1. Sheffield’s Joint Strategic
Needs Assessment
27th
June 2013

2. Our Approach
• Analyses the current & future health and
wellbeing needs of the Sheffield population
• Seeks to inform and challenge the JHWS
• Uses an extensive range of quantitative and
qualitative evidence
• Structured around the JHWS outcomes
• Identifies the key messages & priorities and
gaps in knowledge

3. Chapter 1
Wider Determinants

4. Chapter 1 – Key Messages
• Long term & youth unemployment
• Poverty, welfare reforms & food poverty
• Educational attainment & lifelong learning
• Private rented housing sector & fuel
poverty
• Green spaces, outdoor play opportunities
and air pollution
• Active travel and accessible public
transport

5. Chapter 1 – Priorities
• Limit negative impacts of welfare reform: welfare reform will
have a huge impact on the City and a negative impact on health
and wellbeing, for both those affected and health inequalities
more broadly. We must minimise the negative impact where
possible and in particular, the potential ‘double negative impact’
for families with children aged under five, families with more
than two children and lone parent families.
• Focus on housing: conditions in the private rented sector and
fuel poverty are both real concerns in Sheffield and
interventions should prioritise these two issues and those most
at risk.
• Improve employment opportunities: Fewer people work in
Sheffield than the national average and we need to improve
volunteering, training and employment opportunities, particularly
for young people.

6. Chapter 2
Health and Wellbeing

7. Chapter 2 – Key Messages
• Life expectancy
• Cancer, cardiovascular and liver
disease
• Dementia
• Infant mortality
• Smoking
• Mental health and wellbeing

8. Chapter 2 – Priorities
• Better understand mental wellbeing: Sheffield experiences poorer levels of
mental wellbeing than the national average. We need a comprehensive
understanding of the factors that contribute to wellbeing if we are to improve
locally.
• Focus on leading causes of mortality & morbidity: long term conditions are
among the leading causes of premature death and ill health in Sheffield. These
have significant implications for health and social services and end of life care
and must be a priority for the foreseeable future.
• Reduce infant mortality: Infant mortality needs to be brought in line with the
national average. This means tackling the major risk factors of maternal obesity,
smoking during pregnancy, teenage pregnancy and poor levels of breastfeeding.
• Smoking remains the largest, reversible cause of ill health and early death in
Sheffield. Evidence places increasing importance on implementation of a
comprehensive tobacco control programme as the means by which to reduce
prevalence of smoking in the future.

9. Chapter 3
Health Inequalities

10. Chapter 3 – Key Messages
• Index of inequality in life
expectancy
• Children and young people
• Wider determinants of health
• Distribution of expenditure & need

11. Chapter 3 – Priorities
• Identify geographical health spend: We need to establish
how much health spend is distributed geographically within the
City and map this against geographical health outcomes. Spend
should reflect our aspiration to reduce health inequalities.
• Develop a better understanding of health inequality by
‘group’: Whilst we have good data on inequality by geography,
we do not have it by group. Groups such as BME communities,
children with learning difficulties, homeless people, victims of
domestic and sexual abuse, carers are all reported nationally to
have below average health, but local data are lacking.
• Map assets: If we are to reduce health inequalities, it is not
enough to know about need alone, we also need to understand
what assets we have so that we can build upon them.

12. Chapter 4 - Services

13. Chapter 4 – Key Messages
• Sustainability
• Length of stay in hospital
• Social care waiting times, self-reported quality
of life & support into paid work
• Children’s speech & language therapy and
Child and Adolescent Mental Health Services
• Need of people accessing housing support
• Voluntary, Community & Faith Sector
services

14. Chapter 4 - Priorities
• Reduce dependence on high end health and social care services:
The growth in our population means that the current service model is
unsustainable. Prioritising spending on prevention, early intervention,
integrated working and care in the community will be beneficial for the
individual and the system. Although there is a move to do this, there is
still a long way to go.
• Acknowledge the impact of spending cuts: cuts that are impacting
on the NHS, local government and the voluntary sector cannot be
overlooked and are beginning to have a negative impact on service
provision. It is important to question how realistic the outcomes of the
health and wellbeing strategy are in light of these funding changes.
• Measure service access and experience: more emphasis must be
placed on collecting and analysing service access and experience data.
Without this, it is impossible to measure the extent to which “people get
the help and support they need and is right for them”.

15. Gaps in Knowledge
• Quality and security of work
• Resilience, social isolation & wellbeing
• Active travel, healthy lifestyles
• Offender health, neurological conditions,
autism & sensory impairments
• Distribution of spend and need and
inequalities by group/protected characteristic
• GP access arrangements and patient
experience

16. Next Steps - Offer
•Data and reports published and
repository of information created
•Co-ordinated programme for addressing
the gaps and tracking progress
•Briefings and engagement activities for
commissioners and stakeholders, as
required

17. Next Steps - Expectations
• JSNA will be used to shape the Health
& Wellbeing Strategy
• Commissioners will consult the JSNA in
developing their plans
• Range of stakeholders will contribute to
on-going development, especially
identified gaps.