Birmingham's Public Health Challenges
- 1. Birmingham's Public Health Challenges and how to tackle them… Adrian Phillips
- 2. What I will cover.. • Birmingham – demography, diversity and deprivation • Key Public Health issues • Main Public Health tasks • Observations on the workforce
- 4. Population 4 • Largest UK Local Authority • Population 1,073,035 • Over 250,000 more than the next largest city (Leeds)
- 5. City of Contrast Population • Largest UK Local Authority, with a population of 1,073,045 (2nd largest city after London) • 29% (310,198) aged 0-19 (England 24%) • 22% (238,313) residents born outside UK • 16% (156,553) main language not English • 9.6% (103,682) of residents were born outside of the UK and arrived in the UK since 2001 • Fewer over 65s now than in 2001 5
- 6. Population 6 • Young mean age (35.3 years) compared to 39.3 across England and Wales • Highest proportion of residents aged 18 and under out of all 8 core cities.
- 8. Population Pyramid - Solihull
- 9. Population Pyramid - Birmingham
- 10. Population Growth 2001 - 2011 10
- 11. 11 Birth Rates and numbers
- 12. Under 16 Ethnicity Breakdown Source: ONS 2001 & 2011 Census population breakdowns
- 13. Birmingham • 42.7% of primary school aged children • 35.8% of secondary school aged children Regional Average • 18.9% of primary school aged children • 13.8% of secondary school aged children Source: West Midland Migrant Summaries. Learning for Public Health in conjunction with West Midlands Strategic Migration partnership and Public Health England. December 2013 Children who don’t have English as their first language • Birmingham has the highest proportion of primary school and secondary school children with a non- English 1st language in the West Midlands
- 14. Children with a non-white British ethnic origin Birmingham • 64% of primary school aged children • 59% of secondary school aged children Regional Average • 30.6% of primary school aged children • 25.9% of secondary school aged children Source: West Midland Migrant Summaries. Learning for Public Health in conjunction with West Midlands Strategic Migration partnership and Public Health England. December 2013 • Birmingham had the highest proportion of non-white ethnicity for primary school pupils and secondary school pupils in the West Midlands for 2011
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- 16. Deprivation Using Census 2011 data and IMD 2010 information All population 24.2% (141,808) live in the top 5% most deprived nationally 40.1% (429,917) of Birmingham’s population live in 10% most deprived nationally Children Nearly half (48.9%) of our under 18s in Birmingham live in the top 10% most deprived LSOAs in the country (approx 134,176) 30% live in the top 5% most deprived, 17% live in 3% most deprived and 3% (7,818) live in the 1% most deprived SOAs in the country 16
- 17. Life Expectancy Rate at birth (2010/12) Males 83 80 80 76 79 73 73 79 79 79 78 78 79 83 74 74 74 76 76 73 78 78 75 76 73 76 Within only five stops you can shave ten years off the average life expectancy of a male citizen.
- 18. Life Expectancy Rate at birth (2010/12) Females 85 84 84 80 83 82 81 84 84 79 82 83 83 88 81 81` 81 83 83 81 81 80 80 83 81 83 Within eleven stops you can shave nine years off the average life expectancy of a female citizen.
- 19. City of Contrast Deprivation • 48.9% (134,176) aged 0-18 live in the 10% most deprived areas in England • A third of children are classified as living in poverty • 28% (233,835) aged over 16 have no qualifications • 14.9% (69,300) aged 16-64 year olds are unemployed (national 7.8%) 19
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- 23. Health and wellbeing priorities
- 24. Aims • Improve the health and wellbeing of our most vulnerable adults and children in need • Improve the resilience of our health and care system • Improve the health and wellbeing of our children
- 25. Vulnerable Adults and Children • Make children in need safer • Improve the wellbeing of vulnerable children • Increase the independence of people with a learning disability or severe mental health problem • Reduce the number of people and families who are statutory homeless • Support older people to remain independent
- 26. Resilience of Health and Care System • Health and care system in financial balance – Finance is all consuming • Common NHS and Local Authority approaches – Older Adults Integration/BCF • Improve primary care management of common and chronic conditions – We have a system that could help..
- 27. Health and Wellbeing of Children • Reduce childhood obesity – Maximise leadership of council – Potentiate FSM – Potentiate primary school sports • Reduce infant mortality – Tackle main issue after gaining intelligence
- 28. Key Public Health Tasks 28
- 29. Public Health To-do list • Re-commission Substance misuse system – Recovery focussed – Think family focussed • Re-commission Sexual Health system – Sexual exploitation/violence – Primary care • Early Help – Children and adults – use the evidence • Re-commission Lifestyle services – Universal or targetted?
- 30. My Observations • Public health skills valued (by most) in councils • Evidence and outcomes paramount • Tangible not theoretical – Expansion in 1990s • Increasingly required by NHS • Lack of people, project and “pound” management skills • Lack of influencing skills (especially political) • Medics really struggling with schizophrenia
- 31. What I have covered • Birmingham – demography, diversity and deprivation • Key Public Health issues • Main Public Health tasks • Observations on the workforce
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