Welcome Working-age population joint strategic needs assessment (JSNA) prioritisation event 25 April 2017 County Hall, Preston
2 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
3 Where are we up to in the JSNA process? Identify working Select topic Scoping Collect data group Analyse Interpret Identify priorities Review literature Write Consultation Publish findings Warm handover recommendations
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.
5 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?
What did we include? Lancashire data General Economy Health demographics behaviours Community Employment JSNA safety/MADE Population Unemployment Filtered by age, Ambulance data Age Income levels health Census data Gender Reasons for conditions, Data from other Ethnicity activity or mental health partners inactivity Religion substance use, Modelled estimates Occupation Marital status (from literature tobacco, Education/skills Deprivation review) alcohol, food Sector Mosaic Other data nutrition and breakdown physical activity Literature and evidence review
What does this JSNA look 7 like? WAP final report (with recommendations) Non- Work, health Lifestyle Long-term Adults aged standard and 50+ behaviours conditions and flexible wellbeing working What are the differences in the What are the health behaviours of this health and wellbeing of those population? who are in work and those who are not? Are there distinctions between the different age groups within the WAP? Lancashire Individual district profiles profile Mapping and background details (including commuter flows and asset maps)
8 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) 29.2% of men and 44.4% of women (aged 60-64 ) in England have arthritis (2015) 30% of people in England aged 55-64 provide unpaid help or support (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%
Lancashire findings 9 457,781 of L-14 residents are female, 447,417 are male (16-64) (2015) 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)
10 An estimated 80,000 of 16-64s have cardiovascular disease (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 60% of those aged 45-64 are obese or overweight (self-reported weight) (L-12) 74% of those aged 45-54 drink alcohol (L-12) 73% of those aged 55-64 drink alcohol (L-12)
Main cause of death in the L-14 WAP (ICD-10 chapters) 11 1. Cancer 1. Cancer 2. Cardiovascular disease 2. Cardiovascular disease 3. External causes of 3. Diseases of the morbidity and mortality digestive system 4. Diseases of the digestive 4. External causes of system morbidity and mortality 5. Diseases of the respiratory 5. Diseases of the system respiratory system 6. Diseases of the nervous system 6. Diseases of the nervous system (2013-15) 7. Endocrine, nutritional and 7. Endocrine, nutritional and metabolic diseases metabolic diseases 8. Certain infections and parasitic 8. Certain infections and parasitic diseases diseases 9. Symptoms, signs and abnormal 9. Diseases of the genitourinary clinical and laboratory findings system not elsewhere classified 10. Congenital malformations, 10. Mental and behavioural deformations and chromosomal disorders abnormalities
Lancashire-14 – top five causes of mortality 12 2,832 total deaths 42.7% 15.5% 10.8% 10.3% from from heart from external from digestive cancers diseases causes diseases 4,182 total deaths 32.4% 24.8% 13.0% 12.7% from from heart from digestive from external cancers diseases diseases causes (2013-15)
13 Male cancer incidence (15-64) (2012-14)
14 Female cancer incidence (15-64) (2012-14)
Overarching recommendations Support the WHO healthy settings approach Promote health literacy Ensure digital inclusion
16 Recommendations Themes Healthy workplaces Healthy people Over 50’s General
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.
18 What’s the one big thing….?
Contact BusinessIntelligence.JSNA@lancashire.gov.uk Tel: 01772 536802 www.lancashire.gov.uk/lancashire-insight
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