Lifestyle factors
Well-being
Public Health is facilitating a collaborative commissioning approach to provide health promotion and protection through working with the
LA Education services, Children’s Service and the
CCG.
The
public health team have been working with staff from
partner agencies,
and community members and champions, to deliver a World Café approach in the form of a ‘Being Well’ Café in Berwick.
(Hyperlink to ‘Addressing Health Inequalities in Northumberland – An asset based public health approach’)
In South East Northumberland an
Arts Council award enabled more people of all ages to get creative and work alongside artists of all kinds over a three year period from spring 2013 (the
Bait project, run by a
consortium). Recent analysis suggests that it increases well-being scores.
(link to Link to Bait briefing and to Bait analysis June 2015)
The
workplace health award programme supports
businesses to improve the health of their employees.
Public Health commissions the Better Health at Work Award, provided on behalf of the north-east
local authorities by the
TUC. This includes work within the council, which has a network of
Health Advocates across the organization.
(Hyperlink to HIMP Annual Report 2014-15)
Northumberland Specialist Health Improvement Service demonstrates an integrated approach to addressing the challenges in Northumberland, working in partnership with a wide range of organisations, including
Local Government, Voluntary & Community Sector and
Public & Private sector. The approach adopted by the service has always been to prioritise work based on local health needs though identified health inequalities and make the best use of limited resources to achieve the best possible outcomes.
(Hyperlink to HIMP Annual Report 2014-15)
Ageing Well in Northumberland works
collaboratively with older people to identify priorities in terms of activities and interests and make best use of existing community resources. Its partners include the
council, the
hospital trust, local community and
voluntary organizations,
housing associations and
leisure services.
Third sector organizations operate across the county, coordinating a range of services and activities for older people.
Parish councils, community centres, village halls and
churches provide venues for activities for older people.
In the Stonewall Education Equality Index,
(hyperlink) Northumberland scored particularly well for the involvement of an impressive range of partners (
including public Health, Northumbria Police and
Trinity Youth) in improving outcomes for lesbian, gay and bisexual children and young people. The resources recommended and used in
schools to develop the Relationships and Sex Education curriculum are inclusive and comprehensive, and schools are supported well to develop an inclusive curriculum.
Health Champions are recruited from
community volunteers and those working in the
private and
public sector, including:
Royal Voluntary Service, Womens Health Advice Centre, Northumberland Fire and Rescue Service, Parish Council, Elderberries (Alnwick Garden Trust), Isos Housing and
Bernicia.
To ensure that the welfare of both Travellers and the local community are protected, a
Gypsy Roma Traveller Liaison Officer works closely with:
landowners;
local businesses and
communities; the
police;
environmental health; the
Gypsy Roma Traveller communities (link to council ‘traveller education’ web page)
Fire and rescue services,
Citizen’s Advice and
other voluntary sector organizations provide help and advice to Gypsies and Travellers.
(link to council ‘traveller education’ web page)
Weight, physical activity and diet
Health and education sectors can monitor childhood obesity levels.
Education and leisure departments and Children’s Centres can provide encouragement and opportunity for young people to participate in sport or other physical activity.
In 2013/14, 9.1% of Reception children were classed as obese (similar to England’s proportion) and 17.7% of year 6 children (aged 13-14) were classed as obese (significantly better than England’s 19.1%.)
(Source: Fingertips NCMP local authority profile).
The
Healthy Weights team has established close working relationships with a range of partners such as the
Children's Centres,
locality inclusion support teams,
health and wellbeing in schools team and various
youth initiatives across the county in order to raise the profile of children's healthy weight.
(Hyperlink to HIMP Annual report 2014-15)
Leisure departments can ensure appropriate, accessible facilities are available (accessible by public transport, accessible to those with physical infirmities, accessible to those who work all day, culturally appropriate).
Third sector organizations, particularly those for older people, can also provide opportunities and motivation.
In 2012, 25.7% of adults were classed as obese (not significantly different from England’s proportion)
(Source: PHE Northumberland Health Profile 2015 (link)). 12.98% of the CCG’s registered population are on practice obesity registers (compared to England’s 9.42%) but there is variation by GP practice, with proportions on obesity registers in 2013/14 ranging from 5.88% to 19.88%
(chart showing % on practice obesity registers, Source: QOF. Also compile charts for localities)
In 2013, 52% of Northumberland’s adults achieved at least 150 minutes of physical activity per week, not significantly different from England’s proportion,
(Source: PHE Northumberland Health Profile 2015 (link)) and in 2014, 61.5% of Northumberland’s population met the recommended ‘5-a-day’ fruit and veg (higher than England’s proportion of 56.3%
(Source: Public Health Outcomes Framework (link))
Sexual health
Health and education departments and third sector organizations have roles in providing advice, particularly to young people.
Health sector and third sector organizations provide contraceptive services.
Health sector provides screening services.
In 2013, Northumberland’s under 18 conception rate was 22.9 per 1000 girls (aged 15-17), compared to England’s 24.3 per 1000. Although the rate has fallen over the past few years, it has not fallen as quickly as England’s rate
(expansion poss chart from source: LAIT (as at jul 2015))
Across Northumberland the rate of new sexually transmitted infections (excluding chlamydia) was 484 per 100,000, better than England’s 829 per 100,000
(source: PHE sexual and reproductive health profile (link)). Northumberland’s chlamydia diagnosis rate in 2014 was 1981 per 100,000 aged 15-24, compared to England’s 2012 per 100,000
(source: LAIT (link))
Northumberland’s rate of repeat abortions in women under 25 was 22.9 in 2013, similar to England’s rate.
(source: PHE sexual and reproductive health profile (link)).In young women under 18 49.2% of conceptions led to an abortion, a similar rate to England.
(source: PHE sexual and reproductive health profile (link)).
The prevalence of HIV in Northumberland is lower than in England (0.45 per 1000 people aged 15-59, compared to England’s 2.14 per 1000.
http://fingertips.phe.org.uk/profile/sexualhealth/data#gid/8000035/pat/6/ati/102/page/1/par/E12000001/are/E06000057 (link))
In 2014, Northumberland’s coverage of HIV testing measured in GUM was only 48.9%, compared to England’s 68.9%
(source: PHE sexual and reproductive health profile (link)). Northumberland’s uptake of Chlamydia screening in 15-24 year olds was better than England’s in 2014. Over 9,000 people were screened, a rate of 28%, compared to England’s 24%
http://fingertips.phe.org.uk/profile/sexualhealth/data#page/0 (link) In 2013-14, 92% of Northumberland’s females aged 12-13 were vaccinated against HPV (human papilloma virus), higher than England’s proportion of 87%
(source: LAIT (link))
Substance misuse
Primary health care, schools and third sector services can educate about the dangers of alcohol, particularly to young people, and provide advice, counselling and, if necessary, treatment. Ambulance services and police monitor events involving alcohol.
An estimated 23.4% of Northumberland residents aged 16+ are increasing drinkers and higher risk drinkers (England 22.3%)
(Source: Know Northumberland jan 2015 population and health (link)).Estimates also suggest that 29.8% of Northumberland’s adults are binge drinkers
(expand to definition ‘adults who consume at least twice the daily recommended amount of alcohol in a single drinking session (that is, eight or more units for men and six or more units for women)’, significantly higher than England’s proportion
(source LAPE Northumberland profile). If ward and CCG locality data available for same time period then add There is also variation by ward and CCG locality
link to binge drinking adults indicators (as seen in Local Health ward and CCG locality reports)
In 2013/14 there were over 4300 alcohol-related hospital admissions (
Source: LAPE). Northumberland’s rates of alcohol-related and smoking-attributable admissions are both worse than England’s. (
expand to chart showing nthum and Eng rates: a rate of 1297 per 100,000 population, worse than England’s 1253 per 100,000 (Source: LAPE (link))
In 2013, 159 people in Northumberland died from alcohol-related conditions. This is a rate of 47.8 per 100,000, similar to England’s
(source: LAPE (link)
Good education through
schools is taking place through the
Drug Education consultant delivering sessions upon request from schools with a main focus on the effects of alcohol. Schools are linking their drug education to other areas of the curriculum, particularly Sex and Relationships Education (SRE)
(Hyperlink to h&wb strategy promoting healthy lifestyles)
Primary and secondary health care, schools and third sector services can educate about the dangers of smoking and of drug misuse, particularly to young people, and provide support to stop smoking or taking drugs.
90% of schools are now accredited with achieving the Healthy Schools standard which includes preventive education around substance misuse issues.
(Hyperlink to h&wb strategy promoting healthy lifestyles)
In 2013, 19.7% of Northumberland’s residents aged over 18 smoked (similar to England’s rate)
(Source: Local Tobacco Control Profile (link)) An estimated 4% of children aged 11-15, 11% of 15-year olds and 18% of 16-17 year olds were regular smokers in 2009-12, similar to England’s rates.
(Source: Local Tobacco Control Profile (link)) There is also variation by ward and CCG locality
link to modelled prevalence of young people who smoke indicators (as seen in Local Health ward and CCG localityreports) Northumberland has higher than average rates of mothers were smokers at the time of delivery, (16% in 2013/14, higher than England’s 12%)
(Source: Local Tobacco Control Profile (link))
Northumberland’s rate of smokers who successfully quit at 4 weeks is 3917 per 100,000 smokers, better than England’s rate of 3524
(Source: Local Tobacco Control Profile (link))
In 2012/13, there were over 4500 smoking-attributable hospital admissions, costing £8.7million. This is a rate of 2184 per 100,000 population, worse than England’s 1688 per 100,000.
(expand to chart showing nthum and Eng rates Source: Local Tobacco Control Profile (link))
In 2011-13, 1910 people in Northumberland died from smoking-related conditions. This is a rate of 312 per 100,000, worse than England’s 289 per 100,000
(link to Local Tobacco Control Profile).
The estimated rate of users of opiate and/or crack cocaine aged 15-64 was 6.5 per 1,000 population in 2011/12, significantly better than England’s 8.4 per 1,000
(Source: PHE Northumberland Health Profile 2015 (link)) In 2013, 6.8% of opiate drug users successfully completed treatment, compared, similar to England’s rate. Among non-opiate users, only 19.3% successfully completed treatment, worse than England’s rate of 37.7%
(Source: Public Health Outcomes Framework (link))
Primary and secondary health care can work with specific organizations to educate about the dangers of smoking and of drug or alcohol misuse, and provide support to stop substance misuse.
Specific sessions were delivered on drugs and alcohol to the
RAF staff who have cultural practices relating to alcohol consumption.
(Hyperlink to h&wb strategy promoting healthy lifestyles)
Training was delivered to
Macmillan Bereavement support services who note that clients often use alcohol and /or substance misuse as a coping strategy.
(Hyperlink to h&wb strategy promoting healthy lifestyles)
A
Public Health Nurse delivered a Young Persons Stop Smoking Service and Information Drop-In at
Northumberland College (Hyperlink to HIMP Annual Report 2014-15)
The
Stop Smoking Service has worked to support colleagues in
secondary care (including
acute mental health establishments),
prisons and
MoD facilities.
(Hyperlink to HIMP Annual Report 2014-15)
NCC coordinates a broad range of activities to tackle the burden of tobacco on our communities.
Public Health leads
Smoke Free Northumberland, a multi-disciplinary alliance comprising representatives from
public protection, trading standards and
environmental health, wellbeing and health in schools, children’s centres and
Northumbria Healthcare NHS Trust. The alliance coordinates a cross-agency action plan.
Public Health also commissions the NHS Stop Smoking Service which supports a ‘whole system’ of stop smoking support delivered by itself,
pharmacies and
GP practices.
Life expectancy and mortality
All public sector and third sector agencies can influence life expectancy and mortality rates. Some of the actions will be preventive actions as outlined earlier (e.g. providing advice and support over lifestyle issues; immunizations and vaccinations; screening; ensuring access to services; ensuring adequate housing conditions)
Life expectancy at birth is 78.8 for males and 82.5 for females (2010-12). This is significantly lower than England’s life expectancy (males 79.2 and females 83.0). However, it varies across the district, being 9.6 years lower for men and 7.2 years lower for women in the most deprived areas of Northumberland than in the least deprived
(link to charts p2 of PHE Northumberland Health profile 2015. Is part of PHOF 0.1i ).If ward data available for same time period then link to ward life expectancy indicators (as seen in Local Health ward reports)
In 2011-13, Northumberland’s mortality rate from all causes was 1019 per 100,000 people, higher than England’s rate of 978 per 100,000.
(possibly chart showing where Northumberland fits compared to other Las, and also link to https://indicators.ic.nhs.uk/webview/velocity?v=2&mode=documentation&submode=ddi&study=http%3A%2F%2Fhg-l-app-472.ic.green.net%3A80%2Fobj%2FfStudy%2FP00339)
Northumberland’s mortality rates for the major causes of death among people under the age of 75 (sometimes called premature mortality) are generally lower than England’s. This is the case for cardiovascular disease (689 deaths in 2011-13), cancer (1,412 deaths in 2011-13), liver disease (178 deaths in 2011-13) and respiratory disease (319 deaths in 2011-13). However, for all persons (675 deaths in 2011-13) and for women, Northumberland’s under 75 mortality rate from communicable diseases is higher than England’s
Click
here to view premature mortality summary
Click
here to view Public Health Outcomes Framework - Healthcare and Premature Mortality
Click here to view ward level data