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www.hertsdirect.org
Think Intelligence, Think Intelligently
Third Sector Public Health
Workshop
…Long Term Conditions
www.hertsdirect.org
Think Intelligence, Think Intelligently
Workshop Outline
• Deprivation and disability free life expectancy
• Projections for long term conditions
• Long term conditions by age group
• HIV Prevalence
• Depression
• Dementia
• Diabetes estimates and projections
• Other long term conditions
• What can third sector agencies do?
www.hertsdirect.org
Think Intelligence, Think Intelligently
High impact third sector roles
• Integration between health and social care
• Home from hospital
• Community interventions
• Self management
• Resilience and coping
www.hertsdirect.org
Think Intelligence, Think Intelligently
Deprivation
www.hertsdirect.org
Think Intelligence, Think Intelligently
Disability Free Life expectancy and
Deprivation
Life expectancy and disability free life expectancy in Hertfordshire
55
60
65
70
75
80
85
90
0.05.010.015.020.025.030.0
Deprivation
Index of Multiple Deprivation (higher number = high deprivation)
Age
Life expectancy Disability free life expectancy
Sources: EMPHO/LHO, 2006-10; ONS 1999-2003; DCLG, 2010
www.hertsdirect.org
Think Intelligence, Think Intelligently
Long term conditions by age group
Long Term Health Problem or Disability by Health by Age
0
10
20
30
40
50
60
0 to 15 16 to 24 25 to 34 35 to 49 50 to 64 65 to 74 75 to 84 85 and over
Age
PercentageofPopulation(%)
Hertfordshire: Bad
or very bad health
Hertfordshire: Day-
to-day activities
limited a lot
England: Bad or
very bad health
England: Day-to-
day activities
limited a lot
www.hertsdirect.org
Think Intelligence, Think Intelligently
Long-term conditions
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
2012
2016
2020
2012
2016
2020
2012
2016
2020
2012
2016
2020
2012
2016
2020
2012
2016
2020
2012
2016
2020
2012
2016
2020
2012
2016
2020
2012
2016
2020
N Herts. E Herts. Brox. Wel Hat. Stev. Dac. St Alb. H.mere Three R. W.ford
East & North Herts CCG Herts Valleys CCG
#OfPeople
Long-Term Conditions Projections
www.hertsdirect.org
Think Intelligence, Think Intelligently
People aged 15-59 diagnosed with HIV
HIV Diagnoses in people aged 15-59
948
112
165
138
97
68
95
8177
47
68
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
England Hertfordshire Watford Stevenage Welwyn Hatfield Hertsmere Broxbourne Dacorum North
Hertfordshire
St Albans Three Rivers East
Hertfordshire
Rateper1,000
Source: Health Protection Agency
(HPA)
Numbers represent the number of people accessing HIV
treatment
www.hertsdirect.org
Think Intelligence, Think Intelligently
Late HIV Diagnoses
Late HIV Diagnoses* in Hertfordshire
107
13
15
19 11 12 7
5 16
5
<5
0
20
40
60
80
100
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
2008/10
2009/11
2010/12
England Hertfordshire Three Rivers Dacorum Watford St Albans Stevenage Broxbourne Hertsmere Welwyn
Hatfield
East Herts North
Herts
PercentageofallHIVdiagnoses
Source: Survey Of Prevalent HIV Infections Diagnosed (SOPHID), HIV and
AIDS New Diagnoses Database (HANDD), and CD4 Surveillance - analysed
by the Health Protection Agency
*Adults (aged 15 years or more) w ho have been diagnosed w ith HIV and have
a CD4 count of less than 350 cells per mm3 w ithin 91 days of HIV diagnosis.
Numbers respresent the numbers of people affected in the three year period
betw een 2010 and 2012
www.hertsdirect.org
Think Intelligence, Think Intelligently
Depression prevalence in Hertfordshire
Prevalence of depression diagnosis, all ages, in Hertfordshire
101884 109492
0
2
4
6
8
10
12
2010/11 2011/12 2010/11 2011/12
England Hertfordshire
Percentage
Source: HSCIC Compendium of Population Health Indicators
(Quality and Outcomes Framew ork, QMAS database)
Numbers indicate how many people are affected
www.hertsdirect.org
Think Intelligence, Think Intelligently
Dementia prevalence in Hertfordshire
Dementia prevalence in Hertfordshire, all ages
5319
5566
0.0
0.1
0.2
0.3
0.4
0.5
0.6
2010/11 2011/12 2010/11 2011/12
England Hertfordshire
Percentage
Source: HSCIC Compendium of Population Health Indicators (Quality and
Outcomes Framew ork, QMAS database)
Numbers indicate how many people are affected
www.hertsdirect.org
Think Intelligence, Think Intelligently
Dementia
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
2012 2014 2016 2018 2020
Numberofpeople
Year
People aged 65 and over predicted to have dementia, by
age, projected to 2020, Hertfordshire
90+
85-89
80-84
75-79
70-74
65-69
Source: www.poppi.org.uk
www.hertsdirect.org
Think Intelligence, Think Intelligently
Estimated diabetes prevalence in
Hertfordshire adults
Estimated total (diagnosed and undiagnosed) diabetes prevalence in adults (16+)
6.9%
6.6%
7.3%
7.8%
8.3%
7.3%
7.6%
8.2%
8.6%
8.8%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
2012 2015 2020 2025 2030
Hertfordshire England Source: Public Health England, Diabetes prevalence model for local authorities
www.hertsdirect.org
Think Intelligence, Think Intelligently
Estimated prevalence of long term
conditions Hertfordshire in 2011
• COPD – 2.74% of people in Hertfordshire,
approximately 30700 people
• CHD – 4.69% of people in Hertfordshire,
approximately 52500 people
• Stroke – 2.19% of people in Hertfordshire,
approximately 24500 people.
• Cancer – approximately 5000 new incidences of
all cancers per year.
www.hertsdirect.org
Think Intelligence, Think Intelligently
High impact third sector roles
• Integration between health and social care
• Home from hospital
• Community interventions
• Self management
• Resilience and coping
www.hertsdirect.org
Think Intelligence, Think Intelligently
Further information
• http://jsna.hertslis.org- Health and Wellbeing in
Hertfordshire
• www.hertlis.org- Local Information System
• www.pansi.org.uk - Projecting Adult Needs and
Service Information
• www.poppi.org.uk - Projecting Older People
Population Information System
www.hertsdirect.org
Think Intelligence, Think Intelligently
Where to from here?
What can 3rd
sector do?
What can we do
together?
What can PH do,
What can CCGs,
HCS?

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long term conditions in Hertfordshire presentation final

  • 1. www.hertsdirect.org Think Intelligence, Think Intelligently Third Sector Public Health Workshop …Long Term Conditions
  • 2. www.hertsdirect.org Think Intelligence, Think Intelligently Workshop Outline • Deprivation and disability free life expectancy • Projections for long term conditions • Long term conditions by age group • HIV Prevalence • Depression • Dementia • Diabetes estimates and projections • Other long term conditions • What can third sector agencies do?
  • 3. www.hertsdirect.org Think Intelligence, Think Intelligently High impact third sector roles • Integration between health and social care • Home from hospital • Community interventions • Self management • Resilience and coping
  • 5. www.hertsdirect.org Think Intelligence, Think Intelligently Disability Free Life expectancy and Deprivation Life expectancy and disability free life expectancy in Hertfordshire 55 60 65 70 75 80 85 90 0.05.010.015.020.025.030.0 Deprivation Index of Multiple Deprivation (higher number = high deprivation) Age Life expectancy Disability free life expectancy Sources: EMPHO/LHO, 2006-10; ONS 1999-2003; DCLG, 2010
  • 6. www.hertsdirect.org Think Intelligence, Think Intelligently Long term conditions by age group Long Term Health Problem or Disability by Health by Age 0 10 20 30 40 50 60 0 to 15 16 to 24 25 to 34 35 to 49 50 to 64 65 to 74 75 to 84 85 and over Age PercentageofPopulation(%) Hertfordshire: Bad or very bad health Hertfordshire: Day- to-day activities limited a lot England: Bad or very bad health England: Day-to- day activities limited a lot
  • 7. www.hertsdirect.org Think Intelligence, Think Intelligently Long-term conditions 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 2012 2016 2020 2012 2016 2020 2012 2016 2020 2012 2016 2020 2012 2016 2020 2012 2016 2020 2012 2016 2020 2012 2016 2020 2012 2016 2020 2012 2016 2020 N Herts. E Herts. Brox. Wel Hat. Stev. Dac. St Alb. H.mere Three R. W.ford East & North Herts CCG Herts Valleys CCG #OfPeople Long-Term Conditions Projections
  • 8. www.hertsdirect.org Think Intelligence, Think Intelligently People aged 15-59 diagnosed with HIV HIV Diagnoses in people aged 15-59 948 112 165 138 97 68 95 8177 47 68 0.00 0.50 1.00 1.50 2.00 2.50 3.00 3.50 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 England Hertfordshire Watford Stevenage Welwyn Hatfield Hertsmere Broxbourne Dacorum North Hertfordshire St Albans Three Rivers East Hertfordshire Rateper1,000 Source: Health Protection Agency (HPA) Numbers represent the number of people accessing HIV treatment
  • 9. www.hertsdirect.org Think Intelligence, Think Intelligently Late HIV Diagnoses Late HIV Diagnoses* in Hertfordshire 107 13 15 19 11 12 7 5 16 5 <5 0 20 40 60 80 100 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 2008/10 2009/11 2010/12 England Hertfordshire Three Rivers Dacorum Watford St Albans Stevenage Broxbourne Hertsmere Welwyn Hatfield East Herts North Herts PercentageofallHIVdiagnoses Source: Survey Of Prevalent HIV Infections Diagnosed (SOPHID), HIV and AIDS New Diagnoses Database (HANDD), and CD4 Surveillance - analysed by the Health Protection Agency *Adults (aged 15 years or more) w ho have been diagnosed w ith HIV and have a CD4 count of less than 350 cells per mm3 w ithin 91 days of HIV diagnosis. Numbers respresent the numbers of people affected in the three year period betw een 2010 and 2012
  • 10. www.hertsdirect.org Think Intelligence, Think Intelligently Depression prevalence in Hertfordshire Prevalence of depression diagnosis, all ages, in Hertfordshire 101884 109492 0 2 4 6 8 10 12 2010/11 2011/12 2010/11 2011/12 England Hertfordshire Percentage Source: HSCIC Compendium of Population Health Indicators (Quality and Outcomes Framew ork, QMAS database) Numbers indicate how many people are affected
  • 11. www.hertsdirect.org Think Intelligence, Think Intelligently Dementia prevalence in Hertfordshire Dementia prevalence in Hertfordshire, all ages 5319 5566 0.0 0.1 0.2 0.3 0.4 0.5 0.6 2010/11 2011/12 2010/11 2011/12 England Hertfordshire Percentage Source: HSCIC Compendium of Population Health Indicators (Quality and Outcomes Framew ork, QMAS database) Numbers indicate how many people are affected
  • 12. www.hertsdirect.org Think Intelligence, Think Intelligently Dementia 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 2012 2014 2016 2018 2020 Numberofpeople Year People aged 65 and over predicted to have dementia, by age, projected to 2020, Hertfordshire 90+ 85-89 80-84 75-79 70-74 65-69 Source: www.poppi.org.uk
  • 13. www.hertsdirect.org Think Intelligence, Think Intelligently Estimated diabetes prevalence in Hertfordshire adults Estimated total (diagnosed and undiagnosed) diabetes prevalence in adults (16+) 6.9% 6.6% 7.3% 7.8% 8.3% 7.3% 7.6% 8.2% 8.6% 8.8% 0% 1% 2% 3% 4% 5% 6% 7% 8% 9% 10% 2012 2015 2020 2025 2030 Hertfordshire England Source: Public Health England, Diabetes prevalence model for local authorities
  • 14. www.hertsdirect.org Think Intelligence, Think Intelligently Estimated prevalence of long term conditions Hertfordshire in 2011 • COPD – 2.74% of people in Hertfordshire, approximately 30700 people • CHD – 4.69% of people in Hertfordshire, approximately 52500 people • Stroke – 2.19% of people in Hertfordshire, approximately 24500 people. • Cancer – approximately 5000 new incidences of all cancers per year.
  • 15. www.hertsdirect.org Think Intelligence, Think Intelligently High impact third sector roles • Integration between health and social care • Home from hospital • Community interventions • Self management • Resilience and coping
  • 16. www.hertsdirect.org Think Intelligence, Think Intelligently Further information • http://jsna.hertslis.org- Health and Wellbeing in Hertfordshire • www.hertlis.org- Local Information System • www.pansi.org.uk - Projecting Adult Needs and Service Information • www.poppi.org.uk - Projecting Older People Population Information System
  • 17. www.hertsdirect.org Think Intelligence, Think Intelligently Where to from here? What can 3rd sector do? What can we do together? What can PH do, What can CCGs, HCS?