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Older People Health and Wellbeing Profile Liverpool City Region December 2020

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Older People Health and Wellbeing Profile Liverpool City Region December 2020 Older people health and wellbeing profile Liverpool City Region December 2020 Public Health Institute, Faculty of Health, Liverpool John Moores University, 3rd Floor Exchange Station | Tithebarn Street | Liverpool L2 2QP| [email protected]| www.ljmu.ac.uk/phi Contents Infographic ............................................................................................................................ 1 Introduction ........................................................................................................................... 2 Population ......................................................................................................................... 3 Mortality and excess winter deaths .................................................................................... 5 1. Optimise Health and Reduce Risks Early ....................................................................... 6 2. Improve Wellbeing & the Wider Determinants of Health ................................................. 8 Deprivation ........................................................................................................................ 8 Carers ............................................................................................................................... 8 Living alone ....................................................................................................................... 9 Social isolation and loneliness ........................................................................................... 9 3. Reverse or Live Well with a Long-term Condition ......................................................... 12 4. Enhance Care & Support ............................................................................................. 14 Older people living in care homes .................................................................................... 14 Interpretation guide ............................................................................................................. 17 Data sources ....................................................................................................................... 17 Appendices: Population numbers and projections aged 65+by local authority..................... 18 References ............................................................................................................................. Older People Health Profile 2020, Liverpool City Region PHI LJMU Acknowledgements This work was commissioned by the Cheshire and Merseyside Directors of Public Health, through the Cheshire and Merseyside Public Health Intelligence Network and Champs Public Health Collaborative (Cheshire and Merseyside). It was based partly on the Cheshire and Merseyside Profile of Older People (those aged 65 and over) by Sharon McAteer, Public Health, Halton Borough Council, March 2020 Matthew Ashton, Director of Public Health for Liverpool, leads the Public Health Intelligence Network with support from Sharon McAteer (Halton), and the wider network. Their role in the Intelligence & Evidence Service involves setting the work programme, providing strategic direction and facilitating collaborative links between the Champs Public Health Collaborative, the Public Health Institute, LJMU and the wider public health community. They also contribute to editing and final approval of reports, alongside Lisa Jones, Reader in Public Health, LJMU who manages the Champs Intelligence & Evidence Service. Thanks to Doris Hain of Public Health England for fingertips support Authors: Janet Ubido, Cath Lewis, Lisa Jones (PHI LJMU) and Sharon McAteer (Halton BC). For more information please contact: Public Health Institute, Liverpool John Moores University, email: [email protected] . Older People Health Profile 2020, Liverpool City Region PHI LJMU Older people in Liverpool City Region Population & mortality A comparison to England, 2020 Population: Almost 1 in 5 (19%) of the population in LCR are aged 65 and over — more than in the 1. Optimise health North West and England. & reduce risks Causes of death, ages 65+: 9.4 yrs 9.8yrs 38.3% 73.2% 57.4% 72.0% 1,114 Cardiovascular disease: death rates are Healthy life ex- Health checks Flu vaccinations Bowel cancer Breast cancer Alcohol hospital similar to England. pectancy (age 40-74 y) (age 65+ y) screening screening admissions (per 100,000, Respiratory: high death rates across LCR, Good capacity age 65+ y) except in Sefton. Cancer: death rates high across LCR. 2. Improve wellbeing & Mental health (dementia): high rates in wider health determinants Knowsley, Liverpool, Sefton and Wirral. Excess winter deaths, ages 85+ 32.3% 44.8% 13.4% 95.9% 16.6% to 30.0%* Similar levels to England across LCR. Social isolation Social isolation Living alone Winter fuel Older people carers who have as care users who have (age 65+ y) payments living in much social contact as much social (age 65+ y) deprivation Key as they would like contact as they would (age 65+ y) like Statistical significance compared to England: (age 65+ y) 3. Live well with long Better Declining capacity term conditions Similar 3.9% 16.3% 6.5% 3.4% 11.8% 0.8% Worse Coronary heart Long term Severe knee Common Dementia QOF Severe hip * average not available disease conditions arthritis arthritis mental disorder prevalence (age 65+ y) This work was commissioned through the Cheshire and Merseyside Public Health Intelligence Network and Champs Public Health Collaborative. Based on 4. Enhance care the latest published data as of September 2020. & support For more information & data sources please contact: [email protected] 0.5% 5.9 10.5 705 62.5% 2.6% 3,102 End of life care Nursing home Care home beds Admissions to Service users Offered Falls Icons from www.flaticon.com and venngage.com/ beds (per 100, residential & satisfied with reablement on emergency Frail / low capacity / Frail (per 100, age 75+ y) nursing homes care hospital admissions age 75+ y) (per 100,000, (age 65+ y) discharge (per 100,000, age 65+ y) (age 65+ y) age 65+ y) Introduction This Older People’s health and wellbeing profile for Liverpool City Region (LCR) is one of a series of profiles that are being produced on behalf of Champs for the Cheshire and Warrington and Liverpool City Region (LCR) sub-regions. The first in the series was a Children and Young Person’s profile (links: CYP LCR & CYP Cheshire & Warrington). Profiles for Vulnerable Groups in LCR and Cheshire and Warrington are due to be published in early 2021. The Older People’s Profile begins with an overview of the population and mortality in LCR amongst those aged 65 and over. Comparisons are made with the wider area of Cheshire and Merseyside and with England. The profile then goes on to provide local data organised around the four domains used in the Public Health England (PHE) Productive Healthy Ageing Profiles1. 1. Optimise Health and Reduce Risks Early 2. Improve Wellbeing & Wider Determinants of Health 3. Reverse or Live Well with a Long-term Condition 4. Enhance Care & Support PHE based these domains on work by the WHO, as illustrated in Figure 1: Figure 1.Public Health Framework for Ageing (source: PHE, 20191, Figure 1, p.7) The aim of this profile is to provide a set of indicators that describe key issues relevant to older people’s health as they age, including risk and protective factors, early interventions, health outcomes, identification of need, and health and social care1. The profile will support the exploration of inequalities and inform actions to improve health outcomes. The Older People Health Profile 2020, Liverpool City Region PHI LJMU 2 information provided can be used to support development of joint strategic needs assessments, public health planning, and assessment of the overall impact of public health interventions in relation to older people1. It should be noted that some health topics, such as falls prevention and social isolation, will span different domains. Population The Office for National Statistics (ONS) Figure 2. % of population aged 65+, mid-year population estimates for 2019 region and sub region, 2019 show that Cheshire and Merseyside has 19.02 higher proportions of older people, both Liverpool City Region 20.39 17.58 males and females, than the North West 19.97 or England (Figure 2). Proportions in LCR Cheshire & Merseyside 21.29 are lower than Cheshire and Merseyside, 18.60 but slightly higher than the North West and 18.73 North West 19.98 England. 17.45 In LCR, the differences remain across the 18.39 England 19.74 age groups, with higher proportions of 17.02 those aged 65+ compared to the North 0 10 20 30 West and England, except in males aged % 85+ (Figure 3). persons female male based on ONS pop data mid-2019 Figure 3 % of total population aged 65+, by 5 year age group, 2019 based on ONS mid-2019 population data Liverpool City Region Cheshire & Merseyside female male female male 5.40 65-69yrs 5.31 5.53 65-69 5.44 5.07 70-74yrs 4.88 5.41 70-74 5.23 3.75 75-79yrs 3.26 3.97 75-79 3.52 3.05 80-84yrs 2.34 3.13 80-84 2.50 3.13 85+yrs 1.79 3.25 85+ 1.92 6 4 2 0 2 4 6 6 1 4 % % North West England female male female male 5.07 65-69yrs 4.86 5.19 65-69yrs 5.10 5.09 70-74yrs 4.78 5.18 70-74yrs 4.97 3.75 75-79yrs 3.34 3.65 75-79yrs 3.24 2.88 80-84yrs 2.29 2.83 80-84yrs 2.28 2.98 85+yrs 1.75 3.09 85+yrs 1.86 6 4 2 0 2 4 6 6 4 2 0 2 4 6 % % Older People Health Profile 2020, Liverpool City Region PHI LJMU 3 Figure 4 Figure 5 % of population aged 65+, Population projections in LCR by local authority, 2019 Population aged 65 and over
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