This presentation was kindly shared with the Community Challenge research project by Ken Barnsley, Head of Corporate Research, Blackburn with Darwen Council.

1. Integrated Strategic Needs
Assessment
Story of Blackburn with Darwen
Health and Wellbeing Board
25 January 2012

2. Big Challenges
Economic - global recession and
eurozone financial crisis will impact on
local economy for ten years
Social – high levels of deprivation and
disadvantage
Environmental – legacy of industrial
past and ageing high density housing
Marmot – detrimental impact on health
over the life course of our citizens

3. People
Now By 2033
55,000 households with small growth of 5.1% to
140,000 people 146,500
Slightly more children
Young population –
and fewer workers
30% aged 0-19
0-15 – about the same
Significant South Asian 33,900 to 34,200
population older people – growth
Increasing number of from 15% to 18% of
recent migrants population
Key: changing population structure and projected
increase in older people

4. Local Economy
Global economic restructuring
Eurozone market turmoil
Impacts of 2008 recession and likely 2012 recession
low growth and few additional full time jobs over the
next 5-7 years
Impacts of public sector cuts on women, families and
children
Key
•continuing poverty and deprivation in our most
disadvantaged communities
•inequalities in distribution of unemployment and
worklessness

5. Community
High levels of material deprivation
Eight neighbourhoods amongst the most deprived 1%
nationally
Relative deprivation increased between 2007 and 2010
Recession is expected to impact on mental illness,
alcohol consumption, household debt, repossessions
and homelessness
Key
•continuing poverty and deprivation in our most
disadvantaged communities
•Increasing impacts of alcohol on residents health
and communities

6. Place
Compact urban areas set in countryside with steep
valley sides
Estimated 27,000 properties are non decent and 12,300
with a category 1 hazard
Significant rural fringes with basic services
Amongst worst authority areas for fuel poverty – 24%
of households more than 30 in some neighbourhoods
Key
•Poor and unfit housing lacking diverse housing
provision
•Fuel poverty

7. Health and Inequalities

8. Children and Young People
Child poverty –three in ten children, 4 in 10 in Bastwell,
Sudell, Wensley Fold and Audley and half in Shadsworth
with Whitebirk
One in three children overweight – but evidence of low
weight for some
Teenagers more likely to be frequent consumers of
alcohol and one in four smoke
More die in their first year than expected
Key
•Best start in life – early years and family support
•Active and positive choices for children and young
people

9. Adults
Increasing numbers of older and very old residents
Life expectancy 3 years shorter than nationally and the
gap is widening
Higher mortality rates
Highest rate of death from circulatory disease
Significantly higher death rate from cancer
Significant increase in alcohol related admissions –
trebled over last ten years
Death rate for chronic liver disease has risen and faster
than the region or national rate
Smoking rates are high with strong social inequalities
Projected increase in dementia

10. Adults
Key
•work opportunities for current and future workforce
at increasing income levels with high quality support
to help all our residents into suitable employment
•provide and encourage active and positive choices
for residents should drive strategic initiatives to
support active lifestyles
•improve the quality and diversity of housing and to
reduce levels of unfitness and the numbers of homes
with category 1 hazards
•provide flexible packages of care for the increasing
numbers of older and very old residents

11. Our Assets
“look beyond needs to examine how local assets including the community
itself can be used to meet identified needs”
Key principles
from the perspective of the user, the individual or the community
culture of working not systems and processes
Links and connections between assets can provide the most value
Leadership is key
develop a ways of working
Language is a barrier
Local pilots – Little Harwood, Bentham Road, Healthy Living Centre,
Sudell Healthy Streets, Dementia
Key
•integrate the principles of assets based working into the future
development of Strategic Needs Assessment and the Health and
Wellbeing Strategy

12. Integrated Strategic Needs
Assessment
Story of Blackburn with Darwen
Health and Wellbeing Board
25 January 2012