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Health needs in Amersham

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).

2. Health needs in Beaconsfield

1. The local population – key influences on needs

Size: 12,081 people live in this local community area. The total population grew more rapidly
than Bucks between 2001 and 2011 (up 13.1% vs. 5.5%).
Age profile: older population than Bucks (lower % aged 15-34; higher % aged 70+).
6.9% of people are aged under 5 (833), compared to 6.3% in Bucks; numbers have
increased by almost 30% in the area between 2001 and 2011
10.5% of people are aged 75+ (1,267), compared to 7.8% in Bucks; numbers increased
faster than the Bucks average (33% vs. 24% increase; 2001-11)
Early years: in 2011, there were 156 births in the area, 2.5% of the total for Bucks.
Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 6.6;
range 1.7 to 12.3), vs. the Bucks average of 10.2 [low scores are less deprived].
Ethnicity: the area is less ethnically diverse compared to the Bucks average (9.6% people are
from a black and minority ethnic group, compared to 13.6% across Bucks).
Carers: 1,073 people provide unpaid care in the area (8.9% in area vs. 9.8% in Bucks). 182
carers (1.5% of all people) provide more than 50 hours unpaid care per week.
Lone parents: 213 people are lone parents with dependent children (4.5% of all households,
compared with the Bucks average of 5.3%)
Lone pensioners: 683 pensioners live alone in the area (14.4% of all households, compared
with the Bucks average of 11.8%)
Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is
lower than the Bucks average of 1.3%
Free School meals: 4.8% 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 (87.4%) compared to
Bucks (85.8%).
Limiting long term illness: affects 1,567 residents (13.0% in area, compared to 13.4% for
Bucks). The proportion increased by 13% over ten years.
Life expectancy (people) was 84.5 years, over 2 years higher than the Bucks average (82.4
years), and ranging from 82.3 to 94.6 years across the area (2007-11).
Life expectancy (men) was 82.7 years; higher than Bucks (80.6) and England (78.6).
Life expectancy (women) was 85.9 years; higher than Bucks (84.1) and England (82.6).
Most common causes of deaths: 33.6% from cardiovascular disease (heart attacks &
strokes), followed by cancer (29.1%) & respiratory (14.9%) 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: 701 people have been diagnosed with diabetes (3.0% for area; 4.3% for Bucks).
Across Bucks, around a quarter of diabetics may be undiagnosed.
- High blood pressure: 2,919 people have diagnosed high blood pressure (12.4% for area;
13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be
undiagnosed.
- Heart disease: 619 people have heart disease (2.6% for area; 3.0% for Bucks)
- Stroke: 440 people have had a stroke (1.9% for area; 1.6% for Bucks)
- Dementia: 132 people diagnosed with dementia (0.6% for area; 0.5% for Bucks)
- Depression: 1,235 people have had depression (5.2% for area; 4.4% for Bucks)
- Cancer: 550 people have had cancer (2.3% for area; 2.0% for Bucks)
Flu immunisations (range across local GP practices, 2012/13): pregnant women: from
34.9% - 42.7% (Bucks average 40.5%); people aged under 65 at-risk: from 35.2% - 47.8%
(Bucks average 48.3%); older people: from 72.0% - 74.9% (Bucks average 73.3%)
Emergency hospital admissions: in 2011/12, the rate was 533.6 admissions per 10,000
people, 17% lower than the Bucks rate (644.3 per 100,000).
Falls: there were 60 hospital admissions for injuries from falls in 2011/12. The rate was 180.7
per 10,000 people, 29% higher 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.
5.1% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)
67.4% 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: 4.6% of reception year (Bucks average: 7.8%) and 14.4% 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 (70.6% vs. 52.4%; 2012/13).

3. Health needs in Beeches

1. The local population – key influences on needs

Size: 12,081 people live in this local community area. The total population grew more rapidly
than Bucks between 2001 and 2011 (up 13.1% vs. 5.5%).
Age profile: older population than Bucks (lower % aged 15-34; higher % aged 70+).
6.9% of people are aged under 5 (833), compared to 6.3% in Bucks; numbers have
increased by almost 30% in the area between 2001 and 2011
10.5% of people are aged 75+ (1,267), compared to 7.8% in Bucks; numbers increased
faster than the Bucks average (33% vs. 24% increase; 2001-11)
Early years: in 2011, there were 156 births in the area, 2.5% of the total for Bucks.
Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 6.6;
range 1.7 to 12.3), vs. the Bucks average of 10.2 [low scores are less deprived].
Ethnicity: the area is less ethnically diverse compared to the Bucks average (9.6% people are
from a black and minority ethnic group, compared to 13.6% across Bucks).
Carers: 1,073 people provide unpaid care in the area (8.9% in area vs. 9.8% in Bucks). 182
carers (1.5% of all people) provide more than 50 hours unpaid care per week.
Lone parents: 213 people are lone parents with dependent children (4.5% of all households,
compared with the Bucks average of 5.3%)
Lone pensioners: 683 pensioners live alone in the area (14.4% of all households, compared
with the Bucks average of 11.8%)
Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is
lower than the Bucks average of 1.3%
Free School meals: 4.8% 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 (87.4%) compared to
Bucks (85.8%).
Limiting long term illness: affects 1,567 residents (13.0% in area, compared to 13.4% for
Bucks). The proportion increased by 13% over ten years.
Life expectancy (people) was 84.5 years, over 2 years higher than the Bucks average (82.4
years), and ranging from 82.3 to 94.6 years across the area (2007-11).
Life expectancy (men) was 82.7 years; higher than Bucks (80.6) and England (78.6).
Life expectancy (women) was 85.9 years; higher than Bucks (84.1) and England (82.6).
Most common causes of deaths: 33.6% from cardiovascular disease (heart attacks &
strokes), followed by cancer (29.1%) & respiratory (14.9%) in the period 2007-11.
Long term conditions – people registered with GP Practices in the area (2012/13)
- Diabetes: 701 people have been diagnosed with diabetes (3.0% for area; 4.3% for Bucks).
Across Bucks, around a quarter of diabetics may be undiagnosed.
- High blood pressure: 2,919 people have diagnosed high blood pressure (12.4% for area;
13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be
undiagnosed.
- Heart disease: 619 people have heart disease (2.6% for area; 3.0% for Bucks)
- Stroke: 440 people have had a stroke (1.9% for area; 1.6% for Bucks)
- Dementia: 132 people diagnosed with dementia (0.6% for area; 0.5% for Bucks)
- Depression: 1,235 people have had depression (5.2% for area; 4.4% for Bucks)
- Cancer: 550 people have had cancer (2.3% for area; 2.0% for Bucks)
Flu immunisations (range across local GP practices, 2012/13): pregnant women: from
34.9% - 42.7% (Bucks average 40.5%); people aged under 65 at-risk: from 35.2% - 47.8%
(Bucks average 48.3%); older people: from 72.0% - 74.9% (Bucks average 73.3%)
Emergency hospital admissions: in 2011/12, the rate was 533.6 admissions per 10,000
people, 17% lower than the Bucks rate (644.3 per 100,000).
Falls: there were 60 hospital admissions for injuries from falls in 2011/12. The rate was 180.7
per 10,000 people, 29% higher 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.
5.1% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)
67.4% 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: 4.6% of reception year (Bucks average: 7.8%) and 14.4% 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 (70.6% vs. 52.4%; 2012/13).

4. Health needs in Buckingham

The local population – key influences on needs

Size: 26,928 people live in this local community area. The total population grew more rapidly than Bucks between 2001 and 2011 (up 6.6% vs. 5.5%).

Age profile: higher % aged 10-24 and 45-64; lower % aged <10, 25-44 and 65+ (compared to Bucks)  5.4% of people are aged under 5 (1,455), compared to 6.3% in Bucks; numbers have decreased by almost 10% in the area between 2001 and 2011  6.2% of people are aged 75+ (1,677), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (22% vs. 24% increase; 2001-11)

Early years: in 2011, there were 287 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: 8.3; range 1.7 to 13.2), vs. the Bucks average of 10.2 [low scores are less deprived].

Ethnicity: the area is less ethnically diverse compared to the Bucks average (5.7% people are from a black and minority ethnic group, compared to 13.6% across Bucks).

Carers: 2,545 people provide unpaid care in the area (9.5% in area vs. 9.8% in Bucks). 450 carers (1.7% of all people) provide more than 50 hours unpaid care per week.

Lone parents: 494 people are lone parents with dependent children (4.8% of all households, compared with the Bucks average of 5.3%)

Lone pensioners: 1,081 pensioners live alone in the area (10.5% of all households, compared with the Bucks average of 11.8%) Unemployed: 1.0% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3%

Free School meals: 5.5% 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 (87.3%) compared to Bucks (85.8%). Limiting long term illness: affects 3,231 residents (12.0% in area, compared to 13.4% for Bucks). The proportion increased by 13% over ten years. Life expectancy (people) was 82.7 years, very similar to the Bucks average (82.4 years), and ranging from 76.4 to 90.5 years across the area (2007-11). Life expectancy (men) was 80.9 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 84.4 years; higher than Bucks (84.1) and England (82.6).

Most common causes of deaths: 29.9% from cardiovascular disease (heart attacks & strokes), followed by cancer (27.4%) & respiratory (16.6%) in the period 2007-11.

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

Diabetes: 1,026 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: 3,363 people have diagnosed high blood pressure (12.3% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed.

Heart disease: 712 people have heart disease (2.6% for area; 3.0% for Bucks)

Stroke: 321 people have had a stroke (1.2% for area; 1.6% for Bucks)

Dementia: 151 people diagnosed with dementia (0.6% for area; 0.5% for Bucks)

Depression: 1,455 people have had depression (5.3% for area; 4.4% for Bucks)

Cancer: 476 people have had cancer (1.7% for area; 2.0% for Bucks)

Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 24.1% - 44.4% (Bucks average 40.5%); people aged under 65 at-risk: from 46.1% - 50.8% (Bucks average 48.3%); older people: from 67.5% - 73.1% (Bucks average 73.3%)

Emergency hospital admissions: in 2011/12, the rate was 621.2 admissions per 10,000 people, 4% lower than the Bucks rate (644.3 per 100,000).

Falls: there were 96 hospital admissions for injuries from falls in 2011/12. The rate was 197.1 per 10,000 people, 40% higher 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.  5.2% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  64.6% 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: 5.5% of reception year (Bucks average: 7.8%) and 12.7% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 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 (67.5% vs. 52.4%; 2012/13).

5. Health needs in Chepping Wye Valley

The local population – key influences on needs

Size: 36,501 people live in this local community area. The total population grew slower than Bucks between 2001 and 2011 (up 3.1% vs. 5.5%). Age profile: older population than Bucks (lower % under 40; higher % aged 55+).  5.7% of people are aged under 5 (2,064), compared to 6.3% in Bucks; numbers have decreased by almost 5% in the area between 2001 and 2011  8.5% of people are aged 75+ (3,114), compared to 7.8% in Bucks; numbers increased faster than the Bucks average (31% vs. 24% increase; 2001-11) Early years: in 2011, there were 389 births in the area, 6.3% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 7.0; range 1.6 to 20.9), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (6.9% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 3,683 people provide unpaid care in the area (10.1% in area vs. 9.8% in Bucks). 591 carers (1.6% of all people) provide more than 50 hours unpaid care per week. Lone parents: 709 people are lone parents with dependent children (4.7% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,899 pensioners live alone in the area (12.6% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.6% 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 (86.5%) compared to Bucks (85.8%). Limiting long term illness: affects around 4,800 residents (13.2% in area, compared to 13.4% for Bucks). The proportion increased by 13% over ten years. Life expectancy (people) was 83.0 years, ½ a year higher than the Bucks average (82.4 years), and ranging from 78.4 to 92.7 years across the area (2007-11). Life expectancy (men) was 81.1 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 84.7 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 31.4% from cancer, followed by cardiovascular disease (heart attacks & strokes) (30.0%) & respiratory (13.0%) in the period 2007-11.

Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 1,205 people have been diagnosed with diabetes (4.1% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 4,320 people have diagnosed high blood pressure (14.6% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 934 people have heart disease (3.2% for area; 3.0% for Bucks) - Stroke: 548 people have had a stroke (1.9% for area; 1.6% for Bucks) - Dementia: 133 people diagnosed with dementia (0.5% for area; 0.5% for Bucks) - Depression: 1,208 people have had depression (4.1% for area; 4.4% for Bucks) - Cancer: 649 people have had cancer (2.2% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 28.3% - 49.3% (Bucks average 40.5%); people aged under 65 at-risk: from 40.0% - 54.6% (Bucks average 48.3%); older people: from 71.0% - 78.9% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 610.9 admissions per 10,000 people, 5% lower than the Bucks rate (644.3 per 100,000). Falls: there were 114 hospital admissions for injuries from falls in 2011/12. The rate was 137.5 per 10,000 people, 2% 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.  5.2% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  65.5% 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: 7.7% of reception year (Bucks average: 7.8%) and 16.9% 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 had a check when invited compared to Bucks (63.5% vs. 52.4%; 2012/13).

6. Health needs in Chesham and Chiltern villages

1. The local population – key influences on needs

Size: 36,501 people live in this local community area. The total population grew slower than Bucks between 2001 and 2011 (up 3.1% vs. 5.5%). Age profile: older population than Bucks (lower % under 40; higher % aged 55+).  5.7% of people are aged under 5 (2,064), compared to 6.3% in Bucks; numbers have decreased by almost 5% in the area between 2001 and 2011  8.5% of people are aged 75+ (3,114), compared to 7.8% in Bucks; numbers increased faster than the Bucks average (31% vs. 24% increase; 2001-11) Early years: in 2011, there were 389 births in the area, 6.3% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 7.0; range 1.6 to 20.9), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (6.9% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 3,683 people provide unpaid care in the area (10.1% in area vs. 9.8% in Bucks). 591 carers (1.6% of all people) provide more than 50 hours unpaid care per week. Lone parents: 709 people are lone parents with dependent children (4.7% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,899 pensioners live alone in the area (12.6% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.6% 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 (86.5%) compared to Bucks (85.8%). Limiting long term illness: affects around 4,800 residents (13.2% in area, compared to 13.4% for Bucks). The proportion increased by 13% over ten years. Life expectancy (people) was 83.0 years, ½ a year higher than the Bucks average (82.4 years), and ranging from 78.4 to 92.7 years across the area (2007-11). Life expectancy (men) was 81.1 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 84.7 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 31.4% from cancer, followed by cardiovascular disease (heart attacks & strokes) (30.0%) & respiratory (13.0%) in the period 2007-11.

Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 1,205 people have been diagnosed with diabetes (4.1% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 4,320 people have diagnosed high blood pressure (14.6% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 934 people have heart disease (3.2% for area; 3.0% for Bucks) - Stroke: 548 people have had a stroke (1.9% for area; 1.6% for Bucks) - Dementia: 133 people diagnosed with dementia (0.5% for area; 0.5% for Bucks) - Depression: 1,208 people have had depression (4.1% for area; 4.4% for Bucks) - Cancer: 649 people have had cancer (2.2% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 28.3% - 49.3% (Bucks average 40.5%); people aged under 65 at-risk: from 40.0% - 54.6% (Bucks average 48.3%); older people: from 71.0% - 78.9% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 610.9 admissions per 10,000 people, 5% lower than the Bucks rate (644.3 per 100,000). Falls: there were 114 hospital admissions for injuries from falls in 2011/12. The rate was 137.5 per 10,000 people, 2% 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.  5.2% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  65.5% 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: 7.7% of reception year (Bucks average: 7.8%) and 16.9% 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 had a check when invited compared to Bucks (63.5% vs. 52.4%; 2012/13).

7. Health needs in Gerrards Cross

1. The local population – key influences on needs

Size: 16,514 people live in this local community area. The total population grew more rapidly than Bucks between 2001 and 2011 (up 8.1% vs. 5.5%). Age profile: older population than Bucks (lower % aged <45; higher % aged 45+).  5.3% of people are aged under 5 (869), compared to 6.3% in Bucks; numbers have increased by less than 1% in the area between 2001 and 2011  10.9% of people are aged 75+ (1,795), compared to 7.8% in Bucks; numbers increased quicker than the Bucks average (27% vs. 24% increase; 2001-11) Early years: in 2011, there were 142 births in the area, 2.3% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 9.0; range 3.8 to 18.0), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is more ethnically diverse compared to the Bucks average (17.2% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 1,691 people provide unpaid care in the area (10.2% in area vs. 9.8% in Bucks). 291 carers (1.8% of all people) provide more than 50 hours unpaid care per week. Lone parents: 259 people are lone parents with dependent children (4.0% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,000 pensioners live alone in the area (15.3% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.6% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 4.0% 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: similar proportion of residents rated their health as good or very good (85.9%) compared to Bucks (85.8%). Limiting long term illness: affects 2,379 residents (14.4% in area, compared to 13.4% for Bucks). The proportion increased by 20% over ten years. Life expectancy (people) was 83.9 years, 1.5 years high than the Bucks average (82.4 years), and ranging from 80.3 to 94.0 years across the area (2007-11). Life expectancy (men) was 83.1 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 84.6 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 35.6% from cardiovascular disease (heart attacks & strokes), followed by cancer (30.2%) & respiratory (13.3%) 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: 444 people have been diagnosed with diabetes (5.4% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 1,292 people have diagnosed high blood pressure (15.6% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 326 people have heart disease (3.9% for area; 3.0% for Bucks) - Stroke: 170 people have had a stroke (2.1% for area; 1.6% for Bucks) - Dementia: 38 people diagnosed with dementia (0.5% for area; 0.5% for Bucks) - Depression: 396 people have had depression (4.8% for area; 4.4% for Bucks) - Cancer: 207 people have had cancer (2.5% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13 unless one practice only): pregnant women: 51.1% (Bucks average 40.5%); people aged under 65 at-risk: 61.4% (Bucks average 48.3%); older people: 80.1% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 606.8 admissions per 10,000 people, 6% lower than the Bucks rate (644.3 per 100,000). Falls: there were 80 hospital admissions for injuries from falls in 2011/12. The rate was 154.7 per 10,000 people, 10% higher 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.  6.5% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  63.2% 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: 8.8% of reception year (Bucks average: 7.8%) and 11.7% 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 slightly less likely to have a check when invited compared to Bucks (50.7% vs. 52.4%; 2012/13).

8. Health needs in Great Brickhill, Wing and Ivinghoe

1. The local population – key influences on needs

Size: 19,752 people live in this local community area. The total population grew more slowly compared to Bucks between 2001 and 2011 (up 0.9% vs. 5.5%). Age profile: higher % aged 45-65; lower % aged 20-35 (compared to Bucks).  5.4% of people are aged under 5 (1,058), compared to 6.3% in Bucks; numbers have decreased by a fifth in the area between 2001 and 2011  7.1% of people are aged 75+ (1,398), compared to 7.8% in Bucks; numbers increased faster than the Bucks average (31% vs. 24% increase; 2001-11) Early years: in 2011, there were 206 births in the area, 3.4% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD score: 8.0; range 4.1 to 13.4), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (2.7% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: almost 2,000 people provide unpaid care in the area (10.1% in area vs. 9.8% in Bucks). 303 carers (1.5% of all people) provide more than 50 hours unpaid care per week. Lone parents: 339 people are lone parents with dependent children (4.3% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 855 pensioners live alone in the area (10.8% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.8% 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 (86.7%) compared to Bucks (85.9%). Limiting long term illness: affects more than 2,500 residents (12.8% in area, compared to 13.4% for Bucks). The proportion increased by 15% over ten years. Life expectancy (people) was 82.6 years, similar to the Bucks average (82.4 years), and ranging from 80.8 to 85.1 years across the area (2007-11). Life expectancy (men) was 81.7 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 83.6 years; lower than Bucks (84.1) but higher than England (82.6).

Most common causes of deaths: 32.5% from cardiovascular disease (heart attacks & strokes), followed by cancer (32.2%) & respiratory (13.5%) in the period 2007-11. Long term conditions – people registered with local GP Practices in the area - Diabetes: 633 people have been diagnosed with diabetes (3.9% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 2,410 people have diagnosed high blood pressure (14.9% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 534 people have heart disease (3.3% for area; 3.0% for Bucks) - Stroke: 230 people have had a stroke (1.4% for area; 1.6% for Bucks) - Dementia: 101 people diagnosed with dementia (0.6% for area; 0.5% for Bucks) - Depression: 809 people have had depression (5.0% for area; 4.4% for Bucks) - Cancer: 361 people have had cancer (2.2% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices): pregnant women: from 28.0% - 55.3% (Bucks average 40.5%); people aged under 65 at-risk: from 41.5% - 60.6% (Bucks average 48.3%); older people: from 70.1% - 81.0% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 500.7 admissions per 10,000 people, 22% lower than the Bucks rate (644.3 per 100,000) Falls: there were 35 hospital admissions for injuries from falls in 2011/12. The rate was 90.6 per 10,000 people, 36% 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.  5.5% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  59.1% 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: 4.8% of reception year (Bucks average: 7.8%) and 12.5% of year 6 children (Bucks average 15.9%) were obese. NHS Health Checks: people registered with GP practices in the area are more likely to have a check when invited compared to Bucks.

9. Health needs in Greater Aylesbury

1. The local population – key influences on needs

Size: 75,967 people live in this local community area. The total population grew more rapidly than Bucks between 2001 and 2011 (up 9.6% vs. 5.5%). Age profile: younger population than Bucks (higher % aged 20-40; lower % aged 40+).  8.0% of people are aged under 5 (6,044), compared to 6.3% in Bucks; numbers have increased by a fifth in the area between 2001 and 2011  5.6% of people are aged 75+ (4,236), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (18% vs. 24% increase; 2001-11) Early years: in 2011, there were 1,278 births in the area, 20.8% of the total for Bucks. Deprivation: the area is more deprived than the Bucks average (average IMD 2010 score: 13.8; range 1.8 to 32.9), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is more ethnically diverse compared to the Bucks average (18.7% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 6,622 people provide unpaid care in the area (8.7% in area vs. 9.8% in Bucks). 1,347 carers (1.8% of all people) provide more than 50 hours unpaid care per week. Lone parents: 2,264 people are lone parents with dependent children (7.4% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 2,817 pensioners live alone in the area (9.3% of all households, compared with the Bucks average of 11.8%) Unemployed: 1.8% of the adult population claimed Job Seekers Allowance in 2012, which is higher than the Bucks average of 1.3% Free School meals: 10.0% of pupils claimed free school meals in 2012, which is higher than the Bucks average of 6.6%

2. Health, life expectancy and illness

Self-rated health: less residents rated their health as good or very good (84.7%) compared to Bucks (85.8%). Limiting long term illness: affects nearly 10,500 residents (13.8% in area, compared to 13.4% for Bucks). The proportion increased by 12% over ten years. Life expectancy (people) was 80.1 years, over 2 years lower than the Bucks average (82.4 years), and ranging from 74.2 to 92.7 years across the area (2007-11). Life expectancy (men) was 78.5 years; lower than Bucks (80.6) and England (78.6). Life expectancy (women) was 81.5 years; lower than Bucks (84.1) and England (82.6). Most common causes of deaths: 30.3% from cardiovascular disease (heart attacks & strokes), followed by cancer (26.5%) & respiratory (15.5%) in the period 2007-11.  

Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 3,271 people have been diagnosed with diabetes (4.8% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 7,633 people have diagnosed high blood pressure (11.2% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 2,039 people have heart disease (3.0% for area; 3.0% for Bucks) - Stroke: 884 people have had a stroke (1.3% for area; 1.6% for Bucks) - Dementia: 312 people diagnosed with dementia (0.5% for area; 0.5% for Bucks) - Depression: 3,496 people have had depression (5.0% for area; 4.4% for Bucks) - Cancer: 988 people have had cancer (1.4% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 33.3% - 54.1% (Bucks average 40.5%); people aged under 65 at-risk: from 43.5% - 57.8% (Bucks average 48.3%); older people: from 69.3% - 79.1% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 779.1 admissions per 10,000 people, 21% higher than the Bucks rate (644.3 per 100,000). Falls: there were 185 hospital admissions for injuries from falls in 2011/12. The rate was 147.8 per 10,000 people, 5% higher 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.  7.9% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  54.2% 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: 9.0% of reception year (Bucks average: 7.8%) and 17.1% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year. NHS Health Checks: people registered with GP practices in the area are less likely to have a check when invited compared to Bucks (40.2% vs. 52.4%; 2012/13).

10. Health needs in Haddenham and Long Crendon

1. The local population – key influences on needs

Size: 15,942 people live in this local community area. The total population decreased by 3% between 2001 and 2011 (compared to average 5.5% growth in Bucks). Age profile: older population than Bucks (lower % aged <40; higher % aged 40+).  5.0% of people are aged under 5 (804), compared to 6.3% in Bucks; numbers have decreased by almost fifth in the area between 2001 and 2011  9.2% of people are aged 75+ (1,469), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (21% vs. 24% increase; 2001-11) Early years: in 2011, there were 136 births in the area, 2.2% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 6.0; range 1.2 to 11.3), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (3.1% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 1,738 people provide unpaid care in the area (10.9% in area vs. 9.8% in Bucks). 284 carers (1.8% of all people) provide more than 50 hours unpaid care per week. Lone parents: 219 people are lone parents with dependent children (3.3% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 876 pensioners live alone in the area (13.3% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.6% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 2.7% 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: similar proportion of residents rated their health as good or very good (85.7%) compared to Bucks (85.8%). Limiting long term illness: affects 2,228 residents (14.0% in area, compared to 13.4% for Bucks). The proportion increased by 10% over ten years. Life expectancy (people) was 83.2 years, nearly a year higher than the Bucks average (82.4 years), and ranging from 77.4 to 90.0 years across the area (2007-11). Life expectancy (men) was 81.2 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 85.2 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 31.3% from cancer, 28.2% from cardiovascular disease (heart attacks & strokes) & respiratory (15.3%) in the period 2007-11.

Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 739 people have been diagnosed with diabetes (3.9% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 2,688 people have diagnosed high blood pressure (14.2% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 635 people have heart disease (3.4% for area; 3.0% for Bucks) - Stroke: 278 people have had a stroke (1.5% for area; 1.6% for Bucks) - Dementia: 92 people diagnosed with dementia (0.5% for area; 0.5% for Bucks) - Depression: 704 people have had depression (3.7% for area; 4.4% for Bucks) - Cancer: 439 people have had cancer (2.3% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 47.1% - 49.3% (Bucks average 40.5%); people aged under 65 at-risk: from 47.4% - 50.5% (Bucks average 48.3%); older people: from 70.7% - 72.5% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 595.6 admissions per 10,000 people, 8% lower than the Bucks rate (644.3 per 100,000). Falls: there were 49 hospital admissions for injuries from falls in 2011/12. The rate was 112.9 per 10,000 people, 20% 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.  7.4% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  61.7% 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: 5.8% of reception year (Bucks average: 7.8%) and 17.5% 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 (66.3% vs. 52.4%; 2012/13).

11. Health needs in High Wycombe

1. The local population – key influences on needs

Size: 76,340 people live in this local community area. The total population grew more quickly compared to Bucks between 2001 and 2011 (up 10.8% vs. 5.5%). Age profile: younger population than Bucks (higher % aged under 40; lower % aged 40+).  7.5% of people are aged under 5 (5,742), compared to 6.3% in Bucks; numbers have increased by 16% in the area between 2001 and 2011  5.4% of people are aged 75+ (4,109), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (13% vs. 24% increase; 2001-11) Early years: in 2011, there were 1,247 births in the area, 20.3% of the total for Bucks. Deprivation: the area is more deprived than the Bucks average (average IMD 2010 score: 17.7; range 2.6 to 33.3), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is more ethnically diverse compared to the Bucks average (34.7% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 6,519 people provide unpaid care in the area (8.5% in area vs. 9.8% in Bucks). 1,266 carers (1.7% of all people) provide more than 50 hours unpaid care per week. Lone parents: 2,061 people are lone parents with dependent children (7.1% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 2,573 pensioners live alone in the area (8.9% of all households, compared with the Bucks average of 11.8%) Unemployed: 2.4% of the adult population claimed Job Seekers Allowance in 2012, which is higher than the Bucks average of 1.3% Free School meals: 12.5% of pupils claimed free school meals in 2012, which is higher than the Bucks average of 6.6%

2. Health, life expectancy and illness

Self-rated health: less residents rated their health as good or very good (84.9%) compared to Bucks (85.9%). Limiting long term illness: affects nearly 10,000 residents (13.1% in area, compared to 13.4% for Bucks). The proportion increased by 10% over ten years. Life expectancy (people) was 80.5 years, lower than the Bucks average (82.4 years), and ranging from 74.4 to 88.5 years across the area (2007-11). Life expectancy (men) was 78.0 years; lower than Bucks (80.6) and same as England. Life expectancy (women) was 82.9 years; lower than Bucks (84.1) but higher than England (82.6).  Most common causes of deaths: 30.8% from cardiovascular disease (heart attacks & strokes), followed by cancer (28.5%) & respiratory (14.4%) in the period 2007-11. Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 4,409 people have been diagnosed with diabetes (5.0% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 10,294 people have diagnosed high blood pressure (11.6% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 2,375 people have heart disease (2.7% for area; 3.0% for Bucks) - Stroke: 1,135 people have had a stroke (1.3% for area; 1.6% for Bucks) - Dementia: 314 people diagnosed with dementia (0.4% for area; 0.5% for Bucks) - Depression: 3,854 people have had depression (4.4% for area; 4.4% for Bucks) - Cancer: 1,299 people have had cancer (1.5% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 27.2% - 50.7% (Bucks average 40.5%); people aged under 65 at-risk: from 31.0% - 57.5% (Bucks average 48.3%); older people: from 56.9% - 81.1% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 754.0 admissions per 10,000 people, 17% higher than the Bucks rate (644.3 per 100,000) Falls: there were 148 hospital admissions for injuries from falls in 2011/12. The rate was 136.1 per 10,000 people, 3% 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.  9.1% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  37.4% 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: 8.9% of reception year (Bucks average: 7.8%) and 20.7% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year. NHS Health Checks: people registered with GP practices in the area are less likely to have a check when invited compared to Bucks (41.3% vs. 52.4%; 2012/13).

12. Health needs in North West Chilterns

1. The local population – key influences on needs

Size: 25,520 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.4% vs. 5.5%). Age profile: older population than Bucks (lower % aged <40; higher % aged 45+).  5.1% of people are aged under 5 (1,310), compared to 6.3% in Bucks; numbers have decreased by almost 10% in the area between 2001 and 2011  10.2% of people are aged 75+ (2,595), compared to 7.8% in Bucks; numbers increased quicker than the Bucks average (33% vs. 24% increase; 2001-11) Early years: in 2011, there were 258 births in the area, 4.2% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 6.5; range 2.4 to 18.6), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (4.6% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 2,836 people provide unpaid care in the area (11.1% in area vs. 9.8% in Bucks). 429 carers (1.7% of all people) provide more than 50 hours unpaid care per week. Lone parents: 355 people are lone parents with dependent children (3.5% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,361 pensioners live alone in the area (13.4% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.6% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.4% 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: similar proportion of residents rated their health as good or very good (85.7%) compared to Bucks (85.8%). Limiting long term illness: affects nearly 3,540 residents (13.9% in area, compared to 13.4% for Bucks). The proportion increased by 11% over ten years. Life expectancy (people) was 84.3 years, nearly 2 years higher than the Bucks average (82.4 years), and ranging from 77.4to 102.4 years across the area (2007-11). Life expectancy (men) was 83.1 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: 35.0% from cardiovascular disease (heart attacks & strokes), followed by cancer (27.4%) & respiratory (14.9%) in the period 2007-11.  Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 1,524 people have been diagnosed with diabetes (4.2% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 5,612 people have diagnosed high blood pressure (15.4% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 1,308 people have heart disease (3.6% for area; 3.0% for Bucks) - Stroke: 727 people have had a stroke (2.0% for area; 1.6% for Bucks) - Dementia: 213 people diagnosed with dementia (0.6% for area; 0.5% for Bucks) - Depression: 1,502 people have had depression (4.1% for area; 4.4% for Bucks) - Cancer: 828 people have had cancer (2.3% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 43.2% - 50.0% (Bucks average 40.5%); people aged under 65 at-risk: from 38.8% - 56.3% (Bucks average 48.3%); older people: from 70.5% - 75.2% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 540.2 admissions per 10,000 people, 16% lower than the Bucks rate (644.3 per 100,000). Falls: there were 87 hospital admissions for injuries from falls in 2011/12. The rate was 124.2 per 10,000 people, 12% 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.  5.5% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  50.6% 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: 3.3% of reception year (Bucks average: 7.8%) and 13.4% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year.

13. Health needs in South West Chilterns and Marlow

1. The local population – key influences on needs

Size: 33,283 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.9% vs. 5.5%). Age profile: older population than Bucks (lower % aged 15-34; higher % aged 35+).  5.9% of people are aged under 5 (1,967), compared to 6.3% in Bucks; numbers have decreased slightly (<1%) in the area between 2001 and 2011  8.4% of people are aged 75+ (2,781), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (18% vs. 24% increase; 2001-11) Early years: in 2011, there were 362 births in the area, 5.9% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 8.4; range 1.8 to 21.7), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (5.9% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 3,353 people provide unpaid care in the area (10.1% in area vs. 9.8% in Bucks). 546 carers (1.6% of all people) provide more than 50 hours unpaid care per week. Lone parents: 651 people are lone parents with dependent children (4.8% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,714 pensioners live alone in the area (12.5% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 4.4% 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 (87.0%) compared to Bucks (85.8%). Limiting long term illness: affects 4,215 residents (12.7% in area, compared to 13.4% for Bucks). The proportion increased by 6% over ten years. Life expectancy (people) was 84.3 years, nearly 2 years higher than the Bucks average (82.4 years), and ranging from 79.7 to 101.3 years across the area (2007-11). Life expectancy (men) was 82.1 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 86.4 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 33.7% from cardiovascular disease (heart attacks & strokes), followed by cancer (32.6%) & respiratory (11.7%) 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: 1,260 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: 4,607 people have diagnosed high blood pressure (13.4% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 943 people have heart disease (2.7% for area; 3.0% for Bucks) - Stroke: 559 people have had a stroke (1.6% for area; 1.6% for Bucks) - Dementia: 148 people diagnosed with dementia (0.4% for area; 0.5% for Bucks) - Depression: 1,089 people have had depression (3.2% for area; 4.4% for Bucks) - Cancer: 702 people have had cancer (2.0% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 38.8% - 45.2% (Bucks average 40.5%); people aged under 65 at-risk: from 50.2% - 59.5% (Bucks average 48.3%); older people: from 75.6% - 77.8% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 532.4 admissions per 10,000 people, 17% lower than the Bucks rate (644.3 per 100,000). Falls: there were 103 hospital admissions for injuries from falls in 2011/12. The rate was 142.8 per 10,000 people, 2% higher 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.  6.0% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  55.4% 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: 9.2% of reception year (Bucks average: 7.8%) and 15.2% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year. NHS Health Checks: people registered with GP practices in the area are less likely to have a check when invited compared to Bucks (33.5% vs. 52.4%; 2012/13).

14. Health needs in the Chalfonts

1. The local population – key influences on needs

Size: 22,195 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.3% vs. 5.5%). Age profile: higher % aged 5-15 and 45+ compared to Bucks; <5 and 15-39 lower %.  5.2% of people are aged under 5 (1,161), compared to 6.3% in Bucks; numbers have decreased by 9% in the area between 2001 and 2011  10.0% of people are aged 75+ (2,209), compared to 7.8% in Bucks; numbers increased similarly to the Bucks average (23% vs. 24% increase; 2001-11) Early years: in 2011, there were 204 births in the area, 3.3% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 5.8; range 2.6 to 17.5), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (7.1% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 2,297 people provide unpaid care in the area (10.3% in area vs. 9.8% in Bucks). 303 carers (1.4% of all people) provide more than 50 hours unpaid care per week. Lone parents: 355 people are lone parents with dependent children (4.1% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,159 pensioners live alone in the area (13.5% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.6% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 2.3% 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 (87.4%) compared to Bucks (85.8%). Limiting long term illness: affects 2,876 residents (13.0% in area, compared to 13.4% for Bucks). The proportion decreased by 7% over ten years. Life expectancy (people) was 83.7 years, over 1 year higher than the Bucks average (82.4 years), and ranging from 76.5 to 91.2 years across the area (2007-11). Life expectancy (men) was 81.5 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 85.8 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 34.3% from cardiovascular disease (heart attacks & strokes), followed by cancer (27.1%) & respiratory (11.7%) 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: 1,132 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: 3,920 people have diagnosed high blood pressure (13.0% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 859 people have heart disease (2.8% for area; 3.0% for Bucks) - Stroke: 481 people have had a stroke (1.6% for area; 1.6% for Bucks) - Dementia: 192 people diagnosed with dementia (0.6% for area; 0.5% for Bucks) - Depression: 1,284 people have had depression (4.2% for area; 4.4% for Bucks) - Cancer: 758 people have had cancer (2.5% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 35.5% - 43.2% (Bucks average 40.5%); people aged under 65 at-risk: from 35.6% - 40.6% (Bucks average 48.3%); older people: from 67.5% - 69.9% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 544.2 admissions per 10,000 people, 16% lower than the Bucks rate (644.3 per 100,000). Falls: there were 96 hospital admissions for injuries from falls in 2011/12. The rate was 171.3 per 10,000 people, 22% higher 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.  7.1% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  59.6% 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: 3.5% of reception year (Bucks average: 7.8%) and 10.6% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 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 (58.2% vs. 52.4%; 2012/13).

15. Health needs in the Missendens

1. The local population – key influences on needs

Size: 16,645 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.1% vs. 5.5%). Age profile: older population than Bucks (lower % aged 20-44; higher % aged 45+).  4.6% of people are aged under 5 (761), compared to 6.3% in Bucks; numbers have decreased by 14% in the area between 2001 and 2011  9.8% of people are aged 75+ (1,638), compared to 7.8% in Bucks; numbers increased at a similar rate to the Bucks average (23% vs. 24% increase; 2001-11) Early years: in 2011, there were 123 births in the area, 2.0% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 5.5; range 1.0 to 10.4), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (3.6% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 1,764 people provide unpaid care in the area (10.6% in area vs. 9.8% in Bucks). 256 carers (1.5% of all people) provide more than 50 hours unpaid care per week. Lone parents: 274 people are lone parents with dependent children (4.1% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 943 pensioners live alone in the area (14.2% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.8% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.1% 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 (86.7%) compared to Bucks (85.8%). Limiting long term illness: affects 2,244 residents (13.5% in area, compared to 13.4% for Bucks). The proportion increased by 9% over ten years. Life expectancy (people) was 83.8 years, nearly 1.5 years higher than the Bucks average (82.4 years), and ranging from 80.6 to 89.4 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 85.4 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 32.2% from cardiovascular disease (heart attacks & strokes), followed by cancer (30.9%) & respiratory (13.0%) 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: 2.9% of people in the area have diabetes, compared to 4.3% for Bucks. Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 12.4% of people in the area, compared to 13.1% for Bucks. Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 2.8% of people in the area; 3.0% for Bucks - Stroke: 1.4% of people in the area; 1.6% for Bucks - Dementia: 0.6% of people in the area; 0.5% for Bucks - Depression: 4.6% of people have had depression in the area; 4.4% for Bucks - Cancer: 2.4% for area; 2.0% for Bucks Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 27.3% - 37.0% (Bucks average 40.5%); people aged under 65 at-risk: from 44.4% - 53.8% (Bucks average 48.3%); older people: from 73.4% - 78.4% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 550.8 admissions per 10,000 people, 15% lower than the Bucks rate (644.3 per 100,000). Falls: there were 52 hospital admissions for injuries from falls in 2011/12. The rate was 121.3 per 10,000 people, 14% 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.  6.8% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  71.3% 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: 7.5% of reception year (Bucks average: 7.8%) and 11.7% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year. NHS Health Checks: people registered with GP practices in the area are less likely to have a check when invited compared to Bucks (51.8% vs. 52.4%; 2012/13).

16. Health needs in Waddesdon

Health & Wellbeing needs in your area: Waddesdon LAF 1. The local population – key influences on needs Size: 7,946 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.0% vs. 5.5%). Age profile: higher % aged 10-19 and 40-64 compared to Bucks; all other ages lower %.  4.7% of people are aged under 5 (370), compared to 6.3% in Bucks; numbers have decreased by nearly a fifth in the area between 2001 and 2011  6.1% of people are aged 75+ (483), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (20% vs. 24% increase; 2001-11) Early years: in 2011, there were 66 births in the area, 1.1% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 9.0; range 6.1 to 11.3), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (4.3% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 742 people provide unpaid care in the area (9.3% in area vs. 9.8% in Bucks). 110 carers (1.4% of all people) provide more than 50 hours unpaid care per week. Lone parents: 140 people are lone parents with dependent children (4.8% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 290 pensioners live alone in the area (9.9% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.8% 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 (86.4%) compared to Bucks (85.8%). Limiting long term illness: affects 987 residents (12.4% in area, compared to 13.4% for Bucks). The proportion increased by 5% over ten years. Life expectancy (people) was 85.4 years, 3 years high than the Bucks average (82.4 years), and ranging from 81.8 to 113.3 years across the area (2007-11). Life expectancy (men) was 81.8 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 89.4 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 37.3% from cancer, followed by cardiovascular disease (heart attacks & strokes) (25.9%) & respiratory (13.5%) 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: 235 people have been diagnosed with diabetes (4.4% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 910 people have diagnosed high blood pressure (17.1% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 178 people have heart disease (3.4% for area; 3.0% for Bucks) - Stroke: 69 people have had a stroke (1.3% for area; 1.6% for Bucks) - Dementia: 10 people diagnosed with dementia (0.2% for area; 0.5% for Bucks) - Depression: 286 people have had depression (5.4% for area; 4.4% for Bucks) - Cancer: 114 people have had cancer (2.1% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13 unless one practice only): pregnant women: 50.0% (Bucks average 40.5%); people aged under 65 at-risk: 57.5% (Bucks average 48.3%); older people: 78.0% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 670.5 admissions per 10,000 people, 4% higher than the Bucks rate (644.3 per 100,000). Falls: there were 8 hospital admissions for injuries from falls in 2011/12. The rate was 74.0 per 10,000 people, almost half 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.  8.2% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  55.6% 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: 10.2% of reception year (Bucks average: 7.8%) and 18.1% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year. NHS Health Checks: people registered with GP practices in the area are less likely to have a check when invited compared to Bucks (36.3% vs. 52.4%; 2012/13).

17. Health needs in Wendover

1. The local population – key influences on needs

Size: 16,008 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 2.1% vs. 5.5%). Age profile: older population than Bucks (lower % aged <35; higher % aged 35+).  6.7% of people are aged under 5 (1,068), compared to 6.3% in Bucks; numbers have increased by a quarter in the area between 2001 and 2011  9.8% of people are aged 75+ (1,568), compared to 7.8% in Bucks; numbers increased quicker than the Bucks average (27% vs. 24% increase; 2001-11) Early years: in 2011, there were 163 births in the area, 2.7% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 5.8; range 1.2 to 12.1), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (4.0% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 1,653 people provide unpaid care in the area (10.3% in area vs. 9.8% in Bucks). 248 carers (1.5% of all people) provide more than 50 hours unpaid care per week. Lone parents: 319 people are lone parents with dependent children (5.0% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 851 pensioners live alone in the area (13.3% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.6% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.7% 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: the same proportion of residents rated their health as good or very good as the Bucks average (85.8%). Limiting long term illness: affects 2,409 residents (15.0% in area, compared to 13.4% for Bucks). The proportion increased by 14% over ten years. Life expectancy (people) was 83.4 years, a year higher than the Bucks average (82.4 years), and ranging from 77.4 to 91.0 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 84.5 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 30.8% from cardiovascular disease (heart attacks & strokes), followed by cancer (27.4%) & respiratory (17.8%) 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: 1,107 people have been diagnosed with diabetes (4.1% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 3,787 people have diagnosed high blood pressure (13.9% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 939 people have heart disease (3.4% for area; 3.0% for Bucks) - Stroke: 509 people have had a stroke (1.9% for area; 1.6% for Bucks) - Dementia: 261 people diagnosed with dementia (1.0% for area; 0.5% for Bucks) - Depression: 1,171 people have had depression (4.3% for area; 4.4% for Bucks) - Cancer: 668 people have had cancer (2.4% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, unless one practice only, 2012/13): pregnant women: 40.9% (Bucks average 40.5%); people aged under 65 at-risk: 58.0% (Bucks average 48.3%); older people: 78.5% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 568.8 admissions per 10,000 people, 12% lower than the Bucks rate (644.3 per 100,000). Falls: there were 40 hospital admissions for injuries from falls in 2011/12. The rate was 120.1 per 10,000 people, 15% 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.  5.9% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  64.6% 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: 4.6% of reception year (Bucks average: 7.8%) and 6.3% of year 6 children (Bucks average 15.9%) were obese in 2011-12 school year. NHS Health Checks: GP practices in this area have not, until recently, been routinely offering Health Checks. The Bucks average for uptake after invitation is 52.4% (2012/13).

18. Health needs in Wexham and Ivers

1. The local population – key influences on needs

Size: 13,497 people live in this local community area. The total population grew more rapidly than Bucks between 2001 and 2011 (up 9.4% vs. 5.5%). Age profile: lower % aged <15 and 30-44 compared to Bucks; all others same or higher.  5.9% of people are aged under 5 (800), compared to 6.3% in Bucks; numbers have increased by 17.5% in the area between 2001 and 2011  8.0% of people are aged 75+ (1,082), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (21% vs. 24% increase; 2001-11) Early years: in 2011, there were 147 births in the area, 2.4% of the total for Bucks. Deprivation: the area is more deprived than the Bucks average (average IMD 2010 score: 12.3; range 6.4 to 17.7), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is more ethnically diverse compared to the Bucks average (20.7% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 1,452 people provide unpaid care in the area (10.8% in area vs. 9.8% in Bucks). 264 carers (2.0% of all people) provide more than 50 hours unpaid care per week. Lone parents: 273 people are lone parents with dependent children (5.2% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 694 pensioners live alone in the area (13.2% of all households, compared with the Bucks average of 11.8%) Unemployed: 1.3% of the adult population claimed Job Seekers Allowance in 2012, which is the same as the Bucks average of 1.3% Free School meals: 7.4% of pupils claimed free school meals in 2012, which is higher than the Bucks average of 6.6%

2. Health, life expectancy and illness

Self-rated health: less residents rated their health as good or very good (84.2%) compared to Bucks (85.8%). Limiting long term illness: affects 1,967 residents (14.6% in area, compared to 13.4% for Bucks). The proportion increased by 17% over ten years. Life expectancy (people) was 82.2 years, very similar to the Bucks average (82.4 years), and ranging from 76.8 to 88.0 years across the area (2007-11). Life expectancy (men) 80.2 years; lower than Bucks (80.6), higher than England (78.6). Life expectancy (women) 83.9 years; lower than Bucks (84.1), higher than England (82.6). Most common causes of deaths: 31.9% from cardiovascular disease (heart attacks & strokes), followed by cancer (30.4%) & respiratory (12.0%) 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: 501 people have been diagnosed with diabetes (5.1% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 1,538 people have diagnosed high blood pressure (15.8% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 329 people have heart disease (3.4% for area; 3.0% for Bucks) - Stroke: 155 people have had a stroke (1.6% for area; 1.6% for Bucks) - Dementia: 53 people diagnosed with dementia (0.5% for area; 0.5% for Bucks) - Depression: 400 people have had depression (4.1% for area; 4.4% for Bucks) - Cancer: 197 people have had cancer (2.0% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 20.0% - 50.0% (Bucks average 40.5%); people aged under 65 at-risk: from 33.2% - 48.6% (Bucks average 48.3%); older people: from 62.5% - 67.0% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 872.8 admissions per 10,000 people, 35% higher than the Bucks rate (644.3 per 100,000). Falls: there were 44 hospital admissions for injuries from falls in 2011/12. The rate was 168.9 per 10,000 people, 20% higher 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.  9.3% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  41.7% 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: 9.0% of reception year (Bucks average: 7.8%) and 17.6% of year 6 children (Bucks average 15.9%) were obese in 2011-12 school year. NHS Health Checks: health checks are being developed in the area and are not currently well established. The Bucks average for uptake after invitation is 52.4% (2012/13)

19. Health needs in Winslow and district

1. The local population – key influences on needs

Size: 11,584 people live in this local community area. The total population remained unchanged between 2001 and 2011 (compared to a Bucks average increase of 5.5%). Age profile: older population than Bucks (lower % aged <40; higher % aged 40+).  4.7% of people are aged under 5 (546), compared to 6.3% in Bucks; numbers have decreased by nearly a fifth in the area between 2001 and 2011  8.6% of people are aged 75+ (996), compared to 7.8% in Bucks; numbers increased slower than the Bucks average (15% vs. 24% increase; 2001-11) Early years: in 2011, there were 96 births in the area, 1.6% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 7.8; range 2.3 to 11.4), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (2.8% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 1,269 people provide unpaid care in the area (11.0% in area vs. 9.8% in Bucks). 197 carers (1.7% of all people) provide more than 50 hours unpaid care per week. Lone parents: 180 people are lone parents with dependent children (3.7% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 651 pensioners live alone in the area (13.5% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.9% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.7% 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: less residents rated their health as good or very good (84.3%) compared to Bucks (85.8%). Limiting long term illness: affects 1,781 residents (15.4% in area, compared to 13.4% for Bucks). The proportion increased by 12% over ten years. Life expectancy (people) was 83.3 years, nearly a year higher than the Bucks average (82.4 years), and ranging from 79.2 to 89.9 years across the area (2007-11). Life expectancy (men) was 81.2 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 85.1 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 33.8% from cardiovascular disease (heart attacks & strokes), followed by cancer (31.2%) & respiratory (16.8%) 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: 597 people have been diagnosed with diabetes (4.4% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 2,194 people have diagnosed high blood pressure (16.2% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 486 people have heart disease (3.6% for area; 3.0% for Bucks) - Stroke: 226 people have had a stroke (1.7% for area; 1.6% for Bucks) - Dementia: 65 people diagnosed with dementia (0.5% for area; 0.5% for Bucks) - Depression: 625 people have had depression (4.6% for area; 4.4% for Bucks) - Cancer: 369 people have had cancer (2.7% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 43.9% - 46.9% (Bucks average 40.5%); people aged under 65 at-risk: from 47.7% - 50.5% (Bucks average 48.3%); older people: from 67.2% - 70.4% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 613.4 admissions per 10,000 people, 5% lower than the Bucks rate (644.3 per 100,000). Falls: there were 30 hospital admissions for injuries from falls in 2011/12. The rate was 121.4 per 10,000 people, 14% 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.  4.8% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  63.9% 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: 7.5% of reception year (Bucks average: 7.8%) and 11.5% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year. NHS Health Checks: people registered with GP practices in the area are less likely to have a check when invited compared to Bucks (35.5% vs. 52.4%; 2012/13).