1. Joint Strategic Needs Assessment ONE YEAR ON Dr Jane Rossini Deputy Director of Public Health December 2008

2. Very Busy Programme of work  Data Quality  Website Development  Older People’s Pilot  Voice  Public Face of JSNA  Engaging Commissioners World Class Commissioning Behind the Scenes

3. Expected a lot of requests – Didn’t get them so… Quiz time Expectations

4. How long can a man in Stockport expect to live? A.69 years B.79 years C.82 years Answer: B Question One

5. Which of the following is True? A.The birth rate in Stockport is steady B.MRSA rates in Stockport are high C.The alcohol problem in Stockport is so bad only Blackpool, and 2 other PCTs are worse than us Answer: C Question Two

6. Which of the following is false? A.Populations from minority ethnic groups are on the whole ageing and affluent B.In Stockport there are more babies born to mothers aged over 40 than aged 17 and under C.10% of the adult population in Stockport are out of work and on incapacity benefit Answer A Question Three

7. The Aging Population –Who are they? –Where are they? –What does it mean for us? Burning Issues

8. 2,700 people aged 65 and over (700 aged over 85) 1,400 additional admissions £2 million in additional expenditure 3,400 additional contacts with DN teams at an additional cost of £110,000 The oldest old will be more likely to come from the higher social classes – the higher the social class, the longer people will live. Burning Issues

9. The Aging Population Burning Issues 2001 to 2007 - Change in popualtion aged 65+ -10.4% -5.6% 2.0% 5.2% 17.1% -15% -10% -5% 0% 5% 10% 15% 20% Most deprived qunitile nationally Second most deprived qunitile nationally Mid deprived qunitile nationally Second least deprived qunitile nationally Least deprived qunitile nationally Qunitile of Deprivation Percentage Change

10. Rising More births proportionally in our most deprived communities. Current service models do not meet the needs these families as well as they met the needs of the affluent families Ok………………… Birth Rate

11. which of the following is false? A. Low birth weight is linked to low educational attainment B. Breast feeding protects against obesity in adult life C. A&E attendances for chest infections in children are higher in deprived areas. D. Rate of weight gain as an infant has no impact on health in later life Answer D Question 4

12. Heart Disease Cancer Lifestyle……watch out for alcohol Inequalities

13. How many units of alcohol are there in a 14% abv bottle of wine? A7 B8.5 C9 D10.5 E11 Answer D=10.5 Question 5

14. How much does smoking one cigarette take off your life? A10 seconds B45 seconds C2 minutes D7 minutes Answer D=7 minutes Question 6

15. What do people in Stockport say has the biggest impact on their health? AHigh calorie diet CStress BSmoking DNot enough exercise Answer C=Stress Question 7

16. Continues to be priority Now think 3 phases i.Citizen voice – action shapiro ii.Service user voice – pathway redesign alongside clinicians iii.Basic customer experience – quality agenda “hotel” experience Voice

17. Provide you an analyst for any work you are doing or embarking on Provide challenge back into the system Investing for maximum impact “bang for your buck” – economic evaluations Expectations - Again

18. “In God we Trust – All else bring data” Lord Demming Finally – the new world?