Manchester Locality Joint Strategic Central Needs Assessment 2 Manchester Locality Joint Strategic Needs Assessment Central Contents Foreword ....................................................................5 Chapter 1 Background to JSNA and Locality JSNA .............................. 7 Chapter 2 Locality partnership arrangements ...................................11 Chapter 3 Our population ................................................................ 15 Part A Local population and neighbourhoods ........................ 15 Part B Socioeconomic and environmental factors .................18 Part C A good start in life ......................................................27 Part D Prevention (lifestyles, risk-taking behaviours and infectious diseases) ........................... 34 Part E Personalisation (long-term conditions, chronic disease and disability) .................................... 38 Part F Access to services .......................................................41 Chapter 4 Local priorities ................................................................48 Chapter 5 Where to find out more ...................................................60 Chapter 6 Next steps ......................................................................64 Appendix 1 Membership of working group ........................................ 67 Appendix 2 List of indicators in Locality JSNA Core Dataset ................68 Appendix 3 Prioritisation matrices .................................................... 70 Appendix 4 Template for narratives ....................................................74 Manchester Locality Joint Strategic Needs Assessment Central 3 4 Manchester Locality Joint Strategic Needs Assessment Central Foreword Commissioning decisions around health and social care Signed are increasingly being devolved to locality or district level. These decisions need to be based on a good understanding of local needs, drawn from both a sound analysis of statistical data and an awareness of the views of Laura Roberts partners, local residents and service users, as well as Chief Executive, a comprehensive review of the relevant evidence base. NHS Manchester The first Manchester Joint Strategic Needs Assessment (JSNA) was published in November 2008 and contained a broad strategic assessment of needs across the city. In that document we made a commitment to producing a series of Locality JSNAs to look in more detail at the needs of people living in different parts of Manchester in order to guide David Regan commissioning decisions relating to these areas. Director of Public Health and Partnerships, NHS Manchester This document is the first of these Locality JSNAs. It is unique in providing a joined-up picture of health and social needs and existing strategic priorities that look across organisational boundaries to encompass NHS Manchester and its practice-based Commissioning hubs, the Directorate for Adults, Children’s Services, Regeneration Liz Bruce and Manchester Mental Health and Social Care Trust. Strategic Director for Adults, As such, it is intended to guide the work, not only of Manchester City Council individual organisations, but of those organisations acting in partnership with others. The production of this document has truly been a collaborative effort and we would like to acknowledge the efforts of the Locality JSNA Working Groups and the Manchester Joint Health Unit in helping to bring this Pauline Newman process to fruition. Director of Children’s Services, Manchester City Council The findings of the Locality JSNA will be incorporated in the Manchester JSNA as part of a revision of this document to begin in autumn 2010. Manchester Locality Joint Strategic Needs Assessment Central 5 Introduction Portrait of Central Manchester To the north of the area, the Oxford Road Corridor stretches from the city centre to Rusholme and contains Central Manchester is made up of 11 wards stretching from the universities, the hospitals, the BBC, theatres and Chorlton in the west to Gorton North in the east. It is an Whitworth Park Gallery. The Oxford Road Corridor provides area of contrast and diversity, containing both highly 37,000 jobs and is planned to increase in future years. It sought after residential locations, such as Chorlton, also provides employment for a significant proportion of and neighbourhoods with concentrations of deprivation, Central residents. However, one of the challenges in the such as Ardwick. It contains a wealth of physical assets, Central area is the high concentration of unemployment transport provision, parks, cultural facilities and open space. and poor health, which means that many residents are not The area is largely residential and includes traditional currently benefiting from these economic opportunities. terraces, interwar estates, Edwardian semis and inner city There are a number of distinctive neighbourhoods and social housing estates. Housing is in high demand from districts within the area, reflecting their individual sense students, young professionals and families, and contains a of identity and community. Some parts of the Central number of purpose-built student accommodation blocks. Manchester area are characterised by ethnically diverse The condition of social rented housing varies in standard, populations with high proportions of under-25-year-olds, with some estates in need of radical remodelling and and these populations are increasing at a faster rate than modernisation. There are a high number of supported the Manchester average. However, Gorton is characterised housing units, particularly in the east of the area, which by a falling population due to large-scale demolition and is reflected in the numbers of people requiring drug and the decline of the manufacturing industry. alcohol treatment and support. 6 Manchester Locality Joint Strategic Needs Assessment Central Chapter 1: Background to JSNA and Locality JSNA What is a JSNA? The current version of the Manchester JSNA focuses on providing a baseline assessment of need across the city The Local Government and Community Involvement as a whole. It describes the local commissioning context, in Health Act 2008 placed a statutory duty on Directors including existing service provision, and goes on to outline of Public Health, Directors of Directorate for Adults and the current health and social care needs of the population, Directors of Children’s Services to produce a Joint Strategic the drivers for change and their likely impact. A key element Needs Assessment (JSNA) for their local area. The JSNA of the document is a series of recommendations that is intended to be ‘the means by which Primary Care highlights the range of actions commissioners need to Trusts (PCTs) and local authorities will describe the future consider when seeking to address health and social care health, care and wellbeing needs of the local population needs in the city. and the strategic direction of service delivery to meet these needs.’ The JSNA is expected to influence the The Manchester JSNA has been used to support a number commissioning process across both health and social care, of key commissioning strategies across the city, including underpin the development of the Local Area Agreement the NHS Manchester Commissioning Strategic Plan (CSP) (LAA) and support the Comprehensive Area Assessment and the Directorate for Adults Prevention Strategy. The (CAA) process. JSNA has also fed into the city-wide Children and Young People’s Plan (CYPP) and Manchester Mental Health and Social Care Trust’s Integrated Business Plan. An initial The Manchester JSNA review of the JSNA work to date has shown that the process has helped to further strengthen and widen joint working The work to develop and produce the JSNA was sponsored and has provided a useful baseline of data and processes to by the Manchester Public Service Board (PSB) and led by support more joined-up commissioning in the future. the Manchester Joint Health Unit (JHU) with the support of a multi-agency Working Group. This is made up of In January 2010, a JSNA Supplement was produced to representatives of NHS Manchester, Manchester City summarise the work that has been done over the previous Council Research and Intelligence Team, Directorate for year. It contains a detailed summary of the results of a piece Adults, Children’s Services and the Manchester Local of work that has been commissioned to calculate a series Involvement Network (LINk). A range of other partners, of Population Impact Measures (PIMs) for a number of the including the Housing Information Unit, Drugs and Alcohol specific recommendations contained in the JSNA, as well Team (DAAT), Cultural Strategy Team, Manchester Public as providing a progress report on the development of Health Development Service, and the Health Protection Locality JSNAs. Unit, were brought in to write individual sections of the The document also looks at the progress that has been document and provide expert advice. made with regard to evaluating the JSNA process to date The first edition of the Manchester JSNA was published in and its impacts. The publication of the JSNA Supplement November 2008. A public summary document was also reflects the fact that the JSNA is very much an ongoing produced with the assistance of a freelance journalist in process that seeks to inform the development of joint order to help engage local residents and service users with commissioning across the NHS and the Council, including the ongoing development of the JSNA. Both documents