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Norfolk's Joint Strategic Needs Assessment (JSNA)

Norfolk key facts and headlines
Population estimate
mid-2017 ONS
Population projection
2026 (2016-based) ONS
Number of live births
2017 ONS
Low birth weight - term babies
2016 ONS
Children in poverty (under 16)
2015 HMRC
Child excess weight (age 4-5)
2016/17 HSCIC
Excess weight in Adults
2016/17 Sport England
Suicide rate
per 100,000 2014-16 PHE
Home owned (aged 65+)
2011 Census ONS
Flu vaccine uptake (aged 65+)
2016/17 GP systems


Norfolk generally has an older population and the older age groups are projected to increase at a greater rate than others. For the health and social care system this creates opportunities in terms of a potential wellbeing resource and challenges in terms of demand for care. Norfolk has higher life expectancy than England as a whole but inequality exists across Norfolk. For example, men from the less deprived areas live more than 6 years longer than men in the more deprived areas.


Across Norfolk more than 120,000 people live in areas categorised as the most deprived 20% in England. Deprivation is a risk factor for poor health and wellbeing outcomes and increases the risk of loneliness. Although most of the deprivation is concentrated in the urban areas of Norwich, Great Yarmouth, Thetford and King’s Lynn together with some identified pockets of deprivation in rural areas, coastal villages and market towns. The rural nature of Norfolk presents opportunities in providing access to natural greenspace but a higher risk of being killed or seriously injured on the roads. In addition, some of the smaller areas of rural deprivation potentially make delivery of services more difficult and reduce accessibility for the population.

Healthy start

Outcomes for children in Norfolk have room for improvement. For example, while smoking in pregnancy is reducing in Norfolk it is still higher than England. Smoking in pregnancy can cause serious problems for both the mother and child. Potential harms to the child include the increased chance of attention difficulties, increased chance of breathing problems and increased chance of poor educational attainment. Smoking in pregnancy is five times more likely in deprived areas so disproportionately impacts on deprived communities. Infant mortality has not improved over the last ten years whereas Infant mortality in England has reduced. However, immunisation across Norfolk is good and the proportion of mothers breastfeeding is increasing.

Childhood health and wellbeing

Educational attainment is improving but is still lower than the England average. Teenage conceptions continue to decline and the rate is lower than England. However, there are still more than 100 teenagers becoming mothers each year in Norfolk. Admissions for children for injuries are higher than England and have been increasing but admissions for children and young people for alcohol are lower than England and are decreasing. However, admissions for children and young people for self-harm are higher than England and have been increasing.

Adult health and wellbeing

Addressing modifiable risk factors can reduce the likelihood of developing long term health conditions such as diabetes and improve health and wellbeing. In Norfolk smoking, alcohol and obesity are estimated to contribute to 23,000 hospital admissions each year. The EPIC study based on the Norfolk population shows that prevention works. People who drink moderately, exercise, quit smoking and eat five servings of fruit and vegetables each day live on average 14 years longer than people who adopt none of these behaviours. This result demonstrates that modest and achievable lifestyle changes can add years to life as well as life to years.

Older people's health and wellbeing

Outcomes for older people in Norfolk are generally good and the proportion of older people in Norfolk rating of their own health related quality of life is generally higher than England. However, in 2014/15 there were about 3,800 emergency admissions for injuries related to falls of which more than 1,100 were for broken hips. Flu can increase the risk of hospital admission and in Norfolk despite immunising more than 147,000 people aged 65 and over for flu the average uptake is still lower than England. As people age their accommodation requirements may change. Modelled estimates indicate that if nothing changes then the 75 and over population of Norfolk is likely to require about 15,000 nursing and residential beds and more than 6,000 housing with care units.

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