Local Area Health Needs Assessment
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).
Last updated: 28 February 2017