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The Salford Joint Strategic Needs Assessment Headline issues and key recommendations

The Salford Joint Strategic Needs Assessment Headline issues and key recommendations. What is a JSNA. Current and future health and wellbeing needs Short term (three to five years) to inform Local Area Agreements, longer term future (five to ten years) to inform strategic planning

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The Salford Joint Strategic Needs Assessment Headline issues and key recommendations

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  1. The Salford Joint Strategic Needs Assessment Headline issues and key recommendations

  2. What is a JSNA Current and future health and wellbeing needs Short term (three to five years) to inform Local Area Agreements, longer term future (five to ten years) to inform strategic planning Commissioning services and interventions to achieve better health and wellbeing outcomes and reduce inequalities. Address outcomes described in National Indicator Set for local authorities and partnerships, and “vital signs” for the NHS

  3. Not to be confused with…. • Health Needs Assessment (HNA) or Equity audit activity • The Director of Public Health's Annual Report • Information which underpins commissioning JSNA is: High Level About priority setting Horizon Scanning An evolving process & product A process which must engage commissioners Some information to support commissioning decisions

  4. Deprivation and inequalities

  5. Life Expectancy 2

  6. Population changes 2006-2025

  7. Employment and worklessness Income support Claimants in 2006 Of 13,330 people claiming benefits, over half have being doing so for 5 years or more Worsley has 135 claimants - Little Hulton 1060. Nearly 3,000 claimants are aged between 50 and 59 years Females significantly outweigh males Employment Rates in Salford, 1997-2005

  8. Young people Indicator North West Rank Emergency hospital admission - males 4 Special educational needs (statements) - secondary schools 4 Hospital admission for lower respiratory tract infection - males 5 Special educational needs (statements) - primary schools 5 Hospital admission for asthma - males 6 Emergency hospital admission - females 8 Hospital admission for lower respiratory tract infection - females 8 Child Protection Plan subjects 14 Fixed period exclusions - secondary schools 30 Authorised absence - secondary schools 32 No decayed, missing or filled teeth - 5 year olds 34 GCSE achievement 34 Hospital admission for alcohol-specific conditions - males 38 Income deprivation affecting children 39 Lone parents with dependent children 39 Absence - primary schools 39 No decayed, missing or filled teeth - Year 6 40 Conceptions 40 Dependent on key benefits 40 Unauthorised absence - secondary schools 41 Measles incidence 42 Obesity - Year 6 females 42 Children looked after 42 Permanent exclusions - secondary schools 43

  9. Older people Current & projected prevalence of dementia (estimates)

  10. Social Care needs

  11. Smoking Gtr. Manchester Salford Population 2,531,00 216,400 Smokers >16 540,000 46,170 £ spent by >16’s £53,779,500 £629,000,000 Smokers requiring hospital treatment 30,732 2,628 Hospital bed days due to smoking 92,722 7,928 Cost of hospital admissions due to smoking £37,000,000 £3,163,500 Cost of outpatient follow-up for smokers £4,600,000 £393,300 Deaths due to smoking 551 6,440 Life Years lost 2,907 34,000 Cost of premature deaths £94,000,000 £8,037,000 Working days lost due to smoking-related illness 1,500,000 128,250 Cost to business of smoking related illnesses 105,000,000 £8,977,500 Costs to business of cigarette breaks 364,000,000 £31,122,000 New jobs yielded by 40% reduction in smoking 492 5,750 Additional wages generated by new jobs 107,000,000 £9,148,500 Overall cost of smoking the local economy £53,865,000 £630,000,000 Potential savings yielded by a 1% fall in smoking £29,412,000 344,000,000 Estimates from Dept. of Health North West Public Health Group Regional Tobacco Policy Team

  12. Cardiovascular disease SMRs for Heart Disease and Stroke in under 65s

  13. Stroke Stroke Mortality, Salford 2003-2006

  14. Respiratory diseases

  15. Cancer SMRs for Common cancers in Salford, 2004-2006

  16. Alcohol Hospital admissions due to alcohol, Salford with comparators 2005-6

  17. Obesity Obesity in Salford 2007/08

  18. Oral health

  19. Mental health In the UK, there are now more mentally ill people drawing incapacity benefits than there are unemployed people on Jobseeker’s Allowance ONS figures suggest that there are currently nearly 21,000 people in Salford being treated for depression Anxiety and depression remain a considerable burden to elderly people in whom this aspect of health should be considered as high a priority

  20. Hospital admission and community care

  21. Key health priorities: • Circulatory Disease • Cancer • Respiratory Disease • Mental Health • Alcohol • Obesity

  22. Future Agendas Wider engagement Clearer governance Integration into planning approaches Access to data which underpins it

  23. How will you use the JSNA findings in planning rounds this year? How do you wish to see the process for drafting the JSNA evolve and develop? Who should be key partners in the process?

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