Agenda item

JSNA 2016 PRESENTATION AND AN UPDATE ON THE HWB STRATEGY

Dr Agnes Marossy will present on the 2016 JSNA, and will update on the HWB Strategy.

Minutes:

The presentation was given by Dr Agnes Marossy, Consultant in Public Health.

 

It was noted that the purpose of the JSNA was to identify the current and future health and wellbeing needs of the people of Bromley, taking into account existing services. The content of the 2016 JSNA was:

 

·  The Population of Bromley: Demography

·  The Health of People in Bromley

·  In Depth Areas

·  Domestic Violence

·  Housing and Homelessness

·  Sexual Health

·  Alcohol Use in Bromley

 

There were also updates on Populations of Interest which were:

 

·  Children & Young People

·  Physical Disability & Sensory Impairment

·  End of Life Care

 

It was noted that the population of Bromley was rising, and was expected to keep doing so and that the percentage of elderly people was also expected to continue increasing.

 

The report highlighted that inequalities in life expectancy existed in Bromley, and the lowest life expectancy for both males and females was in the Crystal Palace Ward.

 

The three primary cause of death in Bromley were:

 

  Circulatory Disease – 29.1%

  Cancer – 29.0%

  Respiratory Disease – 13.3%

 

The Board noted that Bromley was ranked as the sixth highest prevalence of excess weight in London, 63.8% of Bromley’s population were either overweight or obese, which represented approximately 197,392 adults. There were nearly 30,000 people in Bromley at risk of diabetes.

 

Dr Marossy outlined some data pertaining to domestic abuse as follows:

 

·  2480 DV Offences in 2015-16

·  65% unreported

·  Most victims and perpetrators in the 21 to 30 year age group

·  Many children were affected (81 have attended Bromley Children’s Group Work Programme). 

 

 A graph was displayed that showed that the percentage of homeless applications being accepted was increasing.

 

The Board was concerned to note that there had been a 225% increase in the use of temporary accommodation since 2011 (projected to reach 1387 households in 2017). The current profile of households in temporary housing included:

 

·  80% of families with dependent children/ pregnancy (63% lone parents)

·  1724 school aged children in temporary accommodation (934 out of borough)

·  More than 280 households have been in temporary accommodation for over two years 

 

Dr Marossy briefed the Board on a data that had been accumulated after a Single Homeless Needs Audit:

 

·  High physical and mental health needs

·  Frequent users of emergency services

·  Poor access to preventative health care

·  Need more consistent approach at hospital discharge. 

 

The Board noted an update on sexual health data as follows:

 

·  There were rising rates of syphilis and gonorrhoea (above national average).

·  The highest rates were in the North West of the Borough

·  The highest risk factor groups were men who had sex with men (MSM) and young people aged 15 to 24 years

 

It was also the case that rates of HIV were increasing.

 

There was some good news to report in that the rate of teenage pregnancies had decreased.

 

The Board were reminded of the current HWB priorities which were:

 

·  Obesity - still significant health needs

·  Diabetes  - still significant health needs, but services improved and developed e.g. NDPP

·  Dementia – hubs, Dementia Alliance

·  Young People’s Mental Health

 

Dr Marossy concluded the presentation by suggesting a HWB Strategy based on pathway based priorities for vulnerable groups. A vulnerable group could consist of the homeless, those suffering from domestic abuse, the elderly, the socially isolated, or those with mental health issues. The health and wellbeing of children would also be integral to any revised strategy.

 

Dr Lemic agreed that a revised HWB Strategy was now required. She welcomed input from Board members concerning this.

 

Mr Guntrip suggested that as there was an ever increasing number of the aged in Bromley, it would be a profitable if employers spent some time with employees in helping them with holistic retirement planning. The Chairman agreed that consideration should now be given as to how people in their 70’s and 80’s could be kept fitter and less frail. The parameters needed to be extended.

 

Dr Bhan noted the increasing numbers of the population that were reaching the age of 100+, and that there was an increasing number of the elderly attending A&E who were aged 90+.

 

Mr Guntrip suggested that LBB could consider a fostering service for older people. Cllr Evans responded that this service already existed with ‘Bromley Shared Lives.’

 

Cllr Colin Smith commented that these issues had been discussed for the last 20 years, but that people were disinterested. What would be required was an effective communications strategy so that people would pay attention.

 

Cllr Carr felt that it was important to avoid duplication. He wondered how much success around health matters locally, was correlated to national schemes and national advertising/marketing. He referred to diabetes, and wondered what the factors were that resulted in successful outcomes. 

 

Dr Lemic referenced the Diabetes National Programme and stated that it was possible to evaluate what had worked on a national level, and apply these principles locally. It was the case that media influence was confirmed. Local strategies had been applied that were working and bearing fruit, and these included compressed morbidity. It was important to continue with what was  working well and benefit from economies scale where possible.

 

RESOLVED that the JSNA and HWB Strategy Update be noted, and that members feed back to Dr Marossy or Dr Lemic if they wished to make any suggestions for the revised HWB Strategy.