Subject specific needs assessments, evaluations, briefing notes and equity audits

This section contains documents which examine specific populations or issues within West Sussex, including needs assessments, briefings, service evaluations and Health Equity Audits.

Please note: we are currently updating the West Sussex JSNA site so please check back soon for updates.

 

West Sussex Suicide Audit – 2017

Date Added: 20/03/2017
Tags: 2017, Death, JSNA, Mental Health, Reports, Suicide, Suicide Prevention,

West Sussex Suicide Audit - 2017

In 2014 the West Sussex Public Health department completed an audit which covered all West Sussex suicides and open verdicts likely to be suicides, registered at inquest during the period: 1st January 2011 to 31st December 2012. The information in this audit was used to inform the work of the West Sussex suicide prevention steering group.
This new audit covers the three year period 1st January 2013 to 31st December 2015 and aims to build upon the knowledge generated by the previous audit, ensuring the focus is on information that is not readily available using national data sources.

Download: West Sussex Suicide Audit - 2017

Briefing – Excess Winter Mortality in Horsham 2013

Date Added: 30/01/2017
Tags:

Briefing - Excess Winter Mortality in Horsham 2013

This briefing has been drafted to:
– provide a detailed understanding of the excess winter death indicator, as published by Public Health England in annual health profiles; and provide additional data relating to Horsham
– outline the national evidence and research into excess winter mortality and identify specific recommendations for action at a local level.

In the three year period August 2012 to July 2015 there were 220 “excess” winter deaths1 in Horsham. The excess winter death (EWD) index of 18.5 was not significantly different to the England and South East rates of 19.6 and 18.7 respectively.

Download: Briefing - Excess Winter Mortality in Horsham 2013

Briefing – Excess Winter Mortality in Adur 2013

Date Added: 30/01/2017
Tags:

Briefing - Excess Winter Mortality in Adur 2013

This briefing has been drafted to:
– provide a detailed understanding of the excess winter death indicator, as published by Public Health England in annual health profiles; and provide additional data relating to Adur.
– outline the national evidence and research into excess winter mortality and identify specific recommendations for action at a local level.

In the three year period August 2010 to July 2013 there were 217 “excess” winter deaths1 in Adur.
The excess winter death (EWD) index of 34.3 was significantly higher than the England rate of 17.4, and was the highest EWD index in the country.

Download: Briefing - Excess Winter Mortality in Adur 2013

Briefing – Child Disability Estimates

Date Added: 30/01/2017
Tags:

Briefing - Child Disability Estimates

This briefing incorporates work undertaken by the Institute of Public Care for West Sussex County Council as part of the needs assessment of people born with or who acquire a lifelong disability.

The briefing provides an estimate of the number of children living in West Sussex who have a disability and outline the sources of data and background to the assumptions made. This information is important to aid the planning of services and support to children, young people and their families.

There is no single definition of disability and therefore providing a single accurate estimate is difficult; for example the 2011 Census definition of disability is: ‘A long‐term health problem or disability that limits a person’s day‐to‐day activities, and has lasted, or is expected to last, at least 12 months’; the Family Resources Survey (FRS) uses a different definition: ‘a long‐standing illness, disability or impairment which causes substantial difficulty with day‐today activities’. Estimating the number of children and young people according to “severity” or in terms of specific needs or conditions is also problematic. This briefing provides the background to the basis estimates have been made.

Download: Briefing - Child Disability Estimates

IAPT West Sussex Report

Date Added: 01/02/2017
Tags:

IAPT West Sussex Report

This equity audit assesses the equity of provision of IAPT to different population groups, according to estimated need.

30% of people estimated to seek help for common mental illness in West Sussex were referred to IAPT in 2013/14. Of these, 37% were seen in IAPT and 26% completed at least two sessions.

Access to the service decreases with age, with 12% of need referred in men and women aged 65 to 74, and 7% of need referred in men and women aged 75 years and above.

Overall males were referred 15% less than females according to estimated levels of need.

Asians have lower rates of attendance than might be expected from population data.

There is wide variation of referral to IAPT from GP practices across West Sussex.

Recommendations include increasing IAPT capacity, improving recording within the service to better identify unmet need, improve retention within the service to ensure higher completion rates, and better engagement with population subgroups in which there is low uptake of the service.

Download: IAPT West Sussex Report

West Sussex Early Years Needs Assessment (2015) Report

Date Added: 20/04/2016
Tags:

West Sussex Early Years Needs Assessment (2015) Report

The early years of life are crucial for long-term physical, social, emotional and mental wellbeing. The evidence is clear that investment in, and a policy emphasis on, the early years of life yields better long-term outcomes than interventions in later years.

The West Sussex Public Health and Social Research unit have reviewed local and national evidence and engaged with families and professionals to identify how the needs of the 0-5 years population are currently being met.

Local views, experiences, and opinions were gathered from parents and carers, and from local stakeholders (including staff employed in early years’ services). Views were also identified from parents/carers of children with a disability (via a postal survey), foster carers and families from the gypsy and traveller community. In depth interviews were conducted with young parents, and Eastern European families.

This detailed report presents the findings from this research, and provides recommendations to help inform future commissioning priorities in West Sussex.

Supporting documents available for download include:
Executive Summary
Infographics
Supporting Chapters and Appendices

Download: West Sussex Early Years Needs Assessment (2015) Report

West Sussex radiotherapy needs assessment 2010

Date Added: 09/10/2014
Tags:

West Sussex radiotherapy needs assessment 2010

Although age-standardised cancer incidence rates in West Sussex are low, crude rates are high due to the age structure of the population.

This Health Needs Assessment was written in 2010 in part to inform the proposed expansion of radiotherapy
provision in the West Sussex area. Since its publication, radiotherapy provision has become available at East Surrey Hospital in Redhill, 15 miles north of the West Sussex
border. Other nearby provision is discussed in this report but no provision currently exists within West Sussex.

Download: West Sussex radiotherapy needs assessment 2010

West Sussex mental health needs assessment (children and young people) June 2014

Date Added: 16/06/2014
Tags:

West Sussex mental health needs assessment (children and young people) June 2014

This needs assessment looks at the emotional wellbeing and mental health of children and young people in West Sussex; in the main people aged 0-18 years of age, in some instances up to 25 years.

The information collated aims to answer some basic questions:

What are the characteristics of the population aged 0-24 years in West Sussex?

What are the risk factors and protective factors affecting the mental health and emotional wellbeing of the population?

What are the mental health, emotional and behavioural conditions and needs requiring commissioned services?

What services are currently provided to meet those needs?

How well are services currently provided to meet those needs?

What gaps/barriers, if any, need to be addressed?

While a range of data have been collated, at the heart of this work are the experiences and views of children and young people, parents, carers and professionals. The needs assessment was
conducted by researchers in the Public Health, Health and Social Care Commissioning Directorate,
with consultation fieldwork undertaken between October 2013 and December 2013.

Download: West Sussex mental health needs assessment (children and young people) June 2014

Adult mental health needs assessment

Date Added: 18/07/2014
Tags:

Adult mental health needs assessment

This assessment focusses on adults (people aged 18 years or over), and includes “non-organic” mental health of older people: a separate needs assessment on dementia is being
produced.

The report examines not just mental illness or conditions, but also considers what promotes and supports mental and emotional wellbeing.

Download: Adult mental health needs assessment

West Sussex alcohol and drugs needs assessment; final report 2014

Date Added: 16/06/2014
Tags:

West Sussex alcohol and drugs needs assessment; final report 2014

In undertaking the needs assessment researchers examined evidence, reviewed activity and provision alongside national guidance and best practice, and engaged with a wide range of local stakeholders.

In relation to specific gaps in services and/or unmet needs, the report noted the following:

There should be an increased emphasis on recovery. As a matter of urgency there should be clear
linkages with maternity services, specialist inpatient services and some specialist adult social care.

There should be increased provision, and improved mapping, of peer support and self-help groups.
There should be stronger integration with mental health services to ensure that the needs of people
with a dual diagnosis are addressed.

Commissioners should examine the access and take up of services by people from diverse groups, including BME groups, and people living in rural areas.

Examine why there is apparent under-use of some services, including the Structured Day Service and the local residential Tier 4 detox and rehab service.

Commissioners should review the assessment panel process for Tier 4 and also ensure that that Tier 4 treatment options should be considered at the start of a treatment journey not as “the last resort”.

Work should be undertaken to improve staff wellbeing and morale, including sickness and stress levels.

There were a number of recommendations specifically relating to children and young including:-improved support for children and young people with parents/carers with substance misuse problems (including improved identification of children of substance misusers), improved staff training, expand provision of Alcohol
Identification and Brief Interventions, ensure adequate early intervention programmes and improved co-ordination of school education work.

The needs assessment also highlighted the issue of poor quality infrastructure and noted that significant investment was required to ensure buildings are fit for purpose.

Download: West Sussex alcohol and drugs needs assessment; final report 2014

West Sussex alcohol and drugs needs assessment; summary 2014

Date Added: 16/06/2014
Tags:

West Sussex alcohol and drugs needs assessment; summary 2014

In undertaking the needs assessment researchers examined evidence, reviewed activity and provision alongside national guidance and best practice,
and engaged with a wide range of local stakeholders.

In relation to specific gaps in services and/or unmet needs, the report noted the following:

There should be an increased emphasis on recovery.
.
As a matter of urgency there should be clear linkages with maternity services, specialist inpatient
services and some specialist adult social care. There should be increased provision, and improved mapping of peer support and self-help groups. There should be stronger integration with mental health services to ensure that the needs of people with a dual diagnosis are addressed.

Commissioners should examine
the access and take up of services by people from diverse groups, including BME groups, and people living in rural areas.

Examine why there is apparent under-use of some services, including the Structured Day Service and the local residential Tier 4 detox and rehabilitation service. Commissioners should review the assessment panel process for Tier 4 and also ensure that that Tier 4 treatment options should be considered at the start of a treatment journey not as “the last resort”.

Work should be undertaken to improve staff wellbeing and morale, including sickness and stress levels.

There were a number of recommendations specifically relating to children and young including:- improved support
for children and young people with parents/carers with substance misuse problems (including improved identification of children of substance misusers), improved staff training, expand provision of Alcohol
Identification and Brief Interventions, ensure adequate early intervention programmes and improved co-ordination of school education work.

The needs assessment also highlighted the issue of poor quality infrastructure and noted that significant investment was required to ensure buildings are fit for purpose

Download: West Sussex alcohol and drugs needs assessment; summary 2014

Health and social care needs of Gypsies and Travellers in West Sussex 2010

Date Added: 30/01/2017
Tags:

Health and social care needs of Gypsies and Travellers in West Sussex 2010

The Office for Public Management (OPM) was commissioned by NHS West Sussex and West Sussex County Council (WSCC) to conduct an assessment of the health and social care needs of Gypsies and Travellers in West Sussex.

The aims of the project were to:
– Describe the Gypsy and Traveller population of West Sussex and their health and social care needs
– Use qualitative and quantitative information to evidence whatexisting services are and are not meeting these needs
– Identify any gaps in services
– Compare findings with national research and best practice
– Identify further opportunities for service improvement, e.g. partnership working, service access, etc.
– Identify key priorities for commissioners and other interested stakeholders
– Suggest indicators for monitoring progress towards addressing improvements and unmet needs
– Produce a report aimed at policy makers and commissioners, but easily understood by all key stakeholders.

Download: Health and social care needs of Gypsies and Travellers in West Sussex 2010

Health needs assessment of immigration removal facilities in West Sussex by ICPR July 2012

Date Added: 30/01/2017
Tags:

Health needs assessment of immigration removal facilities in West Sussex by ICPR July 2012

NHS Sussex and West Sussex County Council commissioned the Institute of Criminal Policy Research (ICPR) to undertake an assessment of the health needs of people detained in the two local Immigration Removal Centres – Brook House and Tinsley House – and the Cedars pre-departure accommodation.

There were six specific objectives to the health needs assessment:
– To examine the current health and social care needs of people detained
– To identify existing services and provision
– To identify gaps in services or barriers to services,
– To identify any training needs of centre staff
– To identify how the health and social care needs of children are being met
– To identify progress centres are making to address specific health and social care issues raised during HMIP centre inspections

The fieldwork for this study was carried out between February and May 2012.

Download: Health needs assessment of immigration removal facilities in West Sussex by ICPR July 2012

Thorney Island Needs Assessment

Date Added: 20/01/2013
Tags:

Thorney Island Needs Assessment

This report is a summary of the health and wellbeing needs of the families of soldiers from 47 Regiment Royal Artillery and 12 Regiment Royal Artillery who are stationed on the
Army base on Thorney Island, West Sussex.

It has been produced in response to increasing recognition nationally of the health and wellbeing needs of the families of serving personnel.

The reports looks at the current health and wellbeing of families of Thorney Island personnel, services in places for families, how local organisations are supporting families and gaps in services.

This is couple with several recommendations on how staff at Thorney Island and other organisations can work together to improve services.

Download: Thorney Island Needs Assessment

Briefing – Early Help Identification of Children Revised

Date Added: 30/01/2017
Tags:

Briefing - Early Help Identification of Children Revised

This briefing:‐

1) Provides an overview of the child population and families in West Sussex
2) Examines the various risk factors for early child development and harm.
3) (Based on national research) estimates population level prevalence of those at risk groups.
4) Outlines how at risk children could be identified using local sources and mechanisms.
5) Details the readiness for school dashboard indicators identified in WSCC.

Download: Briefing - Early Help Identification of Children Revised

West Sussex smoking cessation health equity audit 2013 – 2014

Date Added: 16/05/2015
Tags:

West Sussex smoking cessation health equity audit 2013 - 2014

This report is to provide local stop smoking services, commissioners and decision makers with information about how equitable the distributions of resources for stop smoking services were delivered relative to the health needs of the population.

Download: West Sussex smoking cessation health equity audit 2013 - 2014

West Sussex residents survey; 2014

Date Added: 22/08/2014
Tags:

West Sussex residents survey; 2014

A Community Survey was undertaken in West Sussex in February to May 2014.

Almost 4,000 people across the county were surveyed; it was a household face-to-face survey.

The survey used nationally and internationally validated questions on a range of issues including volunteering in the community, social networks and isolation (both in the
general population and amongst older people), local concerns, assets and social action.

The background questions used, wherever possible, the same format as the Census 2011.

Download: West Sussex residents survey; 2014

Evidence and engagement with children and young people in West Sussex, 2014

Date Added: 25/07/2014
Tags:

Evidence and engagement with children and young people in West Sussex, 2014

To inform the Children and Young People’s Emotional Wellbeing and Mental Health Needs Assessment, 2014, engagements were held with children and young people across the county in the Autumn of 2013.

In addition, an online survey was developed to capture the views of young people.

With in the discussion groups were upper and lower tier service users, members of the Children in Care
Council and young people from secondary schools throughout the county.

This report is one of a three part engagement; the others being with ‘Parents / Carers of those involved with CAMHS’ and with ‘Professionals involved with CAMHS’ in West Sussex.

Download: Evidence and engagement with children and young people in West Sussex, 2014

Evidence and engagement with parents/carers of young people involved with CAMHS in West Sussex, 2014

Date Added: 25/07/2014
Tags:

Evidence and engagement with parents/carers of young people involved with CAMHS in West Sussex, 2014

To inform the Children and Young People’s Emotional Wellbeing and Mental Health Needs Assessment, 2014, engagements were held with parents and carers of young people involved with CAMHS across the county in the Autumn of 2013. In addition, an online survey was developed to capture the views of parents and carers.

This report is one of a three part engagement; the others being with ‘Professionals involved with CAMHS’ and with ‘Children and Young People across West Sussex’.

Download: Evidence and engagement with parents/carers of young people involved with CAMHS in West Sussex, 2014

Evidence engagement with professionals involved with CAMHS in West Sussex, 2014

Date Added: 25/07/2014
Tags:

Evidence engagement with professionals involved with CAMHS in West Sussex, 2014

To inform the Children and Young People’s Emotional Wellbeing and Mental Health Needs Assessment, 2014, engagements were held with professionals across the county in the Autumn of 2013.

In addition, an online survey was developed to capture the views of professionals from a broad range of organisations.

This report is one of a three part engagement; the others being with ‘Parents / Carers of those involved with CAMHS’ and with ‘Children and Young People across West Sussex’.

Download: Evidence engagement with professionals involved with CAMHS in West Sussex, 2014

Life expectancy at birth in West Sussex 2001 – 2012; data briefing

Date Added: 16/06/2014
Tags:

Life expectancy at birth in West Sussex 2001 - 2012; data briefing

An analysis of ward, district, county and deprivation decile level life expectancy estimates over time.

Evidence indicates that inequality has been rising and that older person poverty is highly associated with decreases in life expectancy values.

Download: Life expectancy at birth in West Sussex 2001 - 2012; data briefing

Lifestyles of older people in West Sussex, 2006

Date Added: 03/04/2014
Tags:

Lifestyles of older people in West Sussex, 2006

West Sussex has an ageing population. The county’s population age structure is older than the South East region and England as a whole and presents challenges in relation to the demand for and provision of services, but also in the way that older people are perceived and included in the wider community.

This report includes sections on smoking and alcohol, carers, contact with health services, home, anti-social behaviour and vulnerability of 48,202 people aged 60+ in West Sussex.

A summary report of the Older People’s Lifestyle Survey 2013 is also available on this site

Download: Lifestyles of older people in West Sussex, 2006

Lifestyles of 16 to 24 year olds in West Sussex 2007

Date Added: 03/04/2014
Tags:

Lifestyles of 16 to 24 year olds in West Sussex 2007

This survey provides West Sussex with an important and timely insight into the health and educational determinants of young adults in further and higher education.

This report provides information on demographics, lifestyles, high-risk and sexual behaviour of young adults aged between 16 and 24 years old.

This lifestyle survey of 16 to 24-year-olds attending Further and Higher Education Colleges in West Sussex was conducted in the winter term 2006-2007 (representing the views of 2,672 young adults).

Download: Lifestyles of 16 to 24 year olds in West Sussex 2007

Equality Act update 2013

Date Added: 07/02/2014
Tags:

Equality Act update 2013

The Equality Act 2010 identified nine protected characteristics; age, sex, disability, race, religion and belief, gender re-assignment, marriage and civil partnership, sexual orientation and pregnancy and maternity.

The attached report is an update on population level data sources relating to these characteristics.

Download: Equality Act update 2013

Evaluation of the Family Link Worker service 2012-2013

Date Added: 31/12/2013
Tags:

Evaluation of the Family Link Worker service 2012-2013

This report evaluates the impact of the Family Link Worker Service over the 2012-2013 academic year.

Overall, at least one of the four evaluation forms was returned for 340 children/cases. These children attended 125 different schools.

The number of children referred from these schools ranged from between one to ten. Among the findings:

1. In eight out of ten cases, children said that their FLW had helped them and their families a lot.

2. In two-thirds of cases schools said that barriers to learning had been lessened.

3. 86% of schools thought that the service was effective in meeting children’s needs.

Download: Evaluation of the Family Link Worker service 2012-2013

Lives of older people in West Sussex survey; summary report 2013

Date Added: 16/12/2013
Tags:

Lives of older people in West Sussex survey; summary report 2013

West Sussex County Council conducted a telephone survey of 2803 residents aged 65+ and selected at random.

The aims of the survey were to understand levels of loneliness,
social isolation and participation in older people in the county and to obtain data on health, wellbeing and lifestyle.

Attached is a short summary of the findings from the report.

Download: Lives of older people in West Sussex survey; summary report 2013

Child poverty briefing note 2013

Date Added: 31/10/2013
Tags:

Child poverty briefing note 2013

Update on child poverty relating to August 2011 as provided by HM Revenue and Customs (HMRC).

In 2011, 13% of all children, and 13.5% of children under 16 years old were in relative poverty in West Sussex. This was highest in Crawley and lowest in Mid Sussex.

Data is available at county, local authority, ward and neighbourhood levels (lower super output area).

Download: Child poverty briefing note 2013

Eye health – baseline evidence and service data

Date Added: 12/09/2013
Tags:

Eye health - baseline evidence and service data

With a National Eye Health week established, this report on eye health presents information on the prevalence on eye conditions as well as information on sight tests by service user groups, cataract operations and the number of people registered blind in West Sussex.

Download: Eye health - baseline evidence and service data

2012 mid year estimates of population briefing note

Date Added: 09/08/2013
Tags:

2012 mid year estimates of population briefing note

The 2012 Mid-year population estimate for West Sussex was 815,100. This is a 0.8% increase from the previous year, caused by inward migration and to some extent a higher number of births than deaths.

This briefing outlines the key features of the 2012 population estimate including total population estimate and breakdown by 5-year age groups. Comparison between the 2011 and 2012 population estimates shows the changes in the number of births, death and net migration over that time period.

Download: 2012 mid year estimates of population briefing note

Seaside deprivation

Date Added: 30/08/2013
Tags:

Seaside deprivation

This brief will the a recent ONS study into the high levels of deprivation being experienced by large seaside resorts such as Bognor Regis, Worthing and Brighton among others in the local area.

Download: Seaside deprivation

Friends and family survey

Date Added: 30/08/2013
Tags:

Friends and family survey

This brief will summarise the newly released NHS Friends and Family Test Scores (FFTS), it will give a rundown of what the survey was, how the FFTS was calculated, how it should be interpreted and used along with any caveats or warnings that come with the data.

Local trust data is also summarised in terms of their FFTS and response rates.

Download: Friends and family survey

Fuel poverty briefing note

Date Added: 30/08/2013
Tags:

Fuel poverty briefing note

This brief will cover the drastic changes to the fuel poverty definition from the old 10% measure to the new Low Income High Cost (LIHC) definition This briefing will
also give a summary of local figure for 2011 at County and District level.

Download: Fuel poverty briefing note

Environmental health services: Reconnecting public health

Date Added: 16/07/2013
Tags:

Environmental health services: Reconnecting public health

The first report of its kind, this reports brings together key environmental factors, which affect Public Health in West Sussex.

These are air quality, fuel poverty, water quality, alcohol control and noise control.

A separate section on the emergent issue of increasing public awareness of food hygiene standards when eating out follows this.

Download: Environmental health services: Reconnecting public health

Quality assurance of children’s residential care: Service level summary 2013

Date Added: 28/06/2013
Tags:

Quality assurance of children's residential care: Service level summary 2013

Service level summary on the quality of care provided by 7 children’s residential care units in
West Sussex. This summary provides an overview of the project with selected results presented.

Download: Quality assurance of children's residential care: Service level summary 2013

Child disability mapping project survey report

Date Added: 24/05/2013
Tags:

Child disability mapping project survey report

Report looking into parents experience and opinion of services for children with a disability.

A questionnaire-based postal survey was sent to 642 families known to have a child with a disability and covers 3 key areas:-

1. Care and support received by families over the last 12months
Parental rating of satisfaction of services, extent to which services met their child’s needs, rating of quality of social services and level of awareness of services available.

2. Information and advice about their child care. Opinion from parents on obtaining information on their social care needs and services provided.

3. Decision made about their child’s care over the last 12 months.
This section covers aspects of decisions made by social care professionals including satisfaction
with decision and whether they or their child were consultant.

Download: Child disability mapping project survey report

Bentswood stakeholder workshop summary: Maintaining health and wellbeing in Bentswood

Date Added: 23/01/2013
Tags:

Bentswood stakeholder workshop summary: Maintaining health and wellbeing in Bentswood

West Sussex Public Health is undertaking an innovative new project to enhance health improvement in Bentswood.

The purpose of the workshop was to introduce the stakeholders who live and work in Bentswood, to innovative
ways of working within neighbourhoods and communities.

This report is a summary of the discussion held on the day on how to improve health and wellbeing in the area using resources available in Bentswood.

Download: Bentswood stakeholder workshop summary: Maintaining health and wellbeing in Bentswood