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Health & Social Care Maps Swale Local Authority Overview Chapter Health & Social Care Maps Swale Local Authority Overview Chapter Health and Social Care Map – Swale Overview 1 Introduction Welcome to the Swale locality health and social care maps overview. This chapter sketches an overall picture of the Swale area. For more detail please visit the remaining chapters on children, older people, key killers, inequalities, mental health & well-being, service provision or prevalence & activity. This document contains information, data and commentaries that together provide a picture of health and social care in the Swale locality, and includes the following: Transport links Locality map with Mosaic groupings Resident population by Mosaic public sector group Key to electoral wards Population and distribution (various breakdowns) Projected population Ethnicity Fertility Teenage conception Life expectancy Care homes Disability prevalence Indices of Multiple Deprivation (IMD) Unemployment/benefits/income Causes of death Admissions for assaults/mental and behavioural disorders Crime Housing tenure/occupancy Adult obesity Binge drinking Smoking prevalence Fruit and vegetable consumption Please note this is a top-level look at the locality and much of the information included here can be found, together with more detail, elsewhere in the full chapters of the Swale locality map. Health and Social Care Map – Swale Overview 2 Transport links The main transport link in Swale is the M2 which runs from London down to pass Sittingbourne and Faversham before reaching on to Canterbury and Dover beyond. The A249 also links Sheerness on the Isle of Sheppey through to Sittingbourne and on to the M20. The A299 connects Faversham to Whitstable and the Thanet towns and the A2 allows easy access directly into the Medway towns. The main line railway runs from Canterbury, through both Faversham and Sittingbourne, where a branch line connects the Isle of Sheppey, and continues through Medway and on into London. The benefits of good transport links to public health are increased access to a range of services including employment, education, health facilities and leisure opportunities both within Swale and further afield. The downside of having good transport links can be an increase in traffic and congestion. This can lead to increased noise pollution, accidents and higher levels of air pollution such as PM10s that are associated with circulatory and respiratory disease. Health and Social Care Map – Swale Overview 3 Mosaic Public Sector – Kent and Medway groupings by location Mosaic Public Sector is a population segmentation tool, designed specifically for use by the public sector. It focuses on the needs of citizens and provides a detailed and accurate understanding of population location, their demographics, lifestyles and behaviours. Mosaic Public Sector provides a common currency that enables the same population to be viewed in the same way by all public bodies, thereby assisting joined-up government and partnership working. To help support the understanding of the population and their service needs, Mosaic Public Sector is linked to a number of specific public sector data sources from criminal justice, education, the environment and health, as well as central and local government. This gives a considerable insight into the UK population and their requirements enabling agencies to deliver better value for money by focussing services around the needs of the individual. The rural areas are predominantly populated by people who fall into group K (people living in rural areas far from urbanisation). In Faversham there are mix of people with groups D (close knit, inner city and manufacturing town communities), C (older families living in suburbia) and H (upwardly mobile families living in homes bought from social landlords) being the most prevalent. There is a similar pattern in Sittingbourne with groups C and D being prevalent. Sittingbourne also has a large section of group B (younger families living in newer homes) and group I (older people living in social housing with high care needs). The groups of people who live on the Isle of Sheppey fall into three main categories. There are those from groups D and G (low income families living in estate based social housing) who live in Sheerness and people from group C in Minster. Health and Social Care Map – Swale Overview 4 This data is useful because it gives an enhanced definition of deprivation in comparison to using the Indices of Deprivation alone. This shows where the projected health need is likely to be according to the local population and highlights the types of commissioning priorities. Commissioning services that target reducing poverty in families would be best placed in areas where D, F and G groups live. This would include parts of Sheerness, Queenborough, Leysdown and Warden, Murston, Milton Regis, areas in the east, north and south west of Faversham. There may be greater levels of isolation and a decreased level of people being able to access services in rural areas. The majority of the Swale geographical area is rural. Swale Families - a ‘vignette’ profile K&M 8 - families with young children living in social housing (29%) K&M 2 - families in comfortable homes in suburbia (24%) K&M 4 - middle income couples with young children (13%) Three dominant groups in Swale are K&M 8 and K&M 9 and K&M 2. This represents 66% of the population. Resident population of Swale Local Authority by MOSAIC Kent & Medway Group 35 K&M2: Attitude to lifestlyes tends to be Kent Area everything in moderation. Moderate Swale 29.37 30 levels of exercise, smoking and drinking. K&M8: Fairly active but with poor diet and heavy alcohol and tobacco consumption. Teenage conceptions are an 25 24.43 issue. K&M4: Good general 20.09 19.23 20 health, active lifestyles and low rate of hospital admissions 15.69 15 13 10.31 9.31 9.7 10 8.8 Percentage of population resident Percentage 7.54 6.34 5.37 5.55 5 4.43 2.8 3.13 1.65 0.71 0.9 0.02 0.06 0 K&M1: Successful K&M2: Families in K&M3: Young K&M4: Middle K&M5: Diverse K&M6: Young K&M7: Young adults K&M8: Families with K&M9: Low Income K&M10: Early K&M11: Rural Citizens Comfortable Homes Aspirational Adults Income Couples Minorities Professionals on Low Income Young Children Pensioners Retirees & Active Communities with in Suburbia with Young Children living in Social Pensioners High Number of Housing Commuters Mosaic Group Source: Experian, Mosaic Public Sector, 2008 populations (ONS) Health and Social Care Map – Swale Overview 5 Health and Social Care Map – Swale Overview 6 Swale has a higher percentage of under 19s than the national profile but a much smaller proportion of 20 to 34s. The pyramid also highlights the largest section of the local population are aged 35 to 49. The proportion of the population in all categories between the ages of 60 and 75 is also higher than the national average. This will have an impact on health services because people over 60 will generally have greater health needs and service usage. Health and Social Care Map – Swale Overview 7 There are high numbers of 0 to 4 year olds in the Kemsley, Sheerness east and Grove wards. The wards with the fewest number of children aged between 0 and 4 are Borden, West Downs and East Downs. There are approximately 8,700 children aged 0 to 4 in Swale LA. Health and Social Care Map – Swale Overview 8 There are high numbers of 0 to 19 year olds in the Kemsley, Sheppey Central and Grove wards. The wards with the fewest number of children aged between 0 and 19 are Borden, West Downs and East Downs. There are approximately 33,800 children aged 0 to 19 in Swale LA. Health and Social Care Map – Swale Overview 9 There are high numbers of working age people in the Kemsley, Sheppey Central and Queenborough & Halfway wards. The wards with the fewest number of working age people are Borden, West Downs and Davington Priory. There are approximately 84,500 working age people in Swale LA. Health and Social Care Map – Swale Overview 10 There are high numbers of people aged 65+ in the Minster Cliffs, Sheppey Central and Queenborough & Halfway wards. The wards with the fewest number of people aged 65+ are Borden, West Downs and Iwade & Lower Halstow. There are approximately 22,000 people aged 65+ in Swale LA. This will have implications for commissioners and those providing services because the 65+ age group use health services at a higher rate than others, so more provision will be needed by health services in the area. Acute service usage by individuals from these areas will be based predominately in Medway. Health and Social Care Map – Swale Overview 11 There are high numbers of people aged 85+ in the Minster Cliffs, Abbey and Queenborough & Halfway wards. The wards with the fewest number of people aged 85+ are Kemsley, West Downs and Davington Priory. There are approximately 2,500 people aged 85+ in Swale LA. Health and Social Care Map – Swale Overview 12 The three most densely populated wards in Swale are Sheerness east, St Ann’s and Roman. The three least densely populated wards are West Downs, East Downs and Boughton & Courtenay. Health and Social Care Map – Swale Overview 13 Projected Population Change in 2012-2016 from 2011* for Swale Local Authority by Broad Age Groups 25.0% 20.0% 15.0% 10.0% 5.0% Percentage Change fromPercentage 2011* 0.0% -5.0% 2012 2013 2014 2015 2016 0-4 0.0% -1.2% -1.2% -1.2% -1.2% 5-19 0.3% 0.0% 0.3% 0.9% 0.9% 20-64 0.3% 0.1% 0.6% 1.2% 1.5% 65+ 5.8% 9.3% 13.3% 16.8% 19.9% 85+ 3.8% 7.7% 11.5% 15.4% 23.1% All ages 1.1% 0.3% 1.0% 1.0% 0.7% * derived from ONS 2008 based projections Projected Populations in Swale Local Authority by Broad Age Group - figures in thousands AGE GROUP 2012 2013 2014 2015 2016 0-4 8.6 8.5 8.5 8.5 8.5 5-19 33.7 33.6 33.7 33.9 33.9 20-64 78.1 78.0 78.4 78.8 79.1 65+ 23.9 24.7 25.6 26.4 27.1 85+ 2.7 2.8 2.9 3.0 3.2 ALL AGES 144.3 144.8 146.2 147.6 148.6 Columns may not sum due to rounding *Derived from 2008-based ONS sub-national projections Population projections from the Office for National Statistics (ONS) show a rise in all age groups over the next five years with the largest percentage rises occurring in the 65+ age group.
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