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On this page:
The Joint Strategic Needs Assessment (JSNA) reports on the health and wellbeing needs of people in Bristol.
The JSNA baseline report
The report has been broken into sections:
Executive summary, glossary and abbreviations (pdf, 1.6 MB)
1. Introduction and background (pdf, 188 KB)
2. Process, scope, methods and outcomes of the JSNA (pdf, 347 KB)
3. Bristol - context (pdf, 1.9 MB)
4. Determinants of health and wellbeing (pdf, 9.8 MB)
5. Healthy lifestyles (pdf, 1.7 MB)
6. The burden of ill health - morbidity and mortality (pdf, 1.8 MB)
7. Health and wellbeing (pdf, 7.1 MB)
8. Health and wellbeing of special groups (pdf, 133 KB)
9. Where do we need to be in 2011 and beyond? (pdf, 162 KB)
Annexes (pdf, 3.2 MB)
Top 12 key findings
1. Bristol's population is increasing and life expectancy is improving, but there is a nine-year difference in life expectancy between the highest and lowest Bristol wards.
2. As life expectancy improves, the number of children and adults with disabilities and limiting long-term illness and mental health problems is rising and these conditions are more common in deprived areas.
3. Levels of obesity are increasing in children and adults.
4. There is a link between healthy lifestyle risk factors (such as poor diet, obesity, smoking, substance misuse and teenage pregnancy) with deprivation, poor education attainment, poor emotional health and community safety.
5. The number of people with cardiovascular disease, diabetes and some cancers is projected to increase as obesity rates rise, the population ages and as treatments and survival rates improve.
6. People with dementia will increase by about 33% in the next 20 years due to our ageing population.
7. There are close links between poor housing and health and housing requirements are changing due to more people with disabilities and limiting long-term illness and smaller household units.
8. A poor built environment, urban congestion and traffic pollution all impact on physical and mental wellbeing.
9. Admissions to hospital are high in the older and younger age groups (e.g. through falls, accidents, urgent management of their condition/disability).
10. Almost 40,000 people across the city are providing unpaid care for another person, and many are ageing themselves, and may not be in good health.
11. Bristol is a multicultural city and some minority groups experience a higher prevalence of specific illnesses but are less likely to access some services or services may also not be appropriate.
12. There are a number of information gaps, particularly around carers and people with learning difficulties, physical impairments, mental health and ethnicity recording.

