Didcot Community profile of Health and Wellbeing evidence
October 2018
Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
CONTENTS 1 Summary ...... 3 2 Geographical area ...... 5 3 Population profile ...... 9 4 People living in Communal Establishments ...... 11 5 Deprivation and Children in poverty ...... 12 7 Vulnerable children ...... 15 8 Health and wellbeing ...... 18 8.1 Health profiles for Didcot ...... 18 8.2 Provision of care ...... 22 8.3 Health conditions ...... 23 8.4 Physical activity ...... 25 9 Other - house prices and commuting data ...... 26 ANNEX 1: Indicator dates ...... 28 ANNEX 2: Finding out more ...... 30
This report provides health and wellbeing evidence from the Oxfordshire Joint Strategic Needs Assessment (JSNA) for Didcot. Reports and related information for the full Oxfordshire Joint Strategic Needs Assessment is available on the Oxfordshire Insight website at http://insight.oxfordshire.gov.uk/cms/joint- strategic-needs-assessment
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
1 Summary
• Between 2006 and 2016, the population of Didcot ward increased from 23,800 to 27,700. This growth, over a ten-year period, was an increase of just under 4,000 people or 16% and twice the rate of growth in the population of Oxfordshire (+8%). • The change in age profile of the town shows the effect of both inward migration (an increase in age groups 0-9 and 25-34 years) and an ageing population (a 32% increase in the number of people aged 50+). • At the time of the Census 2011 survey, Didcot had a higher proportion of ethnic minority residents than the district average, but well below the county and national averages (11% compared with 9% in South Oxfordshire, 16% in Oxfordshire and 20% in England). • Census 2011 data on country of birth shows the largest groups of non-UK born residents were from: o Poland (410) o Germany (186) o India (185) o South Africa (137)
• According to the 2015 Indices of Deprivation, the majority of Didcot is relatively un- deprived with 12 of 17 areas ranked within the 50% least deprived nationally. Areas ranked as more deprived in Didcot are influenced by relatively poor rankings on the Education and Skills domain. • According to the latest local measure of child poverty (HMRC, Aug 2014) there was a total of 655 children aged under 16 in low income families in Didcot. The rate of children in low income families varied from 17.7% in Didcot All Saints (above the county average) to 5.5% in Didcot Ladygrove1. • Children in South Oxfordshire district are less likely to appear in the social care, police and mental health data than Oxfordshire as a whole. The Didcot wards, however, have particularly high prevalence. o Children in Didcot South ward are 4 times more likely to be referred to social care; 5 times more likely to be in a household with a domestic abuse notification and over twice as likely to be a victim of crime than in the district as a whole. o Didcot West ward also has high rates of referrals to child social care and domestic abuse notifications involving children. This ward has particularly high rates of children as a victim of crime (6 times the district average). • Public Health England local profiles show that, overall, people living in wards in Didcot are relatively healthy compared with the England average. Didcot West is statistically worse than average on several indicators: Incidence of colorectal cancer, hospital stays for self-harm, death from all causes, death from circulatory disease, death from stroke.
1 Data only available for old wards
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
Didcot South is statistically worse on one indicator: Emergency admissions for hip fracture in 65+. • As of 1 August 2018, there were 6 care homes with 99 care home beds in Didcot. • The prevalence of diabetes recorded by Didcot Health Centre Practice, Woodlands Medical Centre and Oak Tree Health Centre in Didcot remained at a similar level in 2016-17 compared with the previous year. The rates of diabetes in Didcot Health Centre and Woodlands were each above the Oxfordshire CCG average. • The prevalence of dementia in 2016-17 recorded by GP practices in Didcot are each below the Oxfordshire CCG and England averages. • Didcot Health Centre and Oak Tree Health Centre have rates of depression that were significantly higher than the Oxfordshire CCG and national rate in 2016-17. The rate of depression recorded by Oak Tree Health Centre was double the national average. • Part of Didcot (the area covering the southern part of the town) had the lowest score for participation in sport in South Oxfordshire district (36.5% participated once a week, 2011-12). • Over the past 5 years (year ending December 2012 to year ending December 2017), median prices for semi-detached housing in Didcot have increased at a similar rate to the South Oxfordshire average. The greatest increase was in Didcot South ward (+£92,500, +42%). • In 2011, 85% of people living in Didcot and commuting to work were working in Oxfordshire. A small number (391, 3%) travelled to London to work.
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2 Geographical area
Data in this profile is reported using several types of geographical boundaries – administrative and statistical. The change to ward boundaries in 2015 reduced the number of wards covering Didcot from 4 to 3 and now include Didcot North East, Didcot West, and Didcot South.
Didcot Wards (from 2015) Didcot Wards old vs new wards
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In addition to these administrative boundaries, National Statistics for small areas are reported using the statistical hierarchy developed by the Office for National Statistics. Middle Super Output Areas (MSOAs) are used by ONS to publish Census travel to work data and an increasing range of other social and demographic statistics. There are 4 complete MSOAs covering Didcot: South Oxfordshire 09 / 010 / 013 and 014. Lower Super Output Areas (LSOAs) are used as the geography for publishing the national Indices of Deprivation (IMD). Didcot is covered by a total of 17 LSOAs.
Didcot MSOAs Didcot LSOAs
Maps by Oxfordshire County Council © Crown Copyright and database rights 2017 100023343
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Each LSOA is made up of smaller Output Areas. The main dataset available at Output Area level is the Census 2011 and Census 2001 surveys. A small number of datasets are available at postcode district level. Didcot is within the wider postcode district of OX11.
Didcot Postcode sectors
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Schools The schools in the Didcot Schools Partnership are in Didcot and the surrounding communities of Blewbury, Chilton, East Hagbourne, Harwell and South Moreton. Many of the pupils currently in the partnership primary schools will attend Didcot Girls School, St Birinus (Boys) or Aureus Secondary School when they reach year national curriculum year seven.
Didcot Schools Partnership: All Saints Church of England Primary School Primary Aureus Primary School Primary Aureus Secondary School Secondary Didcot Girl’s School Secondary Ladygrove Park Primary School Primary Lydalls Nursery School Primary Manor School Primary Northbourne Church of England Primary School Primary St Birinus School Secondary Stephen Freeman Community Primary School Primary Willowcroft Community School Primary Blewbury Endowed Church of England Primary School Primary Chilton Primary School Primary Hagbourne Church of England Primary School Primary GEMS Didcot Primary Academy Primary Harwell Community Primary School Primary South Moreton School Primary
UTC Oxfordshire University Technical College
GP data GP Practices in Didcot Data on prevalence of health conditions has been extracted from the Quality Outcomes Framework (to the end of March 2017) for the following 3 GP practices in Didcot: ● Didcot Health Centre Practice ● Woodland Medical Centre ● Oak Tree Health Centre
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3 Population profile
According to the ONS mid-year ward population estimates, the population of Didcot Wards increased from 23,800 in mid-2006 to 27,700 in mid-2016. This growth, over a ten-year period, was an increase of almost 4,000 people or 17%, twice the rate of growth in the population of Oxfordshire (+8%). The pyramid below shows the effects of both inward migration to the town (an increase in age groups 0-9 and 25-34 years) and an ageing population with a 32% increase in people aged 50+.
Figure 1 Population of Didcot by 5-year age band 2006 and 2016
+17% increase in total population
+32% increase in people aged 50+
Ageing on: people aged 39-44 in
2006 => people aged 45-54 in 2016
Inward migration
Source: ONS ward level mid-year population estimates (2006 and 2016)
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
Comparing the age profile of Didcot in 2016 with the district, county, regional and national averages, shows a higher proportion in the younger age group (0-15) and a lower proportion of over 65s.
Figure 2 Proportion of Didcot aged 0-15 and 65+ (2016)
Source: ONS mid-year population estimates
At the time of the Census 2011 survey, Didcot had a higher proportion of ethnic minority residents than the district average but well below the national average2 (11% compared with 9% in South Oxfordshire, 16% in Oxfordshire and 20% in England). The largest ethnic minority background was “White Other” with 1,255 residents, followed by Asian/Asian British background (715). Census 2011 data on country of birth shows the largest groups of non-UK born residents from: • Poland (410) • Germany (186) • India (185) • South Africa (137)
2 Census 2011: Tables KS201 and QS203, data for wards covering Didcot
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4 People living in Communal Establishments
At the time of the Census 2011 survey, there were 154 people living in Didcot counted as living in a communal establishment out of a total of 2,774 communal establishment residents in South Oxfordshire (6%). Of the total of 154 people living in Didcot in a communal establishment in 2011: • 81 were in a care home with nursing; • 54 were in a Defence establishment; • 7 were in an NHS hospital; • 7 were in a hostel or temporary shelter for the homeless.
Table 1 People living in Communal Establishments: Didcot (2011)
Hostel or temporary All people in Care home shelter for communal NHS: Other with the Communal Establishment Type establishments hospital nursing Defence homeless South Oxfordshire 2,774 26 542 733 7 Didcot total 154 7 81 54 7 Didcot as % of South Oxfordshire 6% 27% 15% 7% 100% Didcot All Saints 146 7 77 54 7 Didcot Ladygrove 4 0 4 0 0 Didcot Northbourne 0 0 0 0 0 Didcot Park 4 0 0 0 0 Source: ONS Census 2011 table QS421
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5 Deprivation and Children in poverty
Indices of Deprivation 2015 The 2015 Indices of Deprivation (IMD2015) combines measures across 7 “domains” and includes supplementary indices of deprivation affecting children and older people. According to this latest IMD, the majority of Didcot is relatively un-deprived with 12 of 17 areas ranked within the 50% least deprived nationally. Areas ranked as more deprived in Didcot are influenced by relatively poor rankings on the Education and Skills domain: • One area of Didcot West ward (010A) is ranked in the 30% most deprived nationally. This area is also ranked within the 10% most deprived on Education and Skills. • One area of Didcot South ward (013C) is ranked in the 40% most deprived nationally and is also within the 10% most deprived on Education and Skills.
Figure 3 IMD ranks for areas in Didcot (1 is most deprived decile) sorted on the overall IMD
Numbers = deprivation decile Didcot West 010A Didcot South 013C (compared with all areas in England) where 1 = most deprived 10% nationally and 10= least deprived 10% nationally. LSOA = Lower Super Output Area; IDACI = Income Deprivation Affecting Children Index; IDAOPI = Income Deprivation Affecting Older People Index
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Figure 4 IMD 2015, showing overall index
Didcot West 010A
Didcot South 013C
Source: DCLG, IMD 2015 mapping from http://dclgapps.communities.gov.uk/imd/idmap.html. Interactive IMD mapping for Oxfordshire is available at http://insight.oxfordshire.gov.uk/cms/index-multiple-deprivation-dashboard
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According to the latest local measure of child poverty (HMRC, Aug 2014) there was a total of 655 children aged under 16 in low income families in Didcot. The rate of children in low income families varied from 17.7% in Didcot All Saints (above the county average) to 5.5% in Didcot Ladygrove (data only available for old wards).
Figure 5 Child poverty* (snapshot August 2014, data by old wards)
Number of children aged under 16 in low income families:
Didcot: 655
South Oxfordshire: 2,075
Source: HM Revenue & Customs released 30 Sept 2016; *Number of children aged under 16 living in families in receipt of Child Tax Credit whose reported income is less than 60 per cent of the median income or in receipt of Income Support or Income-Based Jobseekers Allowance
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7 Vulnerable children
Introduction In 2017, work to was commissioned by the Performance, Audit & Quality Assurance subgroup of the Safeguarding Board and Children’s Trust to provide an overview of contact with vulnerable children at a local geographical level across Oxfordshire. Maps and charts3 are reported at ward level on the use of social care; health and police services to identify geographical hotspots and school attendance data is reported by school partnerships. The data on attendance is taken from the School Locality Profiles for 2015/16 academic year. Findings for Didcot Children in South Oxfordshire district are less likely to appear in the social care, police and mental health data than Oxfordshire as a whole. However the Didcot wards have particularly high prevalence. • Children in Didcot South are 4 times more likely to be referred to social care; 5 times more likely to be in a household with a domestic abuse notification and over twice as likely to be a victim of crime than in the district as a whole. • Didcot West also has high rates of referrals to child social care and domestic abuse notifications involving children. This ward has particularly high rates of children as a victim of crime (6 times the district average).
3 The report for South Oxfordshire is available on the JSNA page of the Oxfordshire Insight website. http://insight.oxfordshire.gov.uk/cms/vulnerable-children-data-mapping-south
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Table 2 Rate for referrals to child social care, domestic violence notifications, child victims of crime and referrals to Child and Adolescent Mental Health (CAMHS) services (South Oxfordshire wards 2016-17)
Social care referrals DV notification Victims of Crime CAMHS referral Rank Rank Rank Rank Rank Rank Rank Rank Rate District County Rate District County Rate District County Rate District County Didcot South 111.6 1 6 71.0 1 4 42.2 2 18 41.9 8 44 Didcot West 110.1 2 7 63.2 2 7 95.3 1 1 80.4 1 1 Didcot North East 60.1 3 23 42.9 3 14 20.3 7 58 37.3 11 61 Thame 49.2 6 36 36.7 5 25 13.5 14 85 40.3 9 49 Berinsfield 58.5 4 25 38.3 4 23 15.6 11 78 53.4 4 16 Wallingford 47.6 7 38 35.1 6 28 16.1 10 76 42.5 7 43 Henley-on-Thames 51.5 5 30 30.4 7 33 16.2 9 75 24.2 18 94 Cholsey 39.0 8 45 14.1 11 71 29.8 4 31 44.1 5 35 Woodcote & Rotherfield 38.3 9 47 18.7 8 53 11.3 16 95 33.0 12 76 Chinnor 28.1 10 58 17.2 9 61 16.7 8 73 38.3 10 55 Benson & Crowmarsh 22.6 12 67 17.2 9 61 6.7 20 108 27.7 15 89 Sonning Common 25.8 11 62 8.6 18 89 6.6 21 109 20.6 21 101 Watlington 14.1 16 86 11.7 14 78 10.1 18 100 26.8 16 91 Kidmore End & Whitchurch 14.1 16 86 13.3 12 73 13.5 13 84 23.8 20 96 Garsington & Horspath 18.0 13 76 11.7 14 78 32.5 3 27 58.2 2 7 Forest Hill & Holton 13.3 18 88 11.7 14 78 15.3 12 80 30.4 13 86 Chalgrove 12.5 19 92 12.5 13 76 21.2 5 52 54.7 3 13 Haseley Brook 15.6 14 79 8.6 18 89 13.3 15 87 43.0 6 40 Wheatley 10.1 20 100 10.9 17 84 20.6 6 56 25.3 17 93 Sandford & the Wittenhams 14.8 15 83 3.1 20 106 10.6 17 98 23.9 19 95 Goring 7.8 21 104 0.8 21 110 9.6 19 101 28.8 14 88 Median 25.8 14.1 15.6 37.3 County Median 30.1 18.7 20.5 37.9 Source: Vulnerable Children mapping project, report on Oxfordshire Insight. Table shows data by ward in South Oxfordshire - the rate of social care referrals, domestic violence notifications, children as victims of crime and referrals to the CAMHS service. The wards are then ranked, with highest rates first against the other wards in the district (16) and then by the other wards in the county.
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Persistent absence from school In 2015/16, 560 pupils were classed as persistently absent from secondary schools in the Didcot, Wallingford and Henley locality and 534 pupils received a fixed term exclusion. The secondary school persistent absence rate for Didcot locality was the lowest of the 9 locality areas in Oxfordshire and below the national average.
Figure 6 Persistent absence rates - secondary schools (2015/16)
Data for localities including town and surrounds
Source: Oxfordshire County Council. “Didcot” includes the wider locality area covering Didcot, Wallingford and Henley
In 2015/16, 354 pupils were classed as persistently absent from primary schools in the Didcot, Wallingford and Henley locality and 66 pupils received a fixed term exclusion. The persistent absence rates for Didcot locality were the second lowest of the 9 localities in Oxfordshire and below the national average.
Figure 7 Persistent absence rates - primary schools (2015/16)
Data for localities including town and surrounds
Source: Oxfordshire County Council. “Didcot” includes the wider locality area covering Didcot, Wallingford and Henley
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8 Health and wellbeing
8.1 Health profiles for Didcot Public Health England publishes a range of health indicators to a local level at www.localhealth.org.uk The following table lists, for each ward in Didcot, which health indicators are (statistically) significantly worse than the England average. The health profile for Didcot varies across the wards. Didcot West scores significantly below the national average on several health indicators including deaths from stroke and hospital stays for self-harm. Didcot North East on the other hand has no indicators scoring significantly worse and several scoring significantly better.
Table 3 Health indicators from Public Health profiles for Didcot where indicator is significantly worse than England average: Health indicators from Public Health profiles for Didcot Health indicators where ward is significantly worse than England average Didcot West • Incidence of colorectal cancer • Hospital stays for self-harm • Deaths from all causes – all ages • Deaths from circulatory disease - all ages • Deaths from stroke - all ages Didcot South • Emergency hospital admissions for hip fracture in 65+ (SAR) Didcot North ● None East Source: Public Health England Local Health (downloaded April 2018)
Indicators of healthy lifestyles from the Didcot health profiles show:
• Healthy eating adults: Didcot is not significantly different to England average • Teenage smokers: No data • Binge Drinking adults: Didcot is not significantly different to England average • Hospital stays for alcohol related harm: Didcot is not significantly different to the England average with the exception of Didcot North East which is slightly better than average.
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Figure 8 Health Profile for Didcot West
Indicators Selection valueEngland valueEngland worst Summary chart England best Income deprivation - English Indices of Deprivation 2015 (%) 9.8 14.6 51.4 0.8 Low Birth Weight of term babies (%) 3.3 2.8 7 0.6 Child Poverty - English Indices of Deprivation 2015 (%) 17 19.9 65.1 0.7 Child Development at age 5 (%) 54.5 60.4 25 88.9 GCSE Achievement (5A*-C inc. Eng & Maths) (%) 56.8 56.6 14.8 100 General Health - bad or very bad (%) 4.2 5.5 16.2 0 General Health - very bad (%) 0.8 1.2 4.3 0 Limiting long term illness or disability (%) 16.7 17.6 40.8 2.2 Overcrowding (%) 5.3 8.7 54.4 0.2 Provision of 1 hour or more unpaid care per week (%) 9.1 10.2 16.8 1.7 Provision of 50 hours or more unpaid care per week (%) 1.9 2.4 7.2 0 Pensioners living alone (%) 30.6 31.5 63.3 13.1 Older People in Deprivation - English Indices of Deprivation 2015 (%) 9.3 16.2 85.4 0.7 Deliveries to teenage mothers (%) N/A - Zero divide 1.1 6.2 0 Emergency admissions in under 5s (Crude rate per 1000) 114.6 149.2 378.2 36 A&E attendances in under 5s (Crude rate per 1000) 383.8 551.6 2553.6 119.4 Admissions for injuries in under 5s (Crude rate per 10,000) 117.5 138.8 458.2 37.6 Admissions for injuries in under 15s (Crude rate per 10,000) 100.6 108.3 254.6 38.1 Admissions for injuries in 15 - 24 year olds (Crude rate per 10,000) 154.9 133.1 517.2 34.2 Occasional smoker (modelled prevalence, age 15) (%) 4 7.8 0.8 Regular smoker (modelled prevalence, age 15) (%) 8.7 16.7 1.5 Obese adults (%) 25.4 24.1 34.8 5.9 Binge drinking adults (%) 17.8 20 56.4 3.3 Healthy eating adults (%) 25.6 28.7 12.3 54.1 Obese Children (Reception Year) (%) 6.2 9.3 18.7 2.6 Children with excess weight (Reception Year) (%) 18 22.2 36.2 7.4 Obese Children (Year 6) (%) 16.8 19.3 35.5 4.5 Children with excess weight (Year 6) (%) 33.2 33.6 52.1 12.6 Emergency hospital admissions for all causes (SAR) 94 100 211.5 25.5 Emergency hospital admissions for CHD (SAR) 85.7 100 362.3 26 Emergency hospital admissions for stroke (SAR) 103.4 100 228.9 32.4 Emergency hospital admissions for Myocardial Infarction (heart attack) (SAR) 90.2 100 358 21.9 Emergency hospital admissions for Chronic Obstructive Pulmonary Disease (COPD)61.6 (SAR) 100 586.1 9.7 Incidence of all cancer (SIR) 106.4 100 142 68.7 Incidence of breast cancer (SIR) 112.9 100 179.2 46.3 Incidence of colorectal cancer (SIR) 160.7 100 179.6 34.5 Incidence of lung cancer (SIR) 111.8 100 295.9 24.5 Incidence of prostate cancer (SIR) 112.7 100 213 32.6 Hospital stays for self harm (SAR) 130.1 100 584 10.5 Hospital stays for alcohol related harm (SAR) 100.4 100 311.1 37.7 Emergency hospital admissions for hip fracture in 65+ (SAR) 89.5 100 240.7 38.1 Elective hospital admissions for hip replacement (SAR) 118.3 100 190.2 15.9 Elective hospital admissions for knee replacement (SAR) 51.5 100 204.1 18.2 Life expectancy at birth for males, 2011- 2015 (years) 79.6 79.4 64 91.9 Life expectancy at birth for females, 2011- 2015 (years) 81.3 83.1 72.1 96 Deaths from all causes, all ages (SMR) 123.9 100 273 43.5 Deaths from all causes, under 65 years (SMR) 87.5 100 377.4 0 Deaths from all causes, under 75 years (SMR) 90.2 100 323.5 27.8 Deaths from all cancer, all ages (SMR) 114.6 100 326.6 0 Deaths from all cancer, under 75 years (SMR) 108.5 100 347.6 0 Deaths from circulatory disease, all ages (SMR) 153.1 100 286.1 0 Deaths from circulatory disease, under 75 years (SMR) 106.4 100 345.6 0 Deaths from coronary heart disease, all ages (SMR) 98.6 100 485.5 0 Deaths from coronary heart disease, under 75 years (SMR) 86.3 100 496.4 0 Deaths from stroke, all ages (SMR) 243.8 100 1181.9 0 Deaths from respiratory diseases, all ages (SMR) 96.9 100 328.8 0
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Figure 9 Health Profile for Didcot South
Indicators Selection value England value England worstSummary chart England best Income deprivation - English Indices of Deprivation 2015 (%) 11.3 14.6 51.4 0.8 Low Birth Weight of term babies (%) 3.3 2.8 7 0.6 Child Poverty - English Indices of Deprivation 2015 (%) 16.5 19.9 65.1 0.7 Child Development at age 5 (%) 52.9 60.4 25 88.9 GCSE Achievement (5A*-C inc. Eng & Maths) (%) 55.7 56.6 14.8 100 General Health - bad or very bad (%) 4.6 5.5 16.2 0 General Health - very bad (%) 1 1.2 4.3 0 Limiting long term illness or disability (%) 17.4 17.6 40.8 2.2 Overcrowding (%) 6.4 8.7 54.4 0.2 Provision of 1 hour or more unpaid care per week (%) 9.6 10.2 16.8 1.7 Provision of 50 hours or more unpaid care per week (%) 2.2 2.4 7.2 0 Pensioners living alone (%) 31.2 31.5 63.3 13.1 Older People in Deprivation - English Indices of Deprivation 2015 (%) 13 16.2 85.4 0.7 Deliveries to teenage mothers (%) N/A - Zero divide 1.1 6.2 0 Emergency admissions in under 5s (Crude rate per 1000) 107.2 149.2 378.2 36 A&E attendances in under 5s (Crude rate per 1000) 344.2 551.6 2553.6 119.4 Admissions for injuries in under 5s (Crude rate per 10,000) 124.6 138.8 458.2 37.6 Admissions for injuries in under 15s (Crude rate per 10,000) 103.5 108.3 254.6 38.1 Admissions for injuries in 15 - 24 year olds (Crude rate per 10,000) 144 133.1 517.2 34.2 Occasional smoker (modelled prevalence, age 15) (%) 4 7.8 0.8 Regular smoker (modelled prevalence, age 15) (%) 8.7 16.7 1.5 Obese adults (%) 24.8 24.1 34.8 5.9 Binge drinking adults (%) 18.2 20 56.4 3.3 Healthy eating adults (%) 24 28.7 12.3 54.1 Obese Children (Reception Year) (%) 6.3 9.3 18.7 2.6 Children with excess weight (Reception Year) (%) 16.7 22.2 36.2 7.4 Obese Children (Year 6) (%) 16.8 19.3 35.5 4.5 Children with excess weight (Year 6) (%) 30.1 33.6 52.1 12.6 Emergency hospital admissions for all causes (SAR) 92.7 100 211.5 25.5 Emergency hospital admissions for CHD (SAR) 91.4 100 362.3 26 Emergency hospital admissions for stroke (SAR) 114.5 100 228.9 32.4 Emergency hospital admissions for Myocardial Infarction (heart attack) (SAR) 113.1 100 358 21.9 Emergency hospital admissions for Chronic Obstructive Pulmonary Disease (COPD)101.9 (SAR) 100 586.1 9.7 Incidence of all cancer (SIR) 104.9 100 142 68.7 Incidence of breast cancer (SIR) 103.2 100 179.2 46.3 Incidence of colorectal cancer (SIR) 106.6 100 179.6 34.5 Incidence of lung cancer (SIR) 122.4 100 295.9 24.5 Incidence of prostate cancer (SIR) 85.5 100 213 32.6 Hospital stays for self harm (SAR) 117.6 100 584 10.5 Hospital stays for alcohol related harm (SAR) 96.4 100 311.1 37.7 Emergency hospital admissions for hip fracture in 65+ (SAR) 134.1 100 240.7 38.1 Elective hospital admissions for hip replacement (SAR) 107 100 190.2 15.9 Elective hospital admissions for knee replacement (SAR) 70.6 100 204.1 18.2 Life expectancy at birth for males, 2011- 2015 (years) 79.7 79.4 64 91.9 Life expectancy at birth for females, 2011- 2015 (years) 83.2 83.1 72.1 96 Deaths from all causes, all ages (SMR) 93.5 100 273 43.5 Deaths from all causes, under 65 years (SMR) 93.9 100 377.4 0 Deaths from all causes, under 75 years (SMR) 108.3 100 323.5 27.8 Deaths from all cancer, all ages (SMR) 111.9 100 326.6 0 Deaths from all cancer, under 75 years (SMR) 108.9 100 347.6 0 Deaths from circulatory disease, all ages (SMR) 98 100 286.1 0 Deaths from circulatory disease, under 75 years (SMR) 112 100 345.6 0 Deaths from coronary heart disease, all ages (SMR) 90.9 100 485.5 0 Deaths from coronary heart disease, under 75 years (SMR) 91 100 496.4 0 Deaths from stroke, all ages (SMR) 103.3 100 1181.9 0 Deaths from respiratory diseases, all ages (SMR) 87.4 100 328.8 0
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Figure 10 Health Profile for Didcot North East Indicators Selection valueEngland value England worst Summary chart England best Income deprivation - English Indices of Deprivation 2015 (%) 4.7 14.6 51.4 0.8 Low Birth Weight of term babies (%) 2.8 2.8 7 0.6 Child Poverty - English Indices of Deprivation 2015 (%) 7.1 19.9 65.1 0.7 Child Development at age 5 (%) 52.6 60.4 25 88.9 GCSE Achievement (5A*-C inc. Eng & Maths) (%) 69.1 56.6 14.8 100 General Health - bad or very bad (%) 1.9 5.5 16.2 0 General Health - very bad (%) 0.4 1.2 4.3 0 Limiting long term illness or disability (%) 8 17.6 40.8 2.2 Overcrowding (%) 5.8 8.7 54.4 0.2 Provision of 1 hour or more unpaid care per week (%) 6.5 10.2 16.8 1.7 Provision of 50 hours or more unpaid care per week (%) 1 2.4 7.2 0 Pensioners living alone (%) 28.5 31.5 63.3 13.1 Older People in Deprivation - English Indices of Deprivation 2015 (%) 6.3 16.2 85.4 0.7 Deliveries to teenage mothers (%) N/A - Zero divide 1.1 6.2 0 Emergency admissions in under 5s (Crude rate per 1000) 106 149.2 378.2 36 A&E attendances in under 5s (Crude rate per 1000) 337.2 551.6 2553.6 119.4 Admissions for injuries in under 5s (Crude rate per 10,000) 128.3 138.8 458.2 37.6 Admissions for injuries in under 15s (Crude rate per 10,000) 113.2 108.3 254.6 38.1 Admissions for injuries in 15 - 24 year olds (Crude rate per 10,000) 153.5 133.1 517.2 34.2 Occasional smoker (modelled prevalence, age 15) (%) 4 7.8 0.8 Regular smoker (modelled prevalence, age 15) (%) 8.7 16.7 1.5 Obese adults (%) 21.4 24.1 34.8 5.9 Binge drinking adults (%) 21.1 20 56.4 3.3 Healthy eating adults (%) 27.2 28.7 12.3 54.1 Obese Children (Reception Year) (%) 6.7 9.3 18.7 2.6 Children with excess weight (Reception Year) (%) 21.3 22.2 36.2 7.4 Obese Children (Year 6) (%) 14.8 19.3 35.5 4.5 Children with excess weight (Year 6) (%) 28.3 33.6 52.1 12.6 Emergency hospital admissions for all causes (SAR) 78.3 100 211.5 25.5 Emergency hospital admissions for CHD (SAR) 66 100 362.3 26 Emergency hospital admissions for stroke (SAR) 94 100 228.9 32.4 Emergency hospital admissions for Myocardial Infarction (heart attack) (SAR) 81.1 100 358 21.9 Emergency hospital admissions for Chronic Obstructive Pulmonary Disease (COPD) (SAR)56.3 100 586.1 9.7 Incidence of all cancer (SIR) 104.7 100 142 68.7 Incidence of breast cancer (SIR) 94.5 100 179.2 46.3 Incidence of colorectal cancer (SIR) 113 100 179.6 34.5 Incidence of lung cancer (SIR) 86.7 100 295.9 24.5 Incidence of prostate cancer (SIR) 127.2 100 213 32.6 Hospital stays for self harm (SAR) 106.2 100 584 10.5 Hospital stays for alcohol related harm (SAR) 73.1 100 311.1 37.7 Emergency hospital admissions for hip fracture in 65+ (SAR) N/A - Zero divide 100 240.7 38.1 Elective hospital admissions for hip replacement (SAR) 97.6 100 190.2 15.9 Elective hospital admissions for knee replacement (SAR) 59.6 100 204.1 18.2 Life expectancy at birth for males, 2011- 2015 (years) 82.4 79.4 64 91.9 Life expectancy at birth for females, 2011- 2015 (years) 91.4 83.1 72.1 96 Deaths from all causes, all ages (SMR) 62.8 100 273 43.5 Deaths from all causes, under 65 years (SMR) 55.8 100 377.4 0 Deaths from all causes, under 75 years (SMR) 60.1 100 323.5 27.8 Deaths from all cancer, all ages (SMR) 61.4 100 326.6 0 Deaths from all cancer, under 75 years (SMR) 58.2 100 347.6 0 Deaths from circulatory disease, all ages (SMR) 48.5 100 286.1 0 Deaths from circulatory disease, under 75 years (SMR) 35.9 100 345.6 0 Deaths from coronary heart disease, all ages (SMR) 47.7 100 485.5 0 Deaths from coronary heart disease, under 75 years (SMR) 38.3 100 496.4 0 Deaths from stroke, all ages (SMR) 79.4 100 1181.9 0 Deaths from respiratory diseases, all ages (SMR) 61.8 100 328.8 0
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
8.2 Provision of care Care home beds As of 1 August 2018, there were 6 care homes with 99 care home beds in Didcot4, each of which were rated as “good”.
People providing unpaid care At the time of the Census 2011 survey, there were 658 residents in Didcot providing a significant number of hours per week (20 or more) of unpaid care. The proportion of people in Didcot providing unpaid care was similar to the South Oxfordshire average overall and below the national average. The proportion of unpaid carers (20 hours or more) in Didcot in the older age groups was higher than the district average.
Figure 11 People providing 20 hours or more per week of unpaid care by age as % of resident population for Didcot (2011)
Source: ONS Census 2011 table LC3304
4 Source: Care Quality Commission, care directory with filers from http://www.cqc.org.uk/about- us/transparency/using-cqc-data ; Care homes within Didcot.
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
8.3 Health conditions Diabetes The prevalence of diabetes mellitus recorded by Didcot Health Centre Practice, Woodlands Medical Centre and Oak Tree Health Centre in Didcot remained at a similar level in 2016-17 compared with the previous year. The rates in Didcot Health Centre and Woodlands were above the Oxfordshire CCG average.
Figure 12 Change in prevalence (ages 17+) of Diabetes mellitus recorded by GP Practices in Didcot Quality Outcomes Framework) 2015-16 to 2016-17 2015-16 2016-17 Count Rate Count Rate change England 6.54 6.67 +0.13pp Oxfordshire CCG 27,925 4.92 29,469 4.97 +0.04pp Didcot Health Centre Practice 773 5.48 804 5.63 +0.15pp Woodlands Medical Centre 530 6.00 561 6.01 +0.01pp Oak Tree Health Centre 296 4.20 299 4.10 -0.10 ↓ Source: NHS Digital, Quality Outcomes Framework http://digital.nhs.uk/catalogue/PUB30124 published Oct 2017
Mental health
The prevalence of dementia in 2016-17 recorded by Didcot Health Centre Practice and Oak Tree Health Centre has remained well below the Oxfordshire CCG average. Dementia prevalence recorded by Woodland Medical Centre was similar to the Oxfordshire and national average.
Figure 13 Change in prevalence of Dementia recorded by GP Practices in Didcot (Quality Outcomes Framework) 2015-16 to 2016-17 2015-16 2016-17 Count Rate Count Rate change England 0.76 0.76 +0.01pp Oxfordshire CCG 5,176 0.74 5,461 0.75 +0.01pp Didcot Health Centre Practice 86 0.49 88 0.49 0.00pp Woodland Medical Centre 81 0.75 85 0.74 +0.01pp Oak Tree Health Centre 23 0.24 24 0.24 0.00 Source: NHS Digital, Quality Outcomes Framework http://digital.nhs.uk/catalogue/PUB30124 published Oct 2017
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
The prevalence of depression recorded by Didcot Health Centre, Woodlands Medical Centre and Oak Tree Health Centre saw a slight increase between 2015-16 and 2016-17 across all three practices. Didcot Health Centre and Oak Tree Health Centre have rates of depression that were significantly higher than the Oxfordshire CCG and national rate in 2016-17. The rate of depression recorded by Oak Tree Health Centre was double the national average.
Figure 14 Change in prevalence of Depression recorded by GP Practices in Didcot (Quality Outcomes Framework) 2015-16 to 2016-17 2015-16 2016-17 Count Rate Count Rate change England 8.24 9.09 +0.9pp Oxfordshire CCG 49,662 8.88 56,795 9.71 +0.83pp Didcot Health Centre 1,896 13.65 1,987 14.09 +0.04pp Woodlands Medical Centre 708 8.12 856 9.28 +1.1pp Oak Tree Health Centre 1,254 18.04 1,306 18.20 +0.16 Source: NHS Digital, Quality Outcomes Framework http://digital.nhs.uk/catalogue/PUB30124 published Oct 2017
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
8.4 Physical activity According to Sport England’s small area estimates of sports participation (2011-12 once a week participation indicator), Didcot was within the high, middle-high and low-middle quartiles. The lowest sports participation was in the area covering the southern part of Didcot, with 36.5% participating in sport once a week, this is the lowest participation score for South Oxfordshire district.
Figure 15 Once a week sport participation (1x30), APS6 (2011/2012)
48.3%
38.2%
38.5% 36.5%
Source: Sport England Small Area estimates http://sae.sportengland.org/
The sports participation indicator measures the percentage of people (age 16+) participating in at least 30 minutes of sport at moderate intensity at least once a week. This includes all recreational cycling. It does not include recreational walking but includes more intense/strenuous walking activities such as power walking, hill trekking, cliff walking and gorge walking. Please note this data was updated in October 2015. Modelled estimates of participation are based on data from Sport England’s Active People Survey 6 (October 2011-October 2012). MSOA participation estimates are based on modelled estimates of participation. Modelled estimates combine survey data from Active People with other data sources that are available at the area level (for example, health indicators, socioeconomic status etc.). Middle Super Output areas (MSOA’s) are a geography for the collection and publication of small area statistics. MSOA’s have a minimum population of 5,000; and a mean population of 7,200.
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
9 Other - house prices and commuting data
Median house prices for small areas are very dependent on the mix of housing sold (detached, semi-detached, terraced, flats). Looking at individual housing types gives a more comparable trend. Over the past 5 years (year ending December 2012 to year ending December 2017), median prices for semi-detached housing in Didcot have increased at a similar rate to the South Oxfordshire average. The greatest increase was in Didcot South ward (+£92,500, +42%).
Figure 16 Median price paid for semi-detached dwellings to year ending December 2017 – Didcot Wards.
Source: ONS House price statistics for small areas to year ending December 2017; quarterly rolling year
Table 4 Median price paid for semi-detached dwellings, year ending December 2012 to year ending December 2017 – Didcot wards £ Year ending Dec 2012 Year ending Dec 2017 Difference Didcot West 212,000 280,000 68,000 32% Didcot South 213,000 305,500 92,500 43% Didcot North East 238,000 321,000 83,000 35% South Oxfordshire 250,000 355,000 105,000 42% England 165,000 201,500 36,500 22% Source: ONS House price statistics for small areas; quarterly rolling year
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
Travelling to work The travel to work data in this section is for the areas covered by Middle Layer Super Output Areas 009,010,013 and 014 (Didcot). According to the 2011 Census travel to work statistics, there were 14,207 people living in Didcot (MSOA 009,010,013 and 014) in employment the week before the Census. Of these, 5,050 were living and working in Didcot (including working from home and no fixed place of work) and 9,157 commuted to work outside the town. Two thirds of Didcot commuters travelled to work in South Oxfordshire or Vale of White Horse and a further 12% travelled to Oxford for work. Overall 85% of Didcot commuters were working in Oxfordshire. A small number (391, 3%) travelled to London to work.
Table 5 Travel to work by residents of Didcot MSOAs 009, 010,013 and 014 Category Count Percent
Total commuting (within Didcot and to elsewhere) 12,105 [1] Mainly work at or from home 1,034
No fixed place 1,068 Total = all commuting + mainly working at or from 14,207 home + no fixed place Living and working in Didcot 5,050 36%
% of commuters (of [1]) commuting to work within Didcot 2,948 24% South Oxfordshire (including Didcot) 4,631 38% Vale of White Horse 3,786 31% Oxford 1,434 12% Reading 355 3% London 391 3% Oxfordshire 10,240 85% Source: ONS Census 2011, table WU03
The greatest numbers of commuters into Didcot from outside were coming in from Vale of White Horse (1,389), elsewhere in South Oxfordshire (808), Oxford (253), Cherwell (165), West Berkshire (141) and Reading (121). Further data on journeys to work from the Census 2011 survey is available on the Oxfordshire Insight website at http://insight.oxfordshire.gov.uk/cms/travel-3
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Didcot Health and Wellbeing Profile Oxfordshire JSNA 2018
ANNEX 1: Indicator dates
Indicators used in ward profiles from Public Health England Local Health (section 8.1) Percentage living in income deprived households reliant on means tested benefit, Income domain score from the Indices of Deprivation, 2015 Live births with a recorded birth weight under 2500g and a gestational age of at least 37 complete weeks as a percentage of all live births with recorded birth weight and a gestational age of at least 37 complete weeks, 2011-15 Child Poverty - Income Deprivation Affecting Children Index (IDACI) Percentage of pupils achieving a good level of development at age 5, 2013/14 Percentage of pupils achieving 5 GCSE grades of A*-C including English and Maths, at the end of the academic year 2013/14. Number of people who reported in the 2011 Census that their health in general was bad or very bad, as a percentage of the total number of respondents to the census question. Number of people who reported in the 2011 Census that their health in general was very bad, as a percentage of the total number of respondents to the census question. Percentage of people who reported having a limiting long-term illness or disability in the 2011 Census Percentage of households with 1 or more rooms too few, reported in 2011 Census Number of people who reported providing 1 hour or more of unpaid care per week as a percentage of the total number of respondents in the 2011 Census Number of people who reported providing 50 hours or more of unpaid care per week as a percentage of the total number of respondents in the 2011 Census Number of people aged 65 and over living alone, as a percentage of the total number of people aged 65 and over, as reported in the 2011 Census Older people deprivation -2015 Income Deprivation Affecting Older People Index (IDAOPI) Percentage of deliveries where the mother is aged under 18 years, 2011/12-2015/16 Crude rate of emergency hospital admissions for children (aged under 5 years), per 1,000 resident population, 2013/14-2015/16 (financial years pooled) Crude rate of A&E attendance rate per 1,000 population aged 0-4 years, 2013/14-2015/16 Hospital admissions caused by unintentional and deliberate injuries to children and young people (aged 0-4), 2011/12-2015/16 Hospital admissions caused by unintentional and deliberate injuries to children and young people (aged 0-14), 2011/12-2015/16 Hospital admissions caused by unintentional and deliberate injuries to children and young people (aged 15- 24), 2011/12-2015/16 Modelled prevalence of people aged 15 who are occasional smokers, 2009-2012 Modelled prevalence of people aged 15 who are regular smokers, 2009-2012 Percentage of the population aged 16+ with a body mass index (BMI) of 30+, modelled estimates, 2006-2008 Percentage of the population aged 16+ that binge drink, modelled estimate, 2006-2008 Percentage of the population aged 16+ that consume 5 or more portions of fruit and veg per day, modelled estimate, 2006-2008
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Percentage of measured children in Reception Year who were classified as obese, 2013/14-2015/16 Percentage of measured children in Reception Year who were classified as overweight or obese, 2013/14- 2015/16 Percentage of measured children in Year 6 who were classified as obese, 2013/14-2015/16 Percentage of measured children in Year 6 who were classified as overweight or obese, 2013/14-2015/16 Emergency hospital admissions for all causes, standardised admission ratio, 2011/12-2015/16 Emergency hospital admissions for coronary heart disease, standardised admission ratio, 2011/12-2015/16 Emergency hospital admissions for stroke, standardised admission ratio, 2011/12-2015/16 Emergency hospital admissions for stroke, standardised admission ratio, 2011/12-2015/16 Emergency hospital admissions for chronic obstructive pulmonary disease, standardised admission ratio, 2011/12-2015/16 New cases of all cancers, standardised incidence ratio, 2011-2015 New cases of female breast cancer, standardised incidence ratio, 2011-2015 New cases of colorectal cancer, standardised incidence ratio, 2011-2015 New cases of lung cancer, standardised incidence ratio, 2011-2015 New cases of prostate cancer, standardised incidence ratio, 2011-2015 Hospital admissions for intentional self harm, standardised admission ratio, 2011/12-2015/16 Hospital admissions for alcohol attributable conditions, standardised admission ratio, 2011/12-2015/16 Emergency hospital admissions for hip fractures, persons aged 65+, standardised admission ratio, 2011/12- 2015/16 Elective hospital admissions for hip replacement, standardised admission ratio, 2011/12-2015/16 Elective hospital admissions for knee replacement, standardised admission ratio, 2011/12-2015/16 Life expectancy at birth for males, 2011- 2015 Life expectancy at birth for females, 2011- 2015 Deaths from all causes, all ages, standardised mortality ratio, 2011-2015 Deaths from all causes, under 65 years, standardised mortality ratio, 2011-2015 Deaths from all causes, under 75 years, standardised mortality ratio, 2011-2015 Deaths from all cancer, all ages, standardised mortality ratio, 2011-2015 Deaths from all cancer, all ages, standardised mortality ratio, 2011-2015 Deaths from circulatory disease, all ages, standardised mortality ratio, 2011-2015 Deaths from circulatory disease, under 75 years, standardised mortality ratio, 2011-2015 Deaths from coronary heart disease, all ages, standardised mortality ratio, 2011-2015 Deaths from coronary heart disease, under 75 years, standardised mortality ratio, 2011-2015 Deaths from coronary heart disease, under 75 years, standardised mortality ratio, 2011-2015 Deaths from respiratory diseases, all ages, standardised mortality ratio, 2011-2015
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ANNEX 2: Finding out more
Local statistics on Oxfordshire and West Oxfordshire are available from: Oxfordshire Insight insight.oxfordshire.gov.uk District Data Analysis Service https://www.oxford.gov.uk/districtdata Main national sources of statistics include: Nomis www.nomisweb.co.uk Data for Neighbourhood Renewal www.data4nr.net (signposting site) The Office for National Statistics www.statistics.gov.uk
Land registry house transaction data (including prices): http://landregistry.data.gov.uk/ NOMIS (all 2011 census data can be found there): https://www.nomisweb.co.uk/ (Create query option for full access to all Census tables). Or, try this Census table finder: https://www.nomisweb.co.uk/census/2011/data_finder 2015 English Indices of Deprivation dashboard: http://insight.oxfordshire.gov.uk/cms/index- multiple-deprivation-dashboard Business Demography: http://www.ons.gov.uk/businessindustryandtrade/business/activitysizeandlocation/datasets/bus inessdemographyreferencetable BRES data (small area business data): https://www.nomisweb.co.uk/articles/670.aspx 2011 Census Travel to Work dashboard: http://insight.oxfordshire.gov.uk/cms/travel-3 School performance data: https://www.compare-school-performance.service.gov.uk/ (Search for Didcot in location box). Local crime data: https://data.police.uk/ Strategic Intelligence Assessment: http://insight.oxfordshire.gov.uk/cms/community-safety-0 Accident data (exact locations, LSOAs): https://data.gov.uk/dataset/road-accidents-safety-data. https://www.oxfordshire.gov.uk/cms/content/road-casualties
Page 30 October 2018