South Tyneside Joint Strategic Needs Assessment Refresh East Shields Community Area Forum Alice Wiseman Children’s Commissioning Lead – South Tyneside – NHS South of Tyne and Wear Thursday 15 th September 2011

What is a “Joint Strategic Needs Assessment”? an overview of the health, wellbeing and social care needs of people who live in South Tyneside it identifies priorities for plans and strategies which will help to meet those needs in the future Why? Meeting the needs of a changing population Highlighting health inequalities, services can target populations in particular need Planning services in the most cost-effective way Go to

Background Reduce the difference in life expectancy between the English average and those areas that experience the poorest health (the Spearhead group) by 10% between 1996 and 2010 “Tackling Health Inequalities: a programme for action”, Department of Health (2003)

How long do we live? Gap between South Tyneside and England Coronary heart disease (25%) Cancers (40% males, 25% females) Respiratory disease (10% males, 15% females) Males (years) Females (years) South Tyneside England gap1.71.5

An aging population Year 65 years and over 85 years and over ,0003, ,000 (+17%) 5,000 (+35%) ,000 (+41%) 6,500 (+76%) estimated, projected

Population by ethnic group

Social and economic deprivation

Unemployment 6,000 people in South Tyneside claiming Jobseekers Allowance (JSA) Increased from 4,000 in % of working age population of South Tyneside 5% of NE population claiming JSA 4% of GB population claiming JSA

Smoking Latest evidence* suggests 23% of adults in South Tyneside smoke (England 21%) 30% of adults in South Tyneside smoke in households where main earner is in a routine and manual occupation Percentage that smokes is highest among adults 25 to 65 years * Integrated Household Survey, 2009/10

Smoking

Smoking during pregnancy

Other risk factors for poor health Alcohol consumption above recommended safe limits (2 or 3 units for women, 3 or 4 for men) Poor diet (5 a day) Low levels of physical activity (5 x 30 minutes each week) High blood pressure Obesity – but no good measure among adults

We can reduce the risk of infant mortality by… Reducing levels of smoking during pregnancy Improving breastfeeding initiation and continuation rates Reducing teenage conceptions Reducing maternal obesity Reducing housing overcrowding Reducing child poverty

Mental health

Long-term conditions Number diagnosed in S. Tyneside % of people diagnosed % of people in England diagnosed Diabetes (17 years+) 7,8006.3%5.4% CHD7,7004.9%3.4% COPD5,1003.3%1.6% Stroke3,6002.3%1.7% All cancers2,7001.7%1.4% Dementia1,0000.7%0.5%

Any questions?