Hull Public Health

Profiles 2017:

Hull

Public Health Sciences, Hull City Council (www.hullcc.gov.uk/pls/hullpublichealth/), revised February 2018

About this profile

This public health profile presents the most up to date information on a range of topics, to help us understand who lives in each area of Hull, and what their needs might be. We have also included comparisons with the Hull average, the Yorkshire and Humber average and the England average where data were available The sources of the information, as well some explanatory notes, are provided in the Data Sources section towards the end of the report. We hope you find this profile useful. If you have questions or feedback, please use the contact details at the end of this profile. Please do explore the rest of the www.hullcc.gov.uk/pls/hullpublichealth/ website, which has a wealth of information on health, lifestyles and attitudes to these, of Hull residents. The website includes the following:

Hull’s Joint Strategic Needs Assessment and supporting information (see the last page of this report for further information).

Director of Public Health Annual Reports for Hull.

In-depth survey reports from both adult surveys conducted across Hull (Health and Lifestyle surveys in 2003, 2007 and 2011-12, Social Capital surveys in 2004 and 2009, Prevalence surveys in 2009 and 2014) and from surveys of the health and lifestyle of young people, conducted in secondary schools across Hull in 2008-09, 2012 and 2016.

41 In-depth Public Health Profiles for Hull exploring individual disease areas, population groups and lifestyle behaviours and many more (available to download from www.hullcc.gov.uk/pls/hullpublichealth/jsnatoolkit.html).

Also available are ward profiles (2009, 2011, 2013, 2015 and 2017) and GP practice profiles (2011).

Equity Audits which examine how fairly services or other resources are distributed in

relation to health 'needs' of different groups and areas, and assesses the

success of programmes which aim to improve any inequities that are found.

Public Health Outcomes Framework, which are a range of indicators used to assess whether public health is improving or not. A series of analyses using both the national datasets as well as locally derived data are provided to examine Hull in some detail for each of these indicators. Each of these reports may be downloaded from, www.hullcc.gov.uk/pls/hullpublichealth/phof.html.

Short Summary Public Health Profiles for Hull.

Hull atlas, which enable differences between wards in Hull to be examined visually on a map (www.hullcc.gov.uk/pls/hullpublichealth/hullatlas.html). Further information is given towards the end of this report.

Summary

In 2016 there were 260,035 residents in Hull, of whom 62,753 (24%) were aged under 20, and 38,491 (15%) were aged 65+. The population of Hull is projected to increase by 4% by 2039 to 270,257, with the largest increase seen for those aged 65+, increasing by 42% to 54,733.

From the 2011 census, 89.7% of Hull residents were White British, 4.4% were non-British White (mostly Eastern Europeans), while 5.9% were from other Black and Minority Ethinic BME) origins.

From the 2011 Census, 39,788 households in Hull were single person households (35%). There were 19,943 pensioner (65+) households in Hull of which 66% were single person households. There were 14,523 lone parent households in Hull (13%).

From the 2011 Census, 55,785 households in Hull were living in owner occupied accommodation (50%); while 28% were renting from the council or other social landlords, with a further 20% renting from private landlords.

Hull is the 3rd most deprived local authority (out of 326) in England. 53% of the areas in Hull fall within the most deprived fifth (20%) of areas nationally. Only 1% of the areas in Hull fall within the least deprived fifth of areas nationally.

14% of households in Hull were in fuel poverty in 2015, compared with the England average of 11%.

27% of dependent children in Hull were living in child poverty in 2015, compared with the England average of 17%.

76% of survey respondents from Hull were satisfied with their neighbourhood as a place to live.

58% of survey respondents from Hull reported that their neighbourhood was one where people looked out for each other, while 32% trusted most of the people in their neighbourhood.

The overwhelming majority of survey respondents in Hull (90%) felt safe (very safe or fairly safe) walking alone in their local area during the daytime with a similar percentage feeling safe when alone in their homes after dark (87%). However, 16% felt very unsafe walking alone in their local area after dark.

In January 2018 the claimant count (those claiming benefits due to unemployment) for Hull was 4.7% among men and 2.7% among women; this compares with 2.4% and 1.5% for men and women across England. A total of 30,140 people of working age (17.6%) in Hull were claiming benefits in November 2016, compared with 10.7% across England.

Of the 15,580 claiming ESA or incapacity benefits in August 2017, 49.3% were claiming for mental health conditions, and 13.2% for musculoskeletal problems, compared with 49.3% and 13.2% respectively across England.

Life expectancy at birth in 2013-15 in Hull was 76.6 years among men and 80.2 years among women;

Life expectancy at age 65 in 2013-15 in Hull was 16.7 years among men and 19 years among women;

Of the 7,384 deaths among residents of Hull during 2013-15 8% were from lung cancer, 20% were from other cancers, 27% were from cardiovascular diseases and 45% were from respiratory diseases; this compares with 6%, 22%, 27% and 45% respectively for England.

Smoking prevalence in Hull is 31%, higher than the England rate of 16%. An estimated 65,300 people aged 16+ in Hull are smokers.

An estimated 63,600 people aged 16+ living in Hull are 'problem drinkers', with 24% of survey respondents binge drinking, 16% drinking more than 14 units a week, including 11% doing both.

Around 55,200 people aged 16+ living in Hull are obese, while a further 77,600 are overweight. At 64%, the percentage of overweight or obese individuals in Hull was higher than England (61%).

In Hull 27% of children in Reception Year during the 2014/15-2016/17 academic years, as well as 37% in Year 6, were overweight or very overweight. This was significantly higher than the England average for children in Reception Year (23%) and the England average for Year 6 pupils 34%).

Around 18,800 people aged 16+ living in Hull are estimated to be at risk of social isolation (defined here as living alone and not speaking to family, friends or neighbours each day). This means that approximately 9% of individuals living in Hull may be suffering from social isolation.

The birth rate in 2015 in Hull was 66 births per 1,000 women aged 15-44 years, which was higher than the England average of 62 births per 1,000).

Population structure (2016)1

Age (yrs) Males Females Total

Under 10 17,760 16,651 34,411

10-19 14,633 13,709 28,342

20-29 23,353 22,159 45,512

30-39 18,063 17,148 35,211

40-49 16,714 15,944 32,658

50-59 16,249 16,320 32,569

60-69 12,776 12,646 25,422

70-79 7,377 8,436 15,813

80+ 3,925 6,172 10,097

Total 130,850 129,185 260,035

Ethnicity (from 2011 census)2

Household composition (2011 census)3

Household tenure (from 2011 census)4

Under 5

5 to 9

10 to 14

15 to 19

20 to 24

25 to 29

30 to 34

35 to 39

40 to 44

45 to 49

50 to 54

55 to 59

60 to 64

65 to 69

70 to 74

75 to 79

80 to 84

85 and over

Under 5

5 to 9

10 to 14

15 to 19

20 to 24

25 to 29

30 to 34

35 to 39

40 to 44

45 to 49

50 to 54

55 to 59

60 to 64

65 to 69

70 to 74

75 to 79

80 to 84

85 and over

Under 5

5 to 9

10 to 14

15 to 19

20 to 24

25 to 29

30 to 34

35 to 39

40 to 44

45 to 49

50 to 54

55 to 59

60 to 64

65 to 69

70 to 74

75 to 79

80 to 84

85 and over

Males Females

12,500 10,000 7,500 5,000 2,500 0 2,500 5,000 7,500 10,000 12,500

Hull

England

2016 mid-year population estimates from the Office for National Statistics

89.7%

10.3%

White British BME community

4.4%

1.3%

2.5%

1.2%0.8%

0%

1%

2%

3%

4%

5%

6%

White Other Mixed/ Multiple Heritage

Asian/ Asian British

Black/ Black British

Other Ethnic group

Hull

19.9%

29.7%

0.4%

21.2%

6.9%

20.4%

1.5%

0%

10%

20%

30%

40%

Owned outright

Owned with mortgage

Shared ownership

Rented from council

Other social rented

Private rented

Living rent-free

Hull

National quintiles of Index of Multiple Deprivation 2015 5

Fuel Poverty 20156

A household is said to be fuel poor if it needs to spend more than 10% of its income on fuel

in order to maintain an adequate standard of warmth.

Child Poverty 20157

The proportion of dependent children under 20 years living in families in receipt of CTC whose reported income is

less than 60 per cent of the median income or are in receipt of IS or (Income-

Based) JSA.

0%

20%

40%

60%

80%

100%

Hull England

IMD 2015 national quintiles (fifths)

Most deprived 2 3 4 Least deprived

Satisfaction with aspects of the local area8

Satisfaction with open spaces in the local area

Satisfaction with parking in the local area

Satisfaction with the street appearance in the

local area

Satisfaction with traffic in the local area

Satisfaction with level of anti-social behaviour and crime in the local

area

Satisfied with neighbourhood as a

place to live

29%

42%

16%9%

4%

0%

20%

40%

60%

Very satisfied Fairly satisfied Neither satisfied

nor dissatisfied

Fairly dissatisfied Very dissatisfied

Hull

18%

32%

21%17% 13%

0%

20%

40%

60%

Very satisfied Fairly satisfied Neither satisfied

nor dissatisfied

Fairly dissatisfied Very dissatisfied

Hull

16%

40%

17% 18%9%

0%

20%

40%

60%

Very satisfied Fairly satisfied Neither satisfied

nor dissatisfied

Fairly dissatisfied Very dissatisfied

Hull

20%

40%

22%13%

6%

0%

20%

40%

60%

Very satisfied Fairly satisfied Neither satisfied

nor dissatisfied

Fairly dissatisfied Very dissatisfied

Hull

14%

36%

24%17%

10%

0%

20%

40%

60%

Very satisfied Fairly satisfied Neither satisfied

nor dissatisfied

Fairly dissatisfied Very dissatisfied

Hull

27%

49%

16%

6% 2%

0%

20%

40%

60%

Very satisfied Fairly satisfied Neither satisfied

nor dissatisfied

Fairly dissatisfied Very dissatisfied

Hull

Neighbours look out for one another9

Trust in neighbours10

Feelings of safety when . . . .11

. . . . walking alone in area during the daytime

. . . . walking alone in area after dark

. . . . alone in own home at night

58%

22% 20%

0%

20%

40%

60%

80%

Yes No Don't know

Is this a neigbourhood where neighbours look out for each other?

Hull

32%

21%

32%

5%9%

0%

20%

40%

60%

Most Many A few None Don't know

How many people in your neighbourhood do you trust?

Hull

49%

42%

7%3%

0%

20%

40%

60%

Very safe Fairly safe A bit unsafe Very unsafe

Hull

17%

0%

20%

40%

60%

Very safe Fairly safe A bit unsafe Very unsafe

Hull

49%

38%

9%4%

0%

20%

40%

60%

Very safe Fairly safe A bit unsafe Very unsafe

Hull

Working age benefits12

Claimant count, January 2018 (%)

Type of working-age benefits claimed, November 2016 (%)

Employment Support Allowance and Incapacity Benefit claimants by main reason for claim, August 2017 (%)

17.6%

2.6%

9.3%

1.8% 2.4%1.5%

0%

5%

10%

15%

20%

All workingage benefits

Job SeekersAllowance

ESA andincapcitybenefits

Lone parents Carers Otherworking age

benefits

Wo

rkin

g ag

e b

en

efi

t cl

aim

ants

by

typ

e o

f be

ne

fit,

No

vem

ber

201

6 (%

)

Hull Yorkshire and the Humber England

Life expectancy at birth (years)13

Life expectancy at age 65 (years)14

Males

Females

70

75

80

85

Life

expe

cta

ncy a

t b

irth

(ye

ars

)

2001

-03

2002

-04

2003

-05

2004

-06

2005

-07

2006

-08

2007

-09

2008

-10

2009

-11

2010

-12

2011

-13

2012

-14

2013

-15

Trends in life expectancy at birth: Hull

Males

Females

10

15

20

25

Life

expe

cta

ncy a

t a

ge 6

5 (

ye

ars

)

2001

-03

2002

-04

2003

-05

2004

-06

2005

-07

2006

-08

2007

-09

2008

-10

2009

-11

2010

-12

2011

-13

2012

-14

2013

-15

Trends in Life expectancy at age 65: Hull

Under 75 Standardised Mortality Ratios 2013-201515

Most common causes of death 2013-201516

Common causes of hospital admissions 2010-201217

573 deaths

490 deaths

1,640 deaths

1,090 deaths

177 deaths

166 deaths

84 deaths

257 deaths

89 deaths

419 deaths

185 deaths

180 deaths

160 deaths

59 deaths

48 deaths

England=100***

Stroke: women

Coronary heart disease: women

All circulatory disease: women

All respiratory disease: women

Lung cancer: women

Breast cancer: women

All cancers: women

All deaths: women

Stroke: men

Coronary heart disease: men

All circulatory disease: men

All respiratory disease: men

Lung cancer: men

All cancers: men

All deaths: men

0 50 100 150 200 250 300 350 400 450 500

Hull (with 95% confidence interval**)

*Standardised Mortality Ratios, not produced if fewer than 5 deaths during 2013-2015. **Upper confidence limit truncated at 500.***England 2012-2014.

Under 75 SMRs* 2013-2015: Hull

0

1,000

2,000

3,000

4,000

Cancer Coronary Heart Disease

Stroke Other circulatory diseases

COPD Other respiratory diseases

digestive diseases

Stan

dard

ise

d ad

mis

sion

rat

e

pe

r 1

00

,00

0 r

esi

de

nts Hull

Selected results from 2014 prevalence survey18

Estimated prevalence of risk factors for poor health (results of 2014 prevalence survey applied to 2016 adult (16+) populations19

Risk factor Men

(N=104,683) Women

(N=104,592) All

(N=209,275)

Smokes 34,400 30,800 65,200 Binge drinks 33,200 19,200 52,400 Excessive weekly alcohol 25,100 9,800 34,900 Problem drinking 40,800 22,700 63,500 Does not eat 5-A-DAY 86,300 83,400 169,800 Overweight 43,100 34,400 77,600 Obese 26,600 28,500 55,100 Overweight or obese 69,700 63,000 132,700 Insufficient exercise 63,400 74,500 137,900 No moderate/vigorous exercise in last week 40,000 48,500 88,500 Activities limited by long-term illness or disability 26,900 30,800 57,800 Poor mental health (SF36 0-60) 35,500 43,800 79,300 Feels very unsafe walking alone in area after dark 8,600 23,300 31,900 Wellbeing - low satisfaction score (0-4) 11,500 12,100 23,600 Wellbeing - low worthwhile score (0-4) 9,600 9,900 19,400 Wellbeing - low happiness score (0-4) 14,200 15,400 29,700 Wellbeing - high anxiety score (6-10) 26,100 30,400 56,500 Socially isolated (potentially) 9,200 9,700 18,800

1,618/5265

1,223/5013

580/5,013

377/5,260

970/5,068

1,273/4803

1,780/4803

2,014/4686

1,475/5285

2,011/5277

1,960/5311

826/5,211

595/5,303

487/5,297

742/5,285

1,440/5275

474/5,269

950/4,802

2,213/4595

392/4,595

381/4,595

403/4,595

680/4,595

Current smoker (ii)

Binge drinking (iv)

More than 21 units (M) 14 units(F) alcohol last week (iii)

Lacks healthy diet knowledge

Eats 5-A-DAY fruit and vegetables (iii)

Obese (iii)

Overweight (iii)

No moderate or vigorous exercise in past week

Activities limited by long-term illness/disability (i)

Poor mental health (MHI 0-60)

Excellent or very good health

Feels very unsafe walking alone in area after dark

Wellbeing - low satisfaction score (0-4) (ii)

Wellbeing - low worthwhile score (0-4) (ii)

Wellbeing - low happiness score (0-4) (ii)

Wellbeing - high anxiety score (6-10) (ii)

Socially isolated (potentially)

Student (any current studying)

Working (aged 16-74 only) (i)

Unemployed (aged 16-74 only) (i)

Long-term sick/disabled (aged 16-74 only) (i)

Looking after home/family (aged 16-74 only) (i)

Retired (aged 16-74 only) (i)

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

England* Hull (with 95% confidence interval)

*England data from: (i) 2011 Census; (ii) Public Health Outcomes Framework; (iii) Health Survey for England; (iv) Statistics on Alcohol, England

Hull 2014 Prevalence Survey: Hull

Multiple risk factors (smoking, drinking excessive amounts of alcohol or binge drinking, obesity, insufficient exercise) from 2014 prevalence survey20

Number of adults with risk factors

Percentage of adults with risk factors

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

16-24 25-44 45-64 65-74 75+

Esti

mat

ed

nu

mb

er

of

pe

op

le a

ged

16

+ y

ear

s w

ith

th

e r

isk

fact

ors

Age (years)

Smoking

Smoking, drinking

Smoking, drinking, exercise

Smoking, alcohol, exercise, obesity

Smoking, alcohol, obesity

Smoking, exercise

Smoking, exercise, obesity

Smoking, obesity

Alcohol

Exercise

Obesity

Alcohol, exercise

Alcohol, obesity

Exercise, obesity

Alcohol, exercise, obesity

None of these

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

16-24 25-44 45-64 65-74 75+

Esti

mat

ed

pro

po

rtio

n o

f ad

ult

s w

ith

th

e r

isk

fact

or

Age (years)

Smoking

Smoking, drinking

Smoking, drinking, exercise

Smoking, alcohol, exercise, obesity

Smoking, alcohol, obesity

Smoking, exercise

Smoking, exercise, obesity

Smoking, obesity

Alcohol

Exercise

Obesity

Alcohol, exercise

Alcohol, obesity

Exercise, obesity

Alcohol, exercise, obesity

None of these

Wellbeing among adults21

Smoking prevalence among adults22

Excess weight among adults23 Excess weight among children24

Potential social isolation among residents aged 65+ years25

Percentage

(95% CI) Estimated

number (range)

Hull 13.4 (11.5, 15.6) 4,390 to 5,959

0%

5%

10%

15%

20%

Hull

Pe

rce

nta

ge p

ote

nti

ally

so

cial

ly i

sola

ted

Births26

5

Population projections to 203927

Percentage of population registered to each GP practice, January 201828

66.561.9 62.2

0

20

40

60

80

Hull Yorkshire and the Humber

England

Bir

th r

ate

pe

r 1

,00

0w

om

en

age

d 1

5-4

4 y

ear

s

Birth rate in 2015

0 1,000 2,000 3,000 4,000 5,000

2015

2014

2013

2012

2011

2010

2009

2008

2007

2006

2005

2004

2003

2002

2001

Number of births

Data sources

1 Population data from Office for National Statistics (ONS) mid-year population estimates for 2016 (www.ons.gov.uk).

2,3,4 Data from the 2011 census (http://www.ons.gov.uk/ons/guide-method/census/2011/index.html). 5 The Index of Multiple Deprivation (IMD) 2015 is produced by the Department for Communities and Local

Government (https://www.gov.uk/government/statistics/english-indices-of-deprivation-2015). The map also uses boundary files supplied by ONS.

6 Fuel poverty data is produced by the Department for Energy and Climate Change (https://www.gov.uk/government/statistics/fuel-poverty-detailed-tables-2017). The latest data release is for 2015. This is also indicator 1.17 in the Public Health outcomes Framework (www.phoutcomes.info).

7 Child Poverty data is produced by HM Revenue and Customs. Data is for 2015, and was published in February 2018. (https://www.gov.uk/government/statistics/personal-tax-credits-children-in-low-income-families-local-measure-2015-snapshot-as-at-31-august-2015). This is also indicator 1.01i in the Public Health outcomes Framework (www.phoutcomes.info).

8,9,10 Data are taken from Hull’s 2011-12 Adult Health and Lifestyle Survey of more than 13,500 adults in Hull aged 16 years and over (http://www.hullpublichealth.org/adults.html#ad2011).

11 Feelings of safety figures are derived from Hull’s 2014 Adult Prevalence Survey, which was conducted among more than 5,000 adults in Hull aged 16 years and over. The full survey results are available at http://www.hullpublichealth.org/adults.html). Respondents were asked about feelings of safety when walking alone in their local area during the daytime and after dark, as well as when alone at home at night. Response choices were ‘Very safe’, ‘Fairly safe’, ‘A bit unsafe’, ‘Very unsafe’ and ‘Never goes out’ /’Never alone at home at night’. If the respondent chose the last answer they were further asked how they would feel if they did go out alone / were at home alone at night, with just the first four of the above response choices. Data from both sets of questions were then combined.

12 Benefits data is taken from NOMIS (https://www.nomisweb.co.uk/home/detailedstats.asp) which is a service provided by ONS for detailed up-to date labour market statistics.

13,14 Life expectancy was produced using mortality data from the Public Health Mortality File (PHMF), supplied by ONS, and mid-year population estimates, rebased after the 2011 census, also supplied by ONS. Life expectancy at birth and at age 65 form indicator 0.1ii in the Public Health outcomes Framework (www.phoutcomes.info).

15 Under 75 SMRs indicate whether local premature mortality rates are higher or lower than would be expected if national (England) rates applied to the local population. Death data are from the PHMF, supplied by ONS, and the population data are from ONS mid-year estimates. National mortality rates were extracted from data available from the Health and Social Care Information Centre (https://indicators.ic.nhs.uk/webview/).

16 Death data are taken from the PHMF. 17 Hospital admission data are taken from Hospital Episode Statistics (HES). Rates were produced using

HES data and population data (taken from GP registered populations, supplied through the Primary Care Information System).

18,19,20 Data are from the Hull’s 2014 Prevalence Survey (http://www.hullpublichealth.org/adults.html). Population data were the 2016 mid-year estimated population produced by ONS. Estimated numbers are rounded to the nearest 100.

21,22,23 Local data are taken from Hull’s 2014 Prevalence Survey. ( http://www.hullpublichealth.org/adults.html). Regional and national data are taken from the Public Health Outcomes Framework (www.phoutcomes.info) of which these are indicators 2.12 (excess weight), 2.14 (smoking prevalence) and 2.23 (wellbeing).

24 Local data are taken from Hull’s extract of the National Child Measurement Programme. Regional and national data, also derived from the National Child Measurement Programme, are taken from the Public Health Outcomes Framework (www.phoutcomes.info) of which this is indicator 2.06.

25 The definition of potentially socially isolated used here is an adult who is the only adult living in the household, and does not speak to at least one of family, friends or neighbours every day. Data are from Hull’s 2014 Prevalence Survey of Adults (http://www.hullpublichealth.org/adults.html). Population data are from the 2016 ONS mid-year population estimates.

26 Births data are from the Public Health Births File (PHBF). The birth rate per 1,000 is produced using the PHBF and the ONS mid-year population estimates for 2015. Regional and national birth rates were extracted from data available from the Health and Social Care Information Centre (https://indicators.ic.nhs.uk/webview/).

27 Population projections were produced by applying the 2014-based ONS projected population changes by single year of age to the 2016 ONS mid-year estimated populations, then aggregating the results by broad age band.

28 Figure is produced from the January 2018 GP populations by lower layer super output area published by the Health and Social Care Information Centre (www.hscic.gov.uk). The number of residents quoted in the figure may be higher than in the population table, as it comes from the GP registration file which historically tends to be higher than the mid-year population estimates presented in the population table

Hull Atlas There are seven sets of data currently presented in the JSNA Interactive Atlas at ward level:

i. Life expectancy and Standardised Mortality Ratios ii. Information from the 2011 census iii. Indicators from the Public Health Outcomes Framework iv. Health status and behavioural risk factors form surveys conducted in Hull v. Social Capital measures from surveys conducted in Hull vi. Hospital admissions vii. Deprivation and crime

The first indicator is automatically presented for each page. To change the indicator, click on “Data” (above the map) and select from the list. You can click on Hull, an Area or deprivation in the “Comparison Table” box to show the comparison information on the charts for the chosen area. Example: Male Life Expectancy at Birth, by Ward This page displays a “Time Series Chart” box which gives the trends over time (1999-2001 to 2010-2012 at the time of publication). The 95% confidence interval for the selected year is given in the bar chart. If the number of deaths is less than 3 for a ward, it is not included for data confidentiality reasons. For men and women separately, life expectancy at birth and SMRs for those aged under 75 years for all causes, respiratory disease, circulatory disease, chronic obstructive pulmonary disease (COPD), coronary heart disease (CHD), stroke, all cancers and lung cancer can be selected.

Hull's Joint Strategic Needs Assessment (JSNA) What is a JSNA? The JSNA assess the current and future health, care and well-being needs of the people of Hull.

• Joint - The JSNA is carried out jointly by NHS Hull and Hull City Council. It is the joint

responsibility of the Director of Public Health, Director of Children’s Services and the Director of Adult Social Services.

• Strategic - Intended to give the information that allows decision makers to make sound strategic decisions.

• Needs Assessment - Gives a scientifically robust understanding of the health and wellbeing needs of a local population for more focused commissioning and service delivery.

What will you do with the JSNA? The JSNA will be used to inform the way in which services are organised and delivered in Hull to meet the needs of the local population. Available for strategic planning, but also micro-implementation. What is different about the Hull JSNA?

The JSNA is regularly updated and is a living and interactive web based resource for all the people of Hull, the Voluntary Sector, the Council, all the NHS Organisations and Trusts, the Police and Fire Service.

The JSNA draws on information gained through local surveys, allowing for ‘real’ trends to be analysed based on Hull’s epidemiological profile as opposed to synthetic or modelled data from national sources.

For further information, please contact: Public Health Sciences, Hull Public Health, Hull City Council, Warehouse 8, Guildhall Road, Hull HU1 1HJ

www.hullcc.gov.uk/pls/hullpublichealth/