1. Promoting health and well-being and preventing ill health
Anna Raleigh
Director of Public Health
26th July 2018

2. Horsham and Mid Sussex People and Places
West Sussex JSNA 2018
233,500
There has been a 10.6% increase
in the last 10 years, due to natural growth (more births
than deaths) & inward migration
Residents (2016)
Disability Free Life Expectancy (DFLE)
Births
Age Structure
2,535
Horsham and Mid Sussex CCG has an older age structure compared
with England,
20% of residents
are aged 65+ yrs (England 18%)
England
Horsham & Mid Sx
For men & women, Horsham and Mid Sussex has amongst the highest DFLE in the country (ranked 7th best for men,
8th best for women).
Deaths
2,044
Best Quartile
Horsham and Mid Sussex, overall, is a healthy place to live and grow! frequently in the best 25% of all areas on a range of childhood measures known to have an impact on longer term health and wellbeing, including…
ONS
Getting better all the time
Top Places to
Live, Work &
Retire
Teenage conceptions already low – have continued to fall to the point of there being only 30 conceptions across the whole of Horsham & Mid Sussex local authority areas in 2016.
One of the lowest child poverty rates in the country at 7.3% compared with a national rate of 18.1% and STP area rate of 13.9%.
Towns in West Sussex are frequently featured in national surveys and rated as top places people choose to live, retire or work….and the
county has some of the
sunniest places in the UK!
Deaths (under 75 years) from cardiovascular disease (including heart disease and stroke) Have fallen over last 10 years - Horsham (LA) and Mid Sussex (LA) have some of the lowest rates in the country.
Low rate of childhood obesity, 4th lowest (11.9%) of all CCGs in the country in relation to 10/11 year olds.
Greetings from…
Horsham & Mid Sussex is rich in natural, cultural and historical assets
Beautiful countryside, gardens, parks, leisure facilities, vibrant towns and villages, theatres, cinemas, museums, historic houses, a wide range of employers, lots of groups, associations and organisations……

3. Horsham and Mid Sussex Big Challenges………..
West Sussex JSNA 2018
Ageing Population & ….
Pressures on Working Age
Reduce health inequalities and LTCs
Disability Free Life Expectancy is good…..
46,000 people aged 65+ & rising…projected to increase to over 53,000 within 5 years
Male years
Female years
But there will be with increasing numbers of people with long term health conditions…..currently
Older people a great asset!
Over 22,000 carers…and over 5,000 are aged 65 or over
Over 33,000 with hypertension
Over 10,000 with diabetes
Over 3,000 with COPD
Over 5,000 with Atrial Fibrillation
Large number of older people live alone (over 11, year olds in 2011)
Need to support long term conditions, including support for self-management) and also….. ….. and maximise prevention opportunities

4. Making health and well-being everybody’s business
A Whole-Systems Approach
Activity Across Partners
PLACE
level solutions
Self Care Continuum
Environmental solutions to make the healthier choice the easier choice
Prevent
Self care
Daily Choices
Lifestyle
Self-managed ailments
Long terms conditions
Acute conditions
Compulsory psychiatric care
Major trauma
Residential care
Social marketing / community led support
COMMUNITY
level solutions
Reduce
Digital solutions for self-management
INDIVIDUAL/ SERVICE
level solutions
Community – connectivity / changing social norms
Delay
Public and patient support & materials
Making health and well-being everybody’s business

5. Five key objectives (Prevention)
Support a good start in life
Improve the health and wellbeing of working people
Prevent the development of long term conditions (LTCs)
Improve health outcomes for people with long term conditions
Empower citizens to remain independent in their own homes; strengthen social networks, communities and places.

6. West Sussex Health and Wellbeing Board (HWB)
Vision
“It is our vision to achieve improved health and wellbeing outcomes across all local health and care services and for the whole population. Core to achieving this vision is the widest possible integration of health and care services.”
HWB Membership
West Sussex County Council

7. West Sussex Health and Wellbeing Board (HWB)
West Sussex Joint Health and Wellbeing Strategy (JHWS)
The HWB is in the process of reviewing it’s JHWS for publication in April 2019

8. Thank you