Agenda item

Carol Slater introduced this report and made the following points:

·       The JSNA was a statutory requirement and provided a picture of Bristol, informed decisions on how to (1) design services (2) improve and protect HWBB outcomes and (3) help to reduce inequalities.

·       There was a focus on priority cases using JSNA profiles.

·       Development - Details of those parts of the city were provided showing good levels of development and those where this was poorer. It was noted that first time entrants to the Youth Justice System were higher in Bristol than the national average

·       Healthy Weight – the figures for excess weight were relatively unchanged in Bristol for the last decade. Bristol’s figure was slightly lower than the national average and the lowest of all the core cities

·       Smoking and Alcohol  – Bristol was higher than the national average and this figure was higher in males

·       HIV – The prevalence of HIV in Bristol was similar to the national average

·       Theme of Healthy Minds – The number of those satisfied with life had decreased since last year due to a combination of factors such as isolation due to COVID and the cost of living etc. The Board noted details of self-harm admissions

·       Theme of Healthy Places – Details of health protection were provided related to COVID, Homes and Fuel Poverty, Climate and Ecological Emergencies, Violence and Hate Crimes. The number of fuel poor households was fewer than the national average

·       Theme of Healthy Systems – These included assessments of priorities on economic inclusion and the Integrated Care System in the BNSSG. The figures for unemployment were better than in other core cities

·       Locality Partnership Health Profiles – This was a great resource which had first been published in July 2022 and had recently been refreshed. It provided an analysis of the localities in comparison with Bristol

Board members made the following comments:

·       Locality profiles are very helpful in showing those parts of the city where there are difficulties in key areas ie obesity, diabetes etc.

·       Vaping  - This was an important tool to support those who wanted to quit smoking but was discouraged in all other groups. Commercial determinants were a key factor in the growth of vaping which was growing amongst non-smokers in western markets and spreading in developing parts of the world, particularly in Africa, amongst all groups.

There remained a lack of data on the number of children vaping. Initial work in this area to provide a targeted wraparound service had proved very effective in reducing the overall rate of vaping and now needed to be increased. Vaping was an intergenerational problem and was linked to mental health. A piece of work was being carried out in this area and would either be submitted to a future HWBB meeting or would be circulated to them separately.

·       This information was widely available for use as required.

·       This data indicated how badly certain parts of the city needed help such as Hartcliffe and Withywood that had endemic problems which required specific targeting.

ACTIONS:

(1)   JSNA Information to be circulated to the Children’s Board and their draw attention to statistics relating to children – ACTION: Carol Slater/Mark Allen-Richardson to arrange

(2)   Briefings to be provided to any HWBB representative who requires it on issues such as the Local Plan, Economy and Transport – ACTION: Carol Slater/Mark Allen-Richardson to arrange

(3)   Work of group on vaping to be either brought to a future HWBB meeting or circulated separately to HWBB members – ACTION: Christina Gray

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