Productive Healthy Ageing Profile

Inequalities

The following selected resources can be used to provide insight into and support reduction in ageing inequalities, including inequalities experienced by: people from deprived or low income backgrounds; people in coastal and rural areas; people with disabilities; people in black, asian and minority ethnic (BAME) groups; and people who are lesbian, gay, bisexual or transgender (LGBT). 

General

• COVID-19: review of disparities in risks and outcomes (2020) report and accompanying data pack published by Public Health England
• COVID-19: public health - see collection of further 'Health Inequalities' resources including 'data tools' to support local areas'. A collaboration between Public Health England, the Local Government Association, Association of Directors of Public Health, NHS England and NHS Improvement. 
  
• Mitigating the wider health effects of covid-19 pandemic response (Douglas,M. et al, 2020) published in the Lancet. Includes a data supplement.  (May need to right-click, copy & paste links in a different browser).
• Inequalities in later life published by the Centre for Ageing Better
• Health Equity - collection of resources published by Public Health England
• Inequality Tools published by Public Health England. The Segment Tool can be used to explore the contributions of different causes of death and age groups to inequalities in life expectancy.
• Socioeconomic inequalities in avoidable mortality: England analysis – annual analysis published by the Office for National Statistics
• Voluntary, Community and Social Enterprise (VCSE) Health and Wellbeing Alliance - "a partnership between voluntary sectors and the health and care system to provide a voice and improve the health and wellbeing for all communities" (may need to right-click, copy & paste link in a different browser)
• In Focus: Experiences of Older Age in England (2020) - report and further resources focussing on the experiences of specific groups of older people (low income, BAME, carers, without children, physical health, mental health) published by Independent Age
• Health Equity in England: The Marmot Review 10 Years On (2020) published by the Health Foundation
• Health inequalities in ageing in rural and coastal areas (2019) - an evidence summary published by Public Health England
• Health inequalities: place-based approaches to reduce inequalities (2019) - guidance published by Public Health England
• A different age: A snapshot of diverse later lives (2019) published by the International Longevity Centre UK
• Palliative and end of life care: hospital deaths 2006 to 2017 (2019) published by Public Health England
• Deaths in people aged 75 years and older in England in 2017 (2019) published by Public Health England
• Health Matters: Ambitions to tackle persisting inequalities in cardiovascular disease (2019) published by Public Health England
• Health Profile for England 2018 - Chapter 5: inequalities in health (2018) published by Public Health England
• PHE Screening’s inequalities strategy (2018) published by Public Health England
• Inequalities Matter (2018) published by the International Longevity Centre UK
• Guidance - Health inequalities: reducing inequalities in local areas (2017) published by Public Health England
• Inequalities in later life: The issue and the implications for policy and practice (2017) published by the Centre for Ageing Better
• Local action on health inequalities: Increasing employment opportunities and retention for older people (2014) published by Public Health England and UCL Institute of Health Equity
• See also the carers section

Disabilities

• Family Resources Survey - annual report including UK data on disabilities by age published by the Department for Work and Pensions
• Projecting Older People Population Information (POPPI) System - includes age groups over age 65 estimates and projections by support arrangement, health condition and learning disability. Published by Oxford Brookes University and the Institute of Public Care.
• Projecting Adult Needs & Service Information (PANSI) for ages 18-64 - includes age 45-54 and 55-64 estimates and projections by learning disability and physical disability. Published by Oxford Brookes University and the Institute of Public Care.
• Disabled people - links to a range of resources published on the .gov website
• Office for Disability Issues - part of the Department for Work and Pensions
• Ageing and Disability published by the United Nations
• Disability Rights UK  - "We are disabled people leading change, working for equal participation for all"
• AbilityNet - a national charity that "exists to change the lives of disabled people by helping them to use digital technology at work, at home or in education"
• SCOPE: a national "disability equality charity" that aims to "provide practical information and emotional support when it's most needed" and "campaign relentlessly to create a fairer society"
• Disability Facts and Figures published by SCOPE
• Disabled Living Foundation - "a national charity providing impartial advice, information and training on equipment for independent living" 
• Diversity in older age - a rapid review (2016) published by the Centre for Policy on Ageing
• Health & Wellbeing Alliance: Valuing People Alliance - "committed to improving the health & well-being of all people with learning disabilities"
• Guidance - Care and support of people growing older with learning disabilities (2018) published by the National Institute of Health and Care Excellence (NICE)
• Ageing Well published by the British Institute of Learning Disabilities (BILD)
• Health and Care of People with Learning Disabilities - annual statistics published by NHS Digital (may need to right-click, copy & paste link in a different browser)
• Learning Disability Profiles - local authority level data tool published by Public Health England
• Learning disability: applying All Our Health (2018) published by Public Health England - guidance for healthcare professionals
• Research and analysis: People with Learning Disabilities in England 2015 (2016) published by Public Health England
• Local action on health inequalities: Increasing employment opportunities and retention for people with a long-term health condition or disability (2014) published by Public Health England

Black, Asian and Minority Ethnic (BAME)

• COVID-19: understanding the impact on BAME communities (2020) published by Public Health England
• Ethnicity facts and figures - including data on various health topics and wider determinants of health published by the Race Disparity Unit
• UK population by ethnicity published by the Office for National Statistics. National and Regional populations. Age breakdowns provided for England and Wales.
• Example option to request age and ethnicity breakdowns of population at local authority level from the Office for National Statistics
• NHS Race and Health Observatory - announcement May 2020 of the creation of a new research centre to investigate the impact of race and ethnicity on people’s health, to be hosted by the NHS Confederation (may need to right-click, copy & paste link in a different browser)
• Race Disparity Unit - part of the Cabinet Office with a role to "collect, analyse and publish government data on the experiences of people from different ethnic backgrounds" and "support government departments in driving change where disparities are found".
• Race Equality Foundation - "seek to explore discrimination and disadvantage, and use that knowledge to help overcome barriers and promote race equality in health, housing and social care"
• Coronavirus (COVID-19) related deaths by ethnic group, England and Wales: 2 March 2020 to 10 April 2020 (2020) published by the Office for National Statistics
• Ethnicity and COVID-19: an urgent public health research priority (Pareek, M. et al, 2020) - correspondence published in the Lancet
• In Focus: Experiences of BAME older people (2020) published by Independent Age
• Guidance - Health inequalities: reducing ethnic inequalities (2018) published by Public Health England
• Dementia and black and minority ethnic carers (2018) published by the Race Equality Foundation
• Dementia and end of life care for black, Asian and minority ethnic communities (2018) published by the Race Equality Foundation
• Population estimates by ethnic group (2017) article on methods used to generate estimates published by the Office for National Statistics 
• Evandrou, M. et al (2016). Ethnic inequalities in limiting health and self-reported health in later life revisited - published in the Journal of Epidemiology & Community Health

Lesbian, Gay, Bisexual and Transgender (LGBT) 

• Sexual orientation, UK: 2017 (2019) published by the Office for National Statistics - experimental Official Statistics by region, sex, age, marital status, ethnicity and socio-economic classification
• Subnational sexual identity estimates, UK: 2013 to 2015 (2017) published by the Office for National Statistics - experimental estimates but only for a limited number of local authorities due to sample sizes
• LGBT Information and Advice published by Age UK
• The National LGB&T Partnership - "reducing health inequalities and improving access to health and social care for LGB&T people"
• Older Lesbian, Gay, Bisexual & Trans Association (OLGA) - a "voluntary group whose main aim is to support the needs of the older lesbian, gay, bisexual and trans community"
• New models of community are needed to give LGBT+ people a good later life (2019) - article published by the Centre for Ageing Better
• Safe to be me. Meeting the needs of older lesbian, gay, bisexual and transgender people using health and social care services (2017) published by Age UK - a resource pack for professionals.
• Diversity in older age – Older Lesbian, Gay and Bi-sexual people and Older Transgender people (2016) a rapid review published by the Centre for Policy on Ageing