a regional perspective on health inequalities tim blackman director, wolfson research institute dean...
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A regional perspective on health inequalities
Tim Blackman
Director, Wolfson Research Institute
Dean for Durham University Queen’s Campus, Stockton
∂
Premature mortality – all circulatory diseases (age standardised mortality rate < 75 years)
0.00
50.00
100.00
150.00
200.00
250.00
19
93
19
94
19
95
19
96
19
97
19
98
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
ENGLAND
NORTH EAST
NORTH WEST
SOUTH EAST
∂
Premature mortality – all cancers(age standardised mortality rate < 75 years)
0.00
20.00
40.00
60.00
80.00
100.00
120.00
140.00
160.00
180.00
200.00
ENGLAND
NORTH EAST
SOUTH EAST
∂
Projected life expectancy at birth
Males
68.00
70.00
72.00
74.00
76.00
78.00
80.00
1991
-199
3
1992
-199
4
1993
-199
5
1994
-199
6
1995
-199
7
1996
-199
8
1997
-199
9
1998
-200
0
1999
-200
1
2000
-200
2
2001
-200
3
2002
-200
4
2003
-200
5
2004
-200
6
2005
-200
7
2006
-200
8
ENGLAND
NORTH EAST
NORTH WEST
SOUTH EAST
∂
Projected life expectancy at birth
Females
74.00
75.00
76.00
77.00
78.00
79.00
80.00
81.00
82.00
83.00
84.00
1991
-199
3
1992
-199
4
1993
-199
5
1994
-199
6
1995
-199
7
1996
-199
8
1997
-199
9
1998
-200
0
1999
-200
1
2000
-200
2
2001
-200
3
2002
-200
4
2003
-200
5
2004
-200
6
2005
-200
7
2006
-200
8
ENGLAND
NORTH EAST
NORTH WEST
SOUTH WEST
∂
Economic health: residence-based Gross Value Added (current prices £s)
0
5000
10000
15000
20000
25000
30000
35000
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
England
North East
London
∂
Gross disposable household income(current prices £s)
0
2 000
4 000
6 000
8 000
10 000
12 000
14 000
16 000
18 000
20 000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
England
North East
London
∂
Mortality from causes amenable to health care
0.00
50.00
100.00
150.00
200.00
250.00
300.00
ENGLAND
NORTH EAST
NORTH WEST
SOUTH EAST
∂
Teenage conceptions
0.0
10.0
20.0
30.0
40.0
50.0
60.0
2001 2002 2003 2004 2005 2006 2007
ENGLAND
NORTH EAST
SOUTH EAST
∂
Mortality from chronic liver disease
0.00
2.00
4.00
6.00
8.00
10.00
12.00
14.00
16.00
18.00
1993199419951996199719981999200020012002200320042005200620072008
ENGLAND
NORTH EAST
NORTH WEST
EAST OF ENGLAND
∂
Mortality from all cancers: North East local authorities
80
90
100
110
120
130
140
150
160
170
2002-04 2003-05 2004-06 2005-07 2006-08
Gateshead MCD
Newcastle upon Tyne MCD
North Tyneside MCD
South Tyneside MCD
Sunderland MCD
Hartlepool UA
Middlesbrough UA
Redcar and Cleveland UA
Stockton-on-Tees UA
Darlington UA
County Durham UA
Northumberland UA
∂
Conditions associated with a narrowing gap in cancers mortality
Basic commissioning
Less than good strategic partnership working
Less than good public health workforce planning
Less frequent progress reviews
Champions Aspirational Lower IMD
Higher spend on cancers
Lower crime
1 No data 1 0 1 0 0 1 0
1 1 1 1 1 1 1 1 0
No data 1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0 1
0 1 1 1 1 1 1 1 1
1 1 1 1 1 0 1 1 1
1 1 1 1 1 0 1 0 1
1 0 1 1 1 0 1 1 0
1 1 1 1 1 1 0 1 0
0 0 1 1 1 1 0 1 0
1 0 1 1 1 1 0 0 0
1 1 0 1 1 0 0 1 0
∂
Conditions associated with a narrowing gap in CVD mortalityBetter than basic smoking cessation services
Better than basic primary care services
A few major programmes
Good or excellent leadership
Higher budget allocation relative to target
Lower internal migration
1 1 0 1 0 1
1 1 1 1 1 0
1 1 0 1 1 0
1 1 0 1 1 0
1 1 1 1 1 0
1 1 1 0 1 1
1 1 0 1 1 1
0 1 1 1 1 0
1 0 0 1 0 1
1 0 0 1 0 1
1 0 0 1 0 1
No data 1 1 0 1 0
0 0 No data 0 1 0
∂
Conditions associated with a narrowing gap in teenage conceptionsBasic commissioning
A few major programmes
Interventions all or mostly in community settings
Fair or poor leadership
Higher GCSE achievement
Higher % under 18
Lower numbers in drug treatment
Lower IMD
1 1 1 1 0 1 1 1
0 1 1 0 1 1 0 1
1 1 1 1 1 1 1 1
0 1 1 1 0 0 1 0
1 1 1 1 0 1 1 0
1 0 1 1 1 0 1 1
1 0 1 1 1 0 0 1
1 0 1 1 1 1 0 1
1 No data 0 1 1 1 1 1
1 1 0 1 1 0 1 0
1 0 0 1 0 0 1 0
1 0 0 0 1 0 0 0
∂