JSNA 2015Dr Agnes Marossy

Consultant in Public Health Medicine

The purpose of the JSNA is to identify the current and future health and wellbeing needs of the people of Bromley, taking into account existing services.

What is the JSNA?

• The Population of Bromley: Numbers and types of people

• The Health of People in Bromley In Depth Areas• Housing and Homelessness• Older People’s Health• People in Care Homes• Excess Winter Deaths• Vulnerable Young People

JSNA Content

• Populations of Interest• Children & Young People• Older People• Learning Disability• Physical Disability & Sensory Impairment• Mental Health• End of Life Care• Carers• Substance Misuse• Alcohol

JSNA Content

KEY POINTS FROM JSNA 2015

Population: 320,100 Population is rising and is expected to

increase to 327,100 by 2020 The proportion of older people (17.7%) is

expected to continue to increase 17.9% of the population is made up of BME

groups 3.2% (9,904) of the population described

their health as ‘bad’ (2011 census)

6

Demography

Inequalities in life expectancy, although improving, still exist.

Gap between most and least deprived areas, 9 years for men, 6.6 years for women.

Lowest LE for men: Crystal Palace (76.4y), Mottingham & Chislehurst North

Lowest LE for women: Crystal Palace (80.8y), Plaistow & Sundridge

Life Expectancy

Causes of Mortality (2010-14):

Circulatory Disease – 30.4% Cancer – 30% Respiratory Disease – 13.2%

Burden of Disease

More than 3000 households present at imminent risk of homelessness each year

Of those in priority need for housing support, 66% have dependent children.

There is an increasing demand for housing support for young people aged 16 to 24 years, for people with mental health needs, and for private and intermediate older person’s accommodation in Bromley.

Homelessness

39.6%

21.3%

13.4%

33.6%

30.5%

25.8%

17.5%

25.3%

27.9%

6.5%

14.0%

18.8%

2.1%

6.0%

8.7%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

65 to 74 y 75 to 84y Over 85y

Perc

enta

ge o

f Age

Gro

up

Age Group and No. of Comorbidities

Age Distribution of Number of Comorbidities in over 65s Bromley

0

1

2

3

4

0

1

2

3

4

0

1

2

3

4

0

12

3

4

4

Older People’s Health

People in Care Homes

53.2% 51.3%

22.6% 20.7%17.3% 15.6% 13.7%

10.4% 8.6%5.6% 5.0%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

Hyp

erte

nsio

n

Dem

entia

Stro

ke

Chro

nic

Kidn

ey D

isea

se

AF

IHD

Dia

bete

s

Canc

er

Hea

rt F

ailu

re

COPD

Ast

hma

Dis

ease

Pre

vale

nce

Comparison of Disease Prevalence in Care Home and General Population over 65 Years of Age in Bromley

Bromley Care Homes Bromley Over 65 year Population

Excess Winter Deaths

~8000 children in Bromley schools with Special Educational Needs

~ 1600 with Statements of Special Educational Needs

Both above the national and London average

In particular, the proportion of pupils with speech, language and communication needs is significantly above average

Children & Young People

Looked after Children◦ 72% have special educational needs◦ 20% placed out of the borough and more than 20

miles from where they used to live ◦ 43% not in education, employment or training◦ most common presenting problems were extreme

neglect and emotional abuse

Children & Young People

Hypertension – 46,266

Battling the Dragons of Obesity and Diabetes

DiabetesObesity

29,800 people at

risk of diabetes

And the challenge becomes greater…

Dementia - 4102

Alcohol

HIG

H B

URD

ENLO

W

BURD

EN

IMPROVING WORSENING

DIABETESADULT OBESITY

ALCOHOL MISUSEDEMENTIA

LIFE EXPECTANCYCORONARY HEART DISEASE/STROKE

CANCERSMOKING

TEENAGE PREGNANCYSUICIDE IN ADULTSSUBSTANCE MISUSE

HIVSELF HARM AND EMOTIONAL WELLBEING IN

YOUNG PEOPLEHOMELESSNESS

CHILDHOOD OBESITY

HIGH BLOOD PRESSURE

Diabetes Obesity Dementia Emotional Wellbeing of Young People

Health & Wellbeing Strategy Priorities