JSNA improving quality of life

Quality of life is the general wellbeing of individuals and societies, outlining negative and positive features of life. It observes life satisfaction, including everything from physical health, family, education, employment, wealth, safety and security to freedom, religious beliefs and the environment.

Improving health-related quality of life must be an objective of an integrated health and care. It goes beyond direct measures of population health, life expectancy, and causes of death, and focuses on the impact health has on quality of life.

Health-related quality of life

This section includes:

  • carers
  • long-term conditions
  • long-term mental health

Carers

Why this is important

Health-related quality of life (HRQoL) is a multi-dimensional concept that includes domains related to physical, mental, emotional, and social functioning. It goes beyond direct measures of population health, life expectancy, and causes of death, and focuses on the impact health status has on quality of life.  Measuring health-related quality of life is recognised as important to inform patient management and policy decisions.

This indicator measures health-related quality of life for people who identify themselves as helping or supporting family members, friends, neighbours or others with their long-term physical or mental ill health or disability or because of problems related to old age. By health-related quality of life, we mean the extent to which people:

  • have problems walking about
  • have problems performing self-care activities (washing or dressing themselves)
  • have problems performing their usual activities (work, study etc)
  • have pain or discomfort
  • feel anxious or depressed

The Barnsley picture and how we compare

Barnsley’s rates have been consistently lower than the England rates.

When compared to other CCGs within the Yorkshire and Humber region in 2016/2017, Barnsley has the seventh lowest rate.

When compared to similar CCGs in 2016/2017, Barnsley has the fourth lowest rate.

View the trend and comparator data charts for carers.

Resources and supporting documents

Long-term conditions

Why this is important

Health-related quality of life (HRQoL) is a multi-dimensional concept that includes domains related to physical, mental, emotional, and social functioning. It goes beyond direct measures of population health, life expectancy and causes of death, and focuses on the impact health status has on quality of life. Measuring health-related quality of life is recognised as important to inform patient management and policy decisions.

This indicator measures the health-related quality of life for people who identify themselves as having a long-term mental health condition. Health-related quality of life refers to the extent to which people:

  • have problems walking about
  • have problems performing self-care activities (washing or dressing themselves)
  • have problems performing their usual activities (work, study etc)
  • have pain or discomfort
  • feel anxious or depressed

The Barnsley picture and how we compare

Barnsley’s rates have been consistently lower than the England rates.

When compared to other CCGs within the Yorkshire and Humber region in January to March 2017, Barnsley has the second lowest rate.

When compared to similar CCGs in January to March 2017, Barnsley has the second lowest rate.

View the trend and comparator data charts for long term health conditions.

Resources and supporting documents

Long-term mental health

Why this is important

Health-related quality of life (HRQoL) is a concept that includes domains. They're related to physical, mental, emotional, and social functioning. It goes beyond direct measures of population health, life expectancy and causes of death. It focuses on the impact health status has on quality of life. Measuring health-related quality of life is recognised as important to inform patient management and policy decisions.

This measures the health-related quality of life for people who identify themselves as having a long-term mental health condition. Health-related quality of life refers to the extent to which people:

  • have problems walking about
  • have problems performing self-care activities (washing or dressing themselves)
  • have problems performing their usual activities (work, study etc)
  • have pain or discomfort
  • feel anxious or depressed

The Barnsley picture and how we compare

Barnsley’s rates have been consistently lower than the England rates.

When compared to other CCGs within the Yorkshire and Humber region in January to March 2017, Barnsley has the lowest rate.

When compared to similar CCGs in January to March 2017, Barnsley has the fourth lowest rate.

View the trend and comparator data charts for long term mental health conditions.

Resources and supporting documents



Managing own health

This section includes:

  • gap in employment between those with a learning disability and overall employment rate
  • proportion of people who are feeling supported to self-manage their condition
  • proportion of people who use services who have control over their daily life

Gap in employment between those with a learning disability and overall employment rate

Why this is crucial

In 2006, there was a review around 'Is work good for your health and wellbeing'. The review told us that work was normally good for both physical and mental health and wellbeing. The strategy for public health takes a life course approach. This gives a good indication of the impact limiting long-term illness has on employment among those in the 'working well' life stage.

The Barnsley picture and how we compare

Over recent years, Barnsley’s rates have been close to the England rates.

View the trend and comparator data charts for gap in employment between those with a learning disability and overall employment rate.

Resources and supporting documents

Proportion of people who are feeling supported to self-manage their condition

Why this is crucial

People increasingly expect to work in partnership with health and social care professionals. To make this happen, professionals need to see their patients or clients first and foremost as individuals. They need to make time to listen to people’s concerns, and to understand their values and their goals.

Supported self-management is a core part of our shared vision in Barnsley. This vision is that 'people are enabled to take control of their health and wellbeing'. Services must shift from 'doing for or doing to' to 'working with' patients and service users.

The Barnsley picture and how we compare

Barnsley’s rates have been close to the England rates during the period 2011/12 to 2016/17. In 2017/18, Barnsley’s rate has decreased to slightly below the England rate.

When compared to other CCGs within the Yorkshire and Humber region in 2017/18, Barnsley has the third lowest rate.

When compared to similar CCGs in 2017/18, Barnsley has the second lowest rate.

View the trend and comparator data charts for self-managing conditions.

Resources and supporting documents

Proportion of people who use services who have control over their daily life

Why this is crucial

Control is one of the key outcomes for people derived from the policy on personalisation. Part of the plan of customised services is to design and deliver services more closely matching the needs and wishes of the individual. This puts them in control of their care and support. This measure is one means of deciding whether that outcome is being achieved.

This indicator measures one part of the overarching measure 1A – social care-related quality of life. A study found that members of the public gave this domain the highest weight of the eight included. An example of this is all the domains included in the wider measure. This is the one that the public think are most vital

The Barnsley picture and how we compare

Barnsley’s rates differed during the period 2011/12 to 2015/16. In 2015/16, Barnsley’s rate was much higher than the England rate.

When compared to other local authorities within the Yorkshire and The Humber region in 2017/18, Barnsley had the second highest rate.

When compared to ‘similar’ local authorities in 2017/18, Barnsley had the highest rate.

View the trend and comparator data charts for people who use services who have control over their daily life.

Resources and supporting documents



Experience of work and education

This section includes:

  • percentage of half days missed due to overall absence in all school
  • sickness absence in the labour market
  • staff engagement (NHS)

Percentage of half days missed due to overall absence in all schools

Why this is important

Parents of children of compulsory school age (aged five to 15 at the start of the school year) are required to ensure that they receive a suitable education by regular attendance at school or otherwise.

Education attainment is influenced by both the quality of education they receive and their family socio-economic circumstances. Educational qualifications are a determinant of an individual's labour market position, which in turn influences income, housing and other material resources. These are related to health and health inequalities. Improving attendance (ie tackling absenteeism) in schools is crucial to the government's commitment to increasing social mobility and to ensuring every child can meet their potential.

Improving school attendance will require all services that work with young people to agree local priorities. This indicator should help achieve this.

The Barnsley picture and how we compare

Barnsley’s rates for pupil absence has been significantly higher than the England rates since 2011/12.

Compared to other local authorities within Yorkshire and the Humber in 2017/18, Barnsley’s rate was the third highest.

Compared to similar local authorities in 2017/18, Barnsley’s rate was the third highest.

View the trend and comparator data charts for pupil absence.

Resources and supporting documents

Sickness absence in the labour market

Why this is important

The independent review of sickness absence (published December 2011) was commissioned by government to help combat the 140 million days lost to sickness absence every year.

The review provided an important analysis of the sickness absence system in the UK; of the impact of sickness absence on employers, the state and individuals; and of the factors which cause and prolong sickness. This is in line with the government's strategy for public health, which adopts a life-course approach and includes a focus on the working-age population in the 'working well' stage to help people with health conditions to stay in or return to work.

The Barnsley picture and how we compare

Barnsley’s current rate (2016/18) of 1.1% is the same as the England rate.

Compared to other local authorities within Yorkshire and the Humber in 2016/18, Barnsley’s rate was the seventh highest.

Compared to similar local authorities in 2016/18, Barnsley’s rate was the eighth highest.

View the trend and comparator data charts for sickness absence in the labour market.

Resources and supporting documents



The Barnsley Cohort Model

The Barnsley Cohort Model uses population estimates, levels of risky behaviours and incidence and prevalence of long term conditions in the population to predict future demand for health and care services and then model the impact of better prevention eg smoking cessation, healthy eating and exercise programmes. The model was created by Whole Systems Partnership working with the Public Health Team at Barnsley Metropolitan Borough Council and the CCG using local intelligence alongside national survey