1. Do not use fonts other than Arial for your presentations Joint Strategic Needs Assessment 2011-12 South Lakeland Locality Stakeholder Panel Monday 14th 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 South Lakeland Source: Office for National Statistics, 2010

13. Do not use fonts other than Arial for your presentations Rurality Aged 65+ England Cumbria South Lakeland 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 South Lakeland 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 There has been rapid population increase The proportion of the population of working age has fallen significantly Levels of self employment are high High levels of self employment may reflect a lack of full-time employment opportunities Educational attainment is high and the population of working age is well qualified Despite a highly qualified population, workplace earnings are below average For some, part-time employment offers opportunities for flexible work High levels of part-time employment may reduce quality of employment and lead to double-jobbing Conventional measures of area deprivation are low Communities experience disadvantages in accessing services

18. Do not use fonts other than Arial for your presentations Business and Enterprise STRENGTHSWEAKNESSES Tourism and recreation are significant and growing economic activities Eden and South Lakeland have many important industrial employers Employment in the industrial sector has declined considerably since 2003 A high proportion of people work in small businesses and there is a high rate of new firm foundation The rate of business closure is above average indicating high levels of churn

19. Do not use fonts other than Arial for your presentations Infrastructure & Environment STRENGTHSWEAKNESSES Eden and South Lakeland contain some of the UK’s finest natural environments High residential desirability and tourism generates very high demand for housing The demand for housing distorts local housing markets and reduces the affordability of housing for residents on average earnings East Cumbria has good north-south road and rail links Despite good road and rail links there is a considerable shortage of employment land ready for use

20. Do not use fonts other than Arial for your presentations Community Safety South Lakeland has the 2 nd lowest level of crime in Cumbria and is the seventh least deprived district in England in terms of crime Levels of crime are falling (6.1% since last year) Yet drug crime, hate crime and domestic violence are on the rise, as well as hospital admissions for alcohol attributable conditions Typical offender in South Lakeland is likely to be aged 18-30 years and male Crime and disorder is most prevalent in Kendal

21. Do not use fonts other than Arial for your presentations Housing The mean average house price in South Lakeland is £238,205, over £70,000 more than the county average of £167,455 The mean housing affordability ratio for the district is 7, above the county average of 5.2 24.6% of households in South Lakeland are fuel poor compared to 24.1% in Cumbria

22. Do not use fonts other than Arial for your presentations Demand on the Health and Social Care System Per 1000 the population Health DemandActual South Lakeland CumbriaSouth Lakeland Calls to Cumbria Health on Call 15,141141250 Less calls than Cumbria Admissions to hospital 11,007102115 Less admissions than Cumbria Calls to the Ambulance Service 12,298115108 More calls than Cumbria

23. Do not use fonts other than Arial for your presentations Demand on the health and Social Care System Adults 3848 adult social care service users accessing 12844 services 2694 new referrals to adult social care services, with 1194 resulting in a full assessment Children 51 looked after children 90 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 81% (3109) 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)

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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