The document summarizes a public health workshop on older people that was held on March 6th, 2014. It discusses that voluntary groups make an important contribution to public health. The workshop was an opportunity for the voluntary sector to provide input on policy development and discuss new commissioning arrangements. It also reviewed key health data on the older population in Hertfordshire, including projections that the population over 65 will increase significantly in coming years and rates of conditions such as dementia, falls, obesity, and physical inactivity.

1. Third Sector Public Health
Workshop...Older People
Thursday 6th March 2014
Jim McManus, Director of Public Health
Thanks to Jo Mackenzie, Stephany Villanueva, Raj
Nagaraj, Mark Jordan and Joel Bonnet for developing these
slides
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2. Background
• Voluntary groups make an important contribution to
improving and protecting the health of the population –
from targeted work with vulnerable people to selfmanagement and direct interventions. Public Health skills
and capacity, joined with the voluntary sector’s
connections and “can do” mindset could produce a major
improvement in the health of Hertfordshire and also help
integrate care for people across all sectors.
• The workshops will be an excellent opportunity for the
voluntary sector to contribute to policy development, build
relationships, and discuss new commissioning
arrangements.
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3. About the workshops
• four workshops to explore the role the voluntary
sector can play influencing the development of
public health policy and delivering services.
– Wednesday, 26 February, 14:00 – 16:30: Public Health and
Younger People
– Thursday, 6 March, 09:30 – 12:00: Public Health and Older
People
– Tuesday, 11 March, 14:00 – 16:30: Public Health and Long
Term Conditions
– Tuesday, 18 March, 09:30 – 12:00: Public Health and Mental
Health
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4. Workshop Questions
• Each workshop will consider four questions:
– What is the scope of public health, and what contribution can
the voluntary sector make to service delivery, policy
development, campaigning and tackling health inequalities?
– How can the voluntary sector help improve resilience, selfmanagement and secondary prevention, and so help reduce
unnecessary hospital admissions?
– How can the voluntary sector be better commissioned to
deliver public health interventions? How can relationships
between the voluntary sector and commissioners (DH, local
public health commissioners, GPs, and others) be improved?
– What scope is there to apply commissioning innovations such
as payment by results or a Total Place approach to public
health commissioning?
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5. Hertfordshire Population (2012)
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6. Life expectancy at 65 (years)
Life Expectancy
Male and female life expectancy at 65,
Hertfordshire and East of England, 2004-06 to 2008-2010
22
21
20
19
18
17
2004-06
2005-07
2006-08
2007-09
2008-10
Hertfordshire: Female
East of England: Female
Hertfordshire: Male
East of England: Male
Source: ONS
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7. Life expectancy and Deprivation
Life expectancy and disability free life expectancy in Hertfordshire
90
85
Age
80
75
70
65
60
55
30.0
25.0
20.0
15.0
10.0
5.0
0.0
Deprivation
Index of Multiple Deprivation (higher number = high deprivation)
Life expectancy
Disability free life expectancy
Sources: EMPHO/LHO, 2006-10; ONS 1999-2003; DCLG, 2010
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8. Deprivation
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9. Population Projections
Hertfordshire: number and % increase in over 65s
350,000
80%
Hertfordshire total number of persons 65+
300,000
70%
% increase since 2010
60%
250,000
50%
200,000
40%
150,000
30%
100,000
20%
50,000
10%
0
0%
2010
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2015
2020
2025
2030
2035

10. Long-term conditions
Long-Term Conditions Projections
14,000
12,000
# Of People
10,000
8,000
6,000
4,000
2,000
N Herts.
E Herts.
Brox.
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Stev.
Dac.
St Alb.
H.mere
Herts Valleys CCG
Three R.
W.ford
2020
2016
2012
2020
2016
2012
2020
2016
2012
2020
2016
2012
2020
2016
2012
2020
2016
2012
2020
Wel Hat.
East & North Herts CCG
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2016
2012
2020
2016
2012
2020
2016
2012
2020
2016
2012
0

11. Long Term Conditions
Long Term Health Problem or Disability by Health by Age
Percentage of Population (%)
60
Hertfordshire: Bad
or very bad health
50
40
Hertfordshire: Dayto-day activities
limited a lot
30
England: Bad or
very bad health
20
England: Day-today activities
limited a lot
10
0
0 to 15
16 to 24
25 to 34
35 to 49
50 to 64
Age
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65 to 74
75 to 84
85 and over

12. Dementia
People aged 65 and over predicted to have dementia, by
age, projected to 2020, Hertfordshire
18,000
16,000
14,000
90+
Number of people
12,000
85-89
10,000
80-84
8,000
75-79
6,000
70-74
4,000
65-69
2,000
0
2012
Source: www.poppi.org.uk
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2014
2016
Year
2018
2020

13. Falls
3,000
East of England
Hertfordshire
2,500
2,000
1,500
1,000
500
Source: www.injuryprofiles.org.uk
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District
Three Rivers
Welwyn Hatfield
St Albans
Dacorum
Hertsmere
E Hertfordshire
Watford
Broxbourne
N Hertfordshire
0
Stevenage
DSR per 100,000 population
Hospital admissions due to falls, 65 years and over,
directly standardised rate per 100,000 population,
Hertfordshire, by district 2010/11

14. Physical Activity
Adults with no physical Activity during the week - Hertfordshire
80.0%
70.1%
71.0%
70.0%
70.0%
60.0%
53.7%
50.0%
50.3%
50.0%
40.0%
36.3%
38.7%
34.4%
30.0%
20.0%
10.0%
0.0%
16 to 34
35 to 54
2007/08
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55+
16 to 34
35 to 54
2008/09
55+
16 to 34
35 to 54
2009/10
55+

15. Obesity
Projection of Older people with a BMI of 30+ [Hertfordshire]
100%
8.9%
9.1%
9.4%
9.9%
10.3%
12.3%
12.1%
12.0%
12.1%
11.9%
19.0%
18.5%
17.6%
17.6%
18.4%
90%
80%
70%
60%
50%
80-84
23.6%
24.0%
25.4%
28.4%
28.3%
40%
75-79
70-74
65-69
30%
20%
85+
36.2%
36.3%
35.5%
32.1%
31.1%
2012
2014
2016
2018
2020
10%
0%
Source: POPPI, 2012
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16. Thanks!
• Jim.mcmanus@hertfordshire.gov.uk
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