1. South West Public Health Observatory South West Regional Public Health Group Identifying health and wellbeing needs Paul Brown Deputy Director South West Public Health Observatory

2. South West Regional Public Health Group WHO definition of health (wellbeing) Physical Mental Social

3. South West Public Health Observatory South West Regional Public Health Group Why?

4. South West Public Health Observatory South West Regional Public Health Group To make high quality decisions on investment and distribution of services Statistical information plus ethical decision framework Public Money spent well for best results for population Not simply biggest effect for money because this may WORSEN health and wellbeing inequalities

5. South West Public Health Observatory South West Regional Public Health Group Who do we serve? What needs do they have? An ageing population A socioeconomically diverse population

6. South West Public Health Observatory South West Regional Public Health Group The population of the South West is getting older…..

7. South West Public Health Observatory South West Regional Public Health Group …or looked at another way….

8. South West Public Health Observatory South West Regional Public Health Group Identifying needs

9. South West Public Health Observatory South West Regional Public Health Group We are all entitled (hope) to grow old Needing support is a natural consequence of the effects of ageing We can try to reduce adverse effects of ageing through PREVENTION>PREVENTION>PREVENTION

10. South West Public Health Observatory South West Regional Public Health Group

11. South West Public Health Observatory South West Regional Public Health Group Income deprivation affecting older people

12. South West Public Health Observatory South West Regional Public Health Group Limiting long term illness

13. South West Public Health Observatory South West Regional Public Health Group Projecting Older People Population Information System (POPPI) Projects the future health needs of an older population Provides projections of: –numbers of older people; –those living alone, –in care homes, –with /without central heating, –receiving unpaid care, –ability to carry out domestic tasks and self care Projections based on estimates of limiting long term illness, depression, severe depression, dementia, heart attack, stroke,bronchitis\emphysema, falls, continence, visual impairment, mobility and obesity

14. South West Public Health Observatory South West Regional Public Health Group POPPI : Population Projections

15. South West Public Health Observatory South West Regional Public Health Group POPPI : Ethnicity and illness

16. South West Public Health Observatory South West Regional Public Health Group POPPI : Older people relative to total population

17. South West Public Health Observatory South West Regional Public Health Group POPPI : General Health/ unpaid care

18. South West Public Health Observatory South West Regional Public Health Group Inequalities

19. South West Public Health Observatory South West Regional Public Health Group Identifying priorities….. ~ 4 years difference in life expectancy Anywhere PCT

20. South West Public Health Observatory South West Regional Public Health Group Identifying priorities….life expectancy example…. Anywhere

21. South West Public Health Observatory South West Regional Public Health Group Developing this idea Number of lives saved under 75 Contribution of life-style Grouping of conditions e.g. –vascular disease –Alcohol direct and indirect

22. South West Public Health Observatory South West Regional Public Health Group Vascular Disease – heart, stroke, diabetes, kidney 6.2 million 200,000 deaths per year (38% total) > £20 billion NHS budget Major cause of adult disability (£ to be estimated) 50% mortality gap between rich and poor

23. South West Public Health Observatory South West Regional Public Health Group Inequalities in life expectancy within SW local authorities (Males)

24. South West Public Health Observatory South West Regional Public Health Group Inequalities in life expectancy within SW local authorities (females)

25. South West Public Health Observatory South West Regional Public Health Group Adults who smoke

26. South West Public Health Observatory South West Regional Public Health Group Early deaths attributable to smoking

27. South West Public Health Observatory South West Regional Public Health Group Obese adults

28. South West Public Health Observatory South West Regional Public Health Group Drug misuse

29. South West Public Health Observatory South West Regional Public Health Group Alcohol specific mortality (2001-05): Directly Standardised Rates for Persons (all ages)

30. South West Public Health Observatory South West Regional Public Health Group Alcohol related and alcohol specific mortality in the South West

31. South West Public Health Observatory South West Regional Public Health Group Alcohol related mortality (2001-05): Directly Standardised Rates for persons (All ages)

32. South West Public Health Observatory South West Regional Public Health Group Access to GUM clinics

33. South West Public Health Observatory South West Regional Public Health Group Delayed Transfers Source: Non-acute delayed transfers, by sector, England, 2006/07 Department of Health Sitreps

34. South West Public Health Observatory South West Regional Public Health Group Delayed Transfers, England Total MH Bed Days Lost: 701,073 Total general Bed days Lost: 285,832 Percentage of MH patients with DT: 9.2% Percentage of General Patients with DT: 10.3% The NHS/SS attributable split nationally is: –50 : 50 for the community hospital delays –60:40 for the inpatient mental health delays. Source: Non-acute delayed transfers, by sector, England, 2006/07 Department of Health Sitreps

35. South West Public Health Observatory South West Regional Public Health Group

36. South West Public Health Observatory South West Regional Public Health Group www.swpho.nhs.uk