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Local Area Health Needs Assessment

12. Health needs in North West Chilterns

1. The local population – key influences on needs

Size: 25,520 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.4% vs. 5.5%). Age profile: older population than Bucks (lower % aged <40; higher % aged 45+).  5.1% of people are aged under 5 (1,310), compared to 6.3% in Bucks; numbers have decreased by almost 10% in the area between 2001 and 2011  10.2% of people are aged 75+ (2,595), compared to 7.8% in Bucks; numbers increased quicker than the Bucks average (33% vs. 24% increase; 2001-11) Early years: in 2011, there were 258 births in the area, 4.2% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 6.5; range 2.4 to 18.6), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (4.6% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 2,836 people provide unpaid care in the area (11.1% in area vs. 9.8% in Bucks). 429 carers (1.7% of all people) provide more than 50 hours unpaid care per week. Lone parents: 355 people are lone parents with dependent children (3.5% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,361 pensioners live alone in the area (13.4% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.6% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.4% 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: similar proportion of residents rated their health as good or very good (85.7%) compared to Bucks (85.8%). Limiting long term illness: affects nearly 3,540 residents (13.9% in area, compared to 13.4% for Bucks). The proportion increased by 11% over ten years. Life expectancy (people) was 84.3 years, nearly 2 years higher than the Bucks average (82.4 years), and ranging from 77.4to 102.4 years across the area (2007-11). Life expectancy (men) was 83.1 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 85.3 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 35.0% from cardiovascular disease (heart attacks & strokes), followed by cancer (27.4%) & respiratory (14.9%) in the period 2007-11.  Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 1,524 people have been diagnosed with diabetes (4.2% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 5,612 people have diagnosed high blood pressure (15.4% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 1,308 people have heart disease (3.6% for area; 3.0% for Bucks) - Stroke: 727 people have had a stroke (2.0% for area; 1.6% for Bucks) - Dementia: 213 people diagnosed with dementia (0.6% for area; 0.5% for Bucks) - Depression: 1,502 people have had depression (4.1% for area; 4.4% for Bucks) - Cancer: 828 people have had cancer (2.3% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 43.2% - 50.0% (Bucks average 40.5%); people aged under 65 at-risk: from 38.8% - 56.3% (Bucks average 48.3%); older people: from 70.5% - 75.2% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 540.2 admissions per 10,000 people, 16% lower than the Bucks rate (644.3 per 100,000). Falls: there were 87 hospital admissions for injuries from falls in 2011/12. The rate was 124.2 per 10,000 people, 12% 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)  50.6% 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: 3.3% of reception year (Bucks average: 7.8%) and 13.4% of year 6 children (Bucks average 15.9%) were obese in 2011-2012 school year.

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Last updated: 28 February 2017

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