Forest of Dean District

Health Profile 2009

ADPH Report 2008/09

Emerging findings from ourJoint Strategic Needs Assessment

Format of ADPH report

• A picture of Gloucestershire including Gloucestershire profile

• 4 Commissioning briefs• 6 District Profiles

- based on e-JSNA

Forest of Dean Population 2008 vs. 2025

4000 3000 2000 1000 0 1000 2000 3000 4000

90+85-8980-8475-7970-7465-6960-6455-5950-5445-4940-4435-3930-3425-2920-2415-1910-14

5-90-4

Age

Ban

d

Population

Female 2008 Male 2008 Female 2025 Male 2025

• The Forest of Dean has a population of 84,243

• The demographic picture highlights;• An increasing older population• A decreasing younger population - as the number of

children and young people is predicted to decline steeply over the next 18 years

• The largest decline in the working age population in the county over the next 18 years

Population trends by age band

0

5,000

10,000

15,000

20,000

25,000

2008

2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2019

2020

2021

2022

2023

2024

2025

Forest of Dean District Population

0-19

20-34

35-49

50-64

65-74

75-84

85+

Health deprivation & disability

Health in the Forest of Dean • People in the Forest suffer from poorer health than the

county as a whole with; • higher numbers of people with Limiting Long Term Illness• higher numbers of early deaths from heart disease• higher numbers of early deaths from stroke

• There are clear links between deprivation and health too.

• People living in the most deprived areas experience worse outcomes for a number of health related measures such as;

• Life expectancy• Mental Health problems • Incidence of cancer •

Access to services

Per 100,000 pop under 75’s 2005-07Source APHO health profiles 2008

Per 100,000 pop under 75’s 2005-07Source APHO health profiles 2008

Life Expectancy in the Forest of Dean

• In the Forest of Dean there is a reduced life expectancy for both males (2.2 and females for those living in the most deprived parts of the FoD.

• To improve life expectancy we need to identify key diseases that make up the identified gap

• This will allow us to plan and target interventions that will have the greatest impact on reducing this gap

Breakdown of life expectancy gap by cause of deathAPHO 2008

Analysis of the gap in life expectancy

Top 5 Key Diseases

MALES• Lung cancer• Deaths under 28 days• Stroke• Suicide/

undetermined injury

FEMALES• Coronary heart

disease• Other cancers• Lung cancers• COPD• Pneumonia

Interventions needed

• Smoking cessation• Increasing physical activity• Encouraging healthy eating• Raising cancer awareness• Improving mental health• Improving uptake of pneumococcal and

influenza vaccination in ‘at risk’ groups• Reducing major causes of infant mortality

Key Health & Wellbeing issues

• Male life expectancy• Early deaths from all causes• Early deaths from heart disease and stroke• Early death from cancer• Deaths from smoking• Obesity in adults• Road injuries and deaths • Teenage pregnancy• People providing unpaid care• Mental illness• Falls in older people• People with long term limiting conditions

What are we doing? Children and Younger People• Sexual Health Services;• Extended school nurse drop-in’s at all secondary schools• On-site sexual health clinics – RFoD and Hartpury Colleges • Reducing the prevalence of childhood obesity;• MEND – Mind, Exercise, Nutrition – Do It!• Change 4 Life• Weight management services – NCMP• Increasing physical activity levels in children• Increasing breastfeeding rates• Young Carers Needs Mapping

What are we doing? Healthier Communities/Older People

• Health promotion programmes to raise public awareness, encourage screening and early detection

• Smoking Cessation services

• Obesity Care Pathway

• Mental Health Care Pathway –access to psychological therapies

• Development of the Falls Prevention Pathway

• Carer Support

What are we doing? Safer and Stronger Communities

• Education Programmes to reduce death and injury from road accidents

• Crime & Disorder Reduction Partnership delivery group working across health, social care and community to deliver services and resources to the local community:

• Anti-social behaviour interventions• Intergenerational projects• Drugs and Alcohol reduction interventions

Next Steps for 2009/2010 - 1

• Use the Vascular Risk Assessment and Change 4 Life programmes to increase awareness

• Ensure adequate service capacity to support those who want to improve their health (e.g. Smoking Cessation Service, Weight Management Care Pathway, Physical Activity options)

• Promoting cancer, heart disease and stroke awareness, mental health issues (including developing the Dementia Care Pathway) and social isolation reduction

Next Steps for 2009/2010 - 2• Ensure adequate investment in local transport plans and road safety to

reduce accidents

• Encourage physical activity whilst ensuring adequate access to local services for all

• Increase support for carers, and ensure close partnership working to reduce social isolation and improve quality of life including access to activities and psychological therapies where necessary.

• Continue to link strategic priorities to ‘Healthy Gloucestershire’

• Develop district engagement with the development of the JSNA– GHCWP– SIB– JSNA Board