Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

1. 0
Since 2009/10...
+ 1.85m A&E attendances (9%)
+ 1.3m operations (8%)
+ 4.7m diagnostic tests (c. 30%)

2. 1
Real terms expenditure change since 2008/09
-0.8%
+12.3%

3. 2
Non-elective inpatient beddays per 1,000 population
0
200
400
600
800
1,000
Non-elective beddays per 1,000 population
CCGs
Standardised rate
Non-standardised rate

4. 3
Deaths from cardiovascular diseasefell by 44% in 10 years
0
200
400
600
800
Women
Mortality rate from cardiovascular disease per 100,000 population
-44.4%
-43.6%
Men
2001 2011 2001 2011
Note: rates are age standardised to the 2013 European StandardPopulation
Source: WHO Mortality Database; Townsendet al. Cardiovascular disease in Europe — epidemiological update 2015, European Heart Journal,2015

5. 4
Dementia prevalence has fallen by a fifth
8.3%
6.5%
0
2
4
6
8
10
Prevalence(%)
1994 2011
-22%
Note: Prevalence standardised to UK 2011 censusby age and gender and adjusted for non-response and area deprivation. Year representslast year of wave 1 data collection in eachphase.
Source: CFAS I and II studies; Yu-Tzu Wu et al. Dementia in western Europe: epidemiological evidence andimplicationsfor policy making. Lancet Neurology 2015,(Table S2)
Prevalence of dementia in people aged 65+ in the UK

6. 5
Under 18 conceptions fell by 40% in 14 years
0
10
20
30
40
50
2010
2012
2000
2005
1999
2001
2002
1998
2003
2004
2006
2007
2008
2009
2011
-41%
Conceptionrateper1,000
Under 18 conception rate in England and Wales
Source: ConceptionStatistics, England and Wales, ONS, 2014

7. 6
Life expectancy is improving
Gap in life expectancy due to deprivation has been narrowing
65
70
75
80
85
90
95
0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 95 100
Lifeexpectancy
Neighbourhood income deprivation
(population percentiles: 1 = most deprived, 100 = least deprived)
Marmot curves: life expectancy by percentiles of income deprivation
2006-2010 Marmot curve
1999-2003 Marmot curve
Source: Adapted from Inequalitiesin life expectancy, KingsFund, 2015

8. 7
Variation in the early diagnosis of cancer
Stage of cancer diagnosis, by local authority, 2012
Source: Achieving World-ClassCancer Outcomes: A Strategy for England 2015-2020

9. 8
5 million are at risk of developing type 2 diabetes
8.5 – 10.4%
10.4 – 11.2%
11.2 – 11.7%
11.7 – 12.1%
12.1 – 14.0%
Prevalence of non-
diabetic hyperglycaemia
Source: Adapted from NHS DiabetesPrevention Programme(NHS DPP) Non-diabetic hyperglycaemia report, PHE / National Cardiovascular Intelligence Network(NCVIN), 2015
Brighton and Hove: 8.5%
Harrow: 14%Average = 11.4%
Highest
Lowest

10. 9
New care models – vanguard sites
Primary and acute care systems
Multispecialty community providers
Enhanced health in care homes
Urgent and emergency care
Source: NHSE England website