Ross Maconachie JSNA Data & Research Manager Public Health WSCC Jan 2013

1. Public Health in Chichester - Chichester HWB Partnership Ross Maconachie JSNA Data & Research Manager Public Health WSCC Jan 2013

2. The JSNA • Process by which we describe the health and wellbeing needs of local residents • Includes Health Needs Assessments, support for commissioning programs, policy units, partner organisations, website (http://jsna.westsussex.gov.uk/) • Produced by PH Research Team focussing on health intelligence, social research and wider determinants The Public Health Plan 2012-2017 • WSCC plan sponsored by DPH and Leader • Focus on areas that PH department believe we can make the greatest difference by working together in a more joined up way. • Three themes are Fulfilling our Health Potential, Living Life to the Full andInfluences on Our Health

3. Fulfilling our Health Potential 1 – Starting Well • Actions • Supporting Think Family Partnership, Family Nurse Partnership, CFCs and Health visitors (see PHP for details) • Better services and facilities for young children

4. Fulfilling our Health Potential 1 – Starting Well Source: Waldfogel & Washbrook 2008

5. Fulfilling our Health Potential 2 – Keeping Yourself Healthy

6. Good News! – Chichester has highest rate of physically active older people in the country! (Sport England) Fulfilling our Health Potential 2 – Keeping Yourself Healthy • Actions • Support for NHS Healthchecks program • Connect GP screening of new patients to wellbeing services • Continue to develop work of Wellbeing Hub

7. Living Life to the Full 1 – Taking Care of Each Other Carers Map • Actions • Conduct Carer’s Needs Assessment • Identify carers early • Proactively offer services, training and advice

8. Living Life to the Full 2 – Ageing Well • Actions • Improve the environment for older people (e.g. work to reduce fuel poverty, increase use of adaptations, technology, telecare) • Proactively offer services • Proactively offer specific training, equipment and support • Develop carer friendly employers Aging population pyramid

9. Living Life to the Full 3 – Feeling Fine, Coping Well • Actions • Strengthen social networks and foster strong communities - especially with respect to older people who may be socially or geographically isolated • Support workplaces and schools to enable staff and pupils to be happy, healthy and productive • Acknowledge importance of mental and emotional strengthening interventions when commissioning CAF assessments data

10. Influences on Our Health 1 – Where We Live • Decent homes are defined as those meeting a statutory minimum standard as defined by the DCLG, including being in a reasonable state of repair, having reasonably modern facilities and providing a reasonable degree of thermal comfort. • 15.2% of residents in Housing Association rented properties in Chichester say that their accommodation is inadequate for their needs (DCA Survey 2007) • 15.8% of older people in Chichester say they are worried about keeping warm in winter (WSPCT Lifestyle Survey 2006) • People who turn off their heating due to cost are more likely to be in poor health (WSPCT Lifestyle Survey 2006)

11. Influences on Our Health 1 – Where We Live Housing PressuresSocial Housing Waiting Lists as % of Overall Social Housing Stock • Actions • Understand diverse housing pressures posed by ageing population and recession • Improve carers access to affordable housing • Review how housing support for older people is delivered • Monitor impact of recession and recent change in benefit law • Information on adaptations and home improvements more readily available Source : DCLG

12. Influences on Our Health 2 – What We Do Economically active people aged 60-64 (Census 2001)

13. Influences on Our Health 2 – What We Do • Actions • Improve opportunities for young people access training and employment • Develop a diverse and flexible local workforce, helping vulnerable adults, carers and older people to access employment and voluntary positions

14. Influences on Our Health 3 – How We Learn Lowest Wards Midhurst 39.0% Petworth – 36.4% East Wittering – 36.1% Selsey North 32.8% Comparison Fishbourne - 78.3% Chichester – 52.9%

15. Influences on Our Health 3 – How We Learn • Actions • Drive up standards in schools, particularly for vulnerable groups (LAC, G&Ts, SEN) • Maximise benefits of adult learning • Better support for students with behavioural difficulty • Targeted work in areas of social disadvantage 09-10 data but trend has not changed in 11 – we will monitor over time and report on whether we have been successful at reducing the social gradient

16. Influences on Our Health 4 – How We Live • Actions • Provide those involved in education and parents with skills to deliver healthy drinking messages and act as role models for young people • Increase input of health into licencing decisions • Taylor delivery of healthy drinking messages to target groups There are 6 alcohol related admissions to hospital per day in Chichester district

17. Thorney Island A Health Needs Assessment of Military Personnel and their Families • Explored the needs of the families of serving personnel based on Thorney Island. • Serving personnel receive health services from the MOD but their families receive them from the NHS. • Focus of the report is to ensure that families are not disadvantaged from accessing and receiving services as a result of being a military family. • Included a wider range of services than just health, including education, housing and transport. • Survey of families, interviews with families and key stakeholders, desk research and data analysis.

18. Thorney Island A Health Needs Assessment of Military Personnel and their Families • Recommendations around: • Location; • Frequent relocation; • Preventative services; • Mental health and stress; • Partnership working; • Employment and career development; • Social networks and maintaining friendships; • Transport; • Housing. • Report to be available January 2013.

19. Conclusions • Use Public Health Plan to develop priorities and services • Mind the (health inequalities) gap! • Enable people to adopt a healthy lifestyle for themselves and their families • Think about the ageing population • Support our carers • Be proactive • Sign up for the JSNA website monthly newsletter