Director of Public Health Report 2013
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An update for the Health and Wellbeing Board from the Director of Public Health concerning his 2013 Report
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Director of Public Health Report 2013
- 1. New Opportunities Director of Public Health Report for Sheffield 2013 1
- 2. • ‘..turn the Council into a public health organisation, so that every contact the Council has with the people of Sheffield is designed to have a positive impact on their health.’ 2
- 4. Slope Index of Inequality in Life Expectancy (Men) 4
- 5. Slope Index of Inequality in Life Expectancy (Women) 5
- 6. Disability Free Life Expectancy at age 16 Age 16 Disability Free LE Total LE 6
- 7. Gap between disability free life expectancy and total life expectancy (Men) Gap 20.9 yrs Gap 16.4 yrs Total Life Expectancy Disability Free Life Expectancy 7
- 8. Gap between disability free life expectancy and total life expectancy(Women) Gap 23.6 yrs Gap 17.8 yrs Total Life Expectancy Disability Free Life Expectancy 8
- 9. We will have the biggest impact on the health of the people of Sheffield if we combine the specialist expertise of the public health staff transferring from the NHS, with the scale and outreach of the Council itself. 9
- 10. Recommendations 1. Invest in the early years (prevention and early intervention) 2. Commission a prevention and early intervention emotional wellbeing & mental health service for children & young people 3. Develop a comprehensive sexual health system for the City 4. Prioritise initiatives to encourage people to ‘Move More’ 5. Reduce availability and supply of illicit tobacco 6. Address older people’s wellbeing, isolation and loneliness 7. Enhance resilience and social capital of the most deprived communities 8. Invest in public mental health and wellbeing 9. Promote schemes to reduce alcohol consumption & related harm 10. With partners, remove health barriers to employment 11. Improve uptake of the NHS Health Check 10
- 11. Invest in the early years (prevention and early intervention) Commission an emotional wellbeing & mental health √ service for C&YP Develop a comprehensive sexual health system for the City Prioritise initiatives to encourage people to ‘Move More’ Reduce availability and supply of illicit tobacco Address older people’s wellbeing, isolation and loneliness Enhance resilience and social capital of the most deprived communities √ √ √ √ √ √ √ √ √ √ √ √ √ √ Invest in public mental health and wellbeing √ √ Promote schemes to reduce alcohol consumption & related harm √ √ With partners, remove health barriers to employment √ Improve uptake of the NHS Health Check The health and wellbeing system is innovative, affordable and good vfm. √ √ People get the help and support they need Health inequalities are reducing Health and wellbeing is improving Sheffield is a healthy and successful City Strategic fit √ √ √ √ √ √ √ √ 11
- 12. Local Health and Wellbeing Data 12
- 13. More Information A summary and full text online version of the report is available at: www.sheffield.gov.uk/publichealthreport Any comments on the report to: dphr@sheffield.gov.uk 13
Notas do Editor
- 68.3% of population work, well below England average of 72.9%. Of particular concern is the increase in long term unemployment which grew by 56% 2011 to 2012 and increase in youth unemployment (2,665 in Feb 2008 to 5,475 in July 2012) – far more rapidly than nationally.Concerns regarding the impact of austerity and welfare reforms – especially on those already poor, vulnerable and at risk. Over one fifth of Sheffield households live in poverty and work no longer necessarily route out of poverty. Particular concern about increase in food banks as an indicator of increasing hardship.Performance improving at Key Stage 2 (age 11) and 4 (age 16) and some narrowing of the gap between Sheffield and rest of country – but this must be maintained. We also need greater emphasis on intermediate and technical skills but improvements in these areas have been static of late.Lack of investment, ageing stock and high demand mean reduction in quality of the private rented housing sector – only 64% meets the ‘Decent Homes’ standard. This is a big challenge in context of welfare reforms. Sheffield also experiences higher levels of fuel poverty but realistically will be doing well to hold it at its current rate.Greater emphasis needed on quality and management of land not owned by the Council, particularly as a means to increase outdoor play opportunities for children and alongside other measures such as the ‘Playing Out’ scheme.Good evidence for the health and wellbeing benefits of active travel and accessible transport but we don’t have good enough local data on the choices people make and why.
- Life expectancy for men is 78.1 years and 81.8 years for women in Sheffield. Both are lower than the national average although the gender gap is narrowing.Cancer and cardiovascular disease account for almost two thirds of all deaths in people under the age of 75 years in Sheffield. Although death rates from these diseases are reducing they still fall short of the national average. We’ve also detected a potentially worrying trend in liver disease, largely connected to alcohol consumption.The numbers of people with dementia are set to increase markedly over the next 10-20 years. Currently long term care needs of this population are met via admission to a care home while earlier on there is significant reliance on informal caring arrangements. This represents a significant area of need for the city. – both now and in the future.The infant mortality rate in Sheffield is high compared with the England average and has been slowly rising. Continued implementation of the infant mortality strategy must therefore be the priority to bring us in line with the rest of the country.Smoking remains the largest, reversible cause of ill health and early death but local evidence suggests that the prevalence of smoking in adults in Sheffield is stubbornly unchanged at around 21.5% of over 18 year olds.Mental health and wellbeing underpins good physical health and wellbeing and vice versa yet local information indicates that it is below average in Sheffield. Equally there are concerns about the physical health and wellbeing outcomes of people with mental problems – which is why this features as part of the Right First Time programme.