Understanding Stroud 2015
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Understanding Stroud 2015 Produced by the Strategic Needs Analysis Team, Gloucestershire County Council Version: v1.0 1 Contents 1. Introduction ................................................................................................................ 4 2. Executive summary .................................................................................................... 5 3. Gloucestershire context ............................................................................................ 12 3.1 About this section ................................................................................................. 12 3.2 Demographics ....................................................................................................... 12 3.3 Deprivation ........................................................................................................... 18 3.4 Life expectancy ..................................................................................................... 24 3.5 Mortality ................................................................................................................ 26 3.6 Economy ............................................................................................................... 29 3.7 Protected characteristics ....................................................................................... 48 3.8 Key messages ...................................................................................................... 55 4. Getting the right start in life ....................................................................................... 58 4.1 About this section ................................................................................................. 58 4.2 Maternity ............................................................................................................... 58 4.3 Sexual health ........................................................................................................ 61 4.4 Maintaining a healthy weight in childhood ............................................................. 62 4.5 Education .............................................................................................................. 65 4.6 Promoting the welfare of children and Safeguarding ............................................. 82 4.7 Key messages ...................................................................................................... 86 5. Keeping healthy – prevention ................................................................................... 87 5.1 About this section ................................................................................................. 87 5.2 Alcohol .................................................................................................................. 87 5.3 Smoking ................................................................................................................ 88 5.4 Maintaining a healthy weight in adults ................................................................... 89 5.5 Social Isolation ...................................................................................................... 90 5.6 Key messages ...................................................................................................... 95 6. Particular Needs ....................................................................................................... 96 6.1 About this section ................................................................................................. 96 6.2 Disability ............................................................................................................... 96 6.3 Mental health ...................................................................................................... 109 6.4 Long-term conditions .......................................................................................... 109 6.5 Dementia ............................................................................................................ 111 6.6 Service use profile – community based care ....................................................... 114 6.7 Service use profile – residential and nursing care ............................................... 115 6.8 Place of death ..................................................................................................... 117 2 6.9 Key messages .................................................................................................... 118 7. Healthy and Sustainable Places and Communities ................................................. 121 7.1 About this section ............................................................................................... 121 7.2 Community Assets .............................................................................................. 121 7.3 Carers ................................................................................................................. 122 7.4 Volunteering........................................................................................................ 125 7.5 Culture and Leisure ............................................................................................. 126 7.6 Transport ............................................................................................................ 130 7.7 Housing .............................................................................................................. 132 7.8 Education ............................................................................................................ 149 7.9 Unemployment .................................................................................................... 149 7.10 Community Safety............................................................................................... 149 7.11 Key messages .................................................................................................... 153 3 1. Introduction Understanding Stroud has been produced to provide an understanding of the district and its communities. It looks at the needs of communities and how we expect them to change in the future and assesses current and future health and social care needs of the citizens of Stroud. The report is part of a suite of documents, which also includes; Understanding Cheltenham, Understanding Cotswold, Understanding Forest of Dean, Understanding Gloucester, Understanding Tewkesbury and Understanding Gloucestershire – A Joint Strategic Needs Analysis. Where possible the documents follow a similar structure to one another, although difficulties in obtaining some data at district level means Understanding Gloucestershire – A Joint Strategic Needs Analysis, features some topics that are not available in the other reports. For any feedback please contact the Strategic Needs Analysis Team: [email protected] 4 2. Executive summary Stroud Context The population of Stroud was estimated to be around 115,100 in 2014, representing a rise of approximately 5,600 people since 2004. This is equivalent to an annual growth of 0.51% in the 10 years to 2014, lower than the Gloucestershire and England & Wales averages of 0.68% and 0.80% respectively. Between 2004 and 2014, the growth of the older population (aged 65 and above) in Stroud continued to outpace that of the younger population. In addition, the growth rate in the district’s older population was higher than those in Gloucestershire and England and Wales. Assuming current population trends continue, the ONS projections for the next 25 years suggest that the population in Stroud will reach 122,600 by 2025 and 129,800 by 2037. This represents an annual increase of 0.62% or 710 people between 2012 and 2025, and 0.49% or 600 people between 2025 and 2037. The district’s growth rates are lower than those predicted for Gloucestershire and England in the short, medium and long term. The number of older people aged 65 is projected to increase by 690 per annum between 2012 and 2037 as a result of rising life expectancy and the demographic impacts of two generations of baby boomers. The 2011 Census showed that 6,120 people who were usually resident in Stroud were born outside the UK, representing 5.4% of the total population (compared to 7.7% for the county and 13.4% nationally). Among these, 28% (1,740 people) were recent migrants, having arrived since 2004. Ethnic groups showing the biggest growth in Stroud in the 10 years to 2011 were ‘White-British’ (+3,030 people), 'White-other' (+1,050), ‘Other Asian’ (+240) and ‘Mixed-White and Asian’ (+220). Generally, Stroud district ranks well in the county in terms of overall deprivation, and consistently well across the domains of deprivation. Around a third of the area of Stroud district is ranked within the 20% least deprived areas in England, while there are no areas ranked within the top 20% most deprived in England. Females in Stroud can generally expect to live between 3 and 4 years longer than their male counterparts. Life expectancy for both men and women has been steadily increasing in the district over the past decade, although there have been recent declines for both sexes, with the most recent data for 2012- 14 shows that life expectancy for Stroud is falling below the county average. Males in the least deprived Stroud decile (10th of population) can expect to live around 7 years longer than those in the most deprived decile. For 5 females, the gap is 5 years. For both genders, the