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