Local Area Health Needs Assessment
15. Health needs in the Missendens
1. The local population – key influences on needs
Size: 16,645 people live in this local community area. The total population grew more slowly than Bucks between 2001 and 2011 (up 1.1% vs. 5.5%). Age profile: older population than Bucks (lower % aged 20-44; higher % aged 45+). 4.6% of people are aged under 5 (761), compared to 6.3% in Bucks; numbers have decreased by 14% in the area between 2001 and 2011 9.8% of people are aged 75+ (1,638), compared to 7.8% in Bucks; numbers increased at a similar rate to the Bucks average (23% vs. 24% increase; 2001-11) Early years: in 2011, there were 123 births in the area, 2.0% of the total for Bucks. Deprivation: the area is less deprived than the Bucks average (average IMD 2010 score: 5.5; range 1.0 to 10.4), vs. the Bucks average of 10.2 [low scores are less deprived]. Ethnicity: the area is less ethnically diverse compared to the Bucks average (3.6% people are from a black and minority ethnic group, compared to 13.6% across Bucks). Carers: 1,764 people provide unpaid care in the area (10.6% in area vs. 9.8% in Bucks). 256 carers (1.5% of all people) provide more than 50 hours unpaid care per week. Lone parents: 274 people are lone parents with dependent children (4.1% of all households, compared with the Bucks average of 5.3%) Lone pensioners: 943 pensioners live alone in the area (14.2% of all households, compared with the Bucks average of 11.8%) Unemployed: 0.8% of the adult population claimed Job Seekers Allowance in 2012, which is lower than the Bucks average of 1.3% Free School meals: 3.1% 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 (85.8%). Limiting long term illness: affects 2,244 residents (13.5% in area, compared to 13.4% for Bucks). The proportion increased by 9% over ten years. Life expectancy (people) was 83.8 years, nearly 1.5 years higher than the Bucks average (82.4 years), and ranging from 80.6 to 89.4 years across the area (2007-11). Life expectancy (men) was 82.0 years; higher than Bucks (80.6) and England (78.6). Life expectancy (women) was 85.4 years; higher than Bucks (84.1) and England (82.6). Most common causes of deaths: 32.2% from cardiovascular disease (heart attacks & strokes), followed by cancer (30.9%) & respiratory (13.0%) 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: 2.9% of people in the area have diabetes, compared to 4.3% for Bucks. Across Bucks, around a quarter of diabetics may be undiagnosed. - High blood pressure: 12.4% of people in the area, compared to 13.1% for Bucks. Across Bucks, 45% of people with high blood pressure may be undiagnosed. - Heart disease: 2.8% of people in the area; 3.0% for Bucks - Stroke: 1.4% of people in the area; 1.6% for Bucks - Dementia: 0.6% of people in the area; 0.5% for Bucks - Depression: 4.6% of people have had depression in the area; 4.4% for Bucks - Cancer: 2.4% for area; 2.0% for Bucks Flu immunisations (range across local GP practices, 2012/13): pregnant women: from 27.3% - 37.0% (Bucks average 40.5%); people aged under 65 at-risk: from 44.4% - 53.8% (Bucks average 48.3%); older people: from 73.4% - 78.4% (Bucks average 73.3%) Emergency hospital admissions: in 2011/12, the rate was 550.8 admissions per 10,000 people, 15% lower than the Bucks rate (644.3 per 100,000). Falls: there were 52 hospital admissions for injuries from falls in 2011/12. The rate was 121.3 per 10,000 people, 14% 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. 6.8% of births in the area were low birthweight (vs. 7.1% in Bucks for 2009-11) 71.3% 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: 7.5% of reception year (Bucks average: 7.8%) and 11.7% 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 (51.8% vs. 52.4%; 2012/13).
Last updated: 28 February 2017