The level of need in the population

Health Profiles are designed to help local government and health services identify problems in their areas and decide how to tackle them. They provide a snapshot of the overall health of the local population, and highlight potential problems through comparison with other areas and with the national average.

The national 'Health Profiles' programme has historically been a partnership endeavour between the Department of Health and the Association of Public Health Observatories (APHO).

Since April 2003, Public Health England (the new executive agency of the Department of Health responsible for the protection and improvement of the nation's health) has taken on this responsibility. The aim of the profiles are to improve the availability and accessibility of national health-related information by giving a snapshot overview of health outcomes for each local authority (LA) in England.

In the words of Public Health England, "Health Profiles provide summary health information to support local authority members, officers and community partners to lead for health improvement". More information about the programme including Derby's current and historic profiles and interactive local authority level maps are now available to view on Public Health England's Health Profiles website.

The current 2013 Derby Health Profile is also available to download, together with a 'health summary' for Derby that compares health outcomes in the city to our neighbouring and other comparator Local Authorities.

'Local Health' is a new addition to the Health Profiles family of products. It takes the concept of the health profiles programme and provides a similar array of health information but at smaller, 'neighbourhood" sized geographies. This quality assured health information is presented clearly for users within the health service. local government and the public, and can be explored in more detail through an interactive mapping tool on the Local Health website.

Detailed reports taken from this tool for the seventeen Wards in Derby can be accessed form the list below, and compliment the Neighbourhood Profiles that are already published on the Council's website.

• Abbey
• Allestree
• Alvaston
• Arboretum
• Blagreaves
• Boulton
• Chaddesden
• Chellaston
• Darley
• Derwent
• Littleover
• Mackworth
• Mickleover
• Normanton
• Oakwood
• Sinfin
• Spondon

The National Service Framework for older people sets out the government’s quality standards for health and social care services for older people. It will ensure older people are treated with respect; prevent unnecessary hospital admissions and support early discharge; reduce long-term illness by providing specialist care; promote healthy lifestyles and independence for those in older age.

Public Health England maintain an Older People's Health and Wellbeing Atlas that can be used to highlight deficits in the health and care of older people and variations between Local Authorities across England. It can support those responsible for delivering strategies for prevention and early intervention to improve the health and wellbeing of older people, as well as provide an evidence and intelligence base to support the delivery of the NSF.

Of note in Derby are the following:

Population

• lower proportion of the population aged over 65
• lower proportion of people aged over 85
• significantly better old age dependency ratio (number of people of state pension age as a percentage of working age population)
• higher proportion of older people of ethnic minorities
• significantly higher rate of income deprivation amongst older people
• significantly higher rate of inequality in life expectancy at age 65 in males
• lower healthy life expectancy at age 65 for males and females (18.1 for males compared to England 18.6 and 21 for females compared to England 21.1)
• significantly lower number of additional years that females can expect to live disability free, beyond age 65

Health and Care

• significantly higher rate of hospital admissions in the older population
• significantly lower rate of stroke and hip fracture patients returning to their usual place of residence on discharge from hospital
• significantly higher rate of knee replacements and heart bypass in females
• significantly higher rate of mortality from circulatory disease, particularly heart disease
• significantly fewer stroke admissions in males and females under 75 years.
• Derby is better regionally and nationally for preventable sight loss due to age related macular degeneration, glaucoma and diabetic eye disease.
• higher proportion of over 65s registered with the Local Authority as being Deaf
• greater effectiveness of reablement/rehabilitation services in males and those aged 75-84
• lower coverage of reablement/rehabilitation service provision
• Mortality rates for cancer and respiratory disease in the 65 years and over is higher in Derby compared to England
• Age 65 and over vaccination coverage for those at risk is lower than target (74.3%, target >75%)
• Significantly higher rate of direct standard emergency admissions in the 65 and over age group with dementia. (5250 per 100,000 population compared to England 3609).
• Derby is worse for residential care and nursing home bed capacity for people aged 65 and over with dementia (57.8% compared to England 68.2%)