1. North West London Population Health Needs
JSNA Mapping:
North West London Population Health Needs
October 2018
@ldn_ichp
linkedin/imperialcollegehealthpartners

2. Our approach
Objective: Use population health insights from joint strategic needs assessments (JSNAs) to determine shared health and social care needs in North West London (NWL)
Health and social care issues mentioned in NWL JSNAs were categorised as:
Local priority – JSNA specifically identifies an issue as a “Priority”, or a “Key challenge” for that area
Need identified – JSNA highlights a local gap or need relating to a particular issue, for example an inequality within the borough, or worse than national/regional outcomes
Data reported – An issue is mentioned in the JSNA and/or data provided, but a local need is not identified
Data not reported – No data provided in the JSNA, so no assessment can be made

3. Key findings: shared population health needs* in NWL JSNAs
Wellbeing and prevention
Social
Obesity (adult and child)
Supported housing (incl. learning disability/autism)
Physical activity
Wider determinants
Smoking
Crime (incl. FGM, domestic violence, hate crimes)
Substance misuse
Clinical
Migration/asylum seekers
Type 2 diabetes
Poverty (incl. fuel poverty, child poverty)
Cancer (screening)
Housing (incl. affordability, availability)
Tuberculosis
Children & young people
Severe physical disability
A&E visits
Mental and sexual health
Children with SEN (incl. transfers of care)
Severe/enduring mental illness
Looked after children
Sexually transmitted infection (particularly HIV)
Older people
Dementia care
*defined as a need identified in ≥4 NWL JSNAs and/or prioritised in ≥2 NWL JSNAs

4. Health check attendance
Wellbeing & prevention
Brent
Ealing
Harrow
Hillingdon
Hounslow
K&C, WCC, H&F
Obesity (adult) Eq
Obesity (child)
Physical activity
Adult
Smoking
Substance misuse
Opiate/crack
Diet
5-a-day
Low fruit & veg
Immunisation
HPV, PPV, flu
Childhood
Health check attendance
Dementia, carers
Need locally identified
Eq, inequalities; H&F, Hammersmith & Fulham; K&C, Kensington & Chelsea; WCC, Westminster City Council
Key:
Local priority
Data reported
Data not reported

5. Common clinical conditions
Brent
Ealing
Harrow
Hillingdon
Hounslow
K&C, WCC, H&F
Premature mortality
Mental ill d
Cardiovascular diseases
CVD adm, d
Stroke adm, d
HTN, CHD #
Type 2 diabetes #
#, d
Respiratory diseases
Asthma adm
COPD adm
Asthma #
Cancer
Breast screen
Screen, Eq d
Screen
Screen #
WCC Prostate
Tuberculosis
Musculoskeletal conditions
Eq access
Severe physical disability Eq
K&C
#: prevalence; adm: admissions; d: deaths; Eq: inequalities; HTN, hypertension; CHD, coronary heart disease; CVD, cardiovascular disease; COPD, chronic obstructive pulmonary disease.
Need locally identified
Key:
Local priority
Data reported
Data not reported

6. Mental and sexual health
Brent
Ealing
Harrow
Hillingdon
Hounslow
K&C, WCC, H&F
Self-harm prevention
Access
Research
Suicide prevention
Severe/enduring mental illness
Child
Audit
Termination of pregnancy
Contraception
LARCs
Sexually transmitted infection
BAME, HIV
HIV, Chl
HIV YP
HIV, Hep C
BAME, black, Asian and minority ethnic; Chl, chlamydia; LARC, long-acting reversible contraception; YP, young people.
Need locally identified
Key:
Local priority
Data reported
Data not reported

7. Social care Brent Ealing Harrow Hillingdon Hounslow K&C, WCC, H&F
Social isolation
ASCU
Carers
YP, EoL
Safeguarding
Asylum seekers, SEND
Sensory impaired
Autism
Learning disability
Health checks
Supported living LD
ASCU, adult social care users; EoL, end of life; LD, learning disability; SEND, statement of educational need; YP, Young people
Need locally identified
Key:
Local priority
Data reported
Data not reported

8. Wider determinants of health
Brent
Ealing
Harrow
Hillingdon
Hounslow
K&C, WCC, H&F
Crime
Dom, FM, FGM
Repeat, youth
Hate, FGM, dom
Dom
Migration/asylum seekers
PTSD
Research
Employment
Parental
Poverty
Fuel
Fuel, child
Child
Housing
Homelessness
Air quality/noise
Road traffic accidents
Need locally identified
Dom, domestic violence; FM, forced marriage; FGM, female genital mutilation; PTSD, post-traumatic stress disorder
Key:
Local priority
Data reported
Data not reported

9. Children & young people
Brent
Ealing
Harrow
Hillingdon
Hounslow
K&C, WCC, H&F
Neonatal and infant health
LBW
Child oral health
Tooth decay
Childhood eating disorder
Waiting times
A&E visits
Under 5s
Teenage pregnancy
Children with SEN
Research
ToC
Looked after children
Mental health
Need locally identified
Key:
Local priority
Data reported
Data not reported
* Hillingdon prioritises child health and wellbeing more generally; LBW, low birth weight; ToC, transfers of care.

10. Older people Brent Ealing Harrow Hillingdon Hounslow K&C, WCC, H&F
Falls
End of life care
Dementia
Need locally identified
Key:
Local priority
Data reported
Data not reported

11. Alignment of priority population health needs with NWL STP delivery areas
Wellbeing and prevention
Obesity (adult and child) – STP DA1
Social
Physical activity – STP DA1
Supported housing (incl. learning disability/autism)
Smoking – STP DA1
Wider determinants
Substance misuse
Crime (incl. FGM, domestic violence, hate crimes)
Clinical
Migration/asylum seekers
Type 2 diabetes – STP DA2
Poverty (incl. fuel poverty, child poverty)
Cancer (screening) – STP DA2
Housing (incl. affordability, availability)
Tuberculosis
Children & young people
Severe physical disability – STP DA2
A&E visits – STP DA5
Mental and sexual health
Children with SEN (incl. transfers of care)
Severe/enduring mental illness – STP DA4
Looked after children
Sexually transmitted infection (particularly HIV)
Older people
Dementia care – STP DA3
STP, sustainability and transformation plan

12. Sources The Hounslow Story: JSNA summary document (August 2017)
Hillingdon JSNA priority themes and factsheets online (undated)
Harrow JSNA (v )
Ealing JSNA chapters reviewed:
2014 Executive summary
Dementia (2015)
Sensory impairment (2016)
Learning disability (2016)
Children and young people (2016)
Housing, homelessness and rough sleepers (2016)
Carers (2016)
Children’s oral health (2017)
Autism spectrum disorder (2017)
Musculoskeletal health (2018)
End of life care (2018)
Mental health (2018)
Brent JSNA Overview Report: 2015/16
K&C/WCC/H&F JSNA chapters reviewed:
Children with special educational needs (Jul 2018)
Young Adults JSNA (Jan 2017)
Housing and Care (Sep 2016)
Childhood obesity (Jan 2016)
End of life care (Jan 2016)
Dementia (Oct 2015)
Physical activity (May 2014)
Child poverty (Apr 2014)
Substance misuse/offender health (Mar 2014)
Tuberculosis (Mar 2014)
Highlights report
Learning disabilities (Jan 2014)

13. Deputy Director of Business Intelligence
For more information:
Andi Orlowski
Deputy Director of Business Intelligence
@ldn_ichp
linkedin/imperialcollegehealthpartners