Agenda item

Report of the Health and Wellbeing Policy Development Manager

The Board received the report of the Policy Development Manager which informed Members that in September 2013, Members of the Health and Wellbeing Board agreed the

proposal to refresh the Health and Wellbeing Profile (shared with LB Hackney) and to produce a JSNA City Supplement. The two draft documents had been produced in parallel and contained a number of new findings relating to City and Hackney residents; and other City populations. As the Health and Wellbeing Profile was a data refresh document, it did not require consultation; however, the JSNA City supplement was a new document and should undergo a period of public consultation.

Officers informed Members that the key trends arising from shared City and Hackney data were:

• Immunisation rates for children in Hackney and the City have been improving steadily, with marked improvements over the last year.

• Flu vaccination uptake remains high, in comparison with London.

• In 2012/13, the caseload for Open Doors work in Hackney and the City showed an overall decrease in the number of street sex workers supported by the service.

• GP recorded obesity in adults has fallen slightly again, but this remains higher than London as a whole.

• There was an outbreak of measles in December 2012 and marked increase in cases of pertussis (whooping cough).

• Reported sexually transmitted infections (STI) and HIV incidence remained high compared to England.

• There were reports of increases in child dental decay and local research highlights high rates of decay and poor mouth hygiene in adults.

• There had been a small decrease in breast cancer screening coverage

• Childhood obesity in state school students remains high.

• New data suggests that 25% of City and Hackney residents are smokers. This is the highest rate in London. A survey in 2012 also found that 25% of City workers smoked.

Rough Sleepers

• The City had the sixth highest number of rough sleepers in London

• Rough sleepers in the City are predominantly male and the majority are between 20-50 years of age.

• About half of the rough sleepers were British nationals and the remaining come from Eastern Europe.

• Over half of the rough sleepers had alcohol problems and mental health problems, and almost a third have drug problems.

• The City provides a wide range of services to help rough sleepers leave the streets, and has received several awards for innovation in this area.

• Rough sleepers are particularly vulnerable to smoking, alcohol misuse, substance misuse and sexually transmitted diseases, and may encounter barriers to accessing services for these health issues.

• Rough sleepers tend to have co-morbidities, and are likely to use A&E much more than the general population.

• Rough sleepers are particularly vulnerable to infectious diseases, for example, tuberculosis.

• In the City, GP registration for rough sleepers is a priority. Rough sleepers can register with two local GPs practices.

Resolved: Members approved a period of public consultation for the JSNA City Supplement,

with the final draft coming to the next Health and Wellbeing Board for sign-off on 30th May 2014.