Enhanced Joint Strategic Needs Assessment

Page 1

Enhanced joint strategic needs assessment for Lichfield District

Published November 2012 Version 1


1

Introduction Joint Strategic Needs Assessments (JSNAs) have been a statutory responsibility since 2007. This responsibility has been jointly held by the NHS and upper tier local authorities through the Directors of Public Health, Adult Social Care and Children’s Services. The purpose of a JSNA is to identify the ‘big picture’ in relation to health and wellbeing needs and inequalities in the local population. The Health and Social Care Act, which was introduced in 2012, has created an enhanced role for the JSNA to bring together partners to analyse current and future health needs and produce a Health and Wellbeing Strategy. From April 2013, all upper tier local authorities and Clinical Commissioning Groups (CCGs) will have equal and explicit obligations to produce an Enhanced Joint Strategic Needs Assessment (eJSNA) which is a duty discharged through the Staffordshire Health and Wellbeing Board eJSNAs must consider current and future health and social care needs and community resilience to match those needs. They will consider the underlying determinants of health and reflect intelligence at a local level. The assessments cover the whole of the population across the life course - from pre-conception to end of life, including people in the most vulnerable circumstances and excluded groups. There is a requirement to involve people living or working in the area through community engagement and consultation in the preparation of eJSNAs. The assessments will be the primary evidence base used to influence decision making and priority setting in the development, commissioning and delivery of services. This includes, but is not limited to, CCGs and local authorities

Our approach The development of Lichfield District’s Enhanced Joint Strategic Needs Assessment (eJSNA) has been led at a local level through Lichfield District Strategic Partnership (LSP). A small working group including representatives from Lichfield District Council, Staffordshire County Council and Staffordshire Public Health have developed the templates and completed the information, in discussion with colleagues, including other statutory and voluntary sector partners. A consultation event with the voluntary sector and other partners was held through Voluntary Voice on 3 October and this has helped to shape much of the Community Voice feedback as set out throughout this document. The Lichfield District Residents’ Survey was carried out during September and preliminary results are included in this assessment, but further work is needed to gain the full picture from this source. This will be available in late autumn 2012. Where possible, headline figures from the 2011 Census are used and evidenced but receipt of more detailed, ward based data is currently awaited. Once this is received and analysed, the eJSNA will be updated where necessary. There are also more detailed pieces of work being carried out in the district which includes an assessment of alcohol needs and services to identify local gaps, as well as the development of an updated Housing Strategy, a Sport and Physical Activity Strategy and a Cultural Strategy, all of which will be available in early 2013. The messages for commissioners included in this assessment have been discussed with the Chairman of the South East Staffordshire and Seisdon CCG, and the document has been considered by the CCG management team. A presentation to all GPs will be made in the near future. Lichfield District Board endorsed our approach in June and will consider the final document for sign off at the November 2012 meeting. The final document will be published on the Lichfield District Council’s website www.lichfielddc.gov.uk/ejsna


How to use our assessment This document aims to enhance the evidence base for health and wellbeing needs and inequalities, which are set out in the countywide JSNA ‘Working Together for Better Health’ and the Health Profile for Lichfield District 2012. When read together with these documents, this eJSNA identifies the ‘big picture’ for the health of Lichfield District. It identifies needs that should to be met through the commissioning of services and issues that commissioners should consider when designing services for the future. This eJSNA particularly focuses on the underlying determinants of health and, wherever possible, statements of need, assets and community voice are evidenced. It does not intend to reproduce all of the detailed descriptions from each of the document sources used. It identifies key issues and signposts to more detailed work and reports through references. The document reflects needs identified within the administrative boundary of Lichfield District Council. However, the local authority boundaries are not exactly the same as the boundaries of other commissioning organisations, including the local Clinical Commissioning Groups - South East Staffordshire and Seisdon CCG covers 83% of the district’s population (82,258 residents). The remainder are served by East Staffordshire CCG (10% or 9,394 residents) and Cannock CCG (7% or 7,034 residents). The latter is of particular importance where needs cross two Clinical Commissioning Group areas, such as Armitage and Handsacre ward. This ward has been pinpointed as an area in need of regeneration, and has greater health needs than many other wards. Where sub-district information is available, this is included in an attempt to help East Staffordshire and Cannock CCGs easily access data, which is relevant to their commissioning decisions. This eSJNA is an ongoing process and should be seen in this way. This document is the start, not the end, of the process. It will feed into a county-wide exercise to collate all of the eight eJSNAs across Staffordshire and subsequently influence a new Health and Wellbeing Strategy.

Contents Overarching themes and assets

3&4

Population and district profiles

5&6

Access to services

7&8

Education and training

9 & 10

Transport

11 & 12

Environment

13 & 14

Income and debt

15 & 16

Housing and fuel poverty

17 & 18

Local communities and social isolation

19 &20

Community safety

21 & 22

Physical activities and green spaces

23 & 24

Culture, heritage and the arts

25 & 26

Employment and prosperity

27 & 28

Enhanced Joint Strategic Needs Assessment Lichfield District

2


3

Overarching themes Lichfield District is generally regarded as an affluent area with many assets that benefit the health and wellbeing of local residents. When considering district averages for morbidity, mortality and other socio economic indicators, the overall picture is a positive one. However, aggregation of data can conceal localised problems at ward and neighbourhood level which are at risk of being overlooked. Some people living in the district experience health and associated inequalities. These are more apparent in key geographical areas including the wards of Chasetown, North Lichfield, Armitage with Handsacre and Fazeley. Large parts of the district are rural and people living in these areas may experience rural deprivation and have difficulty accessing services, and be at a greater risk of issues such as fuel poverty. When the district is considered as a whole, many health and well-being issues associated with deprivation and inequality are often at a lower prevalence than in other districts in the county. However, this often masks smaller pockets of inequality. These may be apparent at a geographical level, but also may apply to individuals and families in what are generally considered to be relatively affluent areas. The impact on these individuals, families and communities is just as great in Lichfield District, as it is in more obviously deprived areas. A challenge for commissioners is to recognise this and identify these populations in the district, and ensure that services are developed to improve health and reduce inequalities across the whole district. Many of the factors that underpin good health and well-being are cross cutting and the interplay between them can be complex. This is particularly evidenced when considering the needs of the 44 families living in the district that have been identified to take part in the programme to ‘Build Family and Community Resilience’ (known nationally as ‘troubled families’). Many of these families are affected by the determinants of health presented in this assessment, and it will be necessary to take all relevant factors into account in order to make sustainable progress towards better life chances when working with these families. Lichfield District has an ageing population, exacerbated by a net in migration of older people (including 40 65 year olds) moving in to the district and staying here into retirement. Lichfield is expected to see a 74% increase in over 65s and 128% increase in over 75s by 2035. Conversely, younger people find it difficult to afford to stay within the district and many move away. The resident population of the district looks to three different CCGs for their health care. Although the majority are covered by the South East Staffordshire and Seisdon CCG, 16,000 residents look to Cannock Chase CCG and East Staffordshire CCG for their care. This leads to cross-boundary issues for commissioning, in particular for Armitage with Handsacre which is an area of identified deprivation.


Overarching assets • •

Strong and effective local partnership working through the District Board and other partnerships An effective public health workforce which is willing and able to work with commissioners and local people in improving wellbeing for the resident population. Some of these practitioners, including community development workers, environmental health and housing officers, teachers, and police officers are not traditionally seen as being on the front line of safeguarding health but will be essential if we are to prevent ill health and keep people well, healthy and happy in the future Although ‘old age’ tends to be regarded as a need, the increase in the older population could also be regarded as an asset – more people, often with considerable skills and knowledge, with more time to give to their communities e.g. by becoming members of voluntary sector boards, local councillors, volunteers etc. The district’s strong and diverse community and voluntary sector is a particular asset and is referred to frequently in this document. Although many voluntary and community organisations are named within the sections which follow, a comprehensive directory of organisations can be obtained from www.ldcvs.org.uk

CCG commissioning district map

South East Staffordshire CCG East Staffordshire CCG Cannock Chase CCG

Enhanced Joint Strategic Needs Assessment Lichfield District

4


5

District profile Lichfield District lies at the heart of the country, twenty miles north of Birmingham. The district covers an area of approximately 128 square miles and has two urban centres – the cathedral city of Lichfield, and the former mining town of Burntwood. It also has over 50 villages and hamlets set in a wide expanse of countryside, including an Area of Outstanding Natural Beauty and five Sites of Special Scientific Interest. Lichfield District has long been considered one of the most desirable residential locations in the West Midlands, and whilst the district is well known for its history, architecture and culture, it is now a thriving centre for industry. The district lies at the heart of the region’s major road network, with the M6 Toll, the A38, and the A5 all crossing the district, and the M6 and M42 both within easy reach. The city is well served by rail services to Birmingham, London, Stoke and beyond. Birmingham International and East Midlands airports are both within a 30 minute drive. This unique position has played a major role in the recent expansion of commercial and industrial developments within the district, with sites such as Fradley Park on the A38, and Lichfield South next to the M6 Toll bringing hundreds of local jobs to the area. In recent years, many overseas companies have made Lichfield District their base for UK operations, including businesses from America, Australasia, and mainland Europe. The district’s geographic links have also played a key role in the development of the Midland’s Defence Medical Establishment project at Whittington which will see 1,100 armed forces and civilian roles created over the coming years. Lichfield has bucked the retail trend in recent years, and whilst the high street has seen the loss of some shops, it has continued to attract new retailers and operators, particularly new independent operators. That said, the city still lacks a large variety of high street brands and some key leisure opportunities, including a cinema. The next few years will aim to address this, with major developments including Friary Outer and Friarsgate adding significantly to the stock of retail, hotel and leisure in Lichfield city. In Burntwood, we are working to develop a new shopping centre which will enhance the local facilities in line with local residents’ needs. Lichfield’s medieval cathedral and its stunning treasures, together with a thriving cultural scene make for a vibrant atmosphere. This has been enhanced by the recent discovery of the Staffordshire Hoard in the parish of Hammerwich, just outside of Lichfield City. Within the city, the Samuel Johnson Birthplace Museum, Erasmus Darwin House and the Lichfield Garrick offer a wide variety of arts and cultural opportunities. Outside the city, the National Memorial Arboretum and Drayton Manor Theme Park both attract significant numbers of visitor from across the UK and worldwide. The city and district’s rich events programme, including the Lichfield Festival, Lichfield Proms in Beacon Park, and Lichfield Arts also attract a wide range of visitors. Whilst the majority of residents live in relative comfort, there are pockets of considerable deprivation both in Lichfield City and Burntwood, and in a number of villages across the district. In recent years, the council and our partners have been working to address these issues and tackle problems of worklessness and community pride. The district has a thriving community and voluntary sector, which plays a vital role in many aspects of community life – from tourism businesses, to schools, and community organisations. The area has outstanding schools both at primary and secondary levels and Lichfield hosts a campus of Staffordshire University. The district has relatively high employment, when compared nationally, but has felt the impact of the recession.


Population profile There are 26 wards in the district and 57 lower Super Output Areas. 98,686 people live in 38,715 households. 61.4% of people live in urban areas - 31.5% in Lichfield (six wards) and 29.9% in Burntwood (8 wards). 38.6% of people live in rural areas (see reference 1). The district’s population has increased by 6% since the 2001 Census and is forecast to increase by 16.5% by 2033, compared a 19% national increase in England (see reference 2). 17.8% of the population is under 16 years of age. The proportion in this age group is lower than the national and regional averages (see reference 1). Older people, defined as 65 years and above, comprise 20% of the population. In 2001 it was just 15.5%, so it has grown significantly (see reference 1). Compared to the West Midlands’ average, the district is home to a higher number of older working-age people (40 - 65 years) and people aged 65 to 79 years. Conversely it has a much smaller proportion of younger working age people (20 to 34 years). This suggests people are moving away from the district once they leave school, and do not return until their mid to late thirties (see reference 3). The distribution of males and females is similar overall, but there are slightly higher numbers of females particularly in middle and older age groups. There are more males under 25 (see reference 4). The ethnic make-up of the district differs significantly from the regional and national make-up. 5.9% of residents are from an ethnic minority background, compared to 12.5% nationally. Since 2006, there has been an estimated increase in all minority ethnic groups, particularly 0-15 year old Asian / Asian-British residents (increased by 900 or 82% between 2006 and 2009). See reference 5. There has been a 4.9% increase in the number of claimants of Disability Living Allowance. The largest claimant age group is 60-69 year olds. Between 2009 & 2011 the number of over 70s claimants rose by 13.2%, and the number of 16-24 year old claimants rose by 17.4%. A large proportion of claimants live in urban deprived wards (see reference 6). Chasetown and Curborough have the highest level of claimants, based on the population size of the wards. Both have high levels of deprivation. In May 2011, 2.2% of district residents were claiming incapacity benefit / severe disability allowance. 43% of these were between 25-49 years old. 56% of claimants were male. 75% had been claiming for 5 years or more. 40% claim for mental health reasons.

• • • • • •

• •

• •

References 1. 2. 3.

4. 5. 6.

ONS mid year estimates 2010. ONS population projections 2009. ONS 2008 based sub-national population projections (West Midlands population) extracted from Southern Staffordshire Districts Housing Needs Study and SHMA Update NLP & Partners, May 2012. ONS mid year population estimates 2010. ONS mid year population figures 2009. DWP May 2011.

Key messages to commissioners The ageing of the population within Lichfield District and its movement into retirement and older age groups could be a greater issue than for many other areas in the region (see reference 1).

Enhanced Joint Strategic Needs Assessment Lichfield District

6


7

Access to services Needs Ageing population This is expected to have a big impact on social and health care needs, and an increase in people living with long term conditions (see reference 1). Malnutrition Based on national prevalence statistics and applied to local population data, it is estimated that there are currently over 2,900 people aged over 65 in Lichfield District who are malnourished or at risk of being malnourished. This results in increased use of primary care, poorer recovery from illness, increased admissions to hospital with more complications, increased length of stay and increased readmission (see reference 2). Increase in dementia It is estimated that the number of people in the district with dementia will increase by 115% by 2030—the second highest increase in Staffordshire (see reference 3). Nursing costs Anecdotally local agencies are picking up high ‘imported’ nursing costs, as a result of inward migration of older people, who may be self-funding care initially, but later require financial assistance as their own funds diminish. This places a growing financial responsibility on local agencies – needs further investigation. Changes to stroke services Stroke services are being centralised to Birmingham which will make services more remote for local residents. GP practices Fazeley and the surrounding areas residents are registered at GP practices in Tamworth town or Wilnecote & surrounds. There is no main surgery in Fazeley, only a branch surgery of a town practice (Laurel House). Armitage with Handsacre is covered by a branch surgery of a Rugeley practice. This means that patients in these areas do not have access to the full range of primary care services in their local areas and have to travel to the main practice (these are two of the more deprived areas in the district). Alrewas is part of the East Staffs CCG and aligns itself with the Burton on Trent practices as a group. The residents living in the wards on the edge of Birmingham, such as Little Aston, Shenstone & Stonnall, are generally registered with Birmingham or Walsall practices. There have been incidents recently of Birmingham practices de-registering Staffordshire residents as part of their list reconciliation. These patients find themselves travelling to Lichfield practices, in the main. One Lichfield practice has a branch surgery in Shenstone, with limited services and access. One GP practice in Lichfield District has some of the lowest results from the patient survey for any practice in Staffordshire and has been required to develop an action plan to improve (see reference 4). Access to broadband (digital divide) Older people, those living in more deprived communities, or with lower educational levels are particularly at risk of digital exclusion. Nationally 70% of people in social housing are not online (see reference 5). Bromford Living has recently undertaken some research of its tenants which suggest that over 95% can access the internet, although they don’t all have computers at home. Lichfield city and most of Burntwood served by fibre optic cable (super fast broadband) but many rural areas served by old copper wire – variable speed and quality. ‘Slow spots’ are identified in parts of Boley Park, Whittington, Fradley, Alrewas, Shenstone Wood End, Parts of Chase Terrace and more rural areas (see reference 6). Access to broadband can impact on access to online services and information, education, work opportunities and need for travel.


Assets • • • • • • • • • •

Bromford Living Children’s Centres run by Staffordshire County Council Churches Community hubs such as Jigsaw, Old Mining College and Mill Lane Link. County, district and parish councillors. Family Justice Centres and Hope Centres Lichfield District Community and Voluntary Sector Support (LDCVS) Lichfield Connects, Lichfield District Council’s customer services team. South East Staffordshire Citizen Advice Bureau (SESCAB). Staffordshire Cares Purple Pages

Messages to commissioners Services need to be accessible for local residents in the district, to meet their needs and take account of their circumstances. Commissioners need to take account of the rural areas in Lichfield as well as the more urban, this includes the provision of primary care services. The needs of particular groups should be taken into account specifically when planning and commissioning services e.g. carers, LGB&T. There should be better integration when commissioning services to include the voluntary as well as the statutory sector. This will help to meet the needs of local residents. The internet is not always the answer for information on services.

Community voice GPs need to be more proactive in identifying carers so that they have more opportunity to access support. Need improved patient and public engagement Encourage people to seek help earlier – enhance access points. Need to identify the needs of Lesbian Gay Bisexual & Transsexual (LGB&T) people and ensure inclusion. Improved data is needed to help us commission services for Autism Spectrum Disorder future diagnosis / intervention and whole range of issues (including education / housing / employment). Need to provide accessible services around mental health agenda – greater awareness of the support needs of carers. Mental health needs are not fully being met – thresholds too high for statutory services means pressure is added to voluntary sector services. Consider the rural nature of the district, expectation that people will come to Lichfield for services. Need better integration of statutory and voluntary sector services. Referral to support groups from e.g. hospital. Access to good quality food through local accessible shops. More community based health outreach and workplace. More awareness and community support for men’s health services. See reference 7 for more information on above.

References 1.

2. 3. 4. 5.

6. 7.

Health and Well-being Profile for Lichfield District Council May 2012 (Staffordshire Public Health). www.bapen.org.uk Staffordshire Observatory. Information from Staffordshire Cluster Primary Care Team. Royal Geographic Society www.21stcenturychallenges.org/focus/digitaldivide-in-britain The Broadband Not Spot Project www.broadband-notspot.org.uk/about.html Voluntary Voice event October 2012.

Enhanced Joint Strategic Needs Assessment Lichfield District

8


9

Education and training Needs Lack of Early Years provision There is a lack of Early Years (Think 2) provision in North Lichfield to accommodate all eligible two-year olds. Funding is available, but there is no suitable accommodation. This will have an impact on life chances of children, and also reduces the opportunity for parents and carers to access training and employment. Fragmented Early Years services There is a need to join up services to improve Early Years experiences and outcomes which are currently fragmented across the district. Shortage of primary school places There is a shortage of primary school places in south Lichfield. This will have an impact on local communities, and may result in migration of families out of the district. Variation in GCSE grades There is a wide variation in GCSE attainment across the district - at both school and ward level. The percentage of pupils who achieved 5+ A*-C grades in 2011, including English and maths, ranges from 49% to 68% across the five high schools (see reference 1). Access to higher education There is a significant difference across secondary schools in access to higher education by 18 year olds. In 2011, this ranged from between 18%-52%. The district average, which ranks Lichfield as second highest in the county, masks this fact (see reference 2). NEETS The number of young people not in Education, Employment or Training (NEETs) is persistently high in Stowe, Chadsmead and Curborough wards. Armitage with Handsacre, Fazeley and Summerfield are also above the county average (see reference 3). The % of teenage mums who are NEET in Lichfield is highest in Staffordshire (see reference 4). SEN statements Lichfield has a higher proportion of SEN statement pupils than would be expected (could be due to better diagnosis). Basic skills There are poor basic skills, low aspiration and a lack of work readiness in some wards (see reference 9). Business skills The skills and training needs of businesses are varied and hard to identify. The training and skills agenda is large and complex, and hard for businesses to understand or connect with. Training provision is not coordinated for businesses. There is also a lack of apprenticeships offered by local businesses (see reference 9). English not first language The district average of schools in Lichfield where English is not the pupils’ first language is 2.4%. Notable exceptions to this exist in a handful of schools, namely Little Aston Primary (30.5%), St. Peter and Paul’s Catholic Primary (9.8%), St. Michaels Primary (8.6%), St. Joseph’s Catholic Primary (6.3%) and Scotch Orchard Primary (5.1%). College enrolments Over the past three years the number of learners accessing South Staffordshire College from postcode sectors within North Lichfield (WS13 7) and Chasetown (WS7 4) has fallen by approximately 50%. However, the number of courses being enrolled on from the same postcode sectors has increased. The range of prior qualifications of learners has altered over the same period. The shift has been away from those with level 2 and 3 qualifications, towards those with entry level and level 1 qualifications. Success rates have increased year on year for these learners. In 2011/12 success rates were 74% (WS13) and 84% (WS7). Numbers withdrawing from courses have also dropped significantly (35%), suggesting that the courses enrolled on are appropriate for the learners’ needs.


Assets •

• • • • •

Five children’s centres, 38 primary schools, four special schools, five high schools and two independent schools. At Key Stage 2, children in Lichfield District have the highest attainment level in the county for English and maths (79% vs. county average 74%). The percentage of pupils achieving 5+ GCSE grades A*-C has increased from 67.6% in 2008 to 76.9% in 2010 (England average of 75.3%). See reference 5. Staffordshire Fire & Rescue Service runs Student Fire Fighter courses for pupils at risk of becoming NEET. The Lichfield Local Strategic Partnership delivers training and education opportunities including environmental education, office skills, business administration, arts and crafts, photography, sports coaching, first aid, teaching, confidence building, computers, healthy cooking, childcare training and drumming. In 2010/2011, over 370 local residents of all ages and abilities, benefited from the training and education programmes on offer. South Staffordshire College has a campus in Lichfield. Staffordshire University has a campus in Lichfield. Active U3A (University of the Third Age). Only 5.7% of the adult population lack any formal qualifications (2009). See reference 6. The percentage of residents with higher level qualifications (degree level and above or equivalent) is above both the West Midlands’ and national averages - 15.5% for Lichfield compared with 11.6% and 14.4% respectively (see reference 7). Both Local Enterprise Partnerships are responding to the workforce skills agenda through formation of Employment and Skills Boards (see reference 9).

Messages to commissioners Need to improve Early Years life experiences by providing joined up child and adult health provision, universal family support, parenting support and family learning There is a shortage of primary school places in the south of the City which needs addressing. Educational attainment levels at GCSE varies across the district. Educational aspiration also varies (measured by access to higher education). Not in Education Employment or Training levels vary by ward with higher association to wards with higher Indices of multiple deprivation.

Community voice Good basic employment leads to employment (see reference 8). Schools should teach life skills e.g. banking, financial capability, consequences of debt in order to better prepare pupils for good citizenship and to become responsible adults (see reference 8). Education and training should be from cradle to grave (see reference 8). Use informal and hidden ways to educate those hard to reach or reluctant learners e.g. through volunteering (see reference 8). Encourage employers to promote training (see reference 8). Leisure courses at college are now expensive and less accessible (see reference 8).

References 1. 2. 3. 4. 5. 6. 7. 8. 9.

2011 Key Stage 4 data, SCC. SCC Tracking progression. 2009 Year 11 school leavers going into Higher Education in 2011. NEET (Aged 16-19) monthly variation report comparing July 2012 to June 2012, SCC. NEET and Not Known (aged 16-19) monthly segmentation report - July 2012, SCC. DofE ‘In Your Area’ website 2011. Staffordshire District Profiles 2011 (Staffordshire Observatory). 2001 Census. Voluntary Voice event, October 2012. Tamworth & Lichfield Economic Strategy 2011. Enhanced Joint Strategic Needs Assessment Lichfield District

10


11

Transport Needs Disabled drivers In Lichfield District 3% (3,038 people) of residents are registered blue badge holders, compared to 6.1% in Staffordshire. See reference 1. Trent Valley Railway Station Although Trent Valley Railway station is a junction between key railway lines and a gateway to Lichfield City, it has poor facilities for commuters (limited waiting room space) and no disabled access, making two platforms impossible to reach for people with disabilities and difficult for families with small children and pushchairs. Disabled passengers can only travel northbound and may face more expensive fare costs as they are obliged to first travel via Birmingham New Street, via the local line, if they want to travel southbound. Young people Staffordshire Young People’s Travel Card enables residents aged 11 – 19 to travel on local buses from just £1 per journey. In November 2011, there were 3,589 cardholders, which equates to 33% of the 11 – 19 population. Lone pensioners 10% of Staffordshire households are lone pensioner, and 66% of these don’t have access to a car, which impacts on the services they can access. In Lichfield’s largest rural settlements, the percentage of lone pensioners is higher than the county average – see table below and reference 2. Fazeley

14.2%

Shenstone

12.9%

Alrewas

12%

Little Aston

11%

Armitage with Handsacre

10.6%

Whittington

10.4%

Proximity to services Around one third of the district falls within the most deprived 20% nationally, when looking at physical proximity to services. These areas include some of the larger rural settlements mentioned above, with high percentages of lone pensioners in Shenstone, Fradley, Handsacre and Whittington wards. Pedestrian and cyclist deaths and injuries Pedestrians and cyclists are more prone to fatal and serious injuries than drivers. Children in the lowest socio-economic group (SEG) are five times more likely to die as pedestrians than their higher SEG counterparts. This is significant in the following wards Stowe, Curborough, Chadsmead and Chasetown. Work migration 43% of employed district residents work within district boundaries. The highest outward migration is to Birmingham, where 16% of employed residents work (see diagram opposite and reference 3). Wheels to Work Staffordshire ‘Wheels to Work’ scheme that helps people who can’t access employment due to transport issues is not available in Lichfield District due to funding constraints. Greener transport Road transport is a major generator of carbon dioxide emissions. More sustainable travel solutions are needed, including strengthening the role of Lichfield City as a public transport interchange and support for the provision for electric and hybrid vehicles (see reference 4).


Assets • • • • •

• •

Staffordshire Young Person’s Travel Card. Lichfield Community Transport (Lichfield District Council). Voluntary Transport for the Disabled. Voluntary Car Scheme (Lichfield CVS). Shopmobility (Lichfield District Council) helps people with disabilities to navigate freely around Lichfield city centre. The free service offers anyone with a mobility problem a place to park, and the use of a motorised mobility scooter/wheelchair. Between April September 2012 645 people used the service. Disabled blue badges holders can park free for unrestricted periods in local car parks. North Lichfield 20mph zone – was introduced to reduce fatal and serious injuries incidents dropped by 37% in the three years following installation.

Migration to work patterns

Messages to commissioners Physical access to key services is difficult, particularly for those who are elderly and living in rural settlements There is no disabled access for passengers at Lichfield Trent Valley station, which could impact on residents ability to access key services and employment.

Community voice Disabled access is needed at Trent Valley Railway Station (see reference 5). It can be difficult to link paid carers with individuals in more rural areas (see reference 5). Voluntary transport needs to be suitably comfortable for the frail and elderly (see reference 5). More accessible transport for the frail and elderly is needed to access groups / events (see reference 5). From a list of 20 factors, 40% of respondents stated that public transport is in need of improvement (see reference 6).

References 1. 2.

3. 4. 5. 6.

Client Information System for Social Services, October 2012 - Staffordshire County Council. Lichfield District Council, Rural Planning Project, November 2011 – Census 2001 referenced. Census 2001. Lichfield District Local Plan - Our Strategy. Voluntary Voice event, October 2012. Lichfield District Citizens Questionnaire, August 2011.

Enhanced Joint Strategic Needs Assessment Lichfield District

12


13

Environment Needs Clean and pleasant environment Lichfield District Council and parish councils work to maintain a clean and pleasant public environment so residents can enjoy the district. This includes prompt removal of fly tipped rubbish (171 instances in 2011/12) and abandoned cars (45 reports in 2011/12) and enforcement action to prevent dog fouling (177 complaints in 2011/2012), especially in parks and around schools. Whilst these problems are not widespread, they can cause considerable frustration and distress to individuals, neighbourhoods and particularly impact on people’s mental wellbeing. Contaminated land The district land has been investigated to see if there are any substances in, or under it, that could possibly harm people who live on or close to it. Fifty-five potential sites, mostly in residential areas, have been prioritised for intrusive investigation. So far Lichfield District Council has investigated 16 sites, and a target of three sites will be examined every year. Air pollution Exposure to high levels of air pollutants can cause breathing problems and can make respiratory diseases, such as asthma worse, particularly affecting elderly or vulnerable people. The A5 at Muckley Corner has been designated as an Air Quality Management Area because the quality of air does not meet EU standards. Other areas along the A38 and A5 corridors are also being reviewed. Lichfield District Council issues environmental permits to businesses to regulate air pollution. 44 licenses are currently in place, covering a wide variety of industries. Pollution such as dark smoke bonfires, dust and odour account for about 100 complaints a year. Noise complaints Lichfield District Council receives over 450 noise complaints/enquiries a year, and this seems to be a growing problem. Whilst we must accept a certain degree of noise in our daily lives, there are some types of noise that are unwelcome and, in extreme cases, may have a damaging effect on health (sleep disturbance, stress, mental well being etc.) Public health burials Lichfield District Council arranges up to 24 public health burials a year when the deceased person has no next of kin, or where the deceased’s estate can’t afford to pay. It is anticipated this will increase as a result of our ageing population, living alone and increasing levels of debt. Pest control Lichfield District Council’s pest control contractors responded to 689 pest control requests (149 rats, 62 mice, 478 wasps). Reports were more prevalent from rural areas and older houses. Regulation and improvement of housing standards Around 150 housing enquiries/complaints are dealt with each year, often involving vulnerable households, in relation to fitness for human habitation and standards for multiple occupation. Food safety Control of food safety is managed by a series of interventions based on risk assessments that apply to all food businesses from production to point of sale. We ensure the food is wholesome and safe. Around 120 food samples are taken a year. There are over 890 food businesses in Lichfield ranging from home catering to major food production units. 4% of these food businesses need further intervention to improve compliance. Food poisoning Lichfield District Council receives about 250 statutory notifications of food poisoning a year. Food poisoning can cause serious illness, permanent disability or even death. It also places a significant burden on the national economy, costing in the region of £900 million a year. Flooding Flooding of properties is a major concern in the district. This fear became reality in the floods of 2007. With major rivers running through Lichfield district, residents in places like Fazeley, Elford, Colton and the Ridwares are all too aware of the devastation it brings.


Assets Fly tipping removal usually taking place within 24 hours of reporting - an excellent standard. • Regular visits to ensure businesses dispose of waste legally/safely (555 inspections 2011/12). • In 2011/12, 57.3% of household waste was recycled by Lichfield District Council’s scheme. • Well-developed strategies for contaminated land and air quality target highest risk areas first. • There is regular pollution monitoring along the major arterial road network. • Free public toilet facilities in Lichfield City (4) and Burntwood (3). The new Friary Car Park will feature a Changing Places facility including a height adjustable changing bench and hoist. Lichfield District Council’s Environmental health team • are trained to deliver nutrition training to schools and businesses. • developed www.ratemyplace.org.uk in response to a ‘Which’ survey that highlighted a public demand for food safety inspections to be published online. It boost hygiene standards •

• • •

• • •

through competition, rather than regulation. can access 1,500 business premises to help prevent accidents and ill-health in the workplace. supports safe licensing and reduced smoking. has a wealth of skills and knowledge and understanding about how agencies can improve health and wellbeing. has a unique contribution to make through their prime focus of maintaining health. uses problem-solving skills, supported by legal powers, to intervene in the causes of ill health. can influence health determinants and maintain healthy environments for the benefit of both individuals and wider communities.

Community voice In residents’ surveys carried out in Lichfield District (see reference 1): Dog fouling, littering and fly tipping are seen as high priority. 83% of respondents are satisfied with the general maintenance of the local area. 87% of respondents are satisfied with the cleanliness of local streets. 61% of respondent are satisfied with the quantity of dog/litter bins. 92% of respondents are satisfied with the waste and recycling service. 99% of our customers receiving health and safety and food safety inspections are happy with our service. 26% have heard about or logged onto www.ratemyplace.org.uk. 78% feel that a hygiene rating would influence where they choose to eat. Customers use Lichfield District Council’s Environmental Health team as a preferred provider for food hygiene training courses. Lichfield District Council’s pest control service continues to deliver a valued, low cost and well used service.

References 1. 2.

Messages to commissioners People’s health and wellbeing is significantly influenced by the environment in which they live. Maintaining and improving a local healthy environment can have a significant impact on physical and mental health and health inequalities. The ‘look of a place’ influences how people feel about where they live. The less visible systems and frameworks which regulate the environment help to ensure that residents can avoid hazards, which would adversely affect their health. Environmental health practitioners represents the only local government professional considered to be a full time public health practitioner (see reference 2).

3.

4.

5.

Lichfield District Citizens Questionnaire, August 2011. The Report of the Chief Medical Officer’s Project to Strengthen the Public Health Function (2001) extracted from Occasional Paper, A new era for public health , Chartered Institute of Environmental Health, May 2012. Burke S, Gray I, Paterson K and Meyrick J (2012), Environmental Health 2012 – a key partner in delivering the public health agenda, Health Development Agency. Department of Health (1999) Saving Lives – Our Healthier Nation. White Paper Cm 4386. The Stationery Office, Norwich. www.ohn.gov.uk MacArthur, I and Bonnefoy, X (1998), Environmental Health Services in Europe 2 – Policy options. WHO regional publication, European series No. 77, WHO Regional Office for Europe, Copenhagen.

Enhanced Joint Strategic Needs Assessment Lichfield District

14


15

Income and debt Needs Not in Education, Employment or Training (NEET) Lichfield has the highest rate in Staffordshire of teenage parents who are not in education, employment or training. Young people in debt Young people are more likely to be in debt, or have low incomes, in Stowe, Chadsmead, Curborough and Armitage with Handsacre wards. These wards also have the highest number of young people not in education, employment or training. Low income households Whilst the average household annual income in 2010/11 was £46k, 18% of households had an income of less than £15k, and 10% less than £10k (see reference 1). Benefits 6,680 people (10.8% of population) claim some form of benefit. In 2010/11, there were over 3,368 new claims for housing benefit and/or council tax benefit, and 1,555 claimants for Job Seekers Allowance (an increase from the previous year). Debt advice and support Bromford Living, the main local housing provider, had 208 money advice referrals in 2010/11. Their Money Advisor supported clients with over £2.28 million debt (excluding rent arrears). South East Staffordshire Citizens Advice Bureau (SESCAB) reported that between April 2010 and March 2011, the most common reasons for accessing the CAB advice and support was debt, benefits and tax credit. Through SESCAB 2,539 people living in Lichfield district were assisted with debt, welfare benefit or associated problems (see reference 2). SESCAB also rescheduled £1.5 million of debt and £187,316 of income was raised through increased welfare benefits payments (see reference 2). Disabled benefits 30% of SESCAB clients were disabled or had a long term health problem, which is disproportionate compared to the population. Changes in disability-related benefits are causing problems to these vulnerable groups (see reference 2). Accessing support The top six wards for access to SESCAB in 2011/12 were Chase Terrace, Curborough, Chasetown, Summerfield, Chadsmead and Stowe (see reference 2). Mortgage repossessions and rescue Lichfield District Council was notified of 111 mortgage repossessions and supported three mortgage rescues in 2010/11. The number of housing advice enquiries increased (see reference 3). Government changes to benefits The introduction of Universal Credit, caps on benefit, under occupation and changes in Local Housing Allowance will mean that there will be more residents who will struggle to keep, maintain and heat their home, as well as provide food for themselves and their family. This will impact on their health and well-being. Benefit capping Five local families have already lost in the region of £60 a week, as their benefit has been capped at the four bedroom rate (see reference 4). Around thirty families will have their benefit capped at the £500 limit of universal credit from 1 April 2013. This will mean these families will lose anything from £10 a week up to £400 a week (see reference 4).


Assets • • • •

Services provided by South East Staffordshire Citizens Advice Bureau. Two Money Advisors at Bromford and Lichfield District Council Fusion Credit Union. In addition to the above organisations which are primarily focused around providing financial and debt advice, there are many other community and voluntary organisations that provide life skills advice, including income and debt, as part of the delivery of a wider service. This includes Lichfield Foyer, Age UK (South Staffordshire), Home Start etc. Full details can be found at www.ldcvs.org.uk Manage Your Money website which has been developed by the Local Strategic Partnership and provides advice on debt management solutions, hints and tips on benefit entitlement, links to other websites, telephone help lines and information resources. It can be found at www.lichfielddc.gov.uk/manageyourmoney

Community voice As more people are accessing debt advice and money management services in crisis, there is a need for more advice and information services and for them to be accessed earlier which could keep people in work or prevent debts spiralling and improve benefit take-up. The effect of welfare benefit changes will reduce disposable income for the worse-off. GP surgeries should be used to give appropriate holistic advice to patients on practical issues such as debt, unemployment and housing benefit. This could bring savings to GP’s in terms of surgery costs and would give more appropriate and timely advice to patients. People with low and high incomes live in close proximity which leads to the differences in opportunities and wealth being highlighted. This can lead to debt issues and impact on a person’s health and well-being.

References Messages to commissioners

1. 2. 3.

There is a need for more debt and money management advice and assistance at an earlier stage.

4.

Income X, © 2011 Acxiom Corporation. South East Staffordshire Citizens Advice Bureau Annual Report 2011/12. Housing services records (Lichfield District Council). Housing benefit records (Lichfield District Council).

Consideration should be given to enabling advice to be provided in appropriate locations within the National Health Service which should improve access to advice services. Recognition that whilst Lichfield District is a relatively affluent there are pockets of deprivation and low incomes within the district which will impact on health and well being. Raise the awareness of the welfare benefit changes.

Enhanced Joint Strategic Needs Assessment Lichfield District

16


17

Housing and fuel poverty Needs Ageing population The district’s ageing population and associated changing housing needs is a particular issue, with the number of over 85s expected to more than triple by 2033 (see reference 1). The ageing population will lead to an increased need to support people to remain in their own homes including the maintenance and repairs. Housing imbalance There is an imbalance of housing types in the district. There is a higher concentrations of larger detached homes, particularly in the rural areas (see reference 1), and a smaller than average social housing sector (13.5% compared with 15.5% in Staffordshire). See reference 2. High house prices Lichfield District has the highest house prices in Staffordshire and it lacks affordable homes (see reference 1). UChoose registrations Over 200 households a month deem themselves to be without suitable accommodation and sign up to register on the UChoose housing register (see reference 3). All of the above factors impact on people’s independence and mobility, and can limit choices and options, particularly for those in greater need. This may have an adverse impact on people’s health and independence. Benefit changes These are expected to reduce the amount of money people have to pay for housing and some people may struggle to remain independent in their own homes. Statutory homelessness Lichfield District has the highest number of statutory homeless people in Staffordshire (114 statutory homeless in 2011/2012). 49% of these had children or were pregnant (see reference 4). Private sector housing Nearly 20% of homes in the private sector are classed as non-decent, and are mostly occupied by vulnerable households. 4,310 homes failed decent homes standards due to excess cold. There are higher levels of non-decent housing in Burntwood (25%). See reference 5. Fuel poverty 22% of households in Lichfield District are in fuel poverty which is significantly above the national average of 18.4%. The district’s rate has increased from 17% in 2010 (see reference 6). Fuel poverty is much higher in private rented stock than owner occupied (see reference 5). Fuel poverty is higher in the more rural areas, especially Kings Bromley, Longdon and Bourne Vale. It correlates with areas that are off-gas or solid wall homes (see reference 6). Excess winter deaths There are on average 70 excess winter deaths each year, mainly amongst older people. The overall rate in Lichfield District is significantly higher than across England, and is concentrated in 12 mainly rural wards (see reference 7). Handyperson services Demand for Staffordshire County Council’s handyperson service was high (527 jobs were completed between 2009 and 2012, and a further 213 referrals were made but not completed). This service has now been decommissioned, which could have an impact on people’s independence (see reference 8). Disabled adaptations 64%* of adaptations carried out with a disabled facilities grant are for people over 65. This demand is expected to increase, with the ageing population, and contributes to maintaining people independently in their homes (see reference 8). Identifying vulnerable people There is a need to better understand where vulnerable people are, so that housing support and assistance can be effectively targeted. Unsuitable housing The proportion of families with children in unsuitable housing is significantly higher than for the average population in southern Staffordshire especially in Lichfield district, mainly due to a requirement for larger houses with additional bedrooms (1). First time buyers and young people Are affected by a shortage of private rented accommodation and affordable homes. This leads to significant demand for smaller properties, especially from single parent families. As a result young people are staying at home longer before getting on the housing ladder, and the age profile of waiting lists has extended. Young adults staying in the parental home for longer results in overcrowding. See reference 1. * The lack of an occupational therapy service for children may impact on this figure.


Assets •

• • • • • • • •

80% of the private sector housing stock meets the decent homes standard, compared to 64% in England (see reference 5). There are 6,237 social rented properties with 14 registered providers. 4,500 ex council homes are owned/managed by Bromford Living. Seven floating support services provide housing support to vulnerable groups (elderly, those with mental health problems, homeless, ex-offenders). Lichfield Foyer provides supported housing and training for 26 young people at risk. There are 272 sheltered housing units for the elderly in eight schemes. Beacon Park Village provides mixed tenure extra care housing for 135 elderly people. There are 30 supported housing units for people with mental health problems. 19 refuge places and 25 floating support units for women at risk of domestic violence. There are 23 units of temporary accommodation for homeless households. Metropolitan Home Improvement Agency. Dedicated housing advice service and wide range of homeless prevention tools provided by Lichfield District Council.

Messages to commissioners Good quality and warm housing is an important factor influencing a person’s health and well being The ageing population will place significant impact on demand for services to help people remain in their own homes, in particular repairs and maintenance help. This may be complicated by a lack of affordable homes. The economic recession and changes in welfare benefits will impact people’s ability to pay rent, mortgages or maintenance costs. This is likely to increase homelessness. Commissioners need to be aware of these issues when designing services and pathways around keeping people healthy and independent in their own homes. There are limited housing options for young people, those on low incomes and those threatened with homelessness, mainly due to lack of affordable housing. The housing related floating support services are well used and important to assist vulnerable households in maintaining their independence and keeping them in their own homes.

Community voice There is demand for family housing of all sizes in rural areas, as people living in these areas are keen to remain close to family. All rural settlements suffer from a shortage of homes to meet locally generated need. Affordability is a specific problem in rural areas, as house prices are higher than in surrounding areas. We need to boost the awareness of the changes in welfare benefits. There is a need for affordable housing (rental and to buy) in particular for young people who currently often can’t afford to stay living in the district. People need help to do simple repairs to help them to stay in their own homes. There is a need to replace the handyperson scheme that supports elderly home owners to carry out small repair works. The ‘hidden homeless’ should be recognised (e.g. those staying with friends) as these are often not included in the official statistics. The number of people in fuel poverty is increasing across all sectors and we need to provide more services to help people save money on fuel bills and reduce energy consumption. There is a need to encourage private landlords to provide housing to vulnerable people. Opportunities are limited for physically disabled people to enjoy respite breaks in other family members’ (or shared lives carers) homes, as they have not been adapted. Currently funding for adaptations is for the disabled person’s home only.

References 1. 2. 3. 4. 5. 6. 7.

8.

VNLP Southern Staffordshire Housing needs study. Census 2001. Uchoose housing register data. Homelessness P1(E) housing statistics. 2010 Lichfield District Private Sector Housing Stock Condition Survey. DECC 2012 fuel poverty statistics by local authority area. Health and Well Being Profile for Lichfield District Council May 2012 (Staffordshire Public Health). Metropolitan Home Improvement Agency records.

With rising fuel prices and the economic climate, initiatives to tackle fuel poverty are increasingly important, particularly for vulnerable elderly people. Enhanced Joint Strategic Needs Assessment Lichfield District

18


19

Local communities & social isolation Needs Deprivation Despite general prosperity and good health, there are pockets of deprivation of different types, that are present within the district. Significant overall deprivation is more prevalent in Chasetown and Chadmead wards, whilst several rural wards have barriers preventing access to housing, local services and amenities, particularly Mease and Tame (see reference 1). Lack of public transport in rural areas Some rural communities are relatively isolated due to a lack of public transport (see reference 1). Rural housing There is a need for more housing, especially affordable housing, in rural communities. More smaller properties are needed to allow people to downsize within their own village (see reference 1). Rural facilities Most villages have a ‘wish list’ of facilities they feel need to be improved or developed. Often this includes enhanced traffic management, better cycle links and safer pedestrian routes, better or more frequent public transport, and a better range of homes (starter / downsizing). Lack of community focus in rural areas Some villages are ‘disjointed’ and lack a ‘whole community’ focus, as a result of they way they have physically evolved over time. This is particularly true in Fazeley and Mile Oak, Fradley, Little Aston, and Armitage with Handsacre. Rural jobs More rural employment opportunities are required, as well as faster broadband and more support for existing rural businesses and home workers (see reference 1). Rural anti-social behaviour hotspots These are often a product of poor social cohesion, and are more common in areas such as Fazeley. Projects are needed to address this. Facilities in Burntwood Burntwood needs a greater range of facilities and jobs that are appropriate for a town of its size that enable people to work, shop and access social and recreational infrastructure locally (see reference 1).


Assets Lichfield District has always been a place where people want to live (see reference 1). The district includes many attractive villages of historic character and local distinctiveness, this includes six key rural settlements which provide essential services and facilities (see reference 1). Many villages are developing (or have developed) parish plans or more formalised neighbourhood plans which set out localised needs. Plans developed so far include Stonnall’s Neighbourhood Plan (2012), Colton’s Parish Plan (2012 and Burntwood’s Town Plan (2011). Many communities have access to good facilities in which they can meet and socialise e.g. schools, village halls, community hubs in North Lichfield, Chasetown and Fazeley etc. A village hub is being developed in Fradley (see reference 1) Work is progressing to develop village hubs in Fradley (see reference 1) and to some extent in Armitage with Handsacre. Statutory and voluntary sector partners provide infrastructure and deliver services which help to promote community cohesion and reduce social isolation which include: Community development team at Lichfield District Council, Staffordshire Young People’s Services at Staffordshire County Council, Bromford Living (through their landlord and community regeneration roles) and Bromford Support (who address individuals in need of support) There are many voluntary and community groups in Lichfield district that offer support to people full details can be found at www.ldcvs.org.uk Many local communities organise events which promote ‘community spirit’ from the annual Lichfield Bower and Burntwood Wakes, to local lantern parades, country fairs and ‘live and local’ performances and in rural areas. Good neighbour schemes reduce social isolation and can support them to pursue social interests, go shopping, visit friends etc.

• •

References 1. 2. 3.

Lichfield District Local Plan - Our Strategy. Lichfield District Feeling the Difference Survey 2011 (produced by Staffordshire Observatory). Lichfield District Council’s Residents Survey, 2011.

Community voice 97% respondents are satisfied living in the district. Satisfaction has remained stable (see reference 2). 89% agreed their local area was a place where people from different backgrounds and communities can get on well together; the over 65s were most likely to feel positive about this (95%). Most people (88%) have a ‘sense of belonging’ to their local neighbourhood (see reference 2). 43% of respondents agree that they are able to influence decisions affecting their local area compared to 25% in 2008 (see reference 3). Rural residents value the spirit of their communities and the physical qualities of village and countryside but they are concerned at losses in rural services, the availability of housing to meet their circumstances and, in some cases, increasing levels of isolation through poor public transport (see reference 1). 40% of people would like to see public transport improved in the district.

Messages to commissioners Isolation is one of the greatest threats to health. As the elderly population increases, there will be a growing number of residents who will need help and support to maintain basic social contact. Carers are also at risk. Other groups particularly at risk of isolation include carers, people with disabilities and chronic health problems, families with complex needs, including where there are children with disabilities, lone parents, especially teenage mothers, and victims of domestic abuse. Individuals and families in these groups are particularly at risk of feeling alone and isolated, increasing their vulnerability to mental health issues. The voluntary sector could play a greater role in preventing and responding to individuals and families who feel isolated. Community initiatives can help alleviate isolation (good neighbour schemes and community activities). Partners need to work together to identify those who are at greatest risk of social isolation and work together to enable people to remain living safely and happily at home; the Let’s Work Together initiative (including Make Every Contact Count) needs to be further embedded across the district. Commissioners should participate in the development of Neighbourhood (or Parish) Plans to ensure health issues are addressed locally. Enhanced Joint Strategic Needs Assessment Lichfield District

20


21

Community safety Needs Fear and perception of crime The perception and the fear of crime are disproportionate to the incidence of crime (see reference 1). Many residents feel the level of crime has increased over the last 12 months even though there has been a reduction of 6%, compared with the previous year, and 25% compared to 2007/08. Antisocial behaviour One in ten residents feel the level of anti social behaviour (ASB) has increased in their local area, despite a 50% reduction over the last five years (see reference 2). Priority crime areas The priority areas are Chadsmead, Chasetown, Curborough, Fazeley, Leomansley, and Stowe. Together reports from these area account for 49% of all crime and 50% of all reported incidents of anti social behaviour (see reference 2). Alcohol related crime and disorder Alcohol is a significant factor in crime and disorder, particularly violent crime, including domestic abuse and anti social behaviour. In 2011/12 231 alcohol related violent offences, where the offender is deemed to be under the influence of alcohol at the time of the offence, were recorded. These incidents account for 25% of all violence in Lichfield District (see reference 2). Hospital admissions for alcohol The number of recorded admissions to hospital for under 18 year olds from Lichfield District, as a result of alcohol abuse or misuse, is above the national average (see reference 3). Domestic abuse This remains a primary concern and incidents of domestic abuse have increased in four of the district’s priority areas including Curborough, Fazeley, Leomansley and Stowe over the last 12 months. Women aged between 15 and 39 years of age are most at risk of becoming victims of domestic abuse. This age range experiences 68% of all domestic violence, but accounts for just 26% of the population (see reference 2). Support with domestic abuse Calls to the Pathway Project helpline, which supports people with domestic abuse related enquiries, have increased. Between April and September 2011 886 calls were made. Between April - September 2012, 1,211 calls were made (see reference 4). CCTV During 2011/12, 1,822 incidents recorded on CCTV were reported and investigated. Of these, 17% were for disturbance, 16% suspicious behaviour, 11% for anti social behaviour, 10% theft, and 9% drunkenness. The balance of incidents covered a wide range of issues - from missing persons to drugs and traffic offences. There were 260 arrests as a result of CCTV recorded incidents.

References 1. 2. 3.

Feeling the Difference Survey 2011, Staffordshire Observatory. Lichfield District Community Safety Strategic Assessment 2012. Health and Wellbeing Profile for Lichfield District Council 2012.

4. 5. 6. 7.

Anecdotal evidence from the Pathway Project, October 2012 Lichfield District Citizens Questionnaire, 2011. Lichfield District Feeling the Difference Survey. 2011 (produced by Staffordshire Observatory) Voluntary Voice event, October 2012.


Assets •

The Lichfield Churches Criminal Justice Forum runs two local projects - ‘Late Night Listeners’ in Lichfield City centre on Friday and Saturday nights and ‘Lives Released’ which offers offenders on release from short-term sentences help to change their lives. The South East Staffordshire Family Justice Centre based in Lichfield City is a ‘one stop shop’ for help and information for victims of domestic abuse and their families. The police have a presence and hold ‘Cuppa with a Coppa’ sessions at Mill Lane Link, Jigsaw and the Old Mining College. Lets Work Together, a multi agency initiative, gives home visitors (e.g. health visitors) the tools, training and skills to be the ‘eyes and ears’ for partner agencies, to ensure vulnerable adults get the support they need. ‘Patchwork’ is a web-based tool to track home visitors’ work with our most vulnerable households, to deliver a more ‘joined up’ care package. Citizen Watch recruits shops, pubs and businesses to provide ‘safe haven’ for vulnerable adults with learning impairments. It operates in Lichfield City and is being extended to Burntwood Voluntary sector agencies which have a particular focus on community safety issues including ADSIS, T3, Targeted Youth Support, Local Support Teams, Staffordshire Buddies, SESCAB, CVS, Changes, Open Door of Hope and the District Council’s Community & Partnerships team. The Lichfield District Safer Community Partnership is well established and has a robust partnership ethic. The Prevention of Adverse Risk Taking Behaviour Group (PARB) is a multi agency group set up to tackle issues affecting those most likely to take risks, particularly those associated with young people. This includes road safety and substance misuse. Local authority planning departments have the opportunity to promote crime prevention through environmental design, and do so through consultation with Staffordshire Police’s Architectural Liaison officer. Neighbourhood Watch has over 2,000 community members in the district. Through the online Watch Out Link (OWL) system, crime prevention and alerts can be shared with communities across the district There are in excess of 100 CCTV cameras owned / operated by Three Spires, which cover Burntwood and Lichfield. These have recently been upgraded to digital recording with improved screens. A number of cameras were replaced. This has improved the robustness of the system.

Community voice In resident surveys, when asked to rank a list of 20 factors affecting how people feel about where they live: 88% feel a low level of crime is the most important factor in making Lichfield a good place to live. 45% feel activities for teenagers needed improvement (see reference 5). 99% feel safe in their local area outside during the day and 78% fee safe after dark (see reference 6). Our local voluntary and community sector representatives tell us (see reference 7 for points below): Fear of crime can paralyse individuals and communities. It needs strong and lengthy joint action to address this issue. Environmental design is important. Multi-agency working to address awareness and prevention is vital. Mental health care is important to prevent re-offending, as is education, housing and work to address substance misuse. Mental health and substance misuse are linked to domestic abuse, and increasing numbers of young women are victims. Domestic abuse affects people from all backgrounds.

Messages to commissioners Alcohol is a key component to many community safety issues both for victims of crime and the perpetrators. Increasing local provision is needed for young people to help them to take part in physical activity. This will have the additional impact of crime diversion. Local GPs and hospitals can assist in signposting and raising awareness around domestic abuse issues. Many vulnerable individuals become victims of anti social behaviour, alcohol abuse and domestic abuse. There is a need to identify opportunities to tackle this by working in partnership.

Enhanced Joint Strategic Needs Assessment Lichfield District

22


23

Physical activity & green spaces Needs Childhood physical activity 53% of children spend at least three hours per week doing high quality PE and school sport is 53%. This is slightly lower than the county and national average (see reference 1). Adult physical activity Data from Sport England suggests that adult residents are becoming more active. 46.3% of adult residents play no sport or take no exercise, as defined by at least 30 minutes of moderate intensity. This is lower than the West Midlands 53.3%, and England 50% averages (see reference 2). 30.4% of adult residents are active for at least 30 minutes, between 1 and 11 days a month. This is higher than the West Midlands 27.2% and England 28.8% averages. 22.8% of adult residents are active for at least 30 minutes on at least 12 days per month. This is higher than the West Midlands 19.5% and England 21.9% averages. Inactive 40-74 year olds identified walking, swimming and the gym as their preferred forms of exercise. Free/cheap services was cited as factor most likely to encourage them to exercise (see reference 9), although experience on the ground suggests that free or cheap services does not necessarily increase access from a wider range of groups. Sports volunteering 8.4% of residents volunteer for sports or physical activity purposes for at least one hour per week Club memberships 22.4% of residents held a club membership within the previous four weeks. Satisfaction 71.5% of residents were satisfied with local sports provision in 2007/08. This dropped to 69% in 2009/10 (see reference 4). Provision of sports and play facilities It identified that improved, or new, indoor sports provision, including a swimming pool and indoor courts, is needed in Lichfield. This proposal is supported by the Staffordshire and Stoke-on-Trent Sub Regional Facilities Framework (see reference 5). Shortage of pitch provision Some clubs are at capacity and have expressed at interest in expanding (e.g. Lichfield City, Chasetown and Whittington football clubs, Lichfield and Burntwood rugby clubs and Lichfield Hockey Club). There are shortfalls in playing pitch provision, particularly junior and minipitches, especially in Chasetown, Longdon, Armitage with Handsacre, Alrewas, Whittington, Shenstone, Mease and Tame and Fazeley. At Fradley new football and cricket facilities are needed (see reference 6). Bowling provision A new bowling green is required in Lichfield City. Play facilities New or improved play facilities are needed in some areas including Lichfield City, Burntwood, Armitage with Handsacre, Whittington, Drayton Bassett, Hamstall Ridware, Longdon, Upper Longdon and Wigginton. Accessibility is also an issue with some areas having no access to play facilities within a 10 minute walk, including Alrewas, Little Aston, Fazeley, Mile Oak, Bonehill (see reference 7). Amenity Green Space Parts of Burntwood, Lichfield, Shenstone, Little Aston, Armitage with Handsacre, Fazeley, Hamstall Ridware and Wigginton lack informal green spaces, within 10 minutes walk time of people’s homes, for play, jogging, dog walking etc. Allotments There is a shortfall of allotments in Lichfield City, evidenced by waiting lists. Concessionary support Lichfield District Council provides a concessionary leisure scheme that gives discounts on activities. In 2012 there were 1,681 members, including 1,524 over 60s, 114 disabled and 23 carers.


Assets • • • • • •

• • • • • • • • •

Chasewater Country Park. Gentleshaw Common. Lichfield and Burntwood Parks and play facilities which are provided within the parks. Two outdoor gyms in Lichfield. Access to local nature reserves. Countryside and Parks Conservation Group (volunteer group doing countryside management). Three leisure centres - one in Burntwood and two in Lichfield city plus Rawlett leisure centre. Extensive sports club network. Six floodlit synthetic turf pitches. Seven health and fitness clubs. Lichfield District Council’s Positive Futures, Aspire, and Mobile Leisure schemes. Local school facilities. Play on Prescription structured exercise programme, Cardiac Rehabilitation. A variety of play facilities across the district. A variety of sports pitches across the district. A variety of tennis courts and bowling facilities across the district.

Messages to commissioners

Community voice 81% of respondents used the parks in the last six months (see reference 10). 84% of respondents were satisfied with parks and open spaces and 74% were satisfied with sports and leisure facilities (see reference 10). There is a desire for better facilities for disabled access (see reference 11). There is a desire to improve and extend sports and recreation facilities locally (see reference 11). There is a need for more access to walking groups (see reference 12). There is a need for youth provision, especially in more remote areas (see reference 12). There is a need for more accessible activities, and lower cost or no cost activities, away from schools (see reference 12). Need to capitalise on Olympics and Commonwealth Games 2014 (see reference 12). Need better maintenance of public footpaths and bridleways (see reference 12). High cost of leisure services may discourage participation (see reference 12).

References 1.

Support the need for improved indoor leisure facilities to serve Lichfield City and ensure this includes enhanced provision and access for disabled and elderly people. Support initiatives which address identified shortfalls in quantity, quality and accessibility of play, open space, sport and recreation, allotments, walking and cycling provision in the district. Identify and maximise all opportunities to encourage an increase in physical activity levels. Take into account local provision and gaps when designing programmes that should increase physical activity levels. For health professionals to encourage sport and physical activity by residents.

2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

12.

Health and Well-being Profile for Lichfield District Council May 2012 (Staffordshire Public Health). Active People Survey 2010/11. Active People Survey 2009/10. Active People Survey 2007/08. Lichfield District Local Plan: Strategy 2012. www.lichfielddc.gov.uk/localplan Lichfield District Playing Pitch Strategy 2012. Lichfield District Play Strategy 2007-12. Open Space Assessment 2012 Lichfield District Stimulating Demand for Physical Activity June 2010 South Staffs PCT. Lichfield District Citizen’s Questionnaire, August 2011. Consultation and engagement on the Local Plan: Strategy 2012. www.lichfielddc.gov.uk/localplan Voluntary Voice consultation October 2012.

Enhanced Joint Strategic Needs Assessment Lichfield District

24


25

Culture, heritage & the arts Needs Supports local jobs Cultural, heritage and arts tourism supports a wide variety of over 2,000 local jobs - from skilled to unskilled, and full time to part time and casual. Tourism is a vital factor in the economic sustainability and growth of the district. Provides volunteering opportunities Along with local jobs, cultural, heritage and arts tourism provides hundreds of volunteering opportunities, that help to reduce isolation and offer people a chance to get involved and use their skills, particularly members of the district’s ageing population. From individual volunteers at the local museums, to stewards at events such as the Olympic Torch relay and the Lichfield Festival. Binds communities together Culture and the arts helps to bring communities together and address issues of community cohesion and anti-social behaviour - from the FUSE festival, to the lantern parades that take part in North Lichfield and Burntwood. Events like Lichfield Proms in Beacon Park also help to foster a wide sense of community and wellbeing. Supports local businesses The district attracts in excess of three million visitors a year, with over one million visiting Lichfield City. These visitors are vital to the ongoing survival of city and district businesses, and bring with them an average additional spend of approximately £30 per head, per visit. Attracts inward investment Lichfield District is a place people want to live, work and visit (see reference 1). The local heritage and architecture, and cultural and artistic landscape is a vital contributing factor to people’s decision to move to, visit or stay within the district. This is true for both businesses, residents and visitors. In order to safeguard the district’s attractiveness in the future, it is vital that we protect and enhance its cultural, artistic and historical elements. Regional, national and international acclaim Assets like the Staffordshire Hoard, Lichfield Cathedral, and the National Memorial Arboretum have the potential to define the district, and place it on a national stage - both within tourism and economic development landscapes. Community drive and spirit Many of the notable events and activities that take place in the city and district are driven by committed and spirited groups of individuals - from Lichfield Arts, to the Lichfield Festival, through to choral groups, musical groups, community groups and more. These groups need to be supported and encouraged to ensure that they continue to provide the rich variety of events that help Lichfield District to punch above its weight in terms of activities on offer. Provides entertainment and attraction A vast array of events take place locally, and many are provided free of charge, or for a very low fee - Lichfield Proms in Beacon Park, Heritage Weekend, Christmas Festival. These events provide local residents with a chance to get out and about, and enjoy their community for little or no money, which is ever more important given the current economic climate. Protect and enhance our historical and built environment Organisations such as Erasmus Darwin House, Lichfield Cathedral and the National Memorial Arboretum help to safeguard and enrich the district’s built environment and historical treasures. From protecting existing buildings, through to developing new landmarks such as the new Erasmus Darwin Statue and the Armed Forces Memorial at the National Memorial Arboretum. Opportunities to exercise and relax Tourism and cultural assets, such as Lichfield Historic Parks and the National Memorial Arboretum provide residents with a fantastic opportunity to exercise, relax and boost their sense of wellbeing. Signage Directing visitors into and around the district is vital. Whist the city centre is relatively well signposted for walkers, highways signage, both within the city centre and on main arterial routes near the district is not adequate. Improved, or new, brown on white signage for Lichfield City is needed on the M42, M6 Toll and the A38. Better coach parking and directional signage is needed in the city centre. Improved car park signage would also be beneficial, including variable message signage.


Assets •

• • • • • • • • • • • • • • •

• •

Lichfield district is rich in history and heritage. Culture is stated as a reason people move to or enjoy living in the district. Abundance of local groups that deliver cultural activities in both small and large scale ways (e.g. Big Draw, Lichfield Camera Club etc). Lichfield Cathedral, the Staffordshire Hoard, the Mercian Trail, the St Chad Gospels and the Lichfield Angel. Other Cathedral treasures, including Herkerode glass, library and more. National Memorial Arboretum, and links to HRH Queen and HRH Duke of Cambridge. Drayton Manor Theme Park. The Lichfield Garrick and associated groups (friends, youth theatre etc). Burntwood arts exhibition space. Samuel Johnson Birthplace Museum, Erasmus Darwin House and Lichfield Heritage Centre. Lichfield Tourist Information Centre. Lichfield Festival and Lichfield Literature. Lichfield Bower. Lichfield Proms in Beacon Park. Lichfield Arts, including Fuse. Lichfield’s Historic Parks. Built environment of Lichfield City - quaint streets, historical buildings of note. Strong sense of ‘community’ in Lichfield District, in both urban and rural areas. Visit Lichfield team and marketing activity (annual visitor guide, www.visitlichfield.co.uk www.visitlichfield.mobi and mobile app,‘What’s On’ events guide, group travel promotion, familiarisation events, public events and more). Coach Friendly City status. Strong tourism marketing partnerships both within district and regionally (Lichfield District Tourism Association, JAMWIG, DMP and more). Strong stock of bed & breakfast accommodation, and growing stock of city hotel bed spaces (Friary Outer development). Great transport links - road, rail and air.

Messages to commissioners Recognise the vital role that culture, heritage, arts and tourism play in promoting good health and well-being through jobs, volunteering opportunities, family activities, business support and much more. Ensure commissioning supports the protection and enhancement of cultural assets and other facilities Ensure that the cultural offer is inclusive for all of the population.

Community voice Better coach parking facilities are needed near to the tourist attractions in the city including the Cathedral (see reference 3). Better toilet facilities are needed in the Cathedral Close to support the 200,000 annual visitors, many of whom are older people (see reference 4). Residents and traders want more opportunities to come together such as the Proms, Olympic Torch relay etc (see reference 5). Tourism events such as the Staffordshire Hoard on Tour boost local businesses and trade (see reference 6). Access for younger and older members of the community need to be considered by event planners (see reference 2). Need to promote and highlight the district’s links to the Staffordshire Hoard, the Lichfield Angel and the St Chad Gospels (see reference 7). Better transport links are required to the National Memorial Arboretum, including train links (see reference 4 and 8). An improved gateway at Lichfield Trent Valley is necessary to provide a positive welcome to visitors to the district arriving by train (see reference 8). Maximise and promote the volunteering opportunities available to allow even more people to get involved (see reference 2).

References 1. 2. 3. 4. 5. 6. 7. 8.

Local Plan: Strategy (www.lichfielddc.gov.uk/ localplan) Voluntary Voice event October 2012. Coach operator survey 2011. Emerging District Cultural Strategy 2012-2013. Olympic Torch Relay Economic Impact Survey and notes of Town Team meetings. Staffordshire Hoard on Tour Economic Impact Survey 2011. Emerging Staffordshire Hoard and Mercian Trail strategy. Lichfield District draft Local Plan.

Enhanced Joint Strategic Needs Assessment Lichfield District

26


27

Employment and prosperity Needs Burntwood town centre Burntwood needs urgent investment to boost its town centre. Currently the area lacks a focal point, affecting residents’ sense of belonging and wellbeing (see reference 1). Fradley Business Park This key site needs improved facilities for businesses and the people they employ (such as food and drink and child care), as well as a lorry park to prevent drivers parking up at the road side at night, which is undesirable both for their own and for others’ health and wellbeing (see reference 1). Flexible business space There is a lack of flexible work space, such as the ‘village’ at Staffordshire University, Lichfield Campus, and too few incubation units for fledgling businesses (see reference 1). Working age population The working age population is lower, and was 62.2% of the total population in 2010, compared with 63.5% across the West Midlands and 64.8% in England (see reference 2). The district also has a much smaller proportion of younger working age (20 to 34) residents, than the West Midlands’ average (see reference 3). Average earnings People living in the district on average earn 12% more than those working in the district. This suggests that residents travel out of the district to access higher paid jobs elsewhere, mainly within the wider West Midlands area. The district needs more high value jobs to provide opportunities for local people to both live and work in the area (see reference 4). Unemployment rates Although Lichfield District has the lowest percentage of unemployment claimants in the Greater Birmingham and Solihull LEP area (September 2012), the rate in certain parts of the district is relatively high. High unemployment is prevalent in Curborough (4.1%), Chasetown (4.5%), Chadsmead (4.3%), Fazeley (3.1%) and Summerfield (4.1%), against a district average of 2.2%. The LEP area average claimant proportion was 5.5% at the same point, and the UK average 3.8% (see references 5 & 16). Unemployment rates Better links to schools and colleges are required to ensure young people have the skills and qualifications needed in current and future employment markets (see reference 7). Business training Better links between employers and training providers are needed to ensure that local skills match the needs of local businesses (see reference 7). Broadband coverage Improved broadband coverage is required, especially in rural areas, to support home working and enterprise (see reference 1).


Assets •

78.2% of working age residents are economically active compared to 74.2% in the West Midlands (see reference 2). 15.5% of residents have high level qualifications (degree level, above or equivalent) compared to 11.6% West Midlands and 14.4% nationally. This reflects the number of residents who work as managers and senior officials (14%), professional occupations (11%) and associate professional & technical occupations (13%). See references 8 & 9. The district has an enterprising spirit. The new business start up rate is 52.2 per 1000 population, compared to 38.2 in Staffordshire and 46.1 nationally. The three year survival rate is 73% compared to 68.9% Staffordshire and 66.1% nationally (2009 data). See references 7 and 10. There are significant and promising growth areas e.g. medical technologies (DMS Whittington), low carbon technology, business and professional services, creative and digital media, care for the ageing population, improved retail offer (Friarsgate & High Street Innovation Fund). See references 1 & 7. Tourism/historical assets are strong, particularly the Staffordshire Hoard and the Mercian Trail, Lichfield Cathedral, Samuel Johnson, Erasmus Darwin and the National Memorial Arboretum, where growth opportunities are strong. Arts assets are rich including The Lichfield Garrick, Lichfield Festival, Lichfield Arts Association (Fuse Festival). See references 1 and 7. The district has several key employment locations e.g. Burntwood Business Park, Lichfield (Eastern Avenue, Trent Valley, Britannia, Wall Island). See reference 7. Some of the larger rural settlements have a modern employment base e.g. Fradley. Others have small industrial estates, notably Armitage with Handsacre, Fazeley and Shenstone (see reference 7). There is sufficient land overall to meet the district’s commercial development needs until 2028 (see references 1 and 7).

Skills and training assets serve the local population well e.g. South Staffordshire College, Chasetown Vocational Centre, Staffordshire University, nearby major universities in Birmingham (see reference 7). Transport infrastructure links the functional economic geography of the area - A38, A5 and M6Toll, rail and nearby airports. These act as a major asset to encourage investment in the district (see reference 7). Unusually, the district has taken on membership of two LEPs - Greater Birmingham and Solihull and Staffordshire and Stoke-On-Trent. Through the former, it enjoys involvement with the Birmingham Enterprise Zone and business support funding schemes (see reference 7). Active multi-agency partnership working through the ‘Lichfield District in to Work Group’ has been highly effective in reducing worklessness, including provision of work clubs across the district. Support for prosperity is provided by several organisations including: Lichfield District Strategic Partnership, the Employment and Skills Board for Southern Staffordshire, the Tamworth & Lichfield Business & Economic Partnership ,Staffordshire Rural Forum (rural businesses), Staffordshire County Council and Lichfield District Council, and the Chambers of Trade and Commerce. The Think Local 4 Business forum is a key asset, which exists primarily to encourage local business to inter-trade (see reference 7). Lichfield & District CVS supports social enterprise and volunteering (see reference 1). Cherry Orchard Garden Services (COGS) is a community interest company that employs learning-impaired adults to tend the gardens of vulnerable elderly residents. It is a ‘jewel in the crown’ of the Lichfield District’s economy, and recently gained national recognition.

Enhanced Joint Strategic Needs Assessment Lichfield District

28


29

Community voice Support and recognition of the role of the voluntary sector in employment, particularly in relation to helping vulnerable groups, such as older people who may have retired, but who can still contribute. Help people with disabilities find suitable work. Help people re-skill and gain experience to help them find work. Help young people gain confidence to move into employment, recognising social enterprise. Lower wages in the district often mean people have to move away to find somewhere they can afford to buy or rent. May younger people have to living at home for longer which potentially impacts on health / wellbeing. Better infrastructure is needed in out-of-town employment areas. People need places to take a break such as open spaces, benches, cafés providing healthy food etc, plus other facilities such as workplace crèches. More support is needed for business start ups. Faster and more efficient broadband is needed, to help local businesses to operate and compete effectively. The also supports flexible working which can enhance health and wellbeing of workforce, including carers and people with childcare responsibilities. More flexible work/meeting spaces are needed to support small businesses and home workers. Improvements to public transport are needed for better links to employment (service times / routes / frequency, and improvements to stations e.g. disabled access at Lichfield Trent Valley station). See reference 11 for above. Social enterprise should be encouraged. Work clubs are having a fantastic impact – but more employment opportunities are needed. Volunteering opportunities provided via CVS and other agencies build up confidence and skills. Works schemes with guaranteed employment at the end are needed for young people. Incentives are needed to encourage companies to set up businesses to employ local people and to offer apprenticeships. Many retired people have skills that aren’t used, making them feel isolated and unappreciated. Advice and information is needed to keep people in employment. Mental health is a big issue for some unemployed people. See reference 12 for above.

Messages to commissioners Ensure more jobs are available locally which pay better wages and are better matched with the skills and qualifications of residents. This will help to retain more people of working age within the district and encourage younger people to stay. It will also have a positive impact on balancing the population demographically and reducing commuting. Reduce amount of commuting and ensure employment is located in sustainable locations, easily accessed by a variety of means - public transport, walking and cycling, so opportunities are not just available for car drivers. Ensure routes to work are safe with good lighting, surfaces, signage, junctions, speed regulation, separate cycle paths and footways. Provide the right conditions to support local supply chains, so businesses work more effectively together. Improve broadband coverage. Support initiatives which contribute to ensuring workplaces are healthy and accessible, by public transport, walking, cycling, and to those with disabilities. Ensure workplaces are supportive of employees’ needs e.g. childcare. Recognise and support role of voluntary sector. Recognise and support the need for links between skills, training and employers.

References 1.

2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Local Plan: Strategy for Lichfield District 2012 (proposed submission) & Infrastructure Delivery Plan. Nomis Official Labour Market Statistics 2010. ONS sub national population projections 2008. Nomis Official Labour Market Statistics 2011. Demographic Profile for Core Strategy 2009. Greater Birmingham & Solihull LEP Labour Market Briefing – October 2012. Tamworth & Lichfield Economic Strategy 2011. AWM Future Market Profiles 2010. 2001 Census (Figures to be updated according to 2011 Census data once available). Business Demography 2010, ONS. Consultation relating to the development of the Local Plan: Strategy - July 2012. Voluntary Voice event, October 2012. Employment Land Review February 2012 (GVA). Southern Staffordshire Districts Housing Needs Study and SHMA Update NLP & Partners May 2012.


Document updates If you would like to update this document, please email elizabeth.thatcher@lichfielddc.gov.uk

Read online To read this document online or download the most recent copy, please visit www.lichfielddc.gov.uk/ejsna

Other formats If you would like to receive this document in large print or another format, please email elizabeth.thatcher@lichfielddc.gov.uk

Thank you Thank you to everyone who helped us to compile this document, and for a working to help us keep the document up to date and current by providing ongoing updates and new information. 30


To read this document online or download the most recent copy, please visit www.lichfielddc.gov.uk/ejsna


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.