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Health of People in St Helens

 The JSNA (Joint Strategic Needs Assessment) shows the current and future health needs of the people in St Helens. 

What is a Joint Strategic Needs Assessment (JSNA)?

A Joint Strategic Needs Assessment (JSNA) is a process that looks at the current and future health, care and wellbeing needs of St. Helens residents to inform and guide the planning and commissioning of health, wellbeing and social care services. The JSNA in St. Helens brings together information from many different sources and partners relating to the population of St. Helens.

The statutory responsibility for compiling a JSNA is shared between St.Helens Council and St. Helens Clinical Commissioning Group (CCG) via St. Helens People’s Board.  The Department of Health has provided a statutory guidance document for JSNA’s.

The JSNA is intended to do the following;

  • Investigate wider social factors that have an impact on health and wellbeing, factors such as poverty, housing and employment
  • Look at the health of the population, what behaviours affect health and wellbeing such as smoking, diet and exercise
  • Provide a common overview of health and care needs for the local community
  • Identify health inequalities
  • Provide evidence of effectiveness of health and care interventions
  • Document current service provision
  • Identify gaps in health and social services and unmet needs.

 

The JSNA takes information and data relating to the population, e.g. population numbers, smoking level, life expectancy, causes of mortality, etc., and collates, analyses and evaluates this population-level data. This provides an overview of need in the Borough and helps to identify areas of concern and to highlight key achievements.

The Joint Strategic Needs Assessment (JSNA) is currently being revised and rewritten. A summary of the Early Years and Maternity and the Children and Young People chapters are available, see below.

Whilst our JSNA is in the process of being refreshed, Public Health England (PHE) have recently published their latest Health Profiles for Local Authority areas. The Health Profiles cover areas including the wider community, children and young people's health, adult health, disease and poor health, life expectancy and health inequality.

Who is the JSNA for?

The main audience for JSNA are health and social care commissioners. However, it is intended to be used by a wide variety of people and groups to prepare bids and business cases, to ensure voluntary and community groups can meet their community’s needs and represent their views, to assist in the future development of services and to access local health and wellbeing information, plans and commissioning recommendations.

The JSNA is a continuous process and is updated as new information becomes available.

As each chapter of the JSNA is revised and re-written the chapter report will be published on info4St.Helens. The following chapters are available, see below.

JSNA 2017 - Maternity and Early Years

Giving every child the best start in life is a key recommendation from ‘Fair Society, Healthy Lives’ (2010). This report from Marmot highlights the need to reduce inequalities by ensuring children during the early years of life are provided with the physical, intellectual and social skills necessary to develop into healthy and resilient children and adults.

This chapter of the strategic assessment explores maternal and early years’ health in St. Helens. It will provide an overview of need in the Borough and highlight both areas of improvement and of concern.

Key findings

  • Smoking in pregnancy increases the risks of miscarriage, premature birth, still birth and low birth-weight. The rate of smoking during pregnancy has decreased in recent years from 22% in 2010 to 16% in 2015/16. Rates remain higher than the North West (13.7%) and England (10.6%) averages.

 

  • In 2014/15, the rate for admissions for gastroenteritis in infants under 1 year old in St.Helens was more than double the England rate (PHOF, 2017). Breastfeeding, good hygiene, a healthy diet, support for young parents and increased awareness of home management of illnesses can reduce hospitalisation for the condition.

 

  • Breastfeeding rates are improving slowly. However, they still remain below the England and regional averages. Breastfeeding rates vary by ward; the most deprived wards have the lowest breastfeeding rate.

 

  • For the majority of vaccination programmes, St.Helens performs better than the England rate.

 

  • Infant mortality in St Helens is the lowest in the North West and the national average. The most recent rate for St. Helens of 2.8 per 1,000 births is less than half that of nine years ago (8.0 per 1,000 births).

 

For a more detailed analysis of the key areas of maternal and early year’s health, please refer to the JSNA 2017 - Maternity and Early Years Report. This will be published here once it has been formally approved by St. Helens People's Board at the September meeting.

JSNA 2017 - Children and Young People

Giving every child the best start in life is a key recommendation from ‘Fair Society, Healthy Lives’ (2010). This report from Marmot highlights the need to reduce inequalities by ensuring children during the early years of life are provided with the physical, intellectual and social skills necessary to develop into healthy and resilient children and adults.

This chapter of the strategic assessment explores the health and wellbeing of children and young people in St. Helens from educational attainment to lifestyle factors and hospital admissions. It will provide an overview of need in the Borough and highlight both areas of improvement and of concern.

Key findings

  • Alcohol harm to young people in St. Helens remains significant. The rate of alcohol-specific hospital admissions in St. Helens of under-18s is the 6th highest in the North West and higher than neighbouring authorities

 

  • The level of self-harm remains a significant local issue. In 2015/16, St. Helens had the third highest rate in England.

 

  • Helens has a high rate of admissions due to mental health problems, the second highest in Merseyside and above both North West and England averages.

 

  • Hospital admissions for unintentional and deliberate injuries for children and young people are high locally. Admissions for children aged 0-14 years is 18th highest in England and admissions for those aged 15-24 years is third highest in England.

 

  • High levels of children in need and looked after children and safeguarding children locally remains a significant challenge.

 

  • The health implications of domestic abuse can be short term or long term and the impact of domestic violence (DV) cannot be underestimated. In 2015/16, 1,119 (over 50%) assessments of child need found a risk due to DV.

 

  • In 2015, there were 87 under-18 conceptions, the lowest number in St. Helens since 1998. Although, the overall trend is downwards, rates remain higher than national and North West rates.

 

  • The number of young people smoking is decreasing, from 18% in 2013 to 8% in 2015. The value in St. Helens is now lower than the regional average of 10%.

 

  • Being a healthy weight is important for a child’s personal development and wellbeing. Between Reception and Year 6, an increase is seen in all weight categories, in St. Helens and in comparison to England, St. Helens children are significantly more likely to be obese.

 

  • In St. Helens around 1 in 3 (33%) children aged 5 years have decayed, missing or filled teeth, which is higher than the national average of 28%.

 

  • There are growing numbers of children and young people with special educational needs and disability. The number of children on an Education, Health and Care plan or Statement of Special Educational Needs has increased year on year since 2013.

 

For a more detailed analysis of the key areas affecting children and young people, please refer to the JSNA 2017 - Children and Young People Report. This will be published here once it has been formally approved by St. Helens People's Board at the September meeting.

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