Agenda item

To consider a report of the Director of Public Health providing information on the emerging priorities for the Outer East area arising from the latest iteration of the Leeds Joint Strategic Needs Assessment (JSNA)

(report attached)

Council Function

  Members considered a report of the Director of Public Health providing information on the emerging priorities for the Outer East area arising from the latest refresh of the Joint Strategic Needs Assessment (JSNA)

  The Chair welcomed Brenda Fullard – Public Health Consultant, Nichola Stephens, Senior Information Manager Public Health and also Bash Uppal who was also in attendance for this item.  Appended to the report was information showing the difference across a range of indicators between what were defined as an affluent area and deprived area

  Brenda Fullard presented the report and explained how the data had been broken down, this being in a national measure known as Middle Super Output Areas (MSOAs) which was a geographic area with a minimum population of 5000 and that there were 12 MSOAs in the Outer East area

  The differences between MSOAs in the Committee’s area were outlined with high levels of diabetes, coronary heart disease, COPD (Chronic Obstructive Pulmonary Disease), higher smoking rates and alcohol admissions being found in the most deprived MSOAs.  Higher early death rates were also an issue in these areas.  By comparison, In what was defined as the most affluent area, lower rates for these conditions and outcomes were seen, however, obesity rates were higher than the average for the city as a whole

  Members were informed that tackling these issues were not the sole responsibility of the NHS and that addressing the social circumstances of people was one of the major factors to improving people’s health

  Members commented on the following matters:

·  the impact of the smoking ban; that many people would only smoke when socialising and whether smoking rates had decreased

·  housing conditions in privately rented accommodation and if an assessment had been made of whether such accommodation met the decency standards

·  the impact of building an energy from waste facility in close proximity to deprived areas

·  the form of the JSNA refresh and the need for Members to have a concise working document which contained data relevant to their areas

·  the CCGs and the need to ensure there was parity of service in any one area, between GP practices

·  how those hard to reach groups and those who did not visit their GP would be targeted

·  the accuracy of the information provided and that Swllington and Great Preston included areas of deprivation; that Swillington’s medical centre was in need of replacement and that no GP surgery existed in Great Preston

·  the data obtained; whether the size of East Garforth at 7255 was high in terms of an MSOA and whether the data was skewed because of this

Brenda Fullard and Nichola Stephens provided the following

responses:

·  that from data extracted quarterly from GPs surgeries, levels of smoking in the city had decreased from 30% to 24% although there were differences betweens MSOAs.  However new targets had been set which indicated that smoking prevalence should be 18% and that a slight rise in smoking levels had been seen in the city in the last six months.  To address issues around tobacco, an action plan was being developed

·  in respect of life expectancy, over recent years an increase in life expectancy had been seen but that there was no narrowing of the gap between life expectancy between rich and poor and that more work needed to be carried out around healthy life expectancy.  In terms of the location of an incinerator, there could be a health impact, with Members being informed that proposals for such a facility had been raised at a recent meeting attended by the Director of Public Health and that a health inquiry was to be undertaken

·  in terms of the JSNA, an Executive Summary would be provided which would set out key priorities for Leeds with Members being able to access detailed information on the Leeds Observatory, which could pin point information down to postcode level

·  regarding hard to reach groups, that consideration would be needed on the best way to target people and that the local knowledge of Ward Members could be utilised in this area

·  that the 12 MSOAs in East Outer Area Committee did show differences and that the key themes had been extracted to compile the submitted report, however there was much more information behind this data and it was accepted that some areas did have health issues, even if they were not explicit in the headlines

·  that the minimum population for an MSOA was 5000 and that what was being considered was rates of disease; that the information in one MSOA was directly comparable to that in another MSOA so there was no skewing of data

Councillor Lyons referred to a meeting which was taking place on

Saturday 18^th February with Veolia, the Council’s Preferred Bidder for the energy from waste facility and invited a health representative to attend that meeting

  The South East Leeds Area Leader referred to the importance of the health agenda and that it was clear Members wished for greater detail and involvement in this area

RESOLVED –

i)  That the contents of the report, appendices and the comments now made be noted

ii)  That the Area Committee notes the prioritisation of action in line with the diverse needs within the population

iii)  That further consideration be given to each of the MSOA profiles for Halton Moor, Wykebecks, Kippax East, Micklefield and Swarcliffe in line with the present actions taking place within these areas

iv)  That consideration be given to the lead roles of different agencies in terms of addressing needs outlined

(During consideration of this item, Councillor James Lewis joined the meeting)