1. Joint Strategic Needs Assessment (JSNA) September 2011 Update to JSNA 2009/10

2. Context Development of a Health and Wellbeing Strategy Support aim of the ‘Derby Plan’ to ensure the people of Derby enjoy good health and wellbeing: - more people living longer in better health - better health at work - better metal health and wellbeing Aim to develop key priorities

3. Housing Poor housing a particular risk to vulnerable and older residents e.g. winter deaths and falls 31% of private sector dwellings in Derby are non-decent and 22% are lacking thermal comfort Homelessness linked to poor physical and mental health and premature mortality Over 7,000 applicants for social housing Over 4,000 empty properties

4. Smoking 25.9% of ‘all adults’ in Derby smoke - significantly higher than the England average of 21% Prevalence varies significantly between groups Derby has worse rates than the national and family average for: - smoking attributable hospital admission - oral cancer registrations Derby has better rates than the family average for: - smoking attributable deaths - smoking attributable deaths from heart disease

5. Alcohol Average alcohol intake increasing 22.5% of the population binge-drink Derby has comparatively poor: - alcohol-related hospital admissions - alcohol-attributable recorded crimes including violent crimes and sexual offences Heavy alcohol consumption can lead to over 40 conditions, including cancer, stroke, liver disease and heart disease

6. Obesity Around one-quarter of adults are obese Almost three-quarters of people do not eat a healthy diet Just 13.6% of adults take part in three sessions of moderate exercise (was 19.2% in 2008/09) Obesity is linked to reduced life expectancy Obesity increases the risk of developing conditions such as: heart disease; cancer; stroke; and diabetes Obesity in pregnancy increases the risk of congenital abnormalities

7. Cancer Incidence of male cancers significantly higher in Derby than region and nationally Rate of premature mortality from cancer in Derby is significantly higher than seen nationally and across the East Midlands Uptake of breast and bowel screening varies significantly across the city

8. Cardiovascular disease (CVD) Mortality rates in Derby from CVD are significantly higher than the national rate but have decreased by 44.7% since 1995-7 The gap in CVD mortality for persons under 75 years between the most and least deprived areas has increased by 16.5% between 2001 and 2009 Derby has a higher rate of emergency admissions due to stroke than national and regional averages

9. Identifying the priorities