Life expectancy for males 1991 – 2009

Life expectancy for females 1991 – 2009

What accounts for the gap in life expectancy?

Ormesby Bank

Nunthorpe

Marton

Park End

Pallister

Ormesby Bank

Nunthorpe

Marton

Park End

Pallister0

50

100

150

200

250

300

350

400

People with noqualifications

Limiting long-termillness

Cancer mortality

Nunthorpe

Marton

Park End

Pallister

The gradient of inequalities in health

74

72

79

82

Life expectancy reduces by 2 yearsfor every mile from suburb to centre

75

77

86

84

Lifeexpectancy

Smoking prevalence in Middlesbrough

Income Deprivation Affecting Children

Admissions for unintentional injuries in children

Progress on CVD mortality rates

Inequalities in CVD mortality – Middlesbrough

Access to health and social care services

Inequalities in life expectancy, deaths and disease

Lifestyle and behaviour risk factors

Social causes

Smoking, obesity, alcohol, physical activity, nutrition

Poverty, employment, housing, crime, occupation and education, welfare reforms and the recession

Treatment, early interventions, prevention, social care services

2011 2016 2021 2026

NST Framework

A

B

C

• Raise the expectation of being healthy for all people and promote health seeking behaviours

• Commission integrated primary, secondary, children and adult social care and community services

• Early identification and effective management of Long term conditions

• Robust, seamless and effective treatment and care pathways

Reduce lifestyle risk factors (smoking,

obesity, binge drinking)

• Tackle Worklessness• Improve educational attainment• Address poverty• Address lack of social support• Address unsafe environment

Tackling the social determinants of health

Population level and targeted lifestyle risk factor management interventions

“right service, right time, right place” and equitable access