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Local Area Health Needs Assessment

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.

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Last updated: 28 February 2017

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