Health Trends SSP Executive 18 th December

How long we can expect to live for has increased both nationally and in Salford LE in Salford (years) Males Females LE in UK (years) Males Females In the past 20 years of Life and LE LE: Life Expectancy

What people die from in Salford Death rates are significantly higher than England

SSP Health Priorities Objective 5: We will promote positive attitudes to sexual health and wellbeing by: Action 5.1: Reducing teenage pregnancy Objective 6: We will increase life expectancy by: Action 6.1: Reducing smoking Action 6.2: Increasing levels of physical activity Action 6.3: Increasing healthy weight Action 6.4: Improving children's health and giving all a good start in life by engaging with families and schools Measuring trends

Action 5.1: Reducing teenage pregnancy: trend Source: Office for National Statistics

Teenage Pregnancy Successes  2008 NST visit led to intense focus & senior level engagement  Young people’s aspirations improving e.g. NEET reducing and GCSE results improving  Additional resources into contraception and sexual health services  Increased uptake of training across a wider range of sectors

Teenage Pregnancy Risks  RSE no longer mandated  Teenage pregnancy rates rise in times of higher unemployment Recommendations  Ensure teenage pregnancy prevention and support for young parents is integrated and implemented effectively  Commission targeted services that respond to the needs of a shared client/target groups - young people who drink alcohol, have mental health issues, etc are also more likely to become pregnant

Action 6.1: Reducing smoking: trends Source: London Health Observatory: Integrated Household Survey

Smoking Successes Over 5,500 smokers access stop smoking services with 2,000 four-week quits Increased access to stop smoking support e.g. Salford Reds rugby club Several successful prosecutions for illicit tobacco Over 14,800 under 16s are in smoke free homes Risks Economic climate – potential increases in illicit tobacco Recommendations Continue to de-normalise tobacco smoking, particularly in deprived areas

Action 6.2: Increasing physical activity: trends Source: Sport England

Physical Activity Successes Olympic and Paralympics School Sport Partnership Free swimming Risks No statistical change in PA levels in recent years Even less adults take 5 times 30 minutes of moderate PA (national recommendation) Recommendations Priorities walking and cycling Facilitate volunteering in local sport clubs

Action 6.3: Increasing healthy weight: trends Source: National Child Height and Weight programme

Healthy weight Successes Obesity in Reception and Year 6 aged children has fallen at a faster rate than the GM and England averages New weight management pathways for children and adults Risks 1 in 10, 4-5 year olds and 1 in year olds are obese Maternal obesity is increasing Recommendations Encourage sector lead improvements to increase physical activity and healthy eating in early years and school settings Increase the availability of healthy foods and physical activity opportunities in local communities

Action 6.4: Improving children's health: trends Source: Compendium of clinical indicators

Action 6.4: Improving children's health: trends Source: Department of Health

Immunisations Childhood immunisations – good coverage Flu immunisation coverage 65+: 74% (England 72%) At risk groups:50.7% (England 50.4%)

Improving children’s health Successes Childhood immunisations Early booking (by 12 th week of pregnancy) Risks Infant mortality & associated indicators e.g. smoking in pregnancy Hospital Admissions for alcohol, injuries and self- harm Oral Health

Improving children’s health Recommendations Increase breastfeeding initiation Reduce child poverty Reduce the prevalence of obesity Reduce smoking in pregnancy Reduce under 18 conceptions

Determinants of Life Expectancy

“To close the life expectancy gap between Salford and the UK average by 25% over the next three years.” Joint health and wellbeing strategy

Strategy priorities Ensure all children have the best start in life and continue to develop well during their early years Local residents achieve and maintain a sense of wellbeing by leading a healthy lifestyle, supported by resilient communities which effectively use social capital Local residents access quality healthcare appropriately; where healthcare is focused on providing services placing greater attention on ageing, vulnerable and diverse populations where inequalities exist

Summary Improvements in many health areas including SSP priorities Scale / speed of improvement not reached national levels Priorities remain and are linked with HWB Strategy and other areas e.g. alcohol, wider determinants New challenges e.g. population structures