1. 29 January 2016 Warrington Health in Business Summit

4. Rooms, facilities, fire exits Refreshments and lunch Tweets #healthinbusiness WiFi code Contacts Housekeeping

5. Welcome Professor Steven Broomhead Chief Executive Warrington Borough Council

6. Opening Remarks Councillor Maureen McLaughlin Executive Board Member for Public Health and Wellbeing

7. Health in Business matters to Warrington Dr Rita Robertson Director of Public Health Warrington Borough Council

8. The Health of Warrington Dr. Rita Robertson Director of Public Health Warrington Warrington Health in Business Summit 29 January 2016

9. Contents Life expectancy in Warrington Health inequalities and deprivation Health statistics What does this mean to me as a business?

10. Benefits of a healthy workforce: Why focus on the workforce? Increased morale Less absence Less risk of long term illness Improved productivity and performance Retention of staff and reduced employee turnover and recruitment costs “Healthy workplaces make for happy and effective employees” (NICE, 2015)

11. A healthy workforce can help achieve a healthier Warrington Warrington has high employment rates, and is attracting more employment opportunities. With such a large number of people in employment, businesses can play a key role in promoting health Just how healthy is Warrington?

12. Life Expectancy Life expectancy in Warrington has increased by just over 6 years for men and 4 years for women since 1991 but Male life expectancy 78.6 years, one year less than England Female life expectancy decreased in latest time period (2012- 14), now 81.7 years, one and a half years less than England Key causes heart disease, cancer, linked to income, stress, lifestyles (obesity, activity, smoking, alcohol)

14. Health Inequalities Since the IMD of 2010, Warrington’s deprivation relative to England has worsened slightly in a number of indicators Overall Deprivation (source: Indices of Deprivation 2015) Green least deprived Brown/red most deprived

15. We know, through analysis, that people who live in areas of high deprivation have poorer health outcomes These inequalities are seen in a wide range of health indicators such as cancer and heart disease and through the whole life course Inequality in life expectancy at birth within different parts of Warrington is greater for males (11.1 years) than females (8.3 years).

16. Employment and income Inequalities Employment Deprivation Domain, ID 2015Income Deprivation Domain, ID 2015 Green least deprived Brown/red most deprived Unemployment rate in Warrington: 4.6%, significantly lower than England average 6.2% and regional average 7.1% Claimants of Jobseekers Allowance long term also significantly lower at 6.2% (England 7.1%) (source: Marmot Indicators, 2014) Existing inequalities:

17. The links between employment and health Many studies have shown the clear strong association between population employment levels and population health. Employment is one of the nationally recognised Marmot indicators of inequality. Income deprivation is one of the strongest associations with poor health. So a thriving business sector, providing widespread employment opportunities, attracting a varied workforce from all areas including our most deprived areas, will help keep Warrington on its upward health trajectory.

18. Work related ill health 23.3 million days were lost due to work-related ill health in Great Britain in 2014/15 Stress, depression or anxiety, and musculoskeletal disorders accounted for the majority of days lost due to work-related ill health – 9.9 and 9.5 millions days respectively (self-reported working days lost, source: Labour Force Survey as quoted in HSE)

19. Patterns to watch Long Term Conditions : Approximately 15 million people in England living with a long-term health condition (Dept of Health, 2012) Numbers of people with 3 or more conditions expected to rise from 1.9 million in 2008 to 2.9 million by 2018 (Dept of Health, 2012)

20. Patterns cont… Lifestyles (source: Active People Survey, Sport England): In Warrington 69.1% adults classed as overweight or obese (2012-14), significantly higher than England 64.6% In Warrington 30.7% adults classed as ‘inactive’ in 2014 – less than 30 “equivalent” minutes of at least moderate intensity per week, similar to England 27.7% In Warrington smoking prevalence of 15.5% in 2014 (current smokers aged 18+) Reduced since 2013 (was 18.0%), now significantly better than England rate of 18.0%

21. Alcohol (Warrington Health and Wellbeing Survey 2013): Approximately half of adults in Warrington (49.9%) drink alcohol at least once per week. Of those who do drink alcohol, just over a fifth (21%) drink to unsafe levels (this figure is based on males who drink more than 21 units per week and females who drink more than 14 units per week) Hospital admissions – The rate of emergency hospital admissions due to alcohol related conditions is significantly higher than England, as it has been for a number of years. In Warrington there are over 1,000 admissions to hospital each year due to alcohol specific conditions. Positively, the rate of admissions in Warrington has been reducing steadily over the last three years. Deaths due to alcohol are increasing in Warrington, on average there are 39 deaths per year due to alcohol. Patterns cont…

22. What Does This Mean For Us? Mental ill health cost the UK economy £70 billion in 2013 (OECD, 2014) People with long-term physical health conditions also more likely to suffer from mental health issues (Kings Fund, 2012) Numerous adverse health effects of obesity, including heart disease, diabetes, asthma, heart failure and hypertension Physically active workers take 27% fewer sick days (NICE, 2012) Costs of smoking to society are estimated at £13.9 billion a year in England - includes productivity, business costs and health and social care costs (ASH, www.ash.org.uk). In Warrington this translates to approx. £52.8m each year or £2,099 per smoker per year (ASH estimates based on 15.5% prevalence)www.ash.org.uk

23. What Does This Mean For Us? E.g. smoking Each year in Warrington: 946 years of lost productivity as a result of early deaths due to smoking (or approx £19m to Warrington economy) Smoking breaks cost Warrington businesses £19.9m Warrington businesses lose approx 33,400 days of productivity due to smoking-related sick days (costing approx. £3m)

24. What Does This Mean For Us? cont… We can work together on creating a healthier Warrington. By utilising the many sources of support in Warrington to encourage healthier lifestyles; working to reduce work related stress; bringing in more and better employment; and work to spread the benefits to our poorest communities.

25. Any Questions?

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