Working Age Adults

"Reducing health inequalities is a matter of fairness and social justice" (Marmot, 2010). A person's physical and mental health is profoundly shaped by their experiences in the areas of education, employment, the living environment and income, and multiple disadvantages compound to produce significantly worse physical and mental health and wellbeing. There is much that can be done to improve the lives and health of people who have already reached working age and beyond. Services that promote the health, wellbeing and independence of older people make a significant contribution to ameliorating health inequalities.

Derby is a deprived city with almost one in three residents living in an area regarded as one of the top 20% most deprived in England. The adult population have poorer outcomes when compared to England as a whole. Derby has significantly:

  • High long-term unemployment
  • High level of income deprivation
  • High prevalence of smoking
  • High rate of admission to hospital for alcohol related harm
  • Low rate of access for diabetic retinopathy screening
  • Lower life expectancy for men and women

Employees in Derby do however, have much lower than average sickness absence rates than the national average suggesting that workplace health is better in Derby when compared to other Local Authorities.

The latest nationally published information on health and wellbeing can be found in the Health Profiles publication or interactive Healthier Lives tool produced by Public Health England.

Public Health England's 'Local Health' provides an interactive geographical tool showing a range of health and related measures at Clinical Commissioning Group, local authority and ward level information.

Additionally, a range of information, including health, is provided for each of Derby's seventeen wards can be found in the Neighbourhood Profiles.


The following pages explore the level of need in this population in relation to these focussed subject areas: