1. Note: information shown from unpublished report - not for further circulation Joint Strategic Needs Assessment (JSNA) September 2011 Update to JSNA 2009/10

2. Note: information shown from unpublished report - not for further circulation What is the JSNA? The Joint Strategic Needs Assessment (JSNA) has been a statutory requirement for upper-tier Local Authorities and Primary Care Trusts since 2008 Purpose – to analyse the health needs of the population to inform the commissioning of health, wellbeing and social care services

3. Note: information shown from unpublished report - not for further circulation JSNA content ‘Light touch’ refresh focusing on: Demographic profile of Derby Social and environmental Lifestyle Burden of ill health Child health and wellbeing Ward-level analysis

4. Note: information shown from unpublished report - not for further circulation Social & environmental Derby is ‘relatively’ deprived Big variation in level of deprivation across the city Estimated that 15% Derby households suffer ‘fuel poverty’ Over 7,000 applicants for social housing Over 4,000 empty properties

5. Note: information shown from unpublished report - not for further circulation Lifestyle One-quarter of adults smoke Over one-fifth binge drink Around 2,000 problematic drug users One-quarter of adults are obese Links to poor health; hospital admissions; reduced life expectancy

6. Note: information shown from unpublished report - not for further circulation Burden of ill-health Four of the five biggest causes of death in Derby are from cancers and circulatory diseases Premature death from cancer in Derby higher than the national average Mortality rates from cardiovascular disease higher than national – but are reducing Emergency admissions for stroke higher in Derby than England average

7. Note: information shown from unpublished report - not for further circulation Child health and wellbeing Derby is better than the national average: - % children participating in 3 hours sport - GCSE pass rate (5A*-C) Derby is worse than the national average: - MMR immunisation - Hospital admissions due to substance misuse (age 15-24) - First time entrants to Youth Justice System - Rate of family homelessness

8. Note: information shown from unpublished report - not for further circulation JSNA 2012

9. Note: information shown from unpublished report - not for further circulation Changing environment Public Health function moving from the NHS to the Local Authority Development of GP-led Clinical Commissioning Groups Establishment of Health and Wellbeing Boards

10. Note: information shown from unpublished report - not for further circulation Changing document Wider range of ‘clients’ Wider engagement/ involvement in development Different presentation and delivery?

11. Note: information shown from unpublished report - not for further circulation Why get involved? Shape content – provide information on (or links to) specific groups or issues that could otherwise be missed - add information on services currently being delivered outside of public sector Shape how it is presented and used Help ensure need and gaps in delivery identified Identify priorities

12. Note: information shown from unpublished report - not for further circulation How? Ongoing relationship Through network/ or individuals? By: - specific community/ group e.g. young people - specific issue e.g. smoking; housing - locality/ neighbourhood - other/ combination?

13. Note: information shown from unpublished report - not for further circulation Ideas and next steps…