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Local Area Health Needs Assessment

14. Health needs in the Chalfonts

1. The local population – key influences on needs

Size: 22,195 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.3% vs. 5.5%). Age profile: higher % aged 5-15 and 45+ compared to Bucks; <5 and 15-39 lower %.  5.2% of people are aged under 5 (1,161), compared to 6.3% in Bucks; numbers have decreased by 9% in the area between 2001 and 2011  10.0% of people are aged 75+ (2,209), compared to 7.8% in Bucks; numbers increased similarly to the Bucks average (23% vs. 24% increase; 2001-11) Early years: in 2011, there were 204 births in the area, 3.3% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 5.8; range 2.6 to 17.5), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (7.1% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 2,297 people provide unpaid care in the area (10.3% in area vs. 9.8% in Bucks). 303 carers (1.4% of all people) provide more than 50 hours unpaid care per week. Lone parents: 355 people are lone parents with dependent children (4.1% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 1,159 pensioners live alone in the area (13.5% 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: 2.3% 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 (87.4%) compared to Bucks (85.8%). Limiting long term illness: affects 2,876 residents (13.0% in area, compared to 13.4% for Bucks). The proportion decreased by 7% over ten years. Life expectancy (people) was 83.7 years, over 1 year higher than the Bucks average (82.4 years), and ranging from 76.5 to 91.2 years across the area (2007-11). Life expectancy (men) was 81.5 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 85.8 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 34.3% from cardiovascular disease (heart attacks & strokes), followed by cancer (27.1%) & respiratory (11.7%) in the period 2007-11. Developed by Public Health, Buckinghamshire County Council Long term conditions – people registered with GP Practices in the area (2012/13) - Diabetes: 1,132 people have been diagnosed with diabetes (3.7% for area; 4.3% for Bucks). Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 3,920 people have diagnosed high blood pressure (13.0% for area; 13.1% for Bucks). Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 859 people have heart disease (2.8% for area; 3.0% for Bucks) - Stroke: 481 people have had a stroke (1.6% for area; 1.6% for Bucks) - Dementia: 192 people diagnosed with dementia (0.6% for area; 0.5% for Bucks) - Depression: 1,284 people have had depression (4.2% for area; 4.4% for Bucks) - Cancer: 758 people have had cancer (2.5% for area; 2.0% for Bucks) Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 35.5% - 43.2% (Bucks average 40.5%); people aged under 65 at-risk: from 35.6% - 40.6% (Bucks average 48.3%); older people: from 67.5% - 69.9% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 544.2 admissions per 10,000 people, 16% lower than the Bucks rate (644.3 per 100,000). Falls: there were 96 hospital admissions for injuries from falls in 2011/12. The rate was 171.3 per 10,000 people, 22% 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.  7.1% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11)  59.6% 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: 3.5% of reception year (Bucks average: 7.8%) and 10.6% 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 more likely to have a check when invited compared to Bucks (58.2% vs. 52.4%; 2012/13).

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Last updated: 28 February 2017

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