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Local Area Health Needs Assessment

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).

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Last updated: 28 February 2017

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