- presentation by Miles Crompton, Policy Officer
Minutes:
Miles Crompton, Corporate Policy Team, gave the following powerpoint presentation:-
What is a Joint Strategic Needs Assessment (JSNA)?
- Statutory assessment of current and future needs
- Partnership between Council and NHSR
- Evidence base to guide:-
Commissioning of Health and Social Care Services
Health and Wellbeing Strategy
Health and Wellbeing Board priorities
- 2008: First Rotherham JSNA
- 2010: Health White Paper confirmed duty
- 2010/11: Refresh of JSNA
- 2013: Central role and equal partnership – Council and CCG
Rotherham’s Population
- Total population 254,600 (+2.6%)
51% female 49% male
Projected increase of 13,000 by 2020
- 22% children aged 0-17 (-9%)
- 23% older people aged 60+ (+14%)
- 16% on disability benefits (+17%)
- 7.5% BME (+86%)
- Life expectancy – Male 76.6/Female 80.7 years
Ageing Population: Implications for 2020
- Limiting long term illness +5,580 +22%
- Mobility Impairment +1,990 +26%
- Hearing Impairment (18+) +5,120 +21%
- Obesity +2,270 +20%
- Dementia +860 +30%
- Depression +800 +21%
- Incontinence +1,660 +24%
- Diabetes +1,200 +22%
- Falls +2,730 +24%
Care Needs and Carers
- 17,400 need help with domestic tasks
- 14,200 need help with personal care
- 25% increase projected in both by 2020
- Estimated 35,000 carers, most aged 45-64 but 5,300 aged 65+ (+19% by 2020)
- Care gap increasing
Adult children and non-relatives less inclined to provide informal care and fewer children
Rising demand in care from spouses and the formal care sector
Ageing Households
- Household increase 2006-2031 (25 years)
- All ages +27,000
- One person +17,000 (+55%)
- 65+ +18,000 (8,000 living alone)
- 75+ +11,000 (6,000 living alone)
- Lone pensioners projected for 2031
24,000 pensioners living alone (+51%)
16,000 aged over 75 (+66%)
11,000 over 75 with long term illness (+75%)
Children and Young People: Indicators relative to England
Rotherham was:-
- Average on Obesity and Tooth Decay
- Worse on Child Poverty, GCSE A*-C Maths and English, Smoking in Pregnancy, Breast Feeding Initiation, Physical Activity, Teenage Pregnancy, Key Stage 2 Level 4, Infant Mortality, A & E Admissions
Deprivation: Indices of Deprivation 2010
- Commissioned by Government
- 6 District Measures – 354 districts in 2007, 326 in 2010
- “Average of SOA Scores” – increased from 68th most deprived 2007 to 53rd 2010
- “Local Concentration” – increased from 60th in 2007 to 48th in 2010
- % of Rotherham in most deprived 10% of England up from 12% (2007) to 17% (2010)
Poverty
Child Poverty
- 2009: 13,665 children in poverty (23.3%)
- 2011 (est.): 13,800 in poverty (23.6%)
- 2012: 20% eligible for Free School Meals
15.6% increase since 2009
- Most polarised form of deprivation
Pensioner Poverty
- 18,080 pensioners in Pension Credit households (35%)
- 11,238 pensioners in Guarantee Credit Households (22%)
- Low take-up – est. 21,000 households (60%) low income pensioners (13,000 or 37% Guarantee)
Health Indicators relative to England
Rotherham was:-
-
Better on Hospital re. Self-Harm, new cases of
TB,
Road Injuries and Deaths
- Average on higher risk drinking
- Worse on Breast Feeding, Physical Activity, Obesity, Emergency Admissions, Teenage Conceptions, Smoking, Poor Diet, Drug Misuse, Hip Fracture 65+, Excess Winter Deaths, Life Expectancy, Cancer
Key Issues
- The impact of an ageing population
- Promoting healthy living – physical activity, diet and risk awareness (smoking and alcohol)
- Reducing the gap between healthy and actual life expectancy
- Increasing independence for people with long term conditions
- Increasing independence, choice and control for people suffering with dementia and new service development
- Preventative health and care strategies to save future care costs
- Reflecting the diversity of the learning disability population in services
Discussion ensued on the priorities for Rotherham:-
o Access to a good quality advice service in respect of poverty issues, Welfare Reform Act, mental health
o Influence of housing
o JSNA was agreement of the priorities – where should funding be invested to create the biggest impact
o The majority of health problems and inequalities stemmed from employment opportunities and wealth
Resolved:- That further work on the JSNA take place forming the basis for discussion at the special meeting to be held in March.