Joint Strategic Needs Assessment

ONE YEAR ON

Dr Jane RossiniDeputy Director of Public HealthDecember 2008

• 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

• Expected a lot of requests – Didn’t get them so…

Quiz time

Expectations

• How long can a man in Stockport expect to live?

A.69 yearsB.79 yearsC.82 years

Answer: B

Question One

• 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

• 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

• The Aging Population

– Who are they?– Where are they?– What does it mean for us?

Burning Issues

• 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

• The Aging PopulationBurning 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

Per

cen

tag

e C

han

ge

• 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

• 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

• Heart Disease

• Cancer

• Lifestyle……watch out for alcohol

Inequalities

• How many units of alcohol are there in a 14% abv bottle of wine?

A 7B 8.5C 9D 10.5E 11

Answer D=10.5

Question 5

• How much does smoking one cigarette take off your life? A 10 secondsB 45 secondsC 2 minutesD 7 minutes          Answer D=7 minutes

Question 6

• What do people in Stockport say has the biggest impact on their health?

A High calorie dietC StressB SmokingD Not enough exercise

Answer C=Stress

Question 7

• 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

• 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

“In God we Trust –

All else bring data”

Lord Demming

Finally – the new world?