1. Do not use fonts other than Arial for your presentations Joint Strategic Needs Assessment 2011-12 Allerdale Locality Stakeholder Panel Monday 7 th November

2. Do not use fonts other than Arial for your presentations Content Introduction to the JSNA Background & context Demand on health and social care system Long-term conditions Mental health & well-being Living conditions & health inequalities Lifestyle & behaviours Summary

3. Do not use fonts other than Arial for your presentations Welcome Welcome to the JSNA locality stakeholder panel Purpose – to begin the process of developing an enhanced JSNA for Cumbria This is the responsibility of the Health and Wellbeing Board Plan to have this in place by April 2012 Feeds in to the Joint Health and Wellbeing Strategy (June 2012)

4. Do not use fonts other than Arial for your presentations What is a JSNA? Describes health and wellbeing in Cumbria Describes strategic direction of services Based on wide range of current information and evidence JSNA products, county and locality narratives, online information

5. Do not use fonts other than Arial for your presentations Who is involved? Cumbria County Council NHS Cumbria Cumbria Intelligence Observatory District Councils Third Sector LINKs Probation, police and other partners

6. Do not use fonts other than Arial for your presentations Why do we need a JSNA? Current JSNA needs to be updated Important role in the Health and Social Care Bill HWWB role in Joint Health and Wellbeing Strategy and JSNA JSNA supports the Joint Health and Wellbeing Strategy (JHWBS) Commissioning Plans 2013 need to take account of JHWBS

7. Do not use fonts other than Arial for your presentations What are the challenges? Ageing Population Mental health and alcohol issues Health of children and young people Health inequalities

8. Do not use fonts other than Arial for your presentations What do we want from you? Your ideas and feedback on the information presented Views on local needs and priorities Information on local strengths and assets Help to develop a local narrative for JSNA

9. Do not use fonts other than Arial for your presentations Overall Deprivation Score Source: Indices of Deprivation 2010

10. Do not use fonts other than Arial for your presentations Health Deprivation Score Source: Indices of Deprivation 2010

11. Do not use fonts other than Arial for your presentations Life Expectancy Healthy Life Expectancy Source: Office for National Statistics

12. Do not use fonts other than Arial for your presentations Rurality England Cumbria Allerdale Source: Office for National Statistics, 2010

13. Do not use fonts other than Arial for your presentations Rurality Aged 65+ England Cumbria Allerdale Source: Office for National Statistics, 2010

14. Do not use fonts other than Arial for your presentations Barriers to Services & Housing Source: Indices of Deprivation, 2010

15. Do not use fonts other than Arial for your presentations Allerdale Population Source: Office for National Statistics “Known”Forecasted

16. Do not use fonts other than Arial for your presentations Median Household Income (£) Source: CACI Paycheck, 2011

17. Do not use fonts other than Arial for your presentations People and Communities STRENGTHSWEAKNESSES Since 2001 population totals stabilised and employment has grown The long term population trend over the past 20 years has been marked by decline The nuclear industry has generated growth in employment since 2001 The area is now very dependent on Sellafield for well-paid employment JSA claimant unemployment rates are currently below the national average Levels of deprivation are high in some local areas Educational attainment is comparable with the average for Cumbria There are very low levels of attainment in deprived communities The proportion of residents with high level qualifications is low

18. Do not use fonts other than Arial for your presentations Business and Enterprise STRENGTHSWEAKNESSES West Cumbria derived considerable economic benefit from the nuclear industry The level of dependence on the nuclear sector has increased over time Since 2003, there has been employment increase in hotels and restaurants Employment in retail and wholesale activities has fallen Employment in public services has remained fairly stable up to 2008 Public service jobs which account for 23% of the total are vulnerable Business survival rates have been above average in the past three years The rate of new firm formation has been relatively low The 2009 floods created difficulties for many businesses in West Cumbria

19. Do not use fonts other than Arial for your presentations Infrastructure & Environment STRENGTHSWEAKNESSES West Cumbria has many attractive urban settlements including harbour towns A significant amount of the existing housing stock is of low quality There are rural areas with highly distinctive landscapes and settlements Access to some of the rural areas for visitors and residents alike is poor There have been recent improvements to the A595 and links to the M6 northwards may be improved by the Northern Relief Road at Carlisle West Cumbrian towns experience disadvantage in attracting investment due to remoteness and poor transport links West Cumbria has a considerable amount of available commercial and industrial land There are high quality sites available but an oversupply of poor quality units

20. Do not use fonts other than Arial for your presentations Community Safety Levels of crime are falling (5% since last year) Yet the rate of crime is higher than the County average Businesses crime, domestic violence & KSIs are rising 4 th highest rate of under 18’s admitted into hospital with alcohol specific conditions in England The typical offender in Allerdale likely to be aged 18-30 years and male Crime and disorder is most prevalent in deprived areas Also high number of incidents in certain forms of crime within popular tourist centres especially Keswick

21. Do not use fonts other than Arial for your presentations Housing The mean average house price in Allerdale is £156,112, compared to £167,455 for Cumbria The mean housing affordability ratio for the district is 5, below the county average of 5.2 25.5% of households in Allerdale are fuel poor, above the county average of 24.1%

22. Do not use fonts other than Arial for your presentations Demand on the Health and Social Care System Demand on the health system in Allerdale is slightly less than the County average in the following areas: Per 1000 the population Health DemandActualAllerdaleCumbriaAllerdale Calls to Cumbria Health on Call 22,355226250 Less calls than Cumbria Admissions to hospital 10,913110115 Less admissions than Cumbria Calls to the Ambulance Service 9,78099108 Less calls than Cumbria

23. Do not use fonts other than Arial for your presentations Demand on the health and Social Care System Adults 3,161 adult social care service users accessing 10,972 services 1,947 new referrals to adult social care services, with 945 resulting in a full assessment Children 115 looked after children 182 core assessments completed

24. Do not use fonts other than Arial for your presentations Demand on the Health and Social Care System Adult Social Care 76% (2,399) of the adult service users are aged 65 and over Over 1,100 safeguarding alerts come into adult social care every year

25. Do not use fonts other than Arial for your presentations Demand on the Health and Social Care System Housing need (Adults) Source: Planning 4 Care

26. Do not use fonts other than Arial for your presentations Demand on the Health and Social Care System – Learning Disabilities 2010-30 People aged 18 and over predicted to have a learning disability (Source: PANSI and POPPI based on Emerson and Hatton)

27. Do not use fonts other than Arial for your presentations Demand on the Health and Social Care System – Dementia Figure 14: 2010-2030 The number of people aged over 65 years predicted to have dementia (Source: POPPI)

28. Do not use fonts other than Arial for your presentations

30. Long-term Conditions, Chronic Illness and Disabilities Years of life lost from Cancer Source: National Centre for Health Outcomes Development, 2007-2009

31. Do not use fonts other than Arial for your presentations Years of life lost from Circulatory Disease Long-term Conditions, Chronic Illness and Disabilities Source: National Centre for Health Outcomes Development, 2007-2009

32. Do not use fonts other than Arial for your presentations % of working age population with a disability Long-term Conditions, Chronic Illness and Disabilities Source: Annual Population Survey, 2011

33. Do not use fonts other than Arial for your presentations % of children (0-16years) entitled to Disability Living Allowance Long-term Conditions, Chronic Illness and Disabilities Source: Annual Population Survey, 2011

34. Do not use fonts other than Arial for your presentations % happy or very happy with life Mental Health and Well Being Source: Quality of Life Survey, 2006

35. Do not use fonts other than Arial for your presentations % satisfied with local area Mental Health and Well Being Source: Place Survey Tracker 2009

36. Do not use fonts other than Arial for your presentations Estimated neurotic disorder per 1000 Mental Health and Well Being Source: North East Public Health Observatory, 2008

37. Do not use fonts other than Arial for your presentations Admissions for deliberate self harm per 100,000 Mental Health and Well Being Source: North West Public Health Observatory, 2009-10

38. Do not use fonts other than Arial for your presentations Years of life lost from suicide Mental Health and Well Being Source: National Centre for Health Outcomes Development, 2009-10

39. Do not use fonts other than Arial for your presentations Infant mortality per 1000 births Living Conditions and Health Inequalities Source: National Centre for Health Outcomes Development, 2009

40. Do not use fonts other than Arial for your presentations % born with low birth weight (<2.5kg) Living Conditions and Health Inequalities Source: National Centre for Health Outcomes Development, 2009

41. Do not use fonts other than Arial for your presentations Teenage pregnancy rate Living Conditions and Health Inequalities Source: Office for National Statistics, 2007-2009

42. Do not use fonts other than Arial for your presentations % children living in poverty Living Conditions and Health Inequalities Source: HMRC, 2009

43. Do not use fonts other than Arial for your presentations Claimant to vacancy ratio Living Conditions and Health Inequalities Source: Office for National Statistics, 2011

44. Do not use fonts other than Arial for your presentations % working age adults with level 4 or greater education Living Conditions and Health Inequalities Source: Annual Population Survey, 2010

45. Do not use fonts other than Arial for your presentations % working age adults with disabilities in employment Living conditions and Health Inequalities Source: Annual Population Survey, 2010

46. Do not use fonts other than Arial for your presentations Excess winter deaths Living conditions and Health Inequalities Source: North West Public Health Observatory, 2006-2009

47. Do not use fonts other than Arial for your presentations % of people who agree they can influence decisions in their area Living Conditions and Health Inequalities Source: Place Survey Tracker, 2009

48. Do not use fonts other than Arial for your presentations Estimated smoking prevalence Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010

49. Do not use fonts other than Arial for your presentations Smoking during pregnancy per 100 maternities Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010

50. Do not use fonts other than Arial for your presentations Hospital admissions due to alcohol Lifestyle and Behaviours Source: Local Alcohol Profiles for England, 2009-2010

51. Do not use fonts other than Arial for your presentations % reporting drunk and rowdy behaviour as a problem Lifestyle and Behaviours Source: Place Survey, 2008

52. Do not use fonts other than Arial for your presentations Estimated prevalence of drug misuse (crack and opiates) per 1,000 people Lifestyle and Behaviours Source: North West Public Health Observatory, 2008-2009

53. Do not use fonts other than Arial for your presentations % of people engaging in moderate intensity sport and recreation Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010

54. Do not use fonts other than Arial for your presentations Healthy eating among adults Lifestyle and Behaviours Source: North West Public Health Observatory, 2006-2008

55. Do not use fonts other than Arial for your presentations % of children participating in PE Lifestyle and Behaviours Source: North West Public Health Observatory, 2009-2010

56. Do not use fonts other than Arial for your presentations % of year six children obese Lifestyle and Behaviours Source: National Child Measurement Programme, 2009-2010