Agenda item

Members of the Board considered a verbal presentation from Dr David Wright and Peter Maxson, Linx Consultancy, in relation to the Joint Strategic Needs Assessment refresh.  The presentation contained the following information:

Aims of the JSNA refresh were:

·        Describe the analyses of data to show the health and wellbeing status of local communities

·        Define where inequalities exist

·        Highlight key findings based on the information and evidence collected

·        Identify changes that have occurred and what these changes mean for Bury

·        Identify areas for further analysis and exploration

The data is split into six categories; Pregnancy and Early Years; Children and Young People; Lifestyle and the Living Environment; Work and Welfare; Vulnerability; Ill Health and Mortality.  The JSNA provides comparisons between Bury and other areas including ONS comparator areas, the North West and national.

Pregnancy and Early Years; Bury has an infant mortality rate of just 3 per 1000 live births, better than all comparators. However, early access to maternity care was 65.3% in 2011/12 – well below all comparators, over 70% in England and over 80% in Stockport.  Proportion of baby’s breastfed after birth and at 6/8 weeks is below national and average against comparators.

Children and Young People; Bury continues to performs very well in terms of GCSE attainment and reported low rates of absence/exclusion.

The percentage of residents seeing a dentist is well below the comparator group; a pattern replicated amongst adults.

Performance is good at GCSE but comparatively poor at Key Stage 2 and worse than all comparators at Early Years stage.

Lifestyle and the Living Environment; According to latest Sport England figures the proportion of adults engaging in recommended level of weekly exercise is below all comparators at 22.9%. The rate is lower for women (18.5%), for BME residents (17.3%). It also drops considerably with age, with just 12.2% of those over 55 engaging in regular exercise.

Bury’s rate for under 19 emergency asthma admissions is higher than all comparators and almost twice the national position.

Work and Welfare; education amongst adults remains good in Bury, higher than all comparators, except Stockport.

Unemployment is high however, the percentage claiming Job Seekers Allowance is average, but including those who are choosing not to work, Bury has the 2nd highest rate behind Stockton, and higher than national/regional at 9.7%.

Vulnerability; Bury performs well in terms of reported quality of life by social care users and carers. Also has the lowest rate for hip and knee replacements over the age of 65. Proportion of households in fuel poverty also lower than all comparators at 16.4%.

By contrast, despite the low rate for hip replacements the level of admissions for hip fracture (often a result of trips and falls) is higher than all comparators. The rate of family homelessness (which is where the applicant household in priority need has a child or pregnancy) is again above all comparators.

Ill Health and Mortality; In terms of prevention rates for breast and cervical screening Bury is above regional and national levels.

Crude Quality and Outcomes Framework stats suggest cancer rate is low. However age standardised data shows a higher prevalence than national and regional and most of the comparator areas for all cancers, as well as the individual categories (e.g. breast, colorectal, lung and prostate).

Questions were invited from those present at the meeting and the following points were raised:-

The Executive Director, Children’s and Families queried the accuracy of some of the data contained within the presentation. 

The Chief Operating Officer, CCG, reported that he would like to see contained with the Joint Strategic Needs Assessment information regarding the mobility of the population within the Borough.

The Chief Operating Officer, CCG, reported that the figures in relation to access to maternity care are different from those held by the Clinical Commissioning Group.  Also the rate for emergency asthma admissions would be affected by the facilities provided on each hospital site for example if a hospital has an emergency paediatric observation unit.

        Delegated decision:

1.                The Joint Strategic Needs Assessment refresh would be circulated to all members of the Health and Wellbeing Board.

2.                Any comments would be forwarded onto the Public Health Service Manager by Friday 3^rd October 2013.

3.                Once comments have been received, the Joint Strategic Needs Assessment refresh would be circulated to stakeholders for consultation.