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Local Area Health Needs Assessment

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).

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Last updated: 28 February 2017

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