Transcript Slide 1
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 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 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 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 Deprivation and inequalities Ward Rank Langworthy 1 Irwell Riverside 2 Broughton 3 Ordsall 4 Little Hulton 5 Barton 6 Winton 7 Walkden North 8 Weaste & Seedley 9 Irlam 10 Swinton North 11 Swinton South 12 Pendlebury 13 Kersal 14 Eccles 15 Cadishead 16 Walkden South 17 Claremont 18 Worsley 19 Boothstown & Ellenbrook 20 Income Employment Health Education Housing Crime Living Environment 2 Life Expectancy Baseline 1995-7 2002-04 2003-05 2004-06 LE Gap LE Gap LE Gap LE Gap Men 71.6 -3 73.4 -3.1 73.8 -3.1 74.2 -3.1 Women 77.3 -2.4 78.3 -2.6 78.4 -2.7 78.7 -2.8 Population changes 2006-2025 Income support Claimants in 2006 Employment and worklessness Of 13,330 people claiming benefits, over half have being doing so for 5 years or more Employment Rates in Salford, 1997-2005 71.2 72 % in employment 70 67.9 67.7 68 66 66.9 64.5 68.5 67.3 65.1 Worsley has 135 claimants Little Hulton 1060. Nearly 3,000 claimants are aged between 50 and 59 years 64 62 60 1997/98 1998/99 1999/00 2000/01 2001/02 2002/03 2003/04 2004/05 Year Females significantly outweigh males Young people Indicator Emergency hospital admission - males Special educational needs (statements) - secondary schools Hospital admission for lower respiratory tract infection - males Special educational needs (statements) - primary schools Hospital admission for asthma - males Emergency hospital admission - females Hospital admission for lower respiratory tract infection - females Child Protection Plan subjects Fixed period exclusions - secondary schools Authorised absence - secondary schools No decayed, missing or filled teeth - 5 year olds GCSE achievement Hospital admission for alcohol-specific conditions - males Income deprivation affecting children Lone parents with dependent children Absence - primary schools No decayed, missing or filled teeth - Year 6 Conceptions Dependent on key benefits Unauthorised absence - secondary schools Measles incidence Obesity - Year 6 females Children looked after Permanent exclusions - secondary schools North West Rank 4 4 5 5 6 8 8 14 30 32 34 34 38 39 39 39 40 40 40 41 42 42 42 43 Older people Current & projected prevalence of dementia (estimates) 30-64 65-74 75+ Total % of people 65+ with dementia % of all people with dementia 2007 50 370 1845 2266 6.53 1.05 2021 55 384 2022 2461 6.76 1.14 Social Care needs Number of older people helped to live at home Number of households receiving intensive home care for people aged 65 and over Number of older people receiving community-based services provided or commissioned by the CSSR Total number of older people in residential and nursing care during the year, purchased or provided by the CSSR Number of older people admitted to supported permanent residential and nursing care Number of carers aged 65 and over receiving services TOTAL 2008 2010 2015 2020 2025 4,048 4,035 4,255 4,340 4,560 763 761 802 818 860 6,090 6,072 6,402 6,530 6,860 1,572 1,567 1,652 1,685 1,770 98 98 103 105 111 487 486 512 522 549 15,066 15,029 15,741 16,020 16,735 Smoking Gtr. Manchester Salford Population 2,531,00 216,400 Smokers >16 540,000 46,170 £629,000,000 £53,779,500 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 6,440 551 Life Years lost 34,000 2,907 £94,000,000 £8,037,000 1,500,000 128,250 105,000,000 £8,977,500 364,000,000 £31,122,000 £ spent by >16’s Cost of premature deaths Working days lost due to smoking-related illness Cost to business of smoking related illnesses Costs to business of cigarette breaks Estimates from Dept. of Health North West New jobs yielded by 40% reduction in smoking Public Health Group Additional wages generated by new jobs Regional Tobacco Policy Overall cost of smoking the local economy Team Potential savings yielded by a 1% fall in smoking 5,750 492 107,000,000 £9,148,500 £630,000,000 £53,865,000 344,000,000 £29,412,000 Cardiovascular disease SMRs for Heart Disease and Stroke in under 65s Deaths before the age of 65 which are caused by heart disease and stroke SMR England & Wales 101 England & Wales 100 North West of England 120 Salford 151 Stroke Stroke Mortality, Salford 2003-2006 Male 2003 2004 2005 2006 Female All England & Wales North West Salford England & Wales North West Salford England & Wales North West Salford 128 115 107 100 148 133 119 115 196 165 146 144 126 115 108 100 141 124 116 113 168 152 140 133 127 115 108 100 144 128 117 114 178 157 142 137 Respiratory diseases Total population aged 65 and over predicted to have a longstanding health condition caused by bronchitis and emphysema 2008 2010 2015 2020 2025 727 725 774 787 833 Cancer SMRs for Common cancers in Salford, 2004-2006 Bladder Breast Cervix Colon/Rectum Leukaemia Lung Malignant Melanoma Oesophagus (Gullet) Prostate Stomach Male 41 N/A N/A 155 139 158 176 159 93 118 Females 126 84 213 88 74 214 20 136 N/A 163 Persons 64 N/A N/A 126 115 180 113 153 N/A 132 Alcohol Hospital admissions due to alcohol, Salford with comparators 2005-6 Salford Manchester Liverpool N.West No. of hospital admissions Rate National Rank Rate National Rank Rate National Rank Rate Alcohol-specific hospital admission, under 18s 165 115.96 329 88.96 286 94.7 297 98.35 Alcohol-specific hospital admission, males 721 661.94 343 809.31 353 915.06 354 536.3 Alcohol-specific hospital admission, females 340 321.88 343 346.57 347 421.73 353 270.13 Salford Manchester Liverpool N.West No. of hospital admissions Rate National Rank Rate National Rank Rate National Rank Rate Alcohol attributable hospital admission, males 1,652 1,476.44 348 1581.45 353 1708.37 354 1,214.55 Alcohol attributable hospital admission, females 1,045 804.19 348 815.42 350 873.78 354 674.35 Obesity Obesity in Salford 2007/08 Children Adults Salford England Salford England Obese 14.50% 10.00% 22.45% 23.70% Overweight 15.00% 25.00% 39.00% 22.50% Obese and overweight 29.50% 32.50% 61.45% 46.50% Oral health 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 Hospital admission and community care Admissions Too few Too many Arthritis of the knee Chronic bronchitis and emphysema Arthritis of the hip Lung cancer Skin cancer Bladder cancer Prostate cancer Heart failure Mental health conditions Alcohol Back pain Procedures performed Too few Too many Knee replacement Gastroscopy Hip replacement Hysterectomy Skin lesion removal Tonsillectomy Prostatectomy Drainage of middle ear Angiography Revascularisation Sigmoidoscopy Key health priorities: • • • • • • Circulatory Disease Cancer Respiratory Disease Mental Health Alcohol Obesity Future Agendas • • • • Wider engagement Clearer governance Integration into planning approaches Access to data which underpins it • 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?