Current key issues from the JSNA
This JSNA has sections on over 80 topics related to health and well-being in Bracknell Forest. Each one aims to highlight areas of need. However, the following is a short list of what we feel are the key priorities for our area right now. This doesn't mean that the other issues highlighted in the JSNA are not important. Rather these are just the 'headlines' and describe key opportunities for improvement at this time.
Since expanding the Bracknell Forest Falls prevention programme, injuries due to falls and hospital admissions for hip fractures have decreased in Bracknell Forest, with both figures similar to the national average. Although not all falls will lead to hospital admission or fractures, they can reduce confidence and mobility. Falls prevention therefore remains a priority as it is estimated that 4,354 Bracknell Forest residents aged 65 and over will have a fall in 2015. This is predicted to increase to 6,864 by 2030.
Source: Public Health Outcomes Framework, 2015 and Projecting Older People Population Information System, 2015
Around 90% of cases of lung cancer are caused by smoking. Our area has a lung cancer death rate that is significantly worse then the South East regional average and our rate of lung cancer registrations is the highest in the Thames Valley region (63.4 per 100,000 population). The local Stop Smoking Service has a quit success significantly higher than the national average – referral of smokers to this service is therefore a high priority. We will continue to increase our range of services to help people quit, with a particular focus on people living with mental health conditions and patients having a surgical procedure (for whom quitting smoking can greatly enhance recovery).
Source: Local Tobacco Control Profiles and NHS Stop Smoking Service Statistics
Mental Health in the Community
Among older people in the Bracknell & Ascot CCG area, 66.17% have received a formal diagnosis of dementia. This is slightly lower than the national average and suggests a need for improved awareness and diagnosis. We are working to address this and more information can be found in the new Dementia Strategy 2014-2019. For younger people, Child and Adolescent mental health services (CAMHS) referrals were up 31% (2013/14) on last year along with case loads rising by 21% (2012/13). This suggests a need for more preventative mental health work with children, in particular building their resilience and supporting their emotional health and wellbeing. Together with colleagues in the NHS we are currently reviewing mental health services for children and young people which will include the continued expansion of preventative support intervening at an earlier stage. An additional priority is to ensure that regular and accurate data on children’s mental health and emotional wellbeing and service outcomes is made available.
Source: Dementia Prevalence Calculator, Dementia Partnerships 2015 & Local CAMHS Report 2013
See the Berkshire Director of Public Health Report on Mental Health here
Immunisation and Screening
In our area, the rate of children who have received 2 doses of the Measles, Mumps and Rubella (MMR) vaccination by their 5th birthday is significantly worse than both the national average and the South East average. This year we will be working with General Practices, NHS England and local schools to raise awareness of the importance of the MMR vaccination and increase vaccination update. Work has already been conducted to find out what parents think about vaccination and how we can best present information to them.
Flu vaccination uptake in Bracknell Forest residents aged 65 and over is also significantly worse than the South East and England average (74.1%). This year we will continue to promote the importance of the flu vaccination to both over 65s and other eligible groups.
Source: Public Health Outcomes Framework, 2015
Recent data from the GP patient survey suggests that the proportion of people feeling supported to manage their condition in our area is relatively low, with 59% of respondents answering ‘yes definitely’ or ‘yes some of the time’ to the question ‘in the last 6 months have you had enough support from local services or organisations to help manage long term health conditions?’ Improving support for self-care will have a positive impact on health and reduce unnecessary burden on healthcare service. The council have already joined forces with NHS colleagues to develop a range of programmes aimed at supporting self care. In addition, a Self Care Guide has been created for this website to support people to look after their own health more effectively.
Source: GP Patient Survey, July 2015