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 WardRankIncomeEmploymentHealthEducationHousingCrime Living Environment 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

Life Expectancy 2

Population changes

Employment and worklessness Employment Rates in Salford, Income support Claimants in 2006 Of 13,330 people claiming benefits, over half have being doing so for 5 years or more Worsley has 135 claimants - Little Hulton Nearly 3,000 claimants are aged between 50 and 59 years Females significantly outweigh males

Young people IndicatorNorth West Rank Emergency hospital admission - males 4 Special educational needs (statements) - secondary schools 4 Hospital admission for lower respiratory tract infection - males 5 Special educational needs (statements) - primary schools 5 Hospital admission for asthma - males 6 Emergency hospital admission - females 8 Hospital admission for lower respiratory tract infection - females 8 Child Protection Plan subjects 14 Fixed period exclusions - secondary schools 30 Authorised absence - secondary schools 32 No decayed, missing or filled teeth - 5 year olds 34 GCSE achievement 34 Hospital admission for alcohol-specific conditions - males 38 Income deprivation affecting children 39 Lone parents with dependent children 39 Absence - primary schools 39 No decayed, missing or filled teeth - Year 6 40 Conceptions 40 Dependent on key benefits 40 Unauthorised absence - secondary schools 41 Measles incidence 42 Obesity - Year 6 females 42 Children looked after 42 Permanent exclusions - secondary schools 43

Older people Current & projected prevalence of dementia (estimates)

Social Care needs

Smoking Estimates from Dept. of Health North West Public Health Group Regional Tobacco Policy Team

Cardiovascular disease SMRs for Heart Disease and Stroke in under 65s

Stroke Stroke Mortality, Salford

Respiratory diseases

Cancer SMRs for Common cancers in Salford,

Alcohol Hospital admissions due to alcohol, Salford with comparators

Obesity Obesity in Salford 2007/08

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 fewToo many Arthritis of the kneeChronic bronchitis and emphysema Arthritis of the hipLung cancer Skin cancerBladder cancer Prostate cancerHeart failure Mental health conditions Alcohol Back pain Procedures performed Too fewToo many Knee replacementGastroscopy Hip replacementHysterectomy Skin lesion removalTonsillectomy ProstatectomyDrainage 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?