ross maconachie jsna data & research manager public health wscc jan 2013
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Public Health in Chichester - Chichester HWB Partnership. Ross Maconachie JSNA Data & Research Manager Public Health WSCC Jan 2013. The JSNA. Process by which we describe the health and wellbeing needs of local residents - PowerPoint PPT PresentationTRANSCRIPT
Ross MaconachieJSNA Data & Research ManagerPublic HealthWSCCJan 2013
Public Health in Chichester - Chichester HWB Partnership
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
and Influences on Our Health
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
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
Fulfilling our Health Potential 1 – Starting Well
Source: Waldfogel & Washbrook 2008
Fulfilling our Health Potential 2 – Keeping Yourself Healthy
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
Good News! – Chichester has highest rate of physically active older people in the country! (Sport England)
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
0%
20%
40%
60%
80%
100%
15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+
50+ Hours Per Week
20-49 Hours Per Week
1-19 Hours Per Week
Provides No Care
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
Living Life to the Full 3 – Feeling Fine, Coping Well
CAF assessments data
MH IssueEstimated No. Chichester Residents
Any neurotic disorder 11,800
All phobias 1,000
Depressive episode 1,600
Generalised anxiety disorder 3,100
Mixed anxiety depression 6,500
Obsessive compulsive disorder 600
Panic disorder 600
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
Influences on Our Health1 – 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)
Housing PressuresSocial Housing Waiting Lists as % of Overall Social Housing Stock
Adur
Arun
Chichester
Crawley
Horsham
Mid Sussex
Worthing
West Sussex
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
2003 2004 2005 2006 2007 2008 2009
Source : DCLG
Influences on Our Health1 – Where We Live
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
Influences on Our Health2 – What We Do
Economically active people aged 60-64 (Census 2001)
Influences on Our Health2 – 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
Influences on Our Health3 – How We Learn
Lowest WardsMidhurst 39.0%Petworth – 36.4%East Wittering – 36.1%Selsey North 32.8%
ComparisonFishbourne - 78.3%Chichester – 52.9%
Influences on Our Health3 – How We Learn
5+A*-C including English & Maths with IDACI Banding
y = 0.0429x + 0.2829
R2 = 0.9576
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
1 2 3 4 5 6 7 8 9 10
IDACI Band
% 5
+A*-
C (I
nc E
ng &
Mat
hs)
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
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
Influences on Our Health4 – How We Live
There are 6 alcohol related admissions to hospital per day in Chichester district
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
• 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.
Thorney IslandA 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.
Thorney IslandA Health Needs Assessment of Military Personnel and their Families
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
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