Institute of Health Equity Jessica Allen [email protected] instituteofhealthequity
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description
Institute of Health Equity Jessica Allen [email protected] www.instituteofhealthequity.org. Male life expectancy at birth, local authorities 2008-10. Inequalities in male life expectancy within local authority areas, 208-2010. Largest inequalities Smallest inequalities - PowerPoint PPT Presentation
Transcript of Institute of Health Equity Jessica Allen [email protected] instituteofhealthequity
Institute of Health Equity Jessica Allen
Male life expectancy at birth, local authorities 2008-10
0 30 60 90 120 15070
72
74
76
78
80
82
84
86
Local authority rank - based on Index of Multiple Deprivation
Life expectancy (years)
Inequalities in male life expectancy within local authority areas, 208-2010
Largest inequalities Smallest inequalities
Westminster 16.9 (84) Barking & Dagenham 5.2 (77)Stockton-on-Tees 15.3 (78) Newham 5.0 (76)Middlesbrough 14.8 (76) Isle of Wight 4.9 (79)Wirral 14.6 (77) Herefordshire Cty UA 4.8 (79)Darlington 14.6 (77) Wokingham 3.5 (82)Newcastle -u-Tyne 13.7 (77) Hackney 3.1 (77)
Figures in parentheses show life expectancy of the area
Fair Society, Healthy Lives (Marmot Review)
• Health inequalities are not inevitable or immutable
• Health inequalities result from social inequalities - ‘causes of the causes’ – the social determinants
• Focusing solely on most disadvantaged will not be sufficient - need ‘proportionate universalism’
• Reducing health inequalities vital to economy - cost of inaction
Cost of Inaction
• In England, dying prematurely each year as a result of health inequalities, between 1.3 and 2.5 million extra years of life.
• Cost of doing nothing– productivity losses of £31-33B – reduced tax revenue and higher welfare payments of
£20-32B– increased treatment costs well in excess of £5B.
The social determinants of health and health and wellbeing boards
• Focus on:– Giving every child the best start in life– Enabling everyone to have control over their lives – Ensuring a healthy standard of living for all – Creating and developing healthy sustainable places and
communities– Strengthening the role and impact of ill health
prevention
Policy Objectives: The Social Determinants of Health
A. Give every child the best start in lifeB. Enable all children, young people and adults to maximise their
capabilities and have control over their lives.C. Create fair employment and good work for allD. Ensure a healthy standard of living for allE. Create and develop healthy and sustainable places and communitiesF. Strengthen the role and impact of ill-health prevention
Ealing Regional England Average
England Worst
England Best
Male Life expectancy at birth
68
70
72
74
76
78
80
82
84
86
Ealing Regional England Average
England Worst
England Best
Female Life expectancy at birth
74
76
78
80
82
84
86
88
90
Ealing: Life Expectancy at Birth
Ealing Regional England Average
England Worst
England Best
Inequality in Male Life Expectancy
0
2
4
6
8
10
12
14
16
18
Ealing Regional England Average
England Worst
England Best
Inequality in Female Life Expectancy
0
2
4
6
8
10
12
14
Inequality in Life Expectancy
Ealing Regional England Average
England Worst
England Best
Inequality in Male Disability Free Life Expectancy
0
5
10
15
20
25
Ealing Regional England Average
England Worst
England Best
Inequality in Female Disability Free Life Expectancy
0
2
4
6
8
10
12
14
16
18
Inequality in Disability Free Life Expectancy
Social Determinants
Ealin
g
Regi
onal
Engl
and
Aver
age
Engl
and
Wor
st
Engl
and
Best
Children achieving a good level of development at age 5 (%)
0
20
40
60
80
Ealing Regional England Average
England Worst
England Best
Young people not in employment, education or training (%)
0
2
4
6
8
10
12
14
16
Children achieving a good level of development at age five, local authorities 2011•
0 30 60 90 120 15040
45
50
55
60
65
70
75
80
Local authority rank - based on Index of Multiple Deprivation
Good level of development
at age 5%
% of families reading to their children every day and level of TV viewing by socio –economic status
[i]Dearden L, Sibieta L and Sylva K (2011) The socio-economic gradient in early child outcomes: evidence from the Millennium Cohort Study. Longitudinal and Life Course Studies 2(1): 19-40.
0
10
20
30
40
50
60
70
80
90
100
Read to every day (36 months
Read to every day (5 yrs))
Watches >3 hours TV per day
Watches >3 hours TV Per day
Quintile 1 (low)
Quintile 2
Quintile 3
Quintile 4
Quintile 5 (high)
Per
cent
of f
amili
es
Average affirmations and prohibitions per hour by socio-economic status in the US.
Outcome 13
Source Hart B and Risely T R (2003) The early catastrophe: the 30 million word gap by age 3.
Outcomes 13: More parents are regularly engaging
positively with their children.
Areas for outcomes:• Development
– Cognitive– Communication & language– Social & emotional– Physical
• Parenting– Safe and healthy environment– Active learning– Positive parenting
• Parent’s lives– Mental wellbeing– Knowledge & skills– Financially self-supporting
21 Proposed outcomes see page 8
Existing assets
• Children’s centres• Early years workforce• Health workforce• Mapping assets• Costs of doing nothing
Public health in local authorities
• Partnerships• Cross sector• Intervene early• Make use of existing assets• Focus on inequalities• Health and well being
Institute of Health Equity Jessica Allen
