Joint Strategic Needs Assessment 2011-12

1. Joint Strategic Needs Assessment 2011-12 Barrow in Furness Locality Stakeholder Panel Wednesday 16th November

2. 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

3. 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)

4. 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

5. Who is involved? • Cumbria County Council • NHS Cumbria • Cumbria Intelligence Observatory • District Councils • Third Sector • LINKs • Probation, police and other partners

6. 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

7. What are the challenges? • Ageing Population • Mental health and alcohol issues • Health of children and young people • Health inequalities

8. 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

9. Overall Deprivation Score Dalton North Hawcoat Hindpool Central Barrow Island Roosecote Source: Indices of Deprivation 2010

10. Health Deprivation Score Source: Indices of Deprivation 2010

11. Life Expectancy Life Expectancy Healthy Life Expectancy Source: Office for National Statistics

12. Rurality England Cumbria Barrow in Furness Source: Office for National Statistics, 2010

13. Rurality Aged 65+ England Cumbria Barrow in Furness Source: Office for National Statistics, 2010

14. Barriers to Services & Housing Ormsgill Roosecote Source: Indices of Deprivation, 2010

15. Context – Barrow in Furness Population “Known” Forecasted Source: Office for National Statistics

16. Median Household Income (£) Source: CACI Paycheck, 2011

17. People and Communities

18. Business and Enterprise

19. Infrastructure & Environment

20. Community Safety • Levels of crime are falling (5.1% since last year) • Yet Barrow in Furness has the second highest rate of crime in the county • Levels of burglary at a dwelling, theft from a motor vehicle, theft of a motor vehicle and domestic violence are rising • Rates of alcohol specific mortality and hospital admissions attributable to alcohol are rising. Barrow in Furness is in the bottom 10% nationally in these measures • The typical offender in Barrow in Furness is likely to be aged 18-30 years and male • There is a clear correlation between levels of crime and deprivation with crime and disorder most prevalent in Central and Hindpool wards in Barrow

21. Housing • The mean average house price in Barrow in Furness is £111,852, over £55,000 less than the county average of £167,455 • The mean housing affordability ratio for the district is 3.9, compared to 5.2 for Cumbria • 20.7% of households in Barrow in Furness are fuel poor, less than the county average of 24.1%

22. Demand on the Health and Social Care System

23. Demand on the health and Social Care System Adults • 2832 adult social care service users accessing 9821 services • 1955 new referrals to adult social care services, with 847 resulting in a full assessment Children • 112 looked after children • 263 core assessments completed

24. Demand on the Health and Social Care SystemAdult Social Care • 70% (1,977) of the adult service users are aged 65 and over • Over 1,100 safeguarding alerts come into adult social care every year

25. Demand on the Health and Social Care SystemHousing need (Adults) Source: Planning 4 Care

26. 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)

27. 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)

30. Long-term Conditions, Chronic Illness and Disabilities Years of life lost from Cancer Source: National Centre for Health Outcomes Development, 2007-2009

31. Years of life lost from Circulatory Disease Long-term Conditions, Chronic Illness and Disabilities Source: National Centre for Health Outcomes Development, 2007-2009

32. % of working age population with a disability Long-term Conditions, Chronic Illness and Disabilities Source: Annual Population Survey, 2011

33. % of children (0-16years) entitled to Disability Living Allowance Long-term Conditions, Chronic Illness and Disabilities Source: Annual Population Survey, 2011

34. % happy or very happy with life Mental Health and Well Being Source: Quality of Life Survey, 2006

35. % satisfied with local area Mental Health and Well Being Source: Place Survey Tracker 2009

36. Estimated neurotic disorder per 1000 Mental Health and Well Being Source: North East Public Health Observatory, 2008

37. Admissions for deliberate self harm per 100,000 Mental Health and Well Being Source: North West Public Health Observatory, 2009-10

38. Years of life lost from suicide Mental Health and Well Being Source: National Centre for Health Outcomes Development, 2009-10

39. Infant mortality per 1000 births Living Conditions and Health Inequalities Source: National Centre for Health Outcomes Development, 2009

40. % born with low birth weight (<2.5kg) Living Conditions and Health Inequalities Source: National Centre for Health Outcomes Development, 2009

41. Teenage pregnancy rate Living Conditions and Health Inequalities Source: Office for National Statistics, 2007-2009

42. % children living in poverty Living Conditions and Health Inequalities Source: HMRC, 2009

43. Claimant to vacancy ratio Living Conditions and Health Inequalities Source: Office for National Statistics, 2011

44. % working age adults with level 4 or greater education Living Conditions and Health Inequalities Source: Annual Population Survey, 2010

45. % working age adults with disabilities in employment Living conditions and Health Inequalities Source: Annual Population Survey, 2010

46. Excess winter deaths Living conditions and Health Inequalities Source: North West Public Health Observatory, 2006-2009

47. % of people who agree they can influence decisions in their area Living Conditions and Health Inequalities Source: Place Survey Tracker, 2009

48. Estimated smoking prevalence Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010

49. Smoking during pregnancy per 100 maternities Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010

50. Hospital admissions due to alcohol Lifestyle and Behaviours Source: Local Alcohol Profiles for England, 2009-2010