JSNA summary

The scope of the JSNA has been developed around the Barnsley Integrated Care Outcomes Framework (ICOF). This framework has been developed by partners as a tool to assess improvements in population health, health inequalities and service integration.

This JSNA summary provides key headlines structured into the ICOF key domains.

Please note that more detailed and additional findings are in the main sections of the JSNA website.

Overarching objectives

  • Life expectancy at birth for men in Barnsley in 2016-2018 is 78.1 years; lower than the England rate of 79.6 years.

  • Life expectancy at birth for women in Barnsley in 2016-2018 is 81.9 years; lower than the England rate of 83.2 years.

  • Men, at birth, in Barnsley could expect to live 58.8 years in “good” health (4.6 years less than men in England overall).

  • Women, at birth, in Barnsley could expect to live 63.2 years in “good” health (0.7 years less than women in England overall).

  • Barnsley’s 2014-2017 excess winter deaths rate (30.9%) is significantly higher than the England rate of 21.1%.

  • In 2017, 3.01% of full term babies born to mothers from Barnsley had a low birth weight, similar to the England average of 2.82%.

Lifestyle and wider determinants

Health care 

  • Although Barnsley’s rates for under 75 mortality from cancer have fallen over recent years, the 2015/17 rate of 152.4 per 100,000 is still significantly higher than the England rate of 134.6 per 100,000.

  • Although Barnsley’s rates for under 75 mortality from cardiovascular disease have fallen over recent years, the 2015/17 rate of 87.0 per 100,000 is still significantly higher than the England rate of 72.5 per 100,000.

  • Barnsley’s 2016/18 under 75 mortality rate from liver disease (22.2 per 100,000) is significantly higher than the England rate (18.5 per 100,000).

  • In 2018/19, almost half (48.1%) of people in Barnsley who were invited for an NHS Health Check took one up; significantly higher than the England rate of 45.9%.

  • Although Barnsley’s rates for under 75 mortality from respiratory disease have fallen over recent years, the 2015/17 rate of 41.8 per 100,000 is still significantly higher than the England rate of 34.3 per 100,000.

  • In 2017/18, the rate for new certifications of visual impairment (CVI) in Barnsley was 63.3 per 100,000. This is significantly higher than the England rate of 41.1 per 100,000.

Health improvement

  • Smoking prevalence in Barnsley is reducing, but at 17.4% Barnsley still has one of the highest rates in the country.

  • Barnsley’s 2017/18 rate for hospital admissions for alcohol-related conditions (793 per 100,000 population) is significantly higher than the England rate of 632 per 100,000.

  • Latest data (2017/18) indicates that more than two-thirds (69.7%) of Barnsley adults are overweight or obese; a significantly higher proportion than the national average (62.0%).

  • More than one in five (21.3%) of Barnsley’s 4-5 year old population were overweight or obese in 2018/19; similar to the England rate of 22.6%.

  • More than one in three (34.9%) of Barnsley’s 10-11 year olds were overweight or obese in 2018/19; similar to the England rate of 34.3%.

  • Latest data (2018/19) indicates that almost two-thirds (64.3%) of Barnsley adults are physically active (doing at least 150 minutes physical activity per week). This is similar to the England rate of 67.2%.

  • Latest data (2018/19) indicates that less than a quarter (24.2%) of Barnsley adults are physically inactive (doing less than 30 minutes physical activity per week). This is similar to the national rate of 21.4%.

  • Barnsley’s 2018/19 rate of 98.4 per 10,000 for hospital admissions caused by unintentional and deliberate injuries in children (aged 0-4 years) is significantly better than the national rate of 123.1 per 10,000.

  • Barnsley’s 2017 rate for under 18 conceptions is 29.1 per 1,000. This is significantly higher than the regional and national rates of 20.6 and 17.8 respectively.

  • Barnsley’s rates for two year olds achieving typical or above typical development range from 43.5% in the Health & Self Care aspect to 70.6% in the Moving and Handling aspect (Spring Term, 2019).

  • Just over half (55.6%) of mothers in Barnsley in 2016/17 gave their babies breast milk in the first 48 hours after delivery. This is significantly lower than the England rate of 74.5%.

  • Around a third of mothers in Barnsley (32.9% - provisional data for Quarter 1, 2019/20) continue to breastfeed their babies at 6-8 weeks after birth.

  • In 2017/18, 70% of five year olds in Barnsley achieved a good level of development at the end of Reception; similar to the England rate of 71.5%.

  • A key themes highlighted in the Director of Public Health’s Annual Report 2017 was sleep. A significant number of Barnsley residents revealing their feelings of tiredness during the day and how lack of sleep was affecting their day to day lives. 

  • The proportion of people in Barnsley who were killed or seriously injured on roads during the period 2015-2017 (47.3 per 100,000) was significantly higher than the England rate of 40.8 per 100,000.

Health protection

  • Barnsley’s 2018/19 seasonal flu uptake rates for the over 65’s, under 65 years (at risk), pregnant women and two to four years olds are all higher than the England rates.

  • Barnsley also has good uptake rates in school age children, with more than three quarters of children in Reception and Years one to four being vaccinated in 2018/19.

  • Of those diagnosed with HIV in Barnsley  (aged 15 years or more) in 2016-2018, more than half (61.3%) were classified as being diagnosed at a late stage.  This is higher than regional and national rates of 49.3% and 42.5%.

Wider determinants

  • In 2018, it was estimated that 4.1% of all deaths in Barnsley in those aged 30+ were attributable to fine particulate air pollution; lower than the England rate of 5.2%.

  • The total number of children on the current Special Educational Needs and Disabilities (SEND) register in Barnsley is 4,945, around 15% of all pupils. The most common primary diagnosis of the type of SEND are moderate learning difficulty (MLD), followed by social, emotional and mental health (SEMH), speech, language and communication (SLCN) and autistic spectrum disorder (ASD).

  • The proportion of Barnsley’s 16 and 17 year old cohort who are NEET, or are Not Known (NK), is 4.9% (December, January and February 2018/19). This represents a notable improvement when compared to performance last year 5.6%.

  • In 2018/19, more than half (55.6%) of adult social care users (aged 18+) in Barnsley felt that they had as much social contact as they would like; significantly better than the England rate of 45.9% and the highest rate since 2010/11.

  • National data from the Gambling Commission estimates that 46% of respondents aged 16+ having participated in at least one form of gambling in the past four weeks in 2018.

Resilience and emotional wellbeing

Adult health and wellbeing

  • Over recent years, the proportion of people in Barnsley responding to the question “Overall, how happy did you feel yesterday?” in the Annual Population Survey (APS) has increased from 66.2% in 2011/12 to 72.8% in 2015/16. However, Barnsley’s rate remains lower than regional and national rates of 74.1% and 74.7% respectively.

  • Barnsley’s 2016/18 suicide rate per 100,000 population (9.2) is similar to the England rate of 9.6 per 100,000.

  • Barnsley’s current rate (March 2019) of people entering Improving Access to Psychological Therapies (IAPT) as a percentage of those estimated to have anxiety/depression (18.9%) is similar to the England average of 19.1%.

  • Barnsley’s current rate (2017/18) for hospital admissions where drug related mental and behavioural disorders were a factor (187 per 100,000) is higher than the England average of 157 per 100,000. In terms of numbers, the rate of 187 per 100,000 represents 435 hospital admissions for Barnsley residents during 2017/18 for drug related mental and behavioural disorders.

  • Barnsley’s 2018/19 emergency hospital admissions rate for intentional self-harm per 100,000 population (333.3) is significantly higher than the England rate of 193.4 per 100,000.

Children’s health and wellbeing

  • The rate of children who are subject to a child protection plan with the initial category of neglect in Barnsley (2018) is 16.7 which is below the regional and national rates which are 19.5 and 21.8 respectively. Barnsley has the second lowest rate when compared with statistical neighbours. Rates in Barnsley have declined since 2016, when the rate was 34.8.

  • Barnsley’s current rate (2017/18) for hospital admissions of 0-17 year olds for mental health disorders (67.7 per 100,000) is lower than the England average of 84.7 per 100,000. In terms of numbers, the rate of 67.7 per 100,000 represents 34 hospital admissions for Barnsley residents (aged 0-17) during 2017/18 for mental health disorders.

High quality coordinated care

Services

  • Barnsley’s rating for provision of high quality hospital care has improved over recent years.

  • Published data for Q3 2018/19 shows that Barnsley’s rating for provision of high quality primary care services has declined slightly recently

  • Barnsley’s rating for provision of high quality adult social care services has declined slightly recently.

Unplanned hospital admissions

  • Barnsley has consistently higher rates than the England average for unplanned hospitalisation for chronic ambulatory care sensitive conditions.

  • In 2017/18, Barnsley’s rate for emergency hospital admissions due to falls in people aged 65 and over (2,922 per 100,000) was significantly higher than the England rate of 2,170 per 100,000.

  • Barnsley’s rates per 100,000 for delayed transfers of care have been consistently lower than regional and national rates since 2010/11.

  • Barnsley’s rates of total hospital bed days have been consistently higher than regional and national rates over recent years, the current rate (April 2019) of 54.66 per 1,000 registered population is similar to the Yorkshire and the Humber and England rate.

End of life

  • When compared to other CCGs within the Yorkshire and Humber region and other similar CCGs in England, Barnsley had the highest proportion of people who had three or more emergency hospital admissions in the last 90 days of life in 2016 and 2017.

Improving quality of life

  • Barnsley’s rates of health related quality of life for those with a long-term mental health condition, local term conditions and carers have been consistently lower than the England rates.

  • Barnsley’s rates of the proportion of people who are feeling supported to self-manage their condition have been similar 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.

  • Barnsley’s rates of the proportion of people who use services who have control over their daily life fluctuated during the period 2011/12 to 2015/16. In 2015/16, Barnsley’s rate was significantly higher than the England rate.

  • Over recent years, Barnsley’s rates of the gap in employment between those with a learning disability and overall employment rate have been similar to the England rates.

Experience of work and education

  • Barnsley’s current rate of sickness absence in the labour market (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.

  • Barnsley’s rates for pupil absence have 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.

Demographics

  • Barnsley’s population has been growing constantly since 2001. The overall population is 243,341 (2017 mid-year Office for National Statistics (ONS) estimates). 

  • Due to people living longer, the age profile of the population is changing both nationally and locally. In Barnsley there are 52,858 0-18 year olds, 143,951 19-64 year olds and 46,532 people aged 65+.

  • Barnsley’s population is ageing and the number of residents aged 65+ is projected to reach 60,800 by 2030.

  • Data for Barnsley from the 2011 Census shows that 96.1% of the population were White British and 3.9% were from a Black and Minority Ethnic (BME) group.

  • Barnsley is the 38th most deprived local authority of the 317 in England (IMD 2019).

  • Overall, as at 31 March 2018, there were 1,276 individuals in Barnsley in receipt of one or more armed forces pension or compensation awards.

  • Of these recipients 1,203 were veterans, equal to a rate of 60.7 veterans per 10,000 population (16+); lower than the regional and national rates of 68.7 and 68.3 veterans per 10,000 population (16+).

  • There were 1,512 children in need episodes as at 31st March 2018 for Barnsley. (The rate of children in need at 31 March 2018 per 10,000 children was 301.3).

  • There were 310 looked after children as at 31st March 2018 for Barnsley. (The rate of looked after children in Barnsley at 31 March 2018 was 62).

  • The number of patients with learning disabilities as recorded on GP practice disease registers for Barnsley is 1,450 (0.5%).