1. Joint Strategic Needs Assessment Devon Overview 2015 Simon Chant Public Health Specialist Thursday 11 June 2015

2. JSNA Development Areas Long-term conditions Qualitative information Protected characteristics Devon Health and Wellbeing website –Improved content management –Interactive profiles and outcomes reports –Map interface

3. JSNA Work Programme JSNA Devon Overview Pharmaceutical Needs Assessment Self-Harm Health Needs Assessment Long-term Conditions HNA Community, town, district and locality profiles Forthcoming health needs assessments covering eye health, children in care and physical disability to include neurological and musculoskeletal conditions Updated Public Health Plans Outcomes monitoring Theme and topic reports

4. JSNA Devon Overview Sections 1.Executive Summary: the main challenges in Devon 2.Introduction 3.Population 4.Equality and Diversity 5.Economy 6.Community and Environment 7.Socio-Economic Deprivation 8.Starting Well: Children, Young People and Families 9.Living Well: Adults 10.Ageing Well: Older People 11.Conclusion

5. Self-Reported Health Bad or Very Bad from 2011 Census (p17)

6. Population Structure / Change (p20) Over the next 20 years Devon will experience more significant growth in those aged 70 and over especially in those aged 90 and over, and a more significant proportionate reduction in those aged 40 to 65

7. Population Change: 2015 to 2035 Aged 0 to 19 160,400 to 171,200(+10,800, +6.9%) Aged 20 to 39 157,300 to 162,200(+4,900, +3.1%) Aged 40 to 64 255,900 to 242,300(-13,600, -5.3%) Aged 65 to 84 162,000 to 214,600(+52,600, +30.4%) Aged 85 and over 28,300 to 64,900 (+36,600, +120.1%) Total 764,100 to 855,200(+91,100, +11.1%)

8. Critical Issues from the 2012 Devon Economic Assessment (p38) 1.Devon’s economy is performing poorly in terms of productivity 2.Devon has a relatively skilled workforce, however this masks significant differences at a district level 3.Earnings are lower than average in most of Devon and link to housing affordability and relative poverty 4.Devon has an opportunity to better exploit the assets it has for high value economic growth 5.Devon’s towns and rural communities in more peripheral areas are falling behind 6.Devon’s population is ageing rapidly 7.Devon’s resilience to face environment changes is being challenged.

9. House Price to Full-Time Earnings Ratio, 2014 (p50)

10. Strategic Assessment: Crime (p45)

11. Air Quality Management Areas (p47)

12. Deprivation (p55)

13. Life Expectancy (LE) at Birth (p63) DistrictOverall LE Ward with Shortest LE Shortest LE Ward with Longest LE Longest LE Gap (years) East Devon82.8 Exmouth Littleham 80.0 Newton Poppleford and Harpford 89.69.6 Exeter81.8Newtown77.4Topsham85.98.5 Mid Devon83.0 Cullompton North 79.6Upper Culm85.96.3 North Devon81.5 Ilfracombe Central 74.6Chittlehampton87.713.1 South Hams82.9 Totnes Bridgetown 79.0Marldon86.77.7 Teignbridge82.1 Newton Abbot: College 78.8 Kerswell-with- Combe 86.17.3 Torridge81.8Kenwith79.6Three Moors89.29.6 West Devon82.1 Okehampton West 79.7Milton Ford86.16.4 Devon82.3 Ilfracombe Central 74.6 Newton Poppleford and Harpford 89.615.0

14. Main A&E injury types aged 0-19 (p68)

15. Qualitative

16. The 20 leading risk factors relating to ill health in adults (p82)

17. Health Related Behaviours and Risk Factors – Recent Changes (p59-115) PatternHealth-Related Behaviour or Risk Factor ImprovingDrug use in general Excessive alcohol consumption Smoking Teenage pregnancy Physical activity in children StablePhysical activity in adults Excess weight in children Fruit and vegetable consumption WorseningExcess weight in adults New Psychoactive Substances (NPS) Powder Cocaine usage

18. Cancer Health Inequalities (p110)

19. Long-Term Condition Costs (p105) AsthmaCHDCKDCOPDDiabetesEpilepsyHFStroke 43.664.712.523.345.915.417.452.4 1.84.81.17.16.62.00.93.0 Total estimated cost of condition across health and social care system (£ millions) Excess estimated cost of condition due to higher prevalence in more deprived areas (£ millions) 36.159.911.416.239.3 13.4 16.549.5 Reduced estimated cost if prevalence reduced to levels in least deprived areas (£ millions) Source: South West Academic Health Science Network, Symphony Project Data for Somerset modelled for Devon with further analysis by the Devon Public Health Intelligence Team, 2015

20. Multi-Morbidity (p114)

21. Increased risk of other long-term conditions when a specific condition is present (p115) Source: South West Academic Health Science Network, Symphony Project Data for Somerset modelled for Devon with further analysis by the Devon PHIT, 2015

22. Dementia Projections (p131)

23. The main challenges in Devon (p134) An ageing and growing population Financial pressures Rurality and access to services Dispersed pockets of deprivation / inequalities Complex organisational configuration Below average earnings and high cost of living Prevention and the 10-15 year inequalities gap Mental health Changing patterns of health-related behaviour Long-term conditions and multi-morbidity A diverse population. Inequality takes many forms