Issue - meetings

An appendix to this item is included in the ‘Supporting Documents’ pack.

Matthew Cole, LBBD Director of Public Health, presented the JSNA report and explained the Statutory background, highlighting that the JSNA is required to be reviewed annually.  This was the first time that the JSNA had been produced in the form of an ‘info graphic’ style assessment and it was hoped that this would make it more user friendly.

The role of the JSNA is to provide information on the needs in the local population in health terms and the emerging demographic and health trends in order to inform key strategies, in particular the Joint Health and Wellbeing Strategy.  The JSNA forms the basis of commissioning decisions and also informs longer-term service planning for partners and the Council, for example Be First, My Place, Community Solutions. 

The Borough has challenges across the life course with a rapidly changing population, with quickly changing health needs.  The Borough’s health and social care planning must reflect its increasing numbers of births, children and young people, the numbers of middle aged people (45 to 65) with significant health issues, which was forecast to peak in 2020, as well as having a sizeable cohort of over 90s.  The details were set out in the report and particular attention was drawn to:

·  Barking and Dagenham’s performance had generally improved, but not at the same pace as other areas. 

·  Pregnancy, Maternity, Post Natal and Breastfeeding 

-   The reduction in teenage pregnancy rates had continued to improve year on year.

-   Maternity Mental Health provision for both post-natal depression and perinatal support.

-   The smoking in pregnancy rates and the whole life negative effects this can have on the child.

-   Breast is best campaigns had not had as significant impact locally so this needed to be explored further.

·  Immunisation Rates

This included maternity, early years / infant, influenza and other immunisation services.

·  Young Child Development

Increasing number of young children that had reached a good stage of development before going to school and the positive impact that would have in both their formative and later education years and life-long achievements. 

·  Education

The importance of good health in children and young people’s attendance and participation at school and college and their attitude to their own future health.

·  Life Expectancy

There had been a small improvement in life expectancy, but the rates were still not as good as other areas in London.

·  Life Style

The impact that life style had on overall life expectancy and how lifestyle choices, such as smoking, healthy diet, adult and child obesity, and lack of regular exercise continued to be a significant challenge; with the consequential poor health and medical and social support that would demand. 

·  Health checks

The impact on increasing life expectancy, reducing poor health and the need for more medical intervention, aggressive treatment and social care.

·  A&E Attendance Rates

Why were parents, especially of young children, defaulting to A&E attendance for medical support?

·  Mental Health

This was a growing area of demand, particularly in children and young people.

·  Income

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