Health and Regional Bodies

1
Health and Regional Bodies
Sustainable economic growth
Health
Organisation of life/work
2

• Work/ health relationship
• Epidemiological/demographic trends
• And so?

3
The following are bad for your health

• High demand/low control

4
Self-reported level of job control and
incidence of coronary heart disease in men and
women
5
The following are bad for your health

• High demand/low control
• Poor effort /reward ratio
• Lack of organisational justice
• Job insecurity
• Social support at work
• Presenteeism

6
Sickness absence ratesspring 2003 (percent)

• UK 3.0
• NE 2.7
• Wales 2.7
• W Mid 2.8
• NW 2.9
• E Mid 2.9
• YH 3.0
• East 3.0
• London 3.1
• SW 3.1
• Scotland 3.3
• South East 3.3
• LFS

7
Sickness absence

• All public administration,
• health and education 3.7
• NHS 4.9
• Managers 2.0
• Nurses lt5.
• Ancillary/support staff c.9.0

8

• Work/ health relationship
• Epidemiological/demographic trends
• And so?

9
Tobacco
10
Costs to regional economy of smoking

• Area
• Treating smokers
• Premature deaths
• Outpatient appointments
• Business cost of hospital .time
• Second hand smoke
• Other sick days
• Working day smoking
• Spend on tobacco
• Stopping smoking services
• Prescription NRT
• Fires caused by smoking

• Cost (m)
• 265
• 193
• 23
• 6
• 4
• 275
• 936
• 14
• 4
• 4
• 34
• 1,758

11
Obesity
12
So what?

• Cost to economy 2004 almost 8 billion
• and climbing
• Workplace experience travel to work
• both obesogenic.

13
Percentage change in number of older people in
the SE 2003-2028
14
Projected changes in the working population to
older persons dependency ratio by local
authority, South East England, 2003 and 2028
15

• How to keep older people active
• members of workforce?
• How to reduce hourglass economy effect
• of growing low status care sector?
• How to gear up the market to new
• opportunities?
• How to reduce underoccupation?

16
Lone pensioners living in underoccupied
properties by SE local authority, 2001
17
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18
Implications..

• No trade off between health and productivity
• at work
• Two major threats to productivity gains
• obesity and ageing population
• Treat sickness absence as a symptom
• understand and share rates/data
• Enable all employees to influence the design of
  their work environment
• Rewards gt money self esteem, status very
  important

19
For us.

• Step change in advocacy and leadership
• for interventions effective against the
• threats to productivity
• Be explicit on need to
• - control number of car journeys
• - make workplace health-enhancing
• - make town centres health-enhancing
• - and..
• - and..

20
(No Transcript)
21
SMR from heart disease men lt75y (1998-2000)
gap between regional average and LAs in highest
20 nationally