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Joint Strategic Needs Assessment 2011-12. Eden Locality Stakeholder Panel Friday 11 th November. Content. Introduction to the JSNA Background & context Demand on health and social care system Long-term conditions Mental health & well-being Living conditions & health inequalities
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Joint Strategic Needs Assessment 2011-12 Eden Locality Stakeholder Panel Friday 11th November
Content Introduction to the JSNA Background & context Demand on health and social care system Long-term conditions Mental health & well-being Living conditions & health inequalities Lifestyle & behaviours Summary
Welcome • Welcome to the JSNA locality stakeholder panel • Purpose – to begin the process of developing an enhanced JSNA for Cumbria • This is the responsibility of the Health and Wellbeing Board • Plan to have this in place by April 2012 • Feeds in to the Joint Health and Wellbeing Strategy (June 2012)
What is a JSNA? • Describes health and wellbeing in Cumbria • Describes strategic direction of services • Based on wide range of current information and evidence • JSNA products, county and locality narratives, online information
Who is involved? • Cumbria County Council • NHS Cumbria • Cumbria Intelligence Observatory • District Councils • Third Sector • LINKs • Probation, police and other partners
Why do we need a JSNA? • Current JSNA needs to be updated • Important role in the Health and Social Care Bill • HWWB role in Joint Health and Wellbeing Strategy and JSNA • JSNA supports the Joint Health and Wellbeing Strategy (JHWBS) • Commissioning Plans 2013 need to take account of JHWBS
What are the challenges? • Ageing Population • Mental health and alcohol issues • Health of children and young people • Health inequalities
What do we want from you? • Your ideas and feedback on the information presented • Views on local needs and priorities • Information on local strengths and assets • Help to develop a local narrative for JSNA • What factors “explain” the data? Why are the reds red and the greens green?
Overall Deprivation Score Source: Indices of Deprivation 2010
Health Deprivation Score Source: Indices of Deprivation 2010
Life Expectancy Life Expectancy Healthy Life Expectancy Source: Office for National Statistics
Rurality England Cumbria Eden Source: Office for National Statistics, 2010
Rurality Aged 65+ England Cumbria Eden Source: Office for National Statistics, 2010
Barriers to Services & Housing Source: Indices of Deprivation, 2010
Eden Population “Known” Forecasted Source: Office for National Statistics
Median Household Income (£) Source: CACI Paycheck, 2011
Community Safety • Eden has the lowest levels of crime in Cumbria and is the third least deprived district in terms of crime in England • Levels of crime fell by 6.8% last year the most significant fall in the county • Yet both levels of drug crime and domestic violence are on the rise • The typical offender in Eden is most likely to be aged 18-30 years and male • Crime and disorder is most prevalent in Penrith
Housing • The mean average house price in Eden is £220,400, £50,000 above the county average of £167,455 • The mean housing affordability ratio for the district is 6.7, above the county average of 5.2 • 34.8% of households in Eden are fuel poor the most significant proportion of any district in Cumbria
Demand on the health and Social Care System Adults • 1549 adult social care service users accessing 5224 services • 896 new referrals to adult social care services, with 424 resulting in a full assessment Children • 20 looked after children • 50 core assessments completed
Demand on the Health and Social Care SystemAdult Social Care • 78% (1215) of the adult service users are aged 65 and over • Over 1,100 safeguarding alerts come into adult social care every year
Demand on the Health and Social Care SystemHousing need (Adults) Source: Planning 4 Care
Demand on the Health and Social Care System – Learning Disabilities 2010-30 People aged 18 and over predicted to have a learning disability (Source: PANSI and POPPI based on Emerson and Hatton)
Demand on the Health and Social Care System – Dementia Figure 14: 2010-2030 The number of people aged over 65 years predicted to have dementia (Source: POPPI)
Long-term Conditions, Chronic Illness and Disabilities Years of life lost from Cancer Source: National Centre for Health Outcomes Development, 2007-2009
Years of life lost from Circulatory Disease Long-term Conditions, Chronic Illness and Disabilities Source: National Centre for Health Outcomes Development, 2007-2009
% of working age population with a disability Long-term Conditions, Chronic Illness and Disabilities Source: Annual Population Survey, 2011
% of children (0-16years) entitled to Disability Living Allowance Long-term Conditions, Chronic Illness and Disabilities Source: Annual Population Survey, 2011
% happy or very happy with life Mental Health and Well Being Source: Quality of Life Survey, 2006
% satisfied with local area Mental Health and Well Being Source: Place Survey Tracker 2009
Estimated neurotic disorder per 1000 Mental Health and Well Being Source: North East Public Health Observatory, 2008
Admissions for deliberate self harm per 100,000 Mental Health and Well Being Source: North West Public Health Observatory, 2009-10
Years of life lost from suicide Mental Health and Well Being Source: National Centre for Health Outcomes Development, 2009-10
Infant mortality per 1000 births Living Conditions and Health Inequalities Source: National Centre for Health Outcomes Development, 2009
% born with low birth weight (<2.5kg) Living Conditions and Health Inequalities Source: National Centre for Health Outcomes Development, 2009
Teenage pregnancy rate Living Conditions and Health Inequalities Source: Office for National Statistics, 2007-2009
% children living in poverty Living Conditions and Health Inequalities Source: HMRC, 2009
Claimant to vacancy ratio Living Conditions and Health Inequalities Source: Office for National Statistics, 2011
% working age adults with level 4 or greater education Living Conditions and Health Inequalities Source: Annual Population Survey, 2010
% working age adults with disabilities in employment Living conditions and Health Inequalities Source: Annual Population Survey, 2010
Excess winter deaths Living conditions and Health Inequalities Source: North West Public Health Observatory, 2006-2009
% of people who agree they can influence decisions in their area Living Conditions and Health Inequalities Source: Place Survey Tracker, 2009
Estimated smoking prevalence Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010
Smoking during pregnancy per 100 maternities Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010
Hospital admissions due to alcohol Lifestyle and Behaviours Source: Local Alcohol Profiles for England, 2009-2010