Describing health baselines Session 6 Health in SEA

Baselines Population Total numbers Age and sex structure Ethnic composition Occupation Most complete data for Census years Population estimates and projections Available for ONS

Health baselines. What you would like to know Deaths Hospital admissions Hospital outpatients GP attendances Self treated illness Untreated symptoms Biochemical risk factors Determinants of health As they effect different subgroups in the population

Lifestyle Determinants of health What you would like to know Smoking Alcohol Physical activity Eating patterns Body weight Illicit drug use Sexual behaviour

Environment Determinants of health What you would like to know Unemployment Benefit claims Poverty Crime rates Car ownership Community cohesion Housing quality Air Quality

Health baselines Sources of information Death records Cancer registries Hospital inpatients (HES) GP activity (QOF) Congenital malformation registers Synthetic estimates & models Local surveys

Health baselines. Where to access information Resources Health profiles Compendium (Clinical and Health Outcomes Knowledge Database) National Indicator set People /organisations Public Health Observatories Primary Care Trust (DPH, public health) See Background Information for Session 6 & 7

National Indicators Health 1 NI39 Rate of hospital admissions for alcohol related harm NI47 People killed or seriously injured in RTA NI48 Children killed or seriously injured in RTA NI55 Obesity in primary school children - reception year NI56 Obesity in primary school children – year 6 NI70 Hospital admissions caused by injuries to children and young people

National Indicators Health 2 NI112 Under 18 conception rate NI113 Prevalence of chlamydia in under 25 year olds NI120 All age all cause mortality rate NI121 Mortality rate from all circulatory disease (age under 75) NI122 Mortality rate from all cancers (age under 75) NI137 Healthy life expectancy at age 65

Health baselines Some problems Averages for large areas will conceal small areas of good/bad health Averages over long time periods will mask trends Confidence intervals of rates for rare events will be wide Confidence intervals of rates for small areas will be wide

Vulnerable groups Very old (residential homes) Very young (schools) Ill people (hospitals) People with specific conditions – respiratory disease, cardiac disease, mobility disorders, etc., etc. Disadvantaged people – Unemployed, low income, no car, single parent, etc., etc. Ethnic minorities