Brighton & Hove: Integrated Community Team (ICT) data profile

This profile focuses on key areas of focus for Integrated Community Teams. It is intended as a high level overview and covers:

CTs, and Brighton & Hove's ICT partnership areas are:

• a healthy place
• children and young people
• mental health
• cancer, long-term conditions and frailty
• multiple compound needs

More detail is available in the JSNA executive summary, and summaries on the city's population and population groups and ICT area reports in Local Insight

This summary has been produced by the Brighton & Hove Public Health Intelligence team. For more information, or feedback, please send an email to publichealthintelligence@brighton-hove.gov.uk.

The Sussex Integrated Care Strategy Improving Lives Together sets out the ambition across health and care in Sussex over the next five years. Its aim is to improve the lives of local people by supporting them to live healthier for longer and making sure they have access to the best possible services when they need them. A key long term transformational aim of the strategy is to develop integrated community teams through local partnerships across Brighton & Hove, East Sussex and West Sussex – to allow services and organisations to work in a joined-up way to better meet the needs of each local community. 

The partners (NHS Sussex the three Local Authorities across Sussex and the Voluntary and Community Sector) have agreed the following vision for Integrated Community Teams: “Joining-up (‘integrating’) health, social care, and health-related services across local communities in a way that best meets the needs of the local population, improves quality of services and reduces inequalities” Brighton & Hove Health & Care Partnership have agreed a local Integrated Community Teams (ICTs) partnership approach for the city, with three geographical neighbourhood ICT partnerships across the West, Central and East of the city.

As a city we also have communities of interest/ identity that are best served through a city-wide integrated approach. A good example of this is our new Multiple Compound Needs Integrated Community Team that is providing healthcare and support to be people who are homeless that also experiencing compound health needs that leads to people experiencing multiple disadvantage and health inequalities.

The ICT data profile will support the work of our local ICTs as they come together as local partnerships to plan and deliver integrated health & care services to the local community.

The map below shows the three partnership areas in Brighton & Hove ICT, with LSOA level quintile of deprivation.

In parts of Brighton & Hove, people are dying years earlier than they should – for some people eight to nine years earlier.

The gap in healthy life expectancy is wider at 12.5 years for women and 14 years for men.

In Brighton & Hove:

• a woman in the most deprived area will live 7.7 years less than a woman in the least deprived
• a man in the most deprived area will live around 9.1 years less than a man in the least deprived area and have around 14 fewer years in good health

Not having enough money and resources can cause poor health by making it hard to save, feel in control of our circumstances and keep healthy.

Money and resources

• the city is one of the most deprived local authorities in the South East, highest concentrations in Whitehawk, Moulsecoomb, and Hollingdean in the East - but, along the coast, to the west of the city and in Woodingdean there are also pockets of deprivation
• 1 in every 6 children live in poverty in the city BEFORE housing costs, in the highest area of the city it is 2 in 3 children, with the highest concentratons in the East of the city, but pockets in the West
• 1 in every 5 people aged 60 years + are living in poverty in the city, for England this is 1 in 7 people, this figure is 50% in some areas of the city, with pockets of older people in poverty across of the city

Housing

We all need somewhere to call home – a secure, stable, warm, safe place to grow up and live in. Our homes influence our physical and mental health in many ways, and residents in the city face many housing pressures.

Housing is less affordable:

• those on the lowest 25% of earnings need 12 times their earnings to afford lowest 25% of house prices (2022) South East 10.4 times, England 7.3 times

There is more privately rented housing and flats: 

• more than 1 in 3 households in the city, 1 in 5 across the South East & England.Half of households in the city live in a flat, South East and England (both 22%) - the highest % outside of London

More homes in the city are estimated to be non decent and some areas of the city have high levels of estimates fuel poverty:

• 17% of occupied homes are estimated to be non decent under the Decent Homes Standard: England 15%, 12% of households are estimated to be in fuel poverty: South East 8%, England 13%, estimates are higher in city centre areas close to the seafront and areas surrounding Lewes Road

Education and unemployment

12% of adults in Brighton & Hove have no qualifications:

• England 18%
• areas in Hangleton, Mile Oak, Moulsecoomb, Whitehawk, Kemptown and Woodingdean are in the 20% of areas in England with the highest estimated rates

4.7% (7,700 people) are unemployed:

• higher than the South East (3.3%) and England (3.7%) (Year ending Sept 2023)
• there are pockets in the East, Central and West with unemployment in the top 20% of areas in England

Food

The Priority Places for Food Index shows areas where poverty, poor public transport and a lack of big supermarkets severely limit access to affordable fresh fruit and vegetables. Parts of Whitehawk, Moulsecoomb and Bevendean, Hollingdean, Hangleton and Woodingdean are in the top 20% of areas in England for the greatest food desert-like characteristics.

Air pollution

We know that air pollution impacts those who live in less affluent areas more greatly, widening health inequalities.

1 in 20 deaths in those aged 30 years or over in Brighton & Hove are estimated to be attributable to particulate air pollution (4.5%):

• similar to England (6%) (2022)

Families, friends and communities

There are many assets within communities that can be used to promote health and wellbeing, including leisure centres and social activities, the community and voluntary sector, community groups, but also skills, knowledge and support:

• Brighton & Hove has a strong community with higher rates of belonging, pulling together, formal volunteering and feeling that people from different backgrounds get on to England
• for the overall community needs rank, areas of Hangleton and Knoll, Mile Oak, Moulsecoomb, Whitehawk and Woodingdean are in the 20% of areas in England with the highest needs
• Brighton & Hove has greater need, than England, for the civic assets and connectedness domains

Digital exclusion

The extent to which people use the internet can impact on a number of life aspects such as social connections, access to services such as groceries, banking, employment, and access to health services.

Overall for Brighton & Hove, the digital exclusion risk index is lower than for England (2.6 compared to 3 respectively). But there are areas of the city in the 20% of areas across England with the greatest risk of digital exclusion: in Whitehawk, Kemptown, Hollingdean, Mouslecoomb and Bevendean, and Hangleton.

Social isolation and loneliness

Social isolation and loneliness, especially when they are long-lasting, have negative impacts on our health. Social isolation is a term used to describe a lack of social contacts, community involvement, or access to services. Loneliness is an unwelcome feeling or lack or loss of companionship.

• 19% of adults feel lonely (always/often/some of the time), similar to the South East (21%) and England (22%) (2019/20)
• Over a third of older people live alone (38%, 13,900 people aged 66+), much higher than the South East (30%) and England (31%) (2021)

1.2% of children provide unpaid care (England 1.1%):

• there are areas across the city where this is over 3% of children and in the 20% of areas in England with the highest rates

80% of five year olds are a healthy weight, this falls to 70% of children in aged 10-11 years

• this is better than England but there are an estimated 11,000 children and young people aged 2-15 who are above a healthy weight. Areas of Moulescoomb and Bevendean, Whitehawk and Coldean and Stanmer have some of the lowest levels of healthy weight

There are higher A&E attendances for 0-4 year olds in areas of Whitehawk, Moulsecoomb and Bevendean, Central Brighton, Kemptown and Coldean and Stanmer.

Childhood immunisation rates vary across the city:

• Rates of childhood vaccinations are generally similar to the England average, although many are below target levels. Rates vary across the city and the overall ‘average’ figure is likely to be masking areas of low uptake

Hospital admissions for self-harm in 10-14, 15-19 and 20-24 year olds are significantly higher in the city:

• and we know from the city's Safe and Well at School Survey that there are significant issues around emotional wellbeing and mental health for young people in the city

Brighton & Hove has above average levels of mental health issues and higher rates of suicide deaths.

Brighton & Hove has the 7th highest rate of suicide and undetermined injury deaths in England, and the highest for females.

It is estimated that 1 in 5 adults have a common mental health problem (around 46,000 adults):

• the national adults survey estimates that 1 in 6 people in England have a common mental health problem. However, the Office for Health Improvement & Disparities (OHID) estimate that the equivalent figure for the city is 1 in 5

The prevalence of depression for Brighton & Hove is slightly higher than England:

• those estimated to be suffering from depression in the city has continued to rise since 2012

There is a higher rate of people out of work receiving support due to mental health related conditions:

• there is a higher rate of claimants of Incapacity Benefit who are claiming due to mental health related conditions compared to East and West Sussex, South East or England. The highest rates are in Whitehawk and central Brighton

Areas of Whitehawk, Mouslecoomb and Bevendean, Coldean and Stanmer, Kemptown, Central Brighton, and some areas in the West of the city have significantly higher levels of anxiety and lower levels of happiness. Health Counts 2024 survey.

One in ten adults have self harmed in the last year, 12% have ever made an attempt to take their life and 2% of all respondents have attempted to take their life in the last 12 month:

• this is higher in more deprived areas, including areas of Mouslecoomb and Bevendean, Coldean and Stanmer, Kemptown, and Central Brighton.Health Counts 2024 survey

NHS Core20PLUS5 - Long Term Conditions are those that cannot, at present, be cured, but people living with these conditions can be supported to maintain a good quality of life.

Cancer

• cancer accounts for the greatest burden of disease in the city
• Brighton & Hove has lower rates of cancer compared to England or our neighbouring areas due to the younger population
• screening rates for breast, cervical and bowel cancer are all lower than England and the overall mortality rate from cancer is significantly worse than England
• Ovingdean, Rottingdean and Woodingdean have the highest rates of cancer

Dementia

• Brighton & Hove has lower rates of dementia compared to England or our neighbouring areas, due to the younger population
• the city has a similar mortality rate of people with dementia to England
• Ovingdean, Rottingdean and Woodingdean have the highest recorded rates of dementia

COPD

• Brighton & Hove has lower rates of COPD compared to England or our neighbouring areas
• the rates for Brighton & Hove have risen slightly in the past year
• hospital admissions for COPD are lower than England
• Woodingdean, Whitehawk, Mile Oak and Portslade have higher rates of recorded COPD

Asthma

• Brighton & Hove has lower rates of asthma compared to England or our neighbouring areas
• the rate for Brighton & Hove has risen slightly each year since 2020/21
• hospital admissions are similar to England
• the highest rates are in Woodingdean, Whitehawk and Mile Oak

Diabetes

• Brighton & Hove has lower rates of diabetes compared to England or our neighbouring areas
• rates have increased steadily since 2012/13
• there are pockets of higher recorded rates in Woodingdean, Whitehawk and Mile Oak

NHS Core20PLUS5 - Long Term Conditions are those that cannot, at present, be cured, but people living with these conditions can be supported to maintain a good quality of life.

Hypertension

• Brighton & Hove has lower rates of hypertension compared to England or our neighbouring areas
• rates have increased steadily since 2021/22
• Mile Oak, Woodingdean, Ovingdean and Rottingdean have the highest recorded rates

Atrial fibrillation

• Brighton & Hove has lower rates of Atrial fibrillation compared to England or our neighbouring areas, due to the younger population
• the trend has remained static in recent years
• Woodingdean and Mile Oak have the highest recorded rates

Coronary Heart Disease

• Brighton & Hove has lower rates of coronary heart disease compared to England or our neighbouring areas, due to the younger population
• the trend has remained static in recent years
• Ovingdean and Woodingdean have the highest recorded rates

Learning disability

• Brighton & Hove has similar recorded learning disability in adults to England
• both areas have risen in recent years
• the highest recorded rates are in Woodingdean and Whitehawk

A quarterly snapshot of homelessness within Temporary Accommodation and Street Outreach Services in the City.

Multiple Needs Mapping – Q1 2024/25.

Demographics

• there are three times more males than females experiencing MCN
• 43% of all people experiencing MCN were aged 41 to 60

MCN with substance abuse issues

• 78% have a mental health issue and are known to mental health services
• 32% have accessed priority need and 42% have a duty to be rehoused, 27% are entrenched rough sleepers
• 40% are engaging in substance use treatment

MCN with mental health issues

• 80% of people with MCN and mental health issues also experience substance misuse issues
• 34% are engaging with mental health services

MCN with domestic violence and abuse

• 24% accessed priority need, 28% have a duty to be rehoused and 25% are entrenched rough sleepers
• 100% have a housing status impacted by domestic violence and abuse (DVA) need

MCN with a history of offending

• 69% are male
• 47% are aged between 41-60 years
• 38% are engaged with Probabtion Services

You can explore more data on the Local Insight web tool.