JSNA Healthy Lives

Data in this summary are correct as at July 2022.

Introduction

Our behaviours, personal circumstances and illnesses hugely affect our life expectancy and health. Influences on our health are particularly important before birth and during early childhood. These influences and risk factors continue to accumulate and their effects build as we move into adulthood. Preventing exposure to these risk factors, and reducing inequalities in how these risk factors are distributed among our population, can have a positive impact on our health.

Local public health teams work to both prevent and reduce people’s exposures to risk factors across all stages of life. We commission services which help people reduce their risk factors (for example, smoking), as well as work alongside other organisations to provide people with the support they need to make healthy decisions and prevent exposure to negative risk factors in the first place.

This chapter focuses on the risk factors, causes and protective factors which influence our health, the health inequalities which are evident and the potential impact COVID has had.

Data in this written summary are correct as at July 2022. The data in this report can be explored further by smaller geographies in the JSNA Healthy Lives data report. 

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Further information on the impact of COVID on our local population has been discussed in the Hampshire COVID-19 Health Impact Assessment.

The health outcomes of our population and how these impact different population groups are discussed in more detail in the accompanying JSNA reports.

Healthy Lives - Hampshire data summary

Lifestyle Risk Factors

Global Burden of Disease

The Global Burden of Disease (2019) provides a tool to help understand what is causing and driving the most death and disability globally and the differences across countries. This study suggests that in Hampshire the most notable all age causes of disease burden were cardiovascular diseases, musculoskeletal and cancers. The top three risk factors driving this are tobacco, high blood sugars and high body mass index. The major causes of disability for adults aged 70 years and over are cancers, cardiovascular diseases and chronic respiratory diseases. Tobacco, high blood sugars and high blood pressure are the three top risk factors for this older population group.

Alcohol

Excess alcohol consumption can contribute to a broad range of illnesses, including liver disease, heart disease, stroke, high blood pressure, and mental health conditions. It is the fifth largest risk factor for ill health in Hampshire. It can also be associated with a range of social and economic issues including loss of employment and crime.

Alcohol admissions in children aged under 18 years have increased between 2015/16 and 2020/21 and are statistically significantly worse when compared to England. In the adult population alcohol related conditions have increased over the same time period, and suggests the increasing burden of alcohol harm in our society is increasing.  

Alcohol related mortality rates have remained fairly stable however across Hampshire men have significantly higher rates of alcohol related mortality than women.
Inequalities data suggest people from the most deprived areas are over twice as likely to die from alcohol-specific conditions as those from the least deprived areas. COVID-19 may also have impacted alcohol consumption behaviours with increased retail purchasing of alcohol and drinking at home. Locally, this has been reflected by a steady increase in referrals for alcohol treatment.

Drug misuse

Drug misuse is a significant cause of disability, and is the fourth ranked cause of death in 15-49 year olds in Hampshire. The health effects of drug misuse vary depending on the type of substances and the pattern and context of their use.

Hospital admissions for those aged 15 to 24 due to substance misuse have remained stable since 2008/09, however there has been a slight increase in deaths from drug misuse nationally and locally.

Deaths from drug misuse are significantly higher in men than women in Hampshire, and national data shows people from the most deprived areas are significantly more likely to die from drug misuse than those from the least deprived areas. Drug misuse deaths are higher in Gosport and Havant than the national average, although this difference is not significant.

Smoking and vaping

Smoking is the leading cause of preventable ill health and early death in England and was responsible for almost 75,000 deaths and more than 500,000 hospital admissions in 2019. In Hampshire between 2017 and 2019, it was responsible for around 4,300 deaths in people aged 35 years and older. It is linked to many cancers, cardiovascular disease and respiratory diseases. It is also the largest preventable cause of foetal and infant illness and death (see maternity section).

The rates of hospital admissions and mortality attributable to smoking were lower in Hampshire than England and both are showing a gradual downwards trend as the prevalence of smoking declines. In Hampshire, an estimated 8.0% of adults smoke compared to 12.1% in England. Havant, Gosport, Rushmoor, New Forest, and Fareham all have higher smoking prevalence rates than the Hampshire average, and Havant also has a higher smoking prevalence than the England average.

In addition, men are significantly more likely to smoke than women, those in routine or manual occupations and those who are unemployed are significantly more likely to smoke than those in managerial or professional occupations, and those living in the most deprived areas are significantly more likely to smoke than those in the least deprived.

Smoking prevalence is thought to have reduced over the pandemic, with an estimated one million people in the UK having stopped during the first lockdown. More recent data has suggested that prevalence remains lower than pre-pandemic for both men and women. The local Community Stop Smoking Service saw a reduction in referrals from healthcare services but a large increase in self-referrals after amplifying media messages around smoking as a risk factor for serious COVID-19 infection.

Vaping among adults who are ‘never smokers’ is uncommon, with between 0.3% and 0.6% vaping. In England, in 2020, vaping products became the most popular aid used to stop smoking. There is no Hampshire data on adult vaping prevalence currently available, however, the commissioned stop smoking support provider offers a Vaping Voucher Scheme to residents who wish to quit using a vape.

It is important to note that while vaping can help smokers quit, it is not harmless and is not for young people under 18. It is especially important to protect young lungs and brains.

Physical Activity

Being physically active reduces mortality risk, helps prevent and address overweight and obesity, improves mental health, and reduces the risk of developing a wide range of illnesses, including heart disease, stroke, type 2 diabetes, obesity, some cancers, mental health problems and musculoskeletal conditions.

The proportion of children in Hampshire meeting the recommended 60 minutes of exercise per day has improved from 44.7% to 48.0% over the last four years and is now significantly better than the England average. National data shows that older children and minority ethnic groups are less likely to achieve the recommended amount of exercise.

70.4% of adults in Hampshire undertake the recommended 30 minutes of moderate intensity activity on at least 5 days per week, trends are stable over the last five years. Rushmoor, Gosport and New Forest are the least active districts in Hampshire, whilst East Hampshire and Winchester are the most active.

Nationally, data for adults shows that physical activity levels are lower in females, older people, those from a lower socioeconomic class, people with a disability and minority ethnic groups. Activity levels fell in both adults and children during the pandemic.

For those with long term conditions who were shielding, the impact on activity levels would have been even greater. The impact of reduced mobility on the older population is discussed in more detail in the Hampshire COVID-19 Health Impact Assessment.

Healthy diet

A healthy diet reduces the risk of obesity, heart disease, some cancers, and bone and joint disorders. Limited data is available on the quality of people’s diets in Hampshire, but in a recent survey of school students in Hampshire, 52% ate fruit every day and 52% ate vegetables every day. The proportion of adults meeting the recommended ‘5-a-day’ on a usual day has remained roughly static at 59.1%, which is significantly higher than the England average of 55.4%. Rushmoor, Havant, and Eastleigh have the lowest levels of fruit and vegetable consumption locally, although these rates are not significantly different to the England average.

Additionally, national data shows that males and those from a lower socioeconomic group are also less likely to have a healthy diet.

The impact of the pandemic on diet in the UK is complex. With hospitality closed during long periods of restrictions, more people were cooking from home, however the quality of food varied across different groups. Children from disadvantaged backgrounds were most likely to eat more junk food and least likely to be eating fruit and vegetables.

Overweight and obesity

Poor diet and physical inactivity are leading risk factors for overweight and obesity, which in turn are risk factors for heart disease, stroke, type 2 diabetes, liver disease, some cancers, dementia, and mental health conditions.

For both adults and children, overweight and obesity are more common in men than in women and in lower socioeconomic groups. Socioeconomic inequalities in overweight and obesity are widening.

In adults, the prevalence of overweight and obesity generally increases in older age groups. Across Hampshire, Gosport, Havant, Basingstoke and Deane, and Rushmoor have the highest prevalence of children who are classed as overweight and obesity, whereas Gosport, Eastleigh and the New Forest have the highest prevalence of adults. Hypertension Hypertension, or high blood pressure, is an important risk factor for a number of conditions including heart disease, stroke, kidney disease, and vascular dementia. Risk factors for hypertension include a diet high in fats and salt, smoking, alcohol and physical inactivity.

The prevalence of hypertension in Hampshire has been increasing and is currently 15.6%, which is significantly higher than the national average of 13.9%.This may be partly explained by Hampshire having an older population than average for England.

Hypertension

Hypertension, or high blood pressure, is an important risk factor for a number of conditions including heart disease, stroke, kidney disease, and vascular dementia. Risk factors for hypertension include a diet high in fats and salt, smoking, alcohol and physical inactivity.

The prevalence of hypertension in Hampshire has been increasing and is currently 15.6%, which is significantly higher than the national average of 13.9%. This may be partly explained by Hampshire having an older population than average for England.

Atrial fibrillation

Atrial fibrillation (AF) is the most common cause of an irregular heart rhythm and can lead to blood clots forming in the heart. Although mostly asymptomatic, people with AF are five-times more likely to suffer a stroke, and an AF-related stroke is more likely to result in death or severe disability.

The prevalence of AF is higher in Hampshire than England (2.6% compared with 2.1%) which again may be related to the older population.

Sexual Health

Good sexual health encompasses a positive, respectful approach to sexuality and sexual relationships which ensures sexual experiences that are safe, free of coercion, discrimination and violence. In England, the definition of sexual health also includes the provision of advice and services for contraception, termination of pregnancies, sexually transmitted infections (STIs) and Human Immunodeficiency Virus (HIV).

To ensure all women, trans-gender men and and non-binary people with female reproductive organs have choice over if and when they decide to get pregnant, good access to long-acting reversible contraception (LARC) is important. Levels of prescribed LARC within Hampshire fell within the pandemic because of difficulties in organising face-to-face appointments. It will be important to monitor these trends as health services resume more normal functioning. Although it is recognised that LARC is important it is equally important for all people to have access to the full range of contraceptive choices.

Early identification and treatment of STIs is important, as untreated infections can lead to serious complications including infertility, ectopic pregnancy, cancer and premature death. Up until the pandemic, the STI diagnosis rate had been increasing, at which point it dropped – likely a result of both reduced sexual activity and less access to diagnostic services.

Chlamydia is the most commonly diagnosed bacterial STI in England, and rates are far higher in young adults than any other age group. Hampshire’s detection rate had been improving, hitting the national detection rate target for the first time in 2019. The pandemic impeded this progress and the detection rate has since dropped. In 2022 there were changes to the National Chlamydia Screening Programme (NCSP) to focus on reducing reproductive harm of untreated infection in young women and other people with wombs and ovaries.

The detection rate target is still in place however this change means young women without symptoms will be proactively offered a chlamydia test. The new HIV diagnosis rate in Hampshire was 3.6 per 100,000 in 2021, which was lower than the England average of 4.8 per 100,000. Early HIV diagnosis and treatment will typically lead to a near-normal lifespan; in contrast, late diagnosis is an important predictor of morbidity and mortality. In Hampshire, the proportion of people who are diagnosed late with HIV has been increasing and is currently 52.0%, which is considerably higher than the England average of 43.4%.

National data shows that people from Black ethnic groups, heterosexuals (particularly men), and people using injection drugs are more likely to be diagnosed late. However, local data for Hampshire reveals that heterosexual men have the highest rate of late diagnosis with 65.4% first diagnosed in England (2019-21). This is followed by heterosexual and bisexual women at 58.3% (2019-21). Hampshire is working towards zero transmission of HIV by 2030.

Teenage pregnancy

Most teenage pregnancies are unplanned and around half end in an abortion. While for some young women having a child can be a very positive experience, for many bringing up a child results in poor outcomes for both mother and child. These outcomes include higher infant mortality rates, poorer child health, a higher risk of poor maternal mental health, lower maternal education and a higher risk of poverty.

Teenage pregnancy rates in Hampshire have continued to decrease and currently are 9.3 per 1,000 children under 18 years old, which is below the England average and equates to 220 teenage pregnancies in 2020. Rates are higher in areas of deprivation, and this is reflected locally in Havant and Basingstoke and Deane, where teenage pregnancy rates are slightly higher than the England average.

First 1,001 days

The first 1,001 days, that is from pregnancy to age two, is a period of uniquely rapid growth, when babies’ brains, their sense of self, and their understanding of the world are shaped by their experiences and environments. Sensitive, responsive caregiving including early attachment and bonding during the earliest years of life lay the foundation for later health and wellbeing, the benefits of which last a life time.

The Marmott Review report (2010) reported that maternal health, including stress, diet, drug, alcohol and tobacco use during pregnancy, has significant influence on foetal and early brain development. Social and economic circumstances also can have an effect with babies born to mothers living in the poorest areas more likely to have low birth weights. This impacts brain development and is associated with poorer long-term health outcomes. A child’s physical, social, and cognitive development during the early years strongly influences their school-readiness and educational attainment, economic participation and health.

Breastfeeding

Breastfeeding has numerous health benefits for both mother and baby. Breastfed babies have stronger immune systems, lower rates of illness and a lower risk of infant death. Also, later in life, they have a lower risk of many diseases including diabetes, obesity and heart disease. Breastfeeding can also help promote mother-baby bonding and lowers a mother’s risk of breast and ovarian cancer. It is recommended that babies should be exclusively breastfed (breast milk only) for around the first six months of a baby’s life.

In 2018/19, 72.1% of Hampshire babies had breastmilk as their first feed, above the national average of 67.4%. The proportion of babies who are partially or totally breastfed 10-14 days after birth is currently 66.9%. This proportion drops to 59.4% by 6-8 weeks after birth. Both indicators have remained stable over the last two years. However, there is notable variation in breastfeeding levels across different districts in Hampshire, with levels highest in Winchester and lowest in Gosport and Havant. Additionally, national data shows that mothers who are younger, from a lower socioeconomic group, or from white ethnic groups are less likely to breastfeed.

Smoking, alcohol and obesity in pregnancy

Smoking, obesity and alcohol use in pregnancy can have health impacts on both mother and child. Smoking is detrimental to the health of the developing child and increases the risk of premature delivery, miscarriage, stillbirth and sudden infant death. It also increases a woman’s risk of complications during pregnancy.

In 2018/19, 11.6% of pregnant women were smoking in early pregnancy, during the time at which they booked an appointment with a midwife. This is significantly lower than the England average of 12.8%. The proportion of women smoking at time of delivery in Hampshire is 7.9% this is below the England average of 9.6%. Smoking during pregnancy is higher in areas of deprivation. The proportion of women smoking at time of delivery is higher than the national average in Havant, Gosport, Fareham and East Hampshire, and is approximately double that of Rushmoor, the district with the lowest proportion.

Mothers who are overweight and obese have higher risk of complications and death during pregnancy, as do their babies. Obesity in early pregnancy data from 2018/19 suggest that over one in five mothers (21.5%) in Hampshire are obese, this is comparable to England (22.1%).

Alcohol and drug use are toxic to the developing child, potentially leading to birth defects or complications during pregnancy which are highly preventable. In Hampshire, 3% of new presentations at the substance misuse services (for alcohol and/or drugs) are pregnant. Of these pregnant women, approximately 70% already had a child. This is lower than England (5%).

Foetal alcohol syndrome (FAS) is the most common single cause of learning disabilities, resulting in mental and physical problems in the baby from damage to the brain, spinal cord, and other parts of the body. Using figures on the European prevalence of alcohol use during pregnancy (25.2%) from a recent Lancet study, it is estimated that approximately 56 children are born with FAS in Hampshire per year.

Risk Factors for Children

Protective factors that promote the health and well-being of children and families such as; good early years development, good educational outcomes and having a economically stable and supportive home and family are vital. They are hugely influential to the development of children and young people and the life opportunities and health that they will have later in life.

Early years development

Achievement in Early Years is a good predictor of achievement later in childhood. In Hampshire, the proportion of boys and girls achieving a good level of development is significantly higher than the England average across all early learning goals, and achievement in these indicators has increased in recent years. However, inequalities are evident with a lower proportion of children eligible for free school meals achieving a good level of development.

School attendance and educational attainment

There are clear links between school engagement, educational attainment and both current and future health outcomes for children and young people. Good educational attainment and skills are key to breaking the intergenerational cycle of inequalities in income and employment opportunities which impact on health.

Authorised and unauthorised absences from school can negatively impact student achievement, and this impact is larger for children from low-income households. Hampshire has similar rates of authorised absences and lower rates of unauthorised absences than the England average. However, absences are higher in Gosport and Havant than the England average.

Educational qualifications are a key determinant of future employment and income, and there are clear links between attainment and both current and future health outcomes for children and young people.

Average Attainment 8 score has increased each year from 2017 to 2021 and is consistently higher than England average. However, average Attainment 8 score varies across Hampshire, it is highest in Winchester and Hart and lowest in Rushmoor, Havant and Gosport. National data shows that Attainment 8 tends to be lower in those living in areas of higher deprivation and for children in care.

Not in education, employment or training (NEETS)

Young people are legally required to remain in education, employment or training until the end of the academic year in which they turn 18. A lack of further education and training can lead to poor basic skills and limited academic and vocational qualifications. Those who are not in education, employment or training (NEET) have poorer health outcomes, and people who are unemployed for more than 12 months find it increasingly difficult to find permanent employment. National data shows that males and certain ethnic groups are less likely to be in education, employment or training. Within Hampshire, there is a significantly higher proportion of young people in education, employment and training than both regionally and nationally.

Child poverty

Childhood poverty leads to poorer mental health, lower educational attainment and poor health outcomes and premature mortality for adults. Overall, Hampshire is an affluent county where a lower proportion of children are living in low-income households than the England average (12.3% compared with 18.5% in 2020/21). However, there is variation across the area, as both Gosport and Havant both have a higher proportion of children living in low-income households than the England average, whereas Hart and Winchester are the areas with the lowest proportions.

Children involved in the criminal justice system

A wide range of factors influence with a child is involved with the criminal justice system including their family, their local community and neighbourhood and their engagement in school. Children in contact with the criminal justice system have high levels of mental health needs and a higher risk of suicide than other young people. The rate of children and young people receiving a first reprimand, warning or conviction in Hampshire has continued to decrease in recent years and is slightly lower than the average for England. National data shows that areas of greater deprivation have significantly higher rates of first-time entrants to the youth justice system.

Vulnerable children

The Department of Education define Children in Need (CiN) as a legally defined group of children (under the Children Act 1989), assessed as needing help and protection as a result of risks to their development or health. This group includes children subject to Child in Need Plans, Child Protection plans, Looked After Children, young carers, and disabled children. Children in need also include young people aged 18 or over who continue to receive care, accommodation or support from children’s services and unborn children.

As at March 2022, there were 7,174 Children in Need, 1,034 were on a Child Protection Plan, and 1,713 Children Looked After (full time) identified by Hampshire Children’s services. Trends of local data show the rate of Children in Need is steadily increasing. Children Looked After (full time) rate has also increased slightly whereas the Child Protection Plan rate has decreased.

Unemployment

Work is typically good for an individual’s physical and mental health and wellbeing, and access to local employment and good working conditions can influence the health of a community. In Hampshire, 2.3% of adults are claiming universal credit which is lower than England at 3.9%. Gosport and Havant show the highest rates (3.6%) and Hart the lowest (1.5%).

Inequalities are evident with higher employment rates in males, those aged 25-49 years, White ethnic groups and those without a disability.

Poorer quality employment can impact on health and wellbeing. One example of this is zero-hour contracts, which have been associated with poorer mental health. South East England has the second highest prevalence of people on zero-hour contracts in the UK, with 3.2% of people in employment on a zero-hours contract in 2021. Similar to national trends, this has been increasing in recent years.

Applying this percentage to the Hampshire population, this suggests approximately 35,500 people are currently working on a zero-hours contract in Hampshire. The proportion of people on zero-hours contracts is higher in females and 16-24 year olds. National data also suggests that young working age people were most likely to be furloughed instead of working throughout the pandemic.

Low pay and poverty

A ’living wage’ can be defined as a job which pays enough to meet the local cost of living – this is different from the National Living Wage set by the government. The proportion jobs where the pay is lower than living wage has decreased between 2014 and 2021 nationally from 22.6% to 17.2%. The same pattern has been shown in Hampshire (a decrease down to 12.7%), although there is variation across the area with Gosport showing the highest proportion in 2021 (22.0%) compared with Rushmoor showing the lowest (7.9%). Women are more likely to be working in roles that pay lower than the living wage nationally in 2021 (20.6% compared with 13.7% for men). However, due to the cost of living crisis these figures are likely to have changed into 2022, leaving greater numbers of people living in poverty.

Cost of living

In 2022, there have been sharp increases in the costs of everyday essentials and fuel. Housing and household services (which includes energy costs), transport, and food and non-alcoholic beverages have contributed the most to the increases.

Household are calculated to be living in fuel poverty when the energy efficiency rating of their home is in bands D, E, F or G and when their income after housing costs is below the poverty line. It is therefore driven by three factors: energy costs, energy efficiency of the home and income. Cold homes have been linked to an increased risk of developing a wide range of health conditions including, asthma, arthritis and pneumonia, as well as unintentional injury. There are higher numbers of households with lower energy ratings in the New Forest and Basingstoke and the majority of homes with low energy ratings are owner-occupied and likely to be older buildings.

The proportion of households in fuel poverty in Hampshire is consistently below the national average and is currently 6.4%. There was some variation across districts, with Rushmoor having the highest proportion at 7.7%, and Hart having the lowest at 4.8%. Due to the huge increases in energy costs during 2022, the number of households living in fuel poverty by winter 2022 will be much higher, leading to increased risks to health and wellbeing.

Gambling

Gambling can be a fun recreational activity there are also gambling related harms which can impact on the health and wellbeing of individuals, families, communities and society. Problem gambling can have negative impacts on the day-today lives of gamblers and those close to them, in terms of resources (e.g. money and debt), physical and mental health and relationships. Applying national survey findings to the Hampshire population suggests that there are just under 32,000 problem gamblers across Hampshire. Younger age groups and people from ethnic minority groups had a higher rate of problem gambling.

Serious violence impacts physical and emotional health and can cause serious impacts on the health, social and economic outcomes of individuals, communities and societies. An individual's involvement in serious violence increases risks of health harming behaviours, such as higher risk of future violence and reduced prospects in employment, education and wellbeing.

There is no one reason to explain why some people or populations are vulnerable to violence. Instead, there are a range of factors which increase the risk of being involved in violence. These are grouped into four categories Society, Community, Relationship and Individual.

There are three districts with the highest risk of violence across Hampshire, Havant, Gosport, and Rushmoor, with New Forest also showing a slightly higher risk of violence.

Using the Hampshire Constabulary definition of serious violence, there were 3,244 serious violence crimes across Hampshire between October 2016 and November 2021. Analysis of the hotspots suggests that Gosport, Rushmoor and Havant all had a significantly higher serious violence crime rate than the Hampshire average. Trends in serious violence had been increasing however data show a 14% decrease of serious violence crime offences in 2020/21. This was also seen nationally and can be attributed to the impact of COVID-19 lockdowns.

People affected by domestic abuse

In 2021, the government published the Domestic Abuse Act. The act created a statutory definition of domestic abuse defining domestic abuse as both persons involved are “each aged over 16 and are personally connected to each other, and the behaviour is abusive”. Behaviour is recognised as abusive if it is an incident or pattern of any of the following: physical, sexual, economic, psychological, emotional or any other abuse or violent, threatening, controlling or coercive behaviour.

Domestic abuse-related crime within the Hampshire Constabulary area has seen an increase from 2016/17 to 2020/21, with an 8% increase in 2020/21 when compared to the previous year. This trend is also evident at a national level, with an 6% increase in 2020/21 compared to the previous year and can be partly attributed to improved recording by the police alongside increased reporting by victims.

In Hampshire, 20% of all police recorded offences were flagged as domestic abuse-related between October 2020 and November 2021, a total of 14,682 domestic abuse offences. Partner/Spouse are the most common relationship involved domestic abuse offences. The distribution of domestic abuse-related crimes across Hampshire and an analysis of the risk factors suggests that Havant, Rushmoor and Gosport are areas of higher risk for increased domestic abuse.

Protective measures

Vaccination

High vaccination coverage is essential to ensuring population protection against vaccine-preventable diseases. These diseases often lead to serious complications which can include lasting disability and death.

On the whole, vaccination coverage in Hampshire has remained stable, and higher than the England average, over the last five years. The majority of vaccinations are consistently meeting the target coverage levels set for them, but the exception is the MMR vaccination of two doses for children aged 5 years, which falls under the 95% target, at 92.4%, respectively, although still higher than the England average of 86.6%.

Generally, vaccination coverage has not been negatively affected by the pandemic and, in the case of flu vaccination, there were increases in coverage for 2-3 year olds and people aged 65 years old and over.

Once instance where the pandemic has negatively impacted vaccination rates was when schools were closed. HPV vaccination coverage in girls (two doses at age 13-14) reduced from 88.8% in 2018/19 to 71.1% in 2020/21. National data shows that overall vaccination coverage is lower in areas of deprivation. These differences are significant for flu vaccinations in children, meningococcal vaccinations in teenagers and MMR vaccines (2 doses for 5 year olds).

Health Checks

The NHS Health Check programme invites people aged between 40 and 74 for a check every five years to assess and manage their risk of heart disease, stroke, kidney disease and diabetes. High uptake is important to ensure that individuals at a high risk can be identified and take appropriate actions to lower their risk of serious conditions which can result in disability or death.

The delivery of the Health Check programme, which is commissioned by local government and provided mainly in NHS primary care settings, was largely suspended between April 2020 and February 2022 as a result of the pandemic and in line with national guidance from NHS England.

In Hampshire, 31.1% of those eligible for a Health Check has received one between 2017/18 to 2021/22, higher than the England average of 28.4%. The uptake rate over this period has shown a slight decrease to 45.1% in the five years to 2021/22 from a high point of 49.5% in the five years to 2018/19, which is consistent with the national trend.

 

Download Healthy Lives full report

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Healthy Lives full report 2022

First 1,001 days infographic summary

The first 1,001 days, that is from pregnancy to age two, is a period of uniquely rapid growth, when babies’ brains, their sense of self, and their understanding of the world are shaped by their experiences and environments. A child’s physical, social, and cognitive development during the early years strongly influences their school-readiness and educational attainment, economic participation and health for the rest of their life. Ipsos MORI explain “Science tells us that a child’s experiences from conception through their first five years will go on to shape their next 50”. This report presents a summary of the key national and local data and evidence supporting the first 1,001 days.

First 1,001 days in Hampshire: from conception to two years old

The First 1,001 Days Review includes further details including outcomes for Hampshire children, findings of the Local Maternity and Neonatal System (LMNS) Equity Evaluation and information from stakeholder conversations.

Needs assessments and reports

Hampshire sexual health and reproductive health needs assessment 2022

This needs assessment explores the sexual health and reproductive needs of our local population. Understanding this need and the local demand on our services informs our work in Public Health and how we commission sexual health services. Sexual and reproductive health is relatively good for Hampshire. However, there are variations in outcomes for some individuals, groups, and communities. Variation may be a consequence of knowledge, access, and uptake of sexual and reproductive health services which can create and widen health inequalities. These variations in outcomes can be seen across all districts in Hampshire for a range of different indicators of good sexual and reproductive health. The COVID-19 pandemic has negatively affected some outcomes for Hampshire. The following health needs assessment provides the detailed findings for Hampshire.

A full report for Hampshire and Isle of Wight and a separate summary report for Hampshire are available.

Hampshire domestic abuse needs assessment 2018

This needs assessment aims to quantify current need, describe current services, and thereby inform the commissioning of domestic abuse services in Hampshire. The report provides insights into the challenges services will have to address, and also includes feedback received from stakeholders who work in, or refer to, Hampshire victim and perpetrator services, as well as from service users themselves.

It has been developed following the recommendations of National Institute for Health and Care Excellence (NICE) Public Health Guideline 50 'Domestic Violence and Abuse: Multi-Agency Working'.

• Hampshire Domestic Abuse Needs Assessment
• Children affected by Domestic Abuse (Supplement to Domestic Abuse Needs Assessment)

Alcohol needs assessment 2011

The Alcohol Needs Assessment brings together the latest available data and information in respect of alcohol and the impact of alcohol on a range of cross-cutting issues including health, social and crime implications:

Hampshire Alcohol Needs Assessment