Suffolk & North East Essex Integrated Care System

Local Population Needs

Essex and Suffolk County Councils produce comprehensive and on-going  analysis to inform their respective Health and Wellbeing Strategies. These Joint Strategic Needs Assessments (JSNAs) examine the current and future health and care needs of local populations in order to guide the planning and commissioning of services. This evidence-base underpins strategic development at the local authority level (as below)  and at the Alliance level. Also the ICS increasing use is also being made of small area analysis – for example, at the ward and parish level.

Key findings from the Essex Joint Strategic Needs Assessment:
          Improving mental health and wellbeing:
  • 8.7%or 17,390 children and young people aged between 5-16 years have a mental disorder
  • 16% of the population aged 16-74 across Essex have a common mental health disorder
  • Up to 40% of some groups of older people have depression.
  • 25,290 people in Essex are in contact with specialist mental health services, 4,385 on a Care Programme Approach and 160 subject to the Mental Health Act.
  • There is a 72.5% gap in the employment rate between those in contact with secondary mental health services and the overall employment rate.
  • Essex has a suicide rate 10.7 per 100,000 of population. 16.6 per 100,000 males and 5.4 per 100,000 females.
      Influencing conditions and behaviours linked to health inequalities:
  • Life expectancy in Essex–at 80.1 years for males and 83.4 years for females – has decreased and the gap in life expectancy between the most and least deprived areas of Essex has widened to 7.5 years for men and 5.8 years for women.
  • While 16.4% of children in Essex live in low income families – less than the England average – this ranges from 7.9% in Uttlesford to 24% in Tendring.
Enabling and supporting people with long-term conditions and disabilities:
  • In Essex, the forecast growth in over 65s in the next decade is 28%, with a 55% rise in over 85s.
  • Essex County Council supported 3,850 people with dementia during 2016/17, providing services for around 2,640 people at any given time. 32% of admissions to residential care were for people known to have dementia.
  • 17% of the population in Essex report they have a health problem or disability that limits their day-to-day activities and has lasted, or is expected to last, at least 12 months (2011).
  • 38.5 per 1000 of working age people in Essex received Disability Living Allowance in 2014.
Addressing obesity, improving diet and increasing physical activity:
  • Around 1 in 3 of 10 to 11 year olds and almost two thirds of adults in Essex are overweight or obese.
  • Over250,000adults in Essex are physically inactive.
  • 6.3% of adults (17+) have a recorded diagnosis of diabetes.
For further information see essexinsight.org.uk
NB: Essex County Council JSNA includes Colchester, Tendring and the other ten districts in the county
Key findings from the Suffolk Joint Strategic Needs Assessment:
       Many people in Suffolk currently enjoy relatively good health and well being but…
  • Relative deprivation in Suffolk is increasing, and is now more widely spread across the county, including in our rural communities. 10.4% of households live in fuel poverty and workers in Suffolk earn on average £50 less compared to Great Britain as a whole.
  • Typically, Suffolk residents live longer than the England average and females live longer than males. Life expectancy at birth in 2015-17 was 84.1 years for females and 80.9 years for males in Suffolk. This is statistically significantly higher than the figures for England (83.1 years for females and 79.6 years for males).
  • Life expectancy in Suffolk has increased for both males and females over the last 10 years, but the latest data indicates that this increase has slowed, and potentially may have stalled. Additionally, the most recent data indicates that healthy life expectancy is declining.
        Adults’ health and wellbeing:
  • In 2015-17, healthy life expectancy among Suffolk residents was 63.2 years among males and 65.1 among females, which are both comparable to the England figures.  According to these figures, males and females in Suffolk can expect to live just over three quarters of their life in good health (78.1% and 77.4% respectively)
  • There are persistent inequalities in life expectancy for individuals living in the most deprived areas. 2015-17 data indicates that men living in Suffolk’s least deprived areas can expect to live 7.0 years longer than men in the most deprived areas.  For women the gap is 4.4 years.
  • Social mobility in some parts of Suffolk is low, data from 2017 suggests that 4 out of 7 of Suffolk’s districts and boroughs were in the lowest 20% for social mobility at that time.
  • In 2016-17 there were nearly 4,000 new cases of cancer in Ipswich and East Suffolk Clinical Commissioning Group (CCG) and West Suffolk CCG. National evidence indicates around 4 in 10 cancers can be prevented through not smoking, being a healthy weight and eating an healthy diet.
          Mental health and wellbeing:
  • Mental ill-health in Suffolk is increasing, reflected in rising rates of diagnosis and of self-harm. However, this may also be in part due to increased recognition of poor mental health.
  • It is estimated that around 13,000 Suffolk residents (including those with and without a diagnosis) were living with dementia in 2018. Around 4,130 individuals in Suffolk are living with undiagnosed dementia.
  • It is projected that the number of people living with dementia will increase to around 23,000 by 2040. This increase is driven by the ageing population – dementia is more common among older people, in particular females aged over 75.
  • Hospital admissions due to intentional self-harm have increased in Suffolk in recent years; in 2017/18 the all-age emergency admission rate in Suffolk was significantly higher than England, as was the admission rate for those age 20-24 years. Areas of higher deprivation have higher rates, with the highest levels seen in Ipswich and among younger women.
             Children:
  • Levels of educational attainment in the county, while improving for some ages, require further sustained improvement.
  • In 2017/18, 1 in 5 children aged 4-5 years old and nearly 1 in 3 children aged 10-11 years old were overweight or obese in Suffolk.
  • Over half of children in Suffolk age 5-16 (56.8%) are not active enough, and do less than 60 minutes of physical activity each day.
  • An estimated 17,260 (13.8%) children under 16 were living in low income families in Suffolk in 2016.
        Older people’s quality of life:
  • Suffolk’s population is ageing, and whole 1 in 5 of Suffolk’s population are currently aged 65 or older, in 20 years’ time this will be closer to 1 in 3. This is likely to increase local health and care need, particularly in relation to frailty.
  • Over the next 20 years the number of people aged 85 or overs is expected to double, from 25,500 to 52,500..
For further information see healthysuffolk.org.uk/JSNA
NB: Suffolk County Council JSNA includes Waveney
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Suffolk & North East Essex Integrated Care System
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