Basingstoke and Deane

Week 1

Demographics

• Population estimate (2010) - 165,8000• Population predicted to rise by 3.3% between

2010 - 2017• 27.2% of the Basingstoke and Deane population

live in rural areas• Ethnicity - 89.4% white British, 1.1% white Irish,

3.3% white other• Young population , large proportion of working

age

• Death rate below National average

• Unemployment below National average but pockets of unemployment

• Compares well against other areas of England on health profile and index deprivation – Pockets deprivation , health problems exist– Gypsy community hard to reach, higher levels

health related issues

Major joint initiative for healthy eating/lifestyle in Basingstoke

• A Shared Plan to Improve Health and Wellbeing in Basingstoke and Deane 2010-2013:

Aims to:– Reduce obesity– Keep older people independent– Increase physical activity and promote wellbeing

Healthy Eating Projects Basingstoke

• Healthy start road shows• Change4life• 5aDAY• The Cook Eat Programme• Nutrition courses at BCOT• MEND Programme • Walk for life

The Cook and Eat Programme:• Hampshire School Meals provider developed this

programme in partnership with Hampshire Primary Care Trust and Borough Councils.

• Aim is to use more local produce, reduce obesity in children and promote the health and wellbeing of school children within Hampshire using school meal recipes.

• The programme consists of six weekly sessions for children and their parents. – practical cooking skills– healthy eating tips– food hygiene and safety– how to budget and reduce food bills– how to create menus for the family.

• Healthy Start– free weekly vouchers every week to swap for milk,

fresh fruit, fresh vegetables and infant formula milk. Free vitamins.

• Change for Life– Tips, recipes, games to help kids eat more healthily

• Mend – Mind, Exercise, Nutrition - DO IT!– Focused on families with over weight children

Children and Youth

• 40,000 children and young people in area, 26% of population

• 14,000 youth, 9%• Basingstoke and Deane Health Profile 2010

identified need to target– Teen pregnancy– Child obesity

Child and Youth Services• Sure start• Home start• First Steps Toddler Groups• Parent voice• Basingstoke Young Carers• Peace of Mind Care• Basingstoke Pregnancy Crisis Centre• Connexions• Relate

Sexual Health

• Hampshire County Council – target in reduce the teenage conception rate

by 45% to 19.8 per 1000 young women aged 15-17 in 2010– Since 1998 Hampshire’s conception rate has

declined by 5.4% compared to the national reduction of 13.9%

Sexual Health Services• Basingstoke & North Hampshire NHS Foundation Trust provides walk-in and

appointment-only services, including STI and HIV/AIDS screening, GU medicine and psychosexual counselling

• Most local GP surgeries and pharmacies provide Chlamydia testing kits, primarily aimed at the 16-24 age range

• Basingstoke Rape and Sexual Abuse Crisis Centre is a registered charity run by volunteers, which provides confidential support for individuals who may be reluctant to seek advice directly from health care services or the police.

• Services such as Freedom Youth and Get Real provide support, practical advice and local social events for Lesbian, Gay, Bisexual or transgender under 26 year olds in Basingstoke.

Sexual Health messages aimed at adults in their 40s, 50s and 60s

Posters and leaflets, such as these from Hampshire Community Healthcare Trust, can be found in locations such as public libraries and GP surgeries in Basingstoke, in response to the rise in STIs among older age groups.

Smoking in Basingstoke

• Approximately 21% of the Population of Basingstoke smoke, close to the national average

• There are over 180 smoking related deaths a year, significantly lower than the average in England (206 a year)

Source: APHO and Department of Health. © Crown Copyright

2010

• NHS Quit4life– advice and support, webpages, money saving

calculator, local events– Nicotine replacement products, Prescription

requests for drugs to prevent smoking (Champix)

• NHS Toolkit– A toolkit for teachers, targeted at young people, – effects of smoking on health and environment– laws and rules around tobacco and smoking– tobacco production and marketing

• Pharmacy services

Stop Smoking Services

Read the signs

• Leaflet produced by Basingstoke and Deane Borough Council

• Designed to tell parents about smoking, alcohol and illegal drugs and encourage parents to spot the signs that their young person may be using a substance

Drugs and Alcohol -Adults• Strong AA support network in Basingstoke• New NA groups• Phoenix Futures – Drug service, open access, referal to treatment

programes• Fairfield House– Community drug service for opiate dependant

adults• Rooksdown House– Detox, 6 week day program

• Hants partnership Trust Pilot– Alchohol liaison nurses A&E– Offer referrels– Specialist advice, support nurses– Ongoing support for patients

Drugs and Alcohol - Youth

• Catch 22 24/7 – Works with young people under 19 who has

problems alcohol and drugs– informs young people about the effects of drug

and alcohol misuse– team of specialist support workers, social-work

qualified workers, parent and family workers.– Provides service within community and Hampshire

Youth Offending Service

Disability and Health• Key Points

• The MP for Basingstoke , Maria Miller is the Minister for Disabled People in Department of Work and Pensions.

• Launched a campaign Feb 2011 to make Basingstoke a better place for disabled people. – identify services/ameneties that can be made more accessible and

work with providers of services– raise profile of disability issues among employers

• Other initiatives set up by Council– Disability Awareness Day– Access for All" - same opportunities for all– Safe Places Pilot – Changes Places Toilet

Disability and Health

• Little actual provision of Day Centres or health provision provided by local Council or Social Services for physically disabled in area.

• Key providers are charities, Scope and See Ability.

• The North Hampshire Hospital offers– dedicated stroke unit offering outpatient and ongoing

rehabilitation – drop in clinics (Sight Loss once weekly and twice weekly

clinic run by the Adult Care Services Manager).

Disability and Health

• Fairly good level of service for mental health in area including eating disorders, substance misuse, learning disabilities, early psychosis intervention for 14-35yrs.

• It appears that the focus on disabled is on improving accessibility for disabled people rather than improving health

Homelessness in Basingstoke

• Basingstoke and Deane Borough Council have 5,500 applicants on the Housing Needs Register and only 400 properties becoming available every year.

• To date this year, the local council have had 759 applicants who ‘had reason to think they were homeless or threatened with homelessness’.

Why Homelessness is a health issue• Homeless people are less likely to access primary care • More likely to be admitted to hospital as an emergency• Enter the healthcare system when their condition has deteriorated

meaning longer in hospital. • Homeless population were more likely to access mental health and

substance dependence services. (DOH 2010)

• Research conducted by Homeless Link found – Despite 94% of homeless people having access to a GP– Would not necessarily go when they experienced a health problem– Due to staff attitudes, inflexibility of GP services, requiring an

address to register, low awareness of health needs.

Services available

• May Place House – Funded by Hampshire County Council offers

accommodation and support in life skills

• Stonham– Backed by Basingstoke and Deane – provides homeless young people aged 16-21 supported

lodging and a support plan e.g. budgeting, learning to cook.

• The Camrose Centre– Charity drop-in centre for 4 hours 2 days per week– Services offered include advice and information,

laundry and bathing facilities, clothing, free breakfast and lunch, medical facilities, ear acupuncture

• Basingstoke First Point– Funded by Hampshire County Council– Not specifically for the homeless population but can be

used by them to assist in • finding suitable accommodation• accessing community services, education, training • healthcare, daily living skills, and mental health.