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The Health & Care Sector in the Western Region

Today we published the second in our series of ‘Regional Sectoral Profiles’ analysing employment and enterprise data for the Western Region on specific economic sectors and identifying key policy issues. The new report examines the Health & Care Sector, the Western Region’s third largest employer.

The full report ‘The Health & Care Sector in the Western Region: Regional Sectoral Profile’ and the two-pageWDC Insights: The Health & Care Sector in the Western Region’ which summarises the key points can be downloaded here

Health & Care is a broad sector including all those working in hospitals, nursing homes, crèches, day facilities, dental, medical and physiotherapist practices etc.  It includes professional healthcare occupations e.g. nurses, doctors, as well as clerical and administrative roles and care assistants, home carers, childminders and childcare workers.

Discussions of the Health & Care sector generally focus on provision of vital healthcare services. This ‘Regional Sectoral Profile’ however focuses on its role as a key economic sector and regional employer.

Employment & Enterprise in Health & Care

A few of the key findings from the report on employment and enterprise in the sector include:

  • 42,027 people were employed in the Health & Care sector in the Western Region in 2016. This was 12.6% of total employment in the region, higher than the 11.1% share nationally.
  • At 15.5% of all employment, Sligo has the highest share working in this sector in the country, while Leitrim (13.5%) has the second highest share nationally with Galway City and Galway County (both 13%) jointly fourth.
  • Health & Care is the largest employment sector for six out of the region’s 40 urban centres – Letterkenny, Sligo, Ballinasloe, Bearna, Strandhill and Collooney. It must be notes that this data refers to residents of the towns, although some may travel to work elsewhere and proximity to a large hospital is a key factor.
  • The number of people working in Health & Care in the Western Region grew by 14.8% between 2011 and 2016, close to double the growth of total employment in the region (7.5%). All western counties experienced far stronger growth in Health & Care jobs than in jobs generally
  • ‘Residential care & social work’ (nursing homes, crèches, home care) is the largest element of Health & Care in the Western Region accounting for 47.6% of all employment in the sector. ‘Hospital activities’ is next largest (37.2%).
  • 4% of all working women in the Western Region work in Health & Care and it is the largest employment sector for women in the region.
  • In 2016 there were 3,485 Health & Care enterprises registered in the Western Region; that was 6.4% of total enterprises in that year.
  • Sligo (7.8%) and Galway (7.6%) have the highest shares of enterprises in Health & Care across all counties in Ireland, again reinforcing the substantial role played by the sector in the region’s economy.

Key Policy Issues for the Western Region’s Health & Care Sector

As the third largest employer in the Western Region and an area showing strong jobs growth in recent years, the Health & Care sector plays a pivotal role in the regional economy, in addition to providing vital services. Therefore future trends in the sector will have significant regional implications.

Higher reliance on Health & Care in the Western Region:  Health & Care is a more significant employer in the Western Region than nationally.  It plays a critical role in providing opportunities for professional careers, especially in more rural areas where there may be fewer alternatives. It also offers jobs at lower skill levels which are important in providing employment for all sections of the labour force. However this greater reliance on the sector in the region increases its vulnerability to any jobs decline.  While the primary policy focus for Health & Care must be on the provision of quality services, the sector’s parallel role as a provider of jobs, particularly in the Western Region, should also be a factor in policy decisions.

Central role in female employment: The Health & Care sector is the largest employer of women in the Western Region and any future developments in this sector will have a far greater impact on female than male employment levels.

Key driver of job creation: Employment growth in Health & Care in the Western Region was almost twice the region’s average employment growth (2011-2016).  Its role may often be overlooked in debates on recent job creation trends, with more focus on exporting and high-tech businesses.  The role of Health & Care in job creation, as well as future growth opportunities in the sector, should be fully explored in national, regional and local economic development strategies.

An ageing population and growing demand:  Over 16% of the population of Mayo, Leitrim, Roscommon and Sligo are aged 65+ years.  Increased longevity means there is a growing share among the ‘older old’ (80+) with Roscommon (4.4%), Leitrim (4.3%) and Mayo (4.25) the highest in the state.  ‘Residential care & social work’ grew by almost a quarter in the Western Region (2011-2016).  Responding to the needs of an ageing population is one of the greatest challenges facing the Health & Care sector and significant job and growth opportunities exist in effectively meeting this challenge. The Western Region’s older age profile and high level of rurality means it is at the forefront of this growing demand and has an opportunity to develop new and innovative solutions such as learning from successful models across Europe.

Loss of rural GP practices: ‘Medical practice’ was the only Health & Care sub-sector which saw a decline in employment.  It is estimated that 50% of GPs in Leitrim will retire over the next five to seven years, 41% in Mayo and 38% in Roscommon.  If reported difficulties in finding GP replacements persist, this could mean that medical practices in neighbouring towns and villages may close.  The impact on the delivery of health services in rural areas of the loss of medical practices needs to be considered in Government policy, with options such as online delivery of GP services explored as part of the solution.

Skill shortages:  A number of skill shortages exist in the sector and healthcare professionals (nurses, doctors) accounted for a higher share of all employment permits (for non-EU residents) issued for the West and Border regions than nationally.  Care workers and childminders are occupations characterised by high turnover and some employers may be experiencing difficulty in attracting and retaining qualified care and childcare workers. Changing demographics, along with Government policy, will impact on the demand for Health & Care skills.  Initiatives to increase the number of people with qualifications in care, as well as to improve working conditions and increase its attractiveness as a job option, are important for the sector’s capacity to meet future needs.

Download the full report ‘The Health & Care Sector in the Western Region: Regional Sectoral Profile’ and the two-pageWDC Insights: The Health & Care Sector in the Western Region’ which summarises the key points, here

 

How is the Western Region doing?

On 31 January, the WDC was invited to give a presentation to officials of the Department of Social Protection working across the Western Region. The objective was to give an overview of the WDC’s analysis of data across a range of socio-economic issues.

Analysing regional data provides information on the areas for which we are responsible and highlights the multi-dimensional nature of the concept of regional development.  A regional perspective is necessary since changes and inequalities not only occur among individuals but also the places where they live

This (very) comprehensive presentation analyses the following indicators:

  1. Population: Preliminary Census 2016 Results
  2. Labour Market: QNHS Q1 2016, special run
  3. Income: County Incomes & Regional GDP, 2013-2014
  4. Enterprise: Business Demography, 2014

These are some of the key points emerging from the analysis.

Population

  • Population of Western Region grew +0.9% 2011-2016 compared with +3.7% growth nationally.
  • Three counties in the Western Region showed population decline 2011-2016 –(Donegal -1.5%, Mayo -0.2% and Sligo -0.1%) – only counties in Ireland to do so. In addition Leitrim and Roscommon had the lowest growth.  Galway city had 5th highest population growth in Ireland.
  • Every county in Ireland had a positive natural increase (more births than deaths) during 2011-2016. Donegal, Sligo and Mayo however had enough negative net migration to lead to population decline.
  • All western counties, and all but six areas nationally, had negative net migration between 2011 and 2016. Donegal and Sligo had the two highest rates of negative net migration.
  • Male out-migration considerably higher than female leading to a +1.5% increase in the female population of the Western Region and only +2% growth in the male population.
Figure 1: Percentage change in population by administrative area, 2011-2016. CSO (2016), Preliminary Results Census 2016

Figure 1: Percentage change in population by administrative area, 2011-2016. CSO (2016), Preliminary Results Census 2016

Labour Market

  • The Western Region’s labour force declined marginally (-1.2%) between 2007 and 2016. Within this the male labour force fell by -6.1% while the female rose by +5.7%.
  • The Western Region has a lower share of its labour force aged under 35 years and a higher share aged over 44 Its labour force participation rate is lower for both men and women, and across all age groups (except 65+).
  • Total employment in the region fell by -5.8% 2007-2016 compared with a -6.5% decline in the rest of the state (all counties outside Western Region)
  • There has been exceptionally strong growth in self-employment in the Western Region since 2012, increasing by +31.1% in the region compared with +7.2% in the rest of the state.
  • Growth of self-employment tied to sectoral pattern of growth with strongest jobs growth since 2012 in Agriculture, Construction, Accommodation & Food Service and Wholesale & Retail, all with high self-emp
  • Since 2012 the Western Region has had jobs decline in 7 out of 14 sectors, in the rest of the state there was only decline in 1 out of 14. Jobs recovery in the Western Region is not as diversified across the economy as elsewhere and more concentrated in domestic sectors
  • Unemployment numbers declining steadily in region, but share of long-term unemployment growing. Western Region has higher unemployment rate in all age groups (except 65+ & 25-34) and particularly among youth.
Figure 2: % change in employment by sector in Western Region and Rest of State, 2012-2016. CSO, Quarterly National Household Survey, Q1 2012-2016, special run

Figure 2: % change in employment by sector in Western Region and Rest of State, 2012-2016. CSO, Quarterly National Household Survey, Q1 2012-2016, special run

Income

  • Disposable income per person in the Western Region was €17,260 in 2013 (92.3% of State). Provisional 2014 figures show some growth (€17,768) but still well below the 2008 peak (€21,167).
  • Longer term, the gap is narrowing, the Western Region had disposable income of 84.3% of State in 1995, 92.3% of State in 2013.
  • Within the Western Region, Roscommon had a significantly lower income relative to the State in 2014 (87.2%) compared with 2005 (95.8%). Clare has also fallen relative to the State starting at 95.5% in 2005 and dropping to 93.3% in 2014. Sligo, Galway, Mayo and Donegal have all improved their position relative to the State since 2005, albeit with some variation. Galway and Sligo had greatest improvements.
Figure 3: Index of disposable income per person in western counties, 2005-2014 (Index State=100). CSO, County Incomes and Regional GDP 2013, provisional 2014

Figure 3: Index of disposable income per person in western counties, 2005-2014 (Index State=100). CSO, County Incomes and Regional GDP 2013, provisional 2014

Gross Value Added

  • Dublin region is the only region where the preliminary 2014 GVA per person figure is higher than the peak GVA per person in 2007. None of the other regions have recovered to the 2007 level, though the difference in the West region is slight.
  • Dublin and Mid-East and South West, only regions with a greater share of national GVA than share of persons at work.
  • In 2005 there were 60.6 index points between the lowest GVA per person in a region (Midland, 65.4) and the highest (Dublin and the Mid-East, 126.0).  In 2014 the difference between Midland (59.2) and Dublin and the Mid-East, (130.6) was 71.4 index points (71.3 in 2013).
Figure 4: Index of GVA per person by region, 2005-2014 (Index State=100). CSO, County Incomes and Regional GDP 2013, provisional 2014

Figure 4: Index of GVA per person by region, 2005-2014 (Index State=100). CSO, County Incomes and Regional GDP 2013, provisional 2014

Enterprise

  • The share of enterprises nationally that are based in the Western Region is declining and was 17.1% of the total in 2014.
  • Construction, Wholesale & Retail, Professional activities and Accommodation & Food Service are the largest enterprise sectors in the region. Less than 5% of the region’s enterprises are in Financial & Insurance and Information & Communications combined.
  • There has been a far greater decline in enterprise numbers in the Western Region than the rest of the state since 2008 and the region had a weaker performance – greater decline or lower growth – in every sector (ex. real estate).
  • The enterprise base differs across more urban and rural counties. Highly rural counties of Roscommon, Mayo and Donegal have 34-36% of enterprises in Industry and Construction but in more urban counties of Clare and Sligo it is around 30%.  A higher share of enterprises in Galway and Sligo are active in knowledge services sectors, though even Galway is below national average. Local services play a larger role in more rural counties.
  • Western counties had among the greatest losses of enterprises since 2008. Donegal lost more than 1 in 3 of its Construction firms; Wholesale & Retail declined most strongly in Donegal and Clare; Accommodation & Food Service declined across most counties.
  • Knowledge services performed best, though from a low base.
Figure 5: % change in number of active enterprises by sector in Western Region & Rest of State, 2008-2014. CSO, Business Demography, 2014

Figure 5: % change in number of active enterprises by sector in Western Region & Rest of State, 2008-2014. CSO, Business Demography, 2014

The full presentation can be downloaded here  (PDF, 2MB)

 

Pauline White & Helen McHenry

Impact of Sectors on Western Region’s Jobs Recovery

Our last blog post examined the role that sectors play in regional GVA. Sectors also have a huge impact on the pattern of jobs growth.  Following on from our April WDC Insights publication ‘Jobs Recovery in the Western Region’, the WDC has just published new analysis examining the role that sectors have played in recent jobs trends.

‘Impact of Sectors on Western Region’s Jobs Recovery’ examines some of the causes for the region’s slower jobs recovery.

Lower jobs diversity

There is greater concentration of employment in a few sectors in the Western Region.  62.2% of jobs in the region are in its top five sectors (Industry, Health, Wholesale & Retail, Agriculture and Education) compared with 53.6% in the rest of the state.  Greater diversity in employment across sectors is an important aspect of regional resilience and growth.

Traditional and public sectors more important; services less so

The region has higher shares working in the traditional sectors (Agriculture, Construction, Industry) and also Public Services (Health, Education, Public Admin) than in the rest of the state (Fig. 1).

Fig. 1: Percentage of employment by broad sector, Western Region and Rest of State, Q1 2015

Fig. 1: Percentage of employment by broad sector, Western Region and Rest of State, Q1 2015

At the same time, there are lower shares employed in Locally Traded (Retail, Accommodation, Transport) and Knowledge (ICT, Finance, Professional) Services.  For Locally Traded Services, as these rely on domestic demand, lower incomes in the region  compared with much of the rest of the state may be a factor in this.  It also helps to explain the region’s higher youth unemployment as these are areas (shops, bars) where young people often find work.

The high-value Knowledge Services sectors is where the region lags the rest of the state most significantly.  These are seen as key sectors for growth and their poor performance is a cause for concern.

Strength in manufacturing

Manufacturing plays a more important role in the region’s employment, accounting for 15.6% of jobs compared with 12.2% in the rest of the state.  Between 2012 and 2015 growth in manufacturing jobs in the Western Region was more than twice that as in rest of state – 8.3% v 3.4% (Fig. 2).  The region’s manufacturing strength has been a key factor in the West’s relatively strong recovery in GVA.  Manufacturing is a key regional strength.

Decline in market services sectors

Between 2012 and 2015 there was jobs decline in the three market services sectors (Administration and Other, Locally Traded and Knowledge) in the Western Region, while they grew elsewhere in the state (Fig. 2).  This is the main reason for the Western Region’s slower jobs recovery.

Fig. 2: Percentage change in employment by broad sector, Western Region and Rest of State, Q1 2012 – Q1 2015

Fig. 2: Percentage change in employment by broad sector, Western Region and Rest of State, Q1 2012 – Q1 2015

Similar to the rest of the state, Agriculture and Construction saw the largest increases in job numbers in the Western Region, driven by strong agri-food exports and a resurgence in building activity.

Conclusion

This WDC Insights shows that slower jobs recovery in the Western Region is mainly due to contraction in market services sectors, in contrast with growth elsewhere.  In every year since 2011, the numbers working in the Western Region in both Knowledge Services and in Administration and Other Services has declined. This was during a time of recovery nationally.

While the region’s strong manufacturing base and Public Services employment have compensated to some extent, it has not been enough to allow the region to enjoy a similar rate of jobs recovery as elsewhere.  Optimising growth across all sectors, and addressing challenges in the market services sectors in particular, will be required for a healthier and more resilient regional labour market.

Pauline White

 

Source: All data taken from a special run of the CSO’s Quarterly National Household Survey, Quarter 1 2012-2015 for the seven county Western Region.

Employment Trends in Co. Mayo and the Western Region

The WDC recently made a presentation about employment trends in Mayo and the Western Region at an Education, Training and Jobseekers Expo held in Kiltimagh.   We outlined the current employment profile of Mayo and the Western Region as well as national trends in job vacancies and skill shortages.

  • Wholesale and retail, Industry, Health and Agriculture are the largest employment sectors in Co. Mayo (Census 2011).
  • Agency assisted companies (companies who have received assistance from EI, IDA or Udarás na Gaeltachta) employed 8,300 people in the county in 2013 and Modern Manufacturing and Agri-food are its largest assisted employment sectors (Forfás Annual Employment Survey 2013).
  • All agency assisted sectors (except Agri-food) showed stronger employment growth in Mayo between 2012 and 2013 than the state average.
  • In the Western Region, Wholesale and retail, Industry, Health, Agriculture, Education and Accommodation and food service are the largest employment sectors in 2014 (QNHS, Q1 2014).
  • Agriculture, Wholesale and retail, Professional, scientific and technical activities, Accommodation and food service and Construction showed employment growth in the region over the past year. Industry, Education and Health showed the largest declines.
  • Life sciences, ICT, engineering, food, green economy, care, tourism and the creative sector are among the sectors predicted to grow in the Western Region.

Download the presentation here https://www.wdc.ie/publications/reports-and-papers/

Pauline White

Business Demography

The WDC has just published its analysis of the CSO Business Demography data (2011) which shows there were nearly 31,000 active enterprises operating in the Western Region. At 0.057 the average number of enterprises per working age person in the region was lower than that in the rest of the state (0.062).

Overall the Western Region’s enterprise base was more significantly damaged by the recession than elsewhere. Between 2006 and 2011 the decline in enterprise numbers in the Western Region was nearly twice that in the rest of the state (-18.4% compared with -9.8%).  The region’s largest enterprise sectors experienced the greatest declines.

Some sectors did show growth. Enterprise numbers in ‘education’, ‘information and communications’, ‘real estate’ and ‘professional, scientific and technical activities’ increased. While growth in these knowledge intensive sectors is very welcome, they continue to be less important to the region’s enterprise profile.

The Western Region has a less diverse enterprise profile than the rest of the state. It has a higher share of enterprises in sectors that mainly serve local, domestic or tourist markets, while knowledge intensive services account for a lower share of the region’s businesses. The region’s more urban counties tend to have greater enterprise diversity, with rural counties’ economies more concentrated by sector.

A WDC Insights summary or a more detailed WDC Report on the Business Demography data can be downloaded from https://www.wdc.ie/publications/reports-and-papers/

Pauline White

Note: This report was completed in late July, prior to the very recent publication of the data for 2012. The WDC’s analysis of the 2012 Business Demography data will be published soon.