%) has been similar to the overall percentages in England. 2017/18 Adjusted excess weight calculations: based on self-reported height and weight data (adjusted using associations derived from Health Survey for England data 2012-2014)

Priority 1: Healthy Diet Indicators Priority 1 Indicators Current Target for 2023 Halt the increase Number of fast food outlets in Enfield 305 (2019) Healthy Catering Commitment – 92 (Jul 2019) Increase by 20% Number of food outlets signed up Local plan of how to restrict unhealthy fast - Guidelines/ Regulations adopted food outlets 77 schools registered (88%) 85 schools registered (96%) Healthy Schools award 53 bronze 60 bronze 27 silver 35 silver 7 gold 10 gold Overweight and obese children (4 to 5 year 24.9% (2017/18) olds) Halt the increase of Overweight and obese children (10 to 11 year 41.1% (2017/18) overweight/obese children olds) Overweight and obese adults 56.7% (2017/18)

Priority 2: Being Active Indicators Priority 2 Indicators 150 minutes or more physical activity a week (Enfield adults) Less than 30 minutes of physical activity a week (Enfield adults) Cycling once per week as a means of transport for utility purposes (Enfield adults) Walking for travel once per week (Enfield adults) Daily Mile - Number of Enfield Schools taking part

Priority 2: Being Active A quarter of Enfield adults (26.4%) are physically inactive* This is significantly worse than the Based on adjusted, self-report data from the Active lives survey [2017/18] England average (22.2%) Percentage of people who walked 1 or cycled 2 for travel, at least three days per week 2016/17 Enfield London England Walked for travel 27.4% 35.2% 22.9% Cycled for travel 1.2% 4.7% 3.3% *Physically inactive is defined as: Less than 30 minutes of physical activity a week The (broad) activities included in the physical activity estimates are; sporting activities, fitness activities, cycling for leisure and sport, cycling for travel, walking for leisure, walking for travel, creative or artistic dance and gardening.

Priority 2: Being Active (at age 15*) * Based on self-report data from the What About YOUth (WAY) survey, 2014/15 1 in 8 (12.4%) 15yr olds in Enfield meet the recommended amount of Physical Activity (60mins/ day). Similar to the proportion in England overall (13.9%) 70.9% are sedentary for 7 hours (or more) per day Similar to the proportion in England (70.1%)