Health Inequalities in Wessex Angela Baker PHE South

Health Inequalities in Wessex Angela Baker, PHE South East Slides produced by Jo Wall, Public Health England South East LKIS

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IMD 4

IMD and mortality rate from causes considered preventable Clear association between the two variables – LAs with higher levels of deprivation have higher rates of mortality from causes considered preventable 5

Mortality rate from causes considered preventable 6

Inequality in life expectancy at birth Even the least deprived LAs have inequalities Social gradient in life expectancy is lower for females but still present 7

Inequality in healthy life expectancy at birth Greater inequalities for healthy life expectancy 8

School readiness – free school meals Children eligible for free school meals have significantly lower levels of development across all LAs in Wessex 9

Inequalities in employment People with a long term condition or with a learning disability have lower employment rates. There is variation across Wessex. 10

Inequalities in employment People in contact with secondary mental health services have lower employment rates. There is variation across Wessex. 11

Smoking prevalence by socioeconomic group Values are benchmarked against the average for the LA 12 Smoking prevalence is typically higher in the routine and manual occupations group

Odds of smoking in routine and manual occupations 13 • The value presented is an odds ratio, representing the likelihood of those working in routine and manual occupations being current smokers compared with those working in professional or intermediate occupations. • For Wessex LAs, all values are higher than 1 signifying that the routine and manual group are more likely to smoke than their counterparts. • For Portsmouth, they are nearly 3 times as likely to smoke.

Smoking prevalence in adults with SMI 18. 4 17. 3 22. 0 22. 2 19. 1 16. 3 16. 2 15. 7 17. 4 16. 9 14. 6 QOF smoking prevalence for GP practice population Smoking prevalence is much higher in adults with a serious mental illness

Inequalities slide sets • We have developed standardised slide sets to demonstrate health inequalities at a local level (LA and STP) and deliver real changes in local conversations. The slides sets: • Use data from PHE’s Local Health tool (www. localhealth. org. uk) to demonstrate ward level variation for Global Burden of Disease (GBD) regional priorities and other outcomes locally associated with income deprivation • Act as easy-read briefings for public health professionals to present to lay audiences, including infographics, charts and maps • Are currently available at upper tier LA and STP level 15 • The LA packs will be updated when 2017 GBD LA level data is published • The following 2 slides are from the Hampshire and Isle of Wight (HIOW) STP pack and provide examples of the visualisations used. The indicator is hospital stays for self-harm; the indicator with the highest association with income deprivation at a ward level for HIOW. • Slide sets are available here

Hospital stays for self harm (2011/12 -2015/16) 16

Hospital stays for self harm (2011/12 -2015/16) 17

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Thank You Angela Baker, Deputy Director, Health and Wellbeing Jo Wall, Knowledge Transfer Facilitator For data queries please contact: jo. wall@phe. gov. uk 07909 533573 19