Local Area Health Needs Assessment

1. Health needs in Amersham

The local population – key influences on needs

Size: 27,077 people live in this local community area. The total population grew more rapidly than Bucks between 2001 and 2011 (up 6.9% vs. 5.5%).

Age profile: older population than Bucks (higher % aged <14 and 45+; lower % aged 15-44).  

  • 6.5% of people are aged under 5 (1,763), compared to 6.3% in Bucks; numbers have increased by 12% in the area between 2001 and 2011  
  • 9.9% of people are aged 75+ (2,678), compared to 7.8% in Bucks; numbers increased quicker than the Bucks average (29% vs. 24% increase; 2001-11)

Early years: in 2011, there were 286 births in the area, 4.7% of the total for Bucks.

Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 6.5; range 1.4 to 16.0), vs. the Bucks average of 10.2 [low scores are less deprived].

Ethnicity: the area is less ethnically diverse compared to the Bucks average (9.2% people are from a black and minority ethnic group, compared to 13.6% across Bucks).

Carers: 2,786 people provide unpaid care in the area (10.3% in area vs. 9.8% in Bucks). 438 carers (1.6% of all people) provide more than 50 hours unpaid care per week.

Lone parents: 465 people are lone parents with dependent children (4.3% of all households, compared with the Bucks average of 5.3%)

Lone pensioners: 1,511 pensioners live alone in the area (13.9% of all households, compared with the Bucks average of 11.8%)

Unemployed: 1.1% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3%

Free School meals: 3.2% of pupils claimed free school meals in 2012, which is lower than the Bucks average of 6.6%

2. Health, life expectancy and illness

Self-rated health: more residents rated their health as good or very good (87.6%) compared to Bucks (85.8%).

Limiting long term illness: affects nearly 3,534 residents (13.1% in area, compared to 13.4% for Bucks). The proportion increased by 11% over ten years.

Life expectancy (people) was 83.7 years, nearly 1.5 years higher than the Bucks average (82.4 years), and ranging from 76.4 to 92.6 years across the area (2007-11).

Life expectancy (men) was 82.0 years; higher than Bucks (80.6) and England (78.6).

Life expectancy (women) was 85.3 years; higher than Bucks (84.1) and England (82.6).

Most common causes of deaths: 33.3% from cardiovascular disease (heart attacks & strokes), followed by cancer (30.0%) & respiratory (13.2%) in the period 2007-11. Developed by Public Health, Buckinghamshire County Council

Long term conditions – people registered with GP Practices in the area (2012/13) -

Diabetes: 977 people have been diagnosed with diabetes (3.7% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed.

High blood pressure: 3,453 people have diagnosed high blood pressure (13.1% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed.

Heart disease: 726 people have heart disease (2.8% for area; 3.0% for Bucks) - Stroke: 426 people have had a stroke (1.6% for area; 1.6% for Bucks)

Dementia: 138 people diagnosed with dementia (0.5% for area; 0.5% for Bucks)

Depression: 1,080 people have had depression (4.1% for area; 4.4% for Bucks)

Cancer: 693 people have had cancer (2.6% for area; 2.0% for Bucks)

Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 47.7% - 61.6% (Bucks average 40.5%); people aged under 65 at-risk: from 48.8% - 54.8% (Bucks average 48.3%); older people: from 77.5% - 80.4% (Bucks average 73.3%)

Emergency hospital admissions: in 2011/12, the rate was 493.4 admissions per 10,000 people, 23% lower than the Bucks rate (644.3 per 100,000).

Falls: there were 81 hospital admissions for injuries from falls in 2011/12. The rate was 109.2 per 10,000 people, 22% lower than the Bucks rate (140.5 per 100,000).

3. Priorities for Prevention

Early years – interventions in the early years (up to 5 years old) can prevent social and health problems more cost effectively than later intervention.  4.9% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  66.8% of children achieved a “good level of development” at age five (vs. 54.9% in Bucks; 52.0% in England; 2012-13 school year)

Educational achievement is a strong predictor of future health

Mental wellbeing has a range of benefits to physical health and achievement throughout life. Happy people live 7.5 -10 years longer than people who aren’t happy.

Healthy lifestyles in Bucks: 1 in 4 adults are inactive (less than 30 minutes physical activity in a week); 1 in 7 smoke; 1 in 5 drink alcohol at risky levels; 2 in 3 adults do not eat healthily; and more adults are now overweight & obese than a healthy weight. People who don’t smoke, are physically active, eat healthily and only drink alcohol within recommended limits live around 14 years longer than those who don’t. A healthy lifestyle reduces the risk of diabetes, heart disease, stroke, cancer & dementia.

Overweight children: 10.1% of reception year (Bucks average: 7.8%) and 18.9% of year 6 children (Bucks average 15.9%) were obese in 2011-12 school year.

NHS Health Checks: people registered with GP practices in the area are more likely to have a check when invited compared to Bucks (66.4% vs. 52.4%; 2012/13).

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Last updated: 28 February 2017

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