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