Health & Well-being
in East Sussex
Director of Public Health
Annual Report 2012
2012 Report
• Health Priorities for East Sussex
• Health and Lifestyle
• Effective Public Health Interventions and
Services
Chapter 1:
Health Priorities for East Sussex
• life expectancy and the wider determinants of
health – 15 year life expectancy gap between
wards;
• chronic disease, cancer and mental health;
• improving and protecting health by encouraging
healthy lifestyle;
• older people;
• accidents and falls;
• end of life.
Chapter 1:
Health Priorities for East Sussex
It is recommended that the Health and
Wellbeing Board should ensure that action is
taken through the commissioning plans for
health and social care services to tackle the
six priority areas identified by the JSNA
health profiles to improve health and reduce
health inequalities in East Sussex.
District/Borough Priorities
Chapter 2:
2011 Health & Lifestyle Survey – key findings
• The percentage of people reporting ‘good’ to ‘excellent’ health in
2011 (78%) is statistically significantly lower than in 1992 (84%).
• 33% of East Sussex residents reported having a long-standing
illness, disability or health problem, in 2011 compared to 28% in
1992, which is statistically significantly higher.
• Health status scores have changed little over 20 years.
• The percentage of people at risk of major depression has not
changed over the last 20 years. It remains at 32%.
• In 1992, 26% of people in East Sussex were smokers and in 2011
this has statistically significantly decreased to 18%. Hastings (25%)
and Eastbourne (20%) have the highest percentage of smokers.
Change in percentage of smokers 1992-2011
30
20
15
10
change from 1992
5
Filled drops indicate a
statistically significant change
2011
District/Borough
HL
HW
CCHC
HRCC
Wealden
Rother
Lewes
Hastings
Eastbourne
0
East
Sussex
Percentage
25
Clinical Commissioning Group
Chapter 2:
2011 Health & Lifestyle Survey – key findings
• The percentage of people drinking alcohol has
not increased between 1992 and 2011, but those
‘increasing risk’ or ‘higher risk’ drinkers have
increased. So, drinkers are drinking more.
• Physical activity has increased.
• Fruit and vegetable consumption has increased
and the percentage of 5 or more portions of fruit
and vegetables per day.
• 52% of people still think they are overweight.
Change in the percentage of drinkers who are
increasing risk and higher risk drinkers
between 1992 and 2011
20%
18%
16%
12%
10%
8%
6%
4%
change from 1992
2%
2011
Filled drops indicate a
statistically significant change
District/Borough
HL
HW
CCHC
HRCC
Wealden
Rother
Lewes
Hastings
Eastbourne
0%
East
Sussex
Percentage
14%
Clinical Commissioning Group
Change in the percentage of people
participating in 30 minutes of exercise on at
least 5 days per week between 1992 and 2011
30%
20%
15%
10%
Filled drops indicate a
statistically significant change
change from 2003
5%
2011
District/Borough
HL
HW
CCHC
HRCC
Wealden
Rother
Lewes
Hastings
Eastbourne
0%
East
Sussex
Percentage
25%
Clinical Commissioning Group
Change in the percentage of people eating at
least 5 portions of fruit and vegetables per day
between 1992 and 2011
60%
40%
30%
20%
change from 2003
10%
Filled drops indicate a
statistically significant change
2011
District/Borough
HL
HW
CCHC
HRCC
Wealden
Rother
Lewes
Hastings
Eastbourne
0%
East
Sussex
Percentage
50%
Clinical Commissioning Group
Healthy Foundations Population Segmentation
• Healthy Foundations is a lifestyle
segmentation model which sets out to
ensure that all public health interventions
are informed by an understanding of what
motivates people.
• Makes it possible to tailor interventions or
services to particular segments to achieve
behaviour change.
Healthy Foundations Population Segmentation
Healthy Foundations Population Segmentation
Healthy Foundations Population Segmentation
Healthy Foundations Population Segmentation
Healthy Foundations Population Segmentation
Healthy Foundations Population Segmentation
Healthy Foundations Population Segmentation
100%
90%
17%
14%
14%
12%
21%
25%
23%
22%
80%
70%
14%
14%
26%
24%
15%
28%
60%
50%
Health Conscious Realists
18%
24%
25%
26%
24%
23%
22%
40%
25%
24%
21%
24%
19%
15%
14%
15%
15%
16%
15%
Eastbourne
Hastings
Lewes
Rother
Wealden
20%
10%
Unconfident Fatalists
Live for Todays
Hedonistic Immortals
23%
East Sussex
25%
England
30%
Balanced Compensators
20%
0%
Chapter 2:
2011 Health & Lifestyle Survey –
Recommendations
1. The results from the health and lifestyle surveys should be used to:
– provide a baseline for monitoring the impact of interventions
and services designed to improve health and well-being;
– provide information that could be used to plan new services;
– highlight areas to explore further, especially in terms of health
inequalities;
– inform targeting of health and social care resources
appropriately in order to improve the health of the population.
2. The Healthy Foundations Lifestyle Segmentation Model analysis
should be used to tailor interventions and services to specific
population segments, in order to improve their effectiveness and
efficiency in changing behaviours.
Chapter 3: Effective public health actions
• Evidence review of primary public health actions.
• A summary of what is currently in place in East Sussex
• Recommendations for actions for commissioners in
each public health area:
 Smoking
 Diet and weight
Alcohol and drugs
 Accident Prevention
Physical Activity
 Mental Wellbeing