Locality Profile 2016
Locality Profile Southern Locality
Chapters Map of the locality
Demographics and Public Health Data
Changes over the last 5 years
Local Plan
Key Communities Who's Who Dr Conan Hassim Transport and Employment Clinical Locality Lead, Southern Locality GP at Threeways Surgery, Stoke Poges Patient Services used, CQC Mrs Helen Ellis Nurse Locality Lead, Southern Locality Community assets, Practice Nurse at Misbourne Surgery Pharmacies Locality GP Practices Dentists Burnham Health Centre Opticians Denham Medical Centre Learning Disability Centers Southmead Surgery Children Centers The Allan Practice Social Care The Hall Practice The Ivers Practice Voluntary sector services The Misbourne Practice Threeways Surgery Prisons, Universities, colleges, Private hospitals, Schools etc.
Next 5 Years
SWOT Analysis
Locality Profile 2016
Demographics and Public Health Data1 Specific issues to consider in the Southern locality The Southern Locality’s population size in 2016 is around 84,033 people around 25% of the total Bucks population. Around 20% of the population is aged 65+ higher than the CCCG average of 18% and Bucks average of 17%. 23% of the population is aged <19 compared to 24% in CCCG and Bucks. The deprivation levels and proportion of ethnic minority population are less than the CCG and Buckinghamshire average as a whole. Life expectancy is better than the national average and similar to Bucks average but there is a difference of 3 years in life expectancy between males and females in South Bucks District Council, compared to a difference of 3.5 years in Bucks.
The population of Southern locality experiences similar or worse health outcomes in some areas compared to the Buckinghamshire population. Emergency admission rates due to all causes, circulatory diseases, pneumonia, and falls are significantly higher than CCG and Bucks average. Elective admission rates due to all causes to hospital are statistically higher than the Bucks and CCG average. Admissions due to mental health conditions are significantly lower than CCCG and Bucks average. Early death rates are similar to Bucks which itself has some of the lowest death rates in the country.
Modelled estimates suggest that a number of people may have undiagnosed high blood pressure, diabetes or dementia. Primary care data (QOF) shows variation in the outcomes achieved by locality practices in the management of people with diabetes, coronary heart disease, hypertension, stroke and chronic kidney disease, with higher exception rates for some outcomes. Cancer screening uptake in the locality is lower for bowel cancer screening compared to CCCG average and flu uptake in at-risk groups is lower than the CCG uptake. Patient satisfaction with GP practices in the locality range from 73% to 95%.
Specific issues for this locality to consider (in addition to the Director of Public Health’s Annual Report key recommendations) are: Management of people with long term conditions: cardiovascular conditions in particular, but also those with multiple conditions and co-existing mental health problems to avoid unnecessary non-elective admissions to hospitals. The needs of older people across the locality (including dementia and social isolation).
1 Public Health data
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Map 1 Map 2
Locality Profile 2016
Map 3 Map 4
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Map of Chiltern CCG practices
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DETAILED REPORT Demography - Population Locality size (2016): There are 8 GP practices in the Southern locality with a total registered population of 84,033, which is 25% of the total Chiltern CCG registered population.
GP Practices (2016): The Ivers, The Hall Practice, Threeways Surgery, Burnham Health Centre, Southmead Surgery, The Misbourne Practice, Denham Medical Centre and The Allan Practice.
Age profile: Similar to Buckinghamshire and Chiltern CCG average with around 23% aged 0- 19 and 1 in 4 (25.3%) aged 60 and over. There is a slightly lower proportion of those aged 0-9 compared to Chiltern CCG average in both males and females (11.4% v 12.3%).
Population changes: There has been an increase in all the older population groups since 2014 with a rise of 6.4% in those aged 65 and over, 7.5% aged 65-74, 2.8% aged 75-84 and 10.8% increase in those aged 85-94. There has been an 11.2% in those aged 85 and over, and a 14.6% increase in those aged 95 and over although this involves smaller actual numbers (29).
Population Projection 2016-2026: The population for South Bucks District is predicted to increase by 9% (6,600 people). The district population is forecast to rise by 12% (2010 people) in those aged 0-19 (compared to a rise of an average of 10% in Buckinghamshire); a fall of 6% (580 people) in those aged 20-34 (compared to a fall of an average of 1% in Buckinghamshire); and 24% increase (3,510 people) in those aged 65 and over (which is the same as the average increase in Buckinghamshire). This includes a 46% increase (1,100 people) in those aged 85 and over (compared to an average increase of 47% in Buckinghamshire).
Ethnicity (2011): People from a black and minority ethnic group account for 14.6% of the total population compared to Chiltern CCG average of 15.9%, Buckinghamshire average of 13.6% and England average of 14.7% [Census 2011].
Deprivation (2015): The Index of Multiple Deprivation (2015) based on LSOAs shows an average deprivation score of 8.5 in Southern locality compared to 9.1 in Chiltern CCG (Range 6.4-13.4). (Higher the score, more the deprivation).
Locality Profile 2016
Southern Locality registered population pyramid, July 2016
85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 main X axis 30-34 25-29 20-24 15-19 10-14 05-09 00-04
10 8 6 4 2 0 2 4 6 8 10
% of gender total population
Female Male Female Male Female Male Southern Locality Southern Locality CCCG CCCG England England
South Bucks DC registered population July 2016 with 2026 projection
85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44
35-39 main X axis 30-34 25-29 20-24 15-19 10-14 05-09 00-04
10 8 6 4 2 0 2 4 6 8 10 % of gender total population
Female Male Female South Bucks 2016 South Bucks 2016 South Bucks 2026 Male Female Bucks 2026 Male Bucks 2026 South Bucks 2026
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Housing in Poor Condition: This indicator from the Census 2011 indicates when a household has at least one bedroom too few for the number and composition of people living in the household and is considered overcrowded by the bedroom standard. In Southern locality, 2.4% of the population are living in households which are considered as overcrowded by this indicator which is below the average for Chiltern CCG of 3.7%.
Occupancy rating (bedrooms) of -1 or less
AVCCG CCCG Bucks
8%
1 or less or 1 -
6%
4%
2% % Ocupancy rating (bedrooms) of rating(bedrooms) % Ocupancy
0% Central North South Amersham Southern Wooburn Wycombe & Chesham Green GP Locality Census 2011
Births, low birth weight and infant mortality Births: There were 784 live births in the Southern locality, compared to 6,089 in all Buckinghamshire localities in 2015 (12.9% of all births in Buckinghamshire CCGs). The birth rate in the Southern locality was statistically significantly lower at 10.2, compared to the Buckinghamshire CCG rate of 11.8 in 2015, and the England rate of 12.2 (live births per 1,000 population, in 2014). The general fertility rate (per 1,000 female population aged 15-44) in the locality was 61.7 (which is not statistically different) compared to 64.8 in all Buckinghamshire localities, and 62.2 in England (2014).
Low birth weight (LBW): 2013-15 records (from ONS) show that 6.8% of babies born to mothers in the Southern locality had a low birth weight (<2,500g), compared to 7.4% of babies in all Buckinghamshire localities (and 7.4% of babies in England in 2014, latest data). This is not statistically different to the combined Buckinghamshire localities data.
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Infant deaths: The infant mortality (deaths at ages under 1 year) rate for Southern locality in 2013-15 was 2.2, which is lower (but not statistically different) than the combined Buckinghamshire localities rate of 3.8 (England rate, in 2014, was 4.0 per 1,000 live births).
Children Early Years Foundation Stage Profile (EYFSP): In the Southern locality, 71.1% of pupils attending Buckinghamshire maintained schools and academies, achieved a Good Level of Development in 2016. This is higher than the average of 70.5% for all pupils attending Buckinghamshire schools/settings.
Looked After Children: The rate of Looked After Children in Southern locality is 1.4 per 1,000 which is statistically significantly lower than the combined Buckinghamshire localities rate of 3.3 (as at 31st March 2016).
Life Expectancy and Mortality Life expectancy: The male life expectancy in the Southern locality population in 2013-15 was 81.6 years, which is not statistically different to the Bucks average of 82.3 years (England average = 79.5 in 2012-14). Female life expectancy was 84.7 in Southern locality compared to 85.1 in Bucks, which is not statistically different (England average = 83.2 in 2012-14).
Mortality in under 75s: The chart below shows the contribution of each condition to the ‘gap’ in mortality between the locality and the Buckinghamshire mortality rate.
The mortality profile in the under 75 population in Southern locality shows no statistical difference to the overall premature death rate than the combined Buckinghamshire localities (266.0 vs 240.6 per 100,000), with the major causes of premature deaths being Cancer, Circulatory disease and Respiratory disease. Under 75s, cause specific mortality profile (2013-15 combined) Southern Locality
300
10.9 250 15.9 11.3 20.0 15.9 Other causes 12.7 200 10.6 Infectious & parasitic diseases 22.1 13.4 External causes 18.8 Genitourinary system diseases Nervous system diseases 150 Mental and behavioral disorders Digestive diseases 122.1 Respiratory diseases
standardised rates per 100,000 population 100,000 per rates standardised 112.4 - 100 Cancers Circulatory diseases
Directly age Directly 50
55.6 50.2
0 Southern Locality Bucks CCGs Other causes 10.9 11.3 Infectious & parasitic diseases 2.3 2.4 External causes 15.9 15.9 Genitourinary system diseases 0.0 1.4 Nervous system diseases 20.0 10.6 Mental and behavioral disorders 6.0 4.3 Digestive diseases 12.7 13.4 Respiratory diseases 22.1 18.8 Cancers 122.1 112.4 Circulatory diseases 55.6 50.2
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Mortality in over 75s: The mortality profile in the over 75 population in Southern locality also shows no statistical difference to the overall death rate than the combined Buckinghamshire localities (6,850 vs 6,577 per 100,000), with the major causes of deaths in older ages being Circulatory disease, Cancer and Respiratory disease.
Over 75s, cause specific mortality profile (2013-15 combined) Southern Locality
8,000
7,000 370.2 181.5 307.6 171.6 6,000 490.0 419.7 Other causes 858.0 Infectious & parasitic diseases 861.9 5,000 External causes 191.2 272.9 Genitourinary system diseases Nervous system diseases 4,000 1,234.6 1080.2 Mental and behavioral disorders Digestive diseases
3,000 Respiratory diseases standardised rates per 100,000 population 100,000 per rates standardised - 1,583.6 1481.4 Cancers Circulatory diseases
2,000 Directly age Directly
1,000 1,908.8 1884.5
0 Southern Locality Bucks CCGs Other causes 370.2 307.6 Infectious & parasitic diseases 51.5 72.9 External causes 181.5 171.6 Genitourinary system diseases 178.0 159.6 Nervous system diseases 490.0 419.7 Mental and behavioral disorders 858.0 861.9 Digestive diseases 191.2 272.9 Respiratory diseases 1,234.6 1080.2 Cancers 1,583.6 1481.4 Circulatory diseases 1,908.8 1884.5
Lifestyle Smoking: Based on the Annual Population Survey (APS), 11.0% of adults are estimated to be smokers in Buckinghamshire compared to 16.9% in England (2015). This equates to around 7,371 current smokers in Southern locality.
Physical Activity: Based on the Active People Survey (APS) from Sport England, 22.0% of adults in Buckinghamshire are estimated to be physically inactive (less than 30 minutes activity a week), which is better than the England figure of 28.7%. This equates to around 15,140 adults in Southern locality.
Excess weight in Adults (Obese and overweight): Based on the Active People Survey (APS) from Sport England, 63% of adults in Buckinghamshire are estimated to be obese or overweight, which is similar to the England figure of 65%. This equates to around 43,012 adults in Southern locality.
Alcohol consumption: Based on the 2011 Topography of Drinking Behaviours in England, 7.6% of drinkers in Buckinghamshire are estimated to be higher risk (harmful) drinkers (men who regularly drink over 8 units per day or over 50 units per week and women who regularly drink over 6 units per day and over 35 units per week), compared to 7.1% in England. This equates to around 5,198 in Southern locality.
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Obesity (Children) o Aged 4-5 years: According to the National Child Measurement Programme (NCMP), in 2014-15, 16.5% of children aged 4-5 years (Reception Year) are estimated to be overweight or obese in the Southern locality, compared to 18.6% in Buckinghamshire localities (which is not statistically significantly different), and 21.9% in England.
o Aged 10-11 years: According to the National Child Measurement Programme (NCMP), in 2014-15, 25.1% of children aged 10-11 years (Year 6) are estimated to be overweight or obese in the Southern locality, compared to 26.6% in Buckinghamshire localities (which is not statistically significantly different), and 33.2% in England.
In treatment for substance misuse o The rate of adult clients in significant contact with Buckinghamshire’s substance misuse treatment system (structured and non-structured) during 2013/14 to 2015/16 was 159.1 (per 100,000) in the Southern locality, which is statistically significantly lower than in Buckinghamshire localities (combined rate of 274.2). o The rate of adult clients in significant contact with Buckinghamshire’s substance misuse treatment system for alcohol only use (structured and non-structured) during 2013/14 to 2015/16 was 62.3 (per 100,000) in the Southern locality, which is significantly statistically lower than in Buckinghamshire localities (combined rate of 109.6). o The rate of adult clients in significant contact with Buckinghamshire’s substance misuse treatment system for drug use (structured and non-structured) during 2013/14 to 2015/16 was 96.8 (per 100,000) in the Southern locality, which is statistically significantly lower than in Buckinghamshire localities (combined rate of 164.6).
Screening, immunisation and NHS Health Checks Cancer screening: o Cervical Cancer: 75.9% of eligible women were screened for cervical cancer in Southern locality compared to 75% in Chiltern CCG (NHS Cancer Screening Programme 2014/15). o Breast Cancer: 74.9% of eligible women were screened for breast cancer within 6 months of invitation in Southern locality compared to 76.2% in Chiltern CCG (NHS Cancer Screening Programme 2014/15). o Bowel Cancer: 56.2% of eligible people were screened for bowel cancer within 6 months of invitation in Southern locality compared to 58% in Chiltern CCG (NHS Cancer Screening Programme 2014/15).
Flu vaccination: In 2015/16, 69% of population aged 65 and over in Southern locality received the influenza vaccination compared to the Buckinghamshire average of 71%; slightly lower than the recommended level of uptake at 75%. Uptake among the pregnant group was 43% in Southern locality, the same as the Buckinghamshire average. Uptake among children aged 2, 3 and 4 was 39%, and among children aged 5 and 6 was 44%, both the same as the Buckinghamshire averages.
NHS Health Checks: In 2015/16, local data shows 6.7% of the eligible population in Southern locality received an NHS Health Check compared to the Chiltern CCG average of 7.6% and Buckinghamshire average of 7.2%
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Locality Profile 2016
% Offered and Given Health Check, by CCG locality in 2015/16 25%
Equivalent to annual 20% target of 20%
15%
10% Equivalent to 50% of eligible population given a health check
5%
% Offered Health Check % Given Health Check
0%
South
North
Central
Southern
Wycombe
Chiltern CCG Chiltern
Wooburn Green Wooburn
Aylesbury Vale CCG Vale Aylesbury Combined Bucks CCGs Bucks Combined Amersham & Chesham & Amersham
Long term conditions – Detection and management The General Practice disease registers provide a count of individuals on registers such as Coronary Heart Disease (CHD), Hypertension, Chronic Obstructive Pulmonary Disease (COPD) register. These are detected prevalence rates and may not be true prevalence rates. Nationally, Public Health England have also developed models to estimate the prevalence of long term conditions in the local population using models that help estimate prevalence of conditions such as diabetes, hypertension, COPD, Dementia and CHD. These estimates help local healthcare organisations understand the undetected prevalence and actual disease burden. Modelled prevalence estimates draw on national surveys and local relevant data such as age, sex and deprivation. These modelled estimates are then compared against GP recorded data to identify the proportion of cases that may as yet be undiagnosed. It is important to note that these estimates have limitations but can be used to understand the ratio of detected to estimated prevalence of conditions like diabetes or hypertension. Confidence intervals are usually too wide to statistically compare the estimates locally and have not been published.
Expected prevalence: o Hypertension: Hypertension prevalence model estimates that the prevalence of hypertension in Southern locality is around 25% compared to the detected prevalence of 13.7% which means there could be around 9,800 individuals with undiagnosed hypertension in the locality and 36,600 undiagnosed in Chiltern CCG.
o Diabetes: The diabetes prevalence model developed by Public Health England estimates the prevalence of diabetes in Chiltern CCG as 8% compared to the detected prevalence of 5.9%; which means there could be around 6,000 individuals with undetected diabetes in Chiltern CCG with around 1,600 undiagnosed in the Southern locality.
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(Note, these are modelled estimates and further analysis using practice population can be done to get approximate number of undetected cases in the practice population).
The NHS Health Checks programme in Buckinghamshire is expected to identify undiagnosed cases of hypertension and diabetes among those aged 40-75.
Dementia: The Dementia modelled prevalence (Primary Care Web Tool, March 2015 data) shows a dementia diagnosis gap in Southern locality, with an estimated prevalence of 1.50% compared to a detected prevalence of 0.86%, which means there could be around 67 undiagnosed dementia cases in the locality. This compares to an estimated prevalence rate of 1.30% vs. 0.65% detected in Chiltern CCG (2,152 people), and 1.24% vs. 0.68% in Bucks CCGs combined (3,195) people.
Detected prevalence: (Source: 2015/16 CQRS provisional figures. Since these figures are not published by HSCIC, regional and national comparator values are not yet available.) o Hypertension: 13.7% in Southern locality with 11,474 individuals on hypertension register, compared to 13.4% in Buckinghamshire CCGs (combined). o Diabetes: 5.7% in Southern locality with 3,850 individuals on the diabetes register, compared to 5.9% in Buckinghamshire CCGs (combined). o Coronary heart disease (CHD): 3.0% in Southern locality with 2,544 individuals on the CHD register similar to Buckinghamshire CCGs (combined) average of 2.9%. o Heart failure (HF): 0.59% in Southern locality with 497 individuals on the HF register, compared to 0.60% in Buckinghamshire CCGs (combined). o Stroke and Transient Ischaemic Attack (STIA): 1.84% in Southern locality with 1,540 individuals on the STIA register, compared to 1.62% in Buckinghamshire CCGs (combined). o Atrial Fibrillation (AF): 2.1% in Southern locality with 1,740 individuals on the AF register, compared to 1.9% in Buckinghamshire CCGs (combined). o Chronic Kidney Disease (CKD): 2.9% in Southern locality with 1,902 individuals on the CKD register, compared to 3.3% in Buckinghamshire CCGs (combined). o COPD: 1.30% in Southern locality with 1,091 individuals on the COPD register, compared to Buckinghamshire CCGs (combined) average of 1.36%. o Asthma: 5.5% in Southern locality with 4,582 individuals on the Asthma register, compared to 6.0% in Buckinghamshire CCGs (combined). o Depression: 7.7% in Southern locality with 5,119 individuals on the Depression register, compared to 7.9% in Buckinghamshire CCGs (combined). o Dementia: 0.86% in Southern locality with 720 individuals on the Dementia register, compared to 0.73% in Buckinghamshire CCGs (combined). o Severe mental illness (SMI): 0.61% in Southern locality with 507 individuals on the SMI register, compared to 0.72% in Buckinghamshire CCGs (combined). o Cancer: 2.9% in Southern locality with 2,464 individuals on the Cancer register, compared to 2.7% in Buckinghamshire CCGs (combined).
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Adult Social Care Trend summary for clients receiving Adult Social Care services 2013/14 to 2015/16 (age-standardised per 100,000 population aged 18+)
For definitions of these terms please see the glossary on page 22
Healthcare use (hospitals) – Secondary Uses Services Emergency admission rates (Directly standardised rate per 100,000 population, 2015/16. Note: actual admission rates available in summary table) o All causes: The rate is lower than the combined Buckinghamshire localities but with no significant difference. . Between 2008/09 and 2015/16 the rate of admissions in Southern locality have increased by 19%
All Emergency Admissions (excluding admissions to MH Trusts), All Ages, FY 08/09 to FY 15/16, by locality within Chiltern CCG
12,000
10,000
8,000
6,000
4,000 DASR per 100,000 population 100,000 per DASR
2,000
0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG
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o All causes, 65+: The rate is significantly higher than the combined Buckinghamshire localities average. o All causes, 75+: The rate is significantly higher than the combined Buckinghamshire localities average. Between 2008/09 and 2015/16 the rate of admissions in Southern locality have increased by 24%
All Emergency Admissions (excluding admissions to MH Trusts), Ages 75+, FY 08/09 to FY 15/16, by locality within Chiltern CCG
40,000
35,000
30,000
25,000
20,000
15,000
DASR per 100,000 population 100,000 per DASR 10,000
5,000
0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG o All circulatory: The rate is significantly higher than the combined Buckinghamshire localities average. o Coronary Heart Disease (CHD): The rate is lower than the combined Buckinghamshire localities but with no significant difference. o Stroke: The rate is lower than the combined Buckinghamshire localities but with no significant difference. o HF: The rate is significantly higher than the combined Buckinghamshire localities average. o Diabetes: The rate is lower than the combined Buckinghamshire localities but with no significant difference. o All respiratory: The rate is higher than the combined Buckinghamshire localities but with no significant difference. o COPD: The rate is lower than the combined Buckinghamshire localities but with no significant difference. o All cancers: The rate is significantly higher than the combined Buckinghamshire localities average. o Falls (65+): The rate is significantly higher than the combined Buckinghamshire localities average.
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Admission rates for Mental Health (specialties or diagnosis): The rate is significantly lower than the combined Buckinghamshire localities average.
Emergency admissions as a % of patients on the respective disease register (2015/16) o Heart failure: 30% in Southern locality compared to 19% in Buckinghamshire CCGs (from SCWCSU Urgent Care Dashboard). o COPD: 11% in Southern locality compared to 11% in Buckinghamshire CCGs (from SCWCSU Urgent Care Dashboard).
Top causes of admissions (all) in people aged 65 and over, 2013/14-2015/16 (combined) Southern 9237 1 Chronic kidney disease, stage 5 2441 26.4% 2 Cancer 1973 21.4% 3 Cataract 1068 11.6% 4 Pneumonia 881 9.5% 5 Urinary tract infection 589 6.4% 6 Atrial fibrillation and flutter 406 4.4% Diverticular disease of large intestine 7 373 4.0% without perforation or abscess 8 Syncope and collapse 291 3.2% 9 Coronary heart disease 258 2.8% 10 Congestive heart failure 253 2.7% 11 Osteoartritis lower limb 252 2.7% 12 Chest pain, unspecified 235 2.5% 13 Blood in urine 217 2.3%
Bed days, 2015/16 o Emergency admission: In 2015/16 the registered population of Southern locality had a total of 19,121 bed days for emergency admissions. 70.0%, or 13,393 bed days, were in the 65+ population and 54.9%, or 10,503 bed days, were in the 75+ population.
o All admissions: In 2015/16 the registered population of Southern locality had a total of 33,951 bed days for all admissions. 53.6%, or 18,214 bed days, were in the 65+ population and 40.5%, or 13,752 bed days, were in the 75+ population.
o Emergency admissions 65+: 56.3% of in-year bed days, for the registered population of Southern locality, are for emergency admissions, with 73.5% of in-year bed days for the population aged 65+ being for emergency admissions.
Repeat admissions, 2015/16 o All ages: In the Southern locality, there were 7,526 emergency admissions to 5,361 people; 3,957 people had a single admission, 868 people had two admissions, 295 people had three admissions and 241 people had four or more emergency admissions in the year. In Southern locality the maximum number of repeat admissions was 25 within the year. Across the Buckinghamshire localities, of the 33,267 people admitted as an emergency in 2015/16, 2,743 were previously admitted as an emergency in 2014/15 and 1,657 of them were also previously admitted as an emergency in 2013/14.
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o Ages 65+: In the Southern locality, there were 3,710 emergency admissions to 2,437 people; 1,640 people had a single admission, 479 people had two admissions, 178 people had three admissions and 140 people had four or more emergency admissions in the year. In Southern locality the maximum number of repeat admissions was 25 within the year. Across the Buckinghamshire localities, of the 12,891 people age 65 and over admitted as an emergency in 2015/16, 1,492 were previously admitted as an emergency in 2014/15 and 925 of them were also previously admitted as an emergency in 2013/14.
o Ages 75+: In the Southern locality, there were 2,678 emergency admissions to 1,736 people; 1,144 people had a single admission, 366 people had two admissions, 123 people had three admissions and 103 people had four or more emergency admissions in the year. In Southern locality the maximum number of repeat admissions was 15 within the year. Across the Buckinghamshire localities, of the 9,045 people age 75 and over admitted as an emergency in 2015/16, 1,128 were previously admitted as an emergency in 2014/15 and 652 of them were also previously admitted as an emergency in 2013/14.
Diabetes repeat admissions o Person admissions: The 45 emergency admissions for diabetes in 2015/16 were to 39 different people o Repeat admissions: In the Southern locality, 34 people had one admission and 4 people had two admissions and 1 person had three emergency admissions for diabetes. Across the Buckinghamshire localities, of the 222 people admitted as an emergency in 2015/16, 11 were previously admitted as an emergency in 2014/15 and nine of them were also previously admitted as an emergency in 2013/14 for diabetes.
Cancer admissions o All admissions: In 2015/16 in Southern locality, there were 2,944 admissions for cancer (primary diagnosis). The rate is significantly higher than the combined Buckinghamshire localities average. o Emergency: Of these, 23.7% (698 admissions) were an emergency. This is lower than the Buckinghamshire average of 26.2%.
Childrens admissions (Directly standardised rate per 100000 population, 2015/16) o All emergency admissions, under 5s: The rate is significantly lower than the combined Buckinghamshire localities. . Between 2008/09 and 2015/16 the rate of admissions in Southern locality has increased by 19%.
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Locality Profile 2016
All Emergency Admissions, Under 5s FY 08/09 to FY 15/16, by locality within Chiltern CCG
30,000
25,000
20,000
15,000
10,000 DASR per 100,000 population 100,000 per DASR
5,000
0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG o All emergency admissions, under 15s: The rate is significantly lower than the combined Buckinghamshire localities average. o All emergency admissions, under 20s: The rate is significantly lower than the combined Buckinghamshire localities average. o Respiratory admissions (Lower Respiratory Tract Infections), under 20s: The rate is significantly lower than the combined Buckinghamshire localities average. o Accidental and deliberate injuries, under 15s: The rate is lower than the combined Buckinghamshire localities, but with no significant difference. o Accidental and deliberate injuries, 15-24s: The rate is significantly lower than the combined Buckinghamshire localities average. . Between 2008/09 and 2015/16 the rate of admissions in Southern locality has decreased by almost 30%.
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Locality Profile 2016
Emergency Admissions for unintentional and deliberate injuries, ages 15-24 FY 08/09 to FY 15/16, by locality within Chiltern CCG
1,800
1,600
1,400
1,200
1,000
800
600 DASR per 100,000 population 100,000 per DASR 400
200
0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG
Notes/caveats Indicators where data is not complete for Buckinghamshire localities (this will affect the South locality, Aylesbury Vale CCG total and Buckinghamshire CCGs combined total), i.e. data is only available for Buckinghamshire County only, but matched to localities for analysis purposes; o Deprivation maps (drawn for Buckinghamshire County, with locality boundaries) o Births o Early Years Foundation Stage Profile o Looked After Children o National Childhood Monitoring Programme (NCMP) o Substance Misuse o Adult Social Care
Glossary Adult Social Care terms Daycare: Care and activities that take place outside of the home, usually at a day care centre. These activities tend to include arts, craft and gentle exercise along with a range of other activities. Direct Payment: Direct Payments are a sum of money available to people who have been assessed as eligible for Social Care services. This money provides clients with the choice and control to purchase their own care services. Equipment: Equipment is provided by Buckinghamshire County Council to help with daily living and personal care. This may include small items such as a raised toilet seat and minor home adaptations including stair or bath rails.
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Home Care: Home care is care provided in the client’s home by trained carers. This service helps with daily activities including getting dressed, supporting basic healthcare needs, meal preparation and toileting. Laundry: The Laundry service includes the collection, transportation, cleaning and delivery of clothes and bed linen. Supported Living: Our Supported Living services enable people with learning disabilities or long-term mental health needs to live in the community, in small and staffed homes. Support is provided to help with budgeting and household expenses. Telecare: Telecare includes assistive technology offering remote care to potentially vulnerable or physically less able people. This service provides care and reassurance to enable people to live independently in their own homes.
Other terms Detected prevalence: The number of patients on each disease register, as a percentage of the number of patients on practices' lists. Directly Age-Standardised Rate (DASR) rate: DASR for an area is the number of events, usually expressed per 100,000, that would occur in that area if it had the same age structure as the standard population (e.g. European population) and the local age-specific rates of the area applied. This is useful for comparing populations with different age structures. Good level of development (GLD): Children are defined as having reached a GLD at the end of the EYFS if they achieve at least the expected level in: The Early Learning Goals in the prime areas of learning (Communication and Language, Physical Development, Personal, Social and Emotional Development) and; The Early Learning Goals in the specific areas of Mathematics and Literacy. Statistical Significance: Statistical significance (also mentioned as ‘significant’) means that a difference that is observed is unlikely to be due to chance alone.
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Comparison measured against Bucks localities (combined) average
Statistically worse Higher Not compared Similar Similar Statistically better Lower
Aylesbury Vale CCG Chiltern CCG Amersham Wooburn Indicator Year England Bucks AVCCG CCCG Central North South Southern Wycombe & Chesham Green Total population 2016 549,458 209,871 339,587 103,189 58,328 48,354 75,666 84,033 89,602 90,286 under 5 population 2016 32,338 12,652 19,686 7,522 2,795 2,335 4,135 4,443 5,069 6,039 under 5 % of total 2016 5.8% 5.9% 6.0% 5.8% 7.3% 4.8% 4.8% 5.5% 5.3% 5.7% 6.7% 65+ population 2016 98,445 36,589 61,856 14,928 10,897 10,764 15,131 16,492 17,937 12,296 65+ % of total 2016 17.3% 17.9% 17.4% 18.2% 14.5% 18.7% 22.3% 20.0% 19.6% 20.0% 13.6% 75+ population 2016 44,899 15,945 28,954 6,813 4,398 4,734 7,035 7,944 8,219 5,756 75+ % of total 2016 7.8% 8.2% 7.6% 8.5% 6.6% 7.5% 9.8% 9.3% 9.5% 9.2% 6.4% 85+ population 2016 13,373 4,698 8,675 2,060 1,233 1,405 2,089 2,539 2,478 1,569 85+ % of total 2016 2.3% 2.4% 2.2% 2.6% 2.0% 2.1% 2.9% 2.8% 3.0% 2.8% 1.7% Black and minority ethnic communities 2011 14.7% 13.6% 9.8% 15.9% 16.1% 4.8% 3.6% 9.0% 14.6% 6.9% 31.0%
Deprivation (average IMD score) 2015 21.8 9.7 10.8 9.1 13.5 8.9 8.0 7.3 8.5 6.4 13.4 Demography - Population - Demography Housing in poor condition: No central heating 2011 2.7% 1.4% 1.6% 1.4% 1.6% 1.7% 1.4% 1.2% 1.1% 1.2% 1.9% Overcrowding (bedrooms) 2011 4.6% 3.6% 3.5% 3.7% 5.3% 2.0% 1.7% 2.8% 2.4% 2.0% 7.3% Live births* 2015 6,089 2,404 3,685 1,487 592 325 724 784 801 1,376 Crude birth rate (per 1,000)* 2015 (P) 11.8 12.4 11.5 15.4 10.1 8.3 9.7 10.2 10.1 15.1 General fertility rate (per 1,000)* 2015 (P) 64.8 66.9 63.5 75.1 57.8 55.4 59.5 61.7 61.4 68.3 Low birth weight births, % <2,500g * 2013-15 7.4% 7.6% 7.2% 8.0% 7.0% 6.7% 7.9% 6.8% 6.0% 7.8%
Deaths at ages under 1 year 2013-15 68 30 38 Births,, LBWB & LBWB Births,, Infant Mortality Infant Infant mortality rate (per 1,000) 2013-15 3.8 4.4 3.5 5.5 1.7 4.1 5.0 2.2 1.2 4.7 # EYFSP pupils within the area* 2016 6,582 1,410 692 449 841 710 918 1,266 % achieving a Good Level of Development 2016 70.5 71.0 77.9 77.5 73.6 71.1 72.1 60.5
Children Looked After Children (LAC) rate (per 1,000) 2015/16 3.3 4.2 2.8 5.6 2.8 2.4 2.8 1.4 2.3 4.2 Life expectancy at birth - PERSONS 2013-15 83.8 82.9 84.3 81.4 84.1 84.7 85.6 83.2 85.3 83.2 Life expectancy at birth - MALES 2013-15 82.3 81.7 82.6 80.2 82.5 83.7 83.5 81.6 83.8 81.7 Life expectancy at birth - FEMALES 2013-15 85.1 84.1 85.9 82.4 85.7 85.6 87.6 84.7 86.6 84.6
All cause premature mortality rate 2013-15 241 254 233 293 236 212 204 266 211 255 & Mortality &
Life Expectancy Life Expectancy All cause 75+ mortality rate 2013-15 6,577 7,323 6,167 8,559 6,502 6,280 5,491 6,850 5,586 6,877
* Data item for which areas in South Oxfordshire cannot be obtained (P) Provisional data - awaiting updated populations
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Comparison measured against Bucks localities (combined) average
Statistically worse Higher Not compared Similar Similar Statistically better Lower
Aylesbury Vale CCG Chiltern CCG Amersham Wooburn Indicator Year England Bucks AVCCG CCCG Central North South Southern Wycombe & Chesham Green Excess weight in children, 4-5 years (YrR)* 2014-15 18.6% 19.4% 18.0% 20.2% 18.5% 18.1% 22.4% 16.5% 17.3% 16.2% Excess weight in children, 10-11 years (Yr6)* 2014-15 26.6% 27.7% 25.9% 30.4% 22.6% 28.6% 27.5% 25.1% 20.1% 29.9% Adults in substance 2013/14 - 274 296 261 441 180 154 219 159 196 441 misuse treatment rate (per 100,000)* 2015/16 2013/14 -
Lifestyle Adults in alcohol treatment rate (per 100,000)* 109.6 126.3 99.1 171.3 88.3 84.5 100.6 62.3 90.0 137.9 2015/16 2013/14 - Adults in drug treatment rate (per 100,000)* 164.6 169.7 161.4 269.8 91.3 69.5 118.1 96.8 105.7 303.4 2015/16 Cervical Cancer Screening 2014/15 73.5 77.3 75.1 74.2 81.0 79.8 77.6 75.9 78.1 69.2 Breast Cancer Screening (within 6mths invite) 2014/15 72.8 74.8 76.2 72.9 71.5 79.8 75.7 74.9 79.6 75.0 Bowel Cancer Screening (within 6mths invite) 2014/15 57.6 59.0 58.0 55.1 60.9 62.6 62.6 56.2 60.3 52.2 Flu vaccination - 65+ population 2015/16 71.0% 70.6% 71.3% 71.2% 69.8% 70.6% 73.9% 69.1% 72.3% 69.3% Flu vaccination - pregnant women 2015/16 43.0% 44.5% 42.0% 41.9% 49.8% 48.1% 46.7% 43.4% 40.2% 39.4% Flu vaccination - children aged 2, 3 or 4 2015/16 38.9% 36.5% 40.3% 30.1% 38.4% 53.1% 43.1% 38.5% 49.1% 31.7% Flu vaccination - children aged 5 or 6 2015/16 44.2% 40.2% 46.7% 32.6% 52.6% 46.5% 55.5% 43.5% 63.8% 26.5%
NHS Health Checks - % Offered 2015/15 16.5% 15.5% 17.2% 14.3% 16.6% 15.6% 18.0% 14.4% 19.4% 17.0% and NHS Health Checks Health NHS and Screening, immunisation immunisation Screening, NHS Health Checks - % Uptake 2015/16 7.2% 6.6% 7.6% 5.6% 7.1% 6.9% 8.1% 6.7% 9.5% 6.1% Hypertension 2015/16 13.4% 13.5% 13.3% 11.9% 14.3% 15.9% 13.7% 13.7% 14.0% 11.9% Diabetes 2015/16 5.9% 6.0% 5.9% 6.4% 5.5% 5.8% 5.5% 5.7% 5.1% 7.2% Coronary Heart Disease (CHD) 2015/16 2.9% 3.1% 2.8% 3.0% 3.0% 3.4% 2.8% 3.0% 2.8% 2.6% Heart Failure 2015/16 0.60% 0.67% 0.56% 0.59% 0.66% 0.87% 0.54% 0.59% 0.59% 0.52% Stroke & Transient Ischaemic Attack (TIA) 2015/16 1.62% 1.52% 1.68% 1.42% 1.44% 1.82% 1.69% 1.84% 1.88% 1.31% Atrial Fibrillation 2015/16 1.9% 1.9% 1.9% 1.6% 2.0% 2.4% 2.1% 2.1% 2.1% 1.3% Chronic Kidney Disease 2015/16 3.3% 3.1% 3.4% 2.5% 3.1% 4.4% 3.5% 2.9% 3.2% 3.9% Chronic Obstructive Pulmonary Disease (COPD) 2015/16 1.36% 1.53% 1.25% 1.57% 1.40% 1.59% 1.21% 1.30% 1.34% 1.15% Asthma 2015/16 6.0% 6.3% 5.9% 6.4% 6.1% 6.2% 6.3% 5.5% 5.8% 6.0% Depression 2015/16 7.9% 8.7% 7.5% 9.6% 8.4% 7.2% 7.0% 7.7% 7.5% 7.6% Dementia 2015/16 0.73% 0.77% 0.71% 0.76% 0.72% 0.85% 0.71% 0.86% 0.72% 0.56% Severe Mental Illness 2015/16 0.72% 0.73% 0.71% 0.95% 0.53% 0.54% 0.68% 0.61% 0.63% 0.90% Long Term Condition Prevalence Condition Term Long Cancer 2015/16 2.7% 2.6% 2.7% 2.2% 2.8% 3.2% 3.1% 2.9% 3.0% 1.8%
* Data item for which areas in South Oxfordshire cannot be obtained (P) Provisional data - awaiting updated populations 22
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2 Local Plan
Housing South Bucks District falls partly within a Central Buckinghamshire housing and economic market area comprising Chiltern, Wycombe and part of Aylesbury Vale and partly within a Berkshire housing and economic market area with the Royal Borough of Windsor and Maidenhead, Slough, Reading, Bracknell Forest, Wokingham and West Berkshire.
Chiltern District falls entirely within the Central Buckinghamshire housing and economic market area.
There are strong market relationships between Chiltern/South Bucks and London however given that London has a different plan-making arrangement and its housing and economic market area is defined as Greater London the strongest market relationships outside of London need to be considered.
There are no significant market relationships between Chiltern/South Bucks and Hertfordshire.
In defining housing and economic market areas for plan-making purposes it is appropriate to consider a ‘best fit’ approach. The ‘best fit’ for a Chiltern and South Bucks Local Plan is a Buckinghamshire Housing Market Area and Functional Economic Market Area comprising Chiltern, South Bucks, Wycombe and Aylesbury Vale districts.
The Berkshire housing and economic market areas under a ‘best fit’ approach are considered to comprise all six of the Berkshire authorities within single market areas. The Berkshire authorities are undertaking their own studies which may come to a different conclusion for example they may conclude there are two housing market areas where an East Berkshire area may adjoin/partially overlap with South Bucks District. The councils will seek to address any differences through the Duty to Co-operate.
It should be noted that the ‘best fit’ approach to defining market areas does not change the functional relationship between part of South Bucks and the Berkshire market area (or with London) where there is an overlap or functional relationship and there will remain important Duty to Co-operate relationships with Slough, Royal Borough of Windsor and Maidenhead, London Borough of Hillingdon and Mayor of London.
The Buckinghamshire authorities are therefore working together to establish the development needs across the HMA/FEMA and within each plan area identified in a draft Buckinghamshire HEDNA. Prior to the publication of this draft HEDNA and prior to the councils’ decisions to prepare a joint local plan, Chiltern along with Aylesbury Vale and Wycombe published a draft Central Buckinghamshire HEDNA which has now been superseded by the draft Buckinghamshire HEDNA.
The Buckinghamshire HEDNA is published as a draft document and will be updated at key stages. The draft HEDNA has identified the following main development needs:
2 http://www.chiltern.gov.uk/CHttpHandler.ashx?id=7771&p=0 23
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Needs Chiltern District South Bucks Joint Local Plan District Housing General 7,300 7,800 15,100 (nos.) Affordable 1,100 to 2,000 1,600 to 2,200 2,700 to 4,200 (included in General above) Economic (Ha) + 2 + 13 + 15
There will also be other needs assessment work that the councils will be testing through the next stages of the Local Plan, such as for retail, leisure and open space, once the level of housing and B- class employment development to be planned for is established.
In addition the Buckinghamshire district councils have undertaken a needs assessment for Gypsy, Traveller and travelling show people accommodation. The needs assessment is being updated following changes in national planning policy on travellers and to take account of new evidence. Current identified needs are for 42 pitches for travellers and 16 plots for travelling showpeople from 2013 to 2023.
Future demographics3 Buckinghamshire’s population rose by 5,813 or 1.1 per cent in the year to June 2014, the 4th highest rise among the 27 county councils and the 6th highest of the 39 Local Enterprise Partnerships (LEPs). This increases Buckinghamshire’s population density to 335 people for every km2, up from 329 in 2013, the 9th highest density among county councils and the 23rd highest among LEPs. Over the last ten years, Buckinghamshire’s population has risen by 8.3 per cent (39,800 people), the 14th highest rate of increase among LEPs. Aylesbury Vale accounted for over half of Buckinghamshire’s increase. With a rise of 1.9 per cent over the year, the district saw the 14th highest increase of all 326 local authorities in England and the 30th highest absolute rise (up 3,476).
Demography, 2014 Total Annual Change population No. % Rank Aylesbury Vale 184,560 3,476 1.9 14 Chiltern 93,972 722 0.8 156 South Bucks 68,512 571 0.8 136 Wycombe 174,878 1,044 0.6 198 Buckinghamshire 521,922 5,813 1.1 4 BTVLEP 521,922 5,813 1.1 6 Coast to Capital 1,978,763 17,939 0.9 13 Enterprise M3 1,664,667 10,349 0.6 24 Hertfordshire 1,154,766 14,063 1.2 3 London 8,538,689 122,146 1.5 1 Northamptonshire 714,392 7,959 1.1 5 Oxfordshire LEP 672,516 6,319 0.9 11 SEMLEP 1,781,335 24,390 1.4 2 Thames Valley Berkshire 885,654 7,221 0.8 15 South East 8,873,818 81,052 0.9 3 England 54,316,618 450,801 0.8 -
3 http://www.buckscc.gov.uk/media/3574290/Buckinghamshire-demography-2014.pdf 24
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Transport and Employment4
Transport Public Transport For bus timetable information contact 0845 2302882 or email: [email protected] Concessionary Fares free bus travel for older and disabled people. Bus passes are valid nationally from 09:30-23:00hrs Monday to Friday and all day at weekends. In Buckinghamshire the scheme is extended to include journeys from 09:00-23:00hrs on Monday to Friday. Contact 0845 5212521 email: [email protected]
Chiltern Railways Customer services contact: 08456 005 165 (0700-2200hrs) www.chilternrailways.co.uk (from London Marylebone with stations at Denham, Denham Golf Club, Gerrards Cross and Seer Green & Jordans to Beaconsfield and Birmingham). For passengers with wheelchairs and limited mobility who require assistance 08456005165, then option 3 followed by 3 with 24hrs notice, ramps can be made available at staffed stations. On-board there is a designated ‘wheelchair area’ and colour scheme designed to help those with visual difficulties. The majority of long distance trains have an accessible toilet. To assist those with hearing problems, all carriages have electronic visual displays showing the stations at which the train stops.
First Great Western Customer services contact: 08457 000 125 www.firstgreatwestern.co.uk from/to London Paddington with stations at Richings Park Iver, Burnham and Taplow to/from Maidenhead and Reading. For assisted travel a booking form requires completion and submission at least 24 hours before travel.
National Rail Enquiries Contact: www.nationalrail.co.uk or customer services 08457 484950 for timetable and fare enquiries.
Senior Railcard To apply for a Senior Railcard you must be over 60+. There are time restrictions allowing the card to be used only outside peak times (morning rush hour). It is advisable to confirm with ticket office staff before ticket purchase.
Disabled Persons Railcard contact telephone 0845 605 0525 (0700hrs-22:00hrs Monday to Sunday) email: [email protected] Minicom/Textphone: 0845 601 0132
The Community Transport Hub A one stop shop for information. advice and guidance on community transport providers in Buckinghamshire. From Dial A Ride to community car schemes. If there are no suitable services in the immediate area, plans to work with the local community can be made to establish them. Contact 0800 085 8480 10:00-14:00 Monday to Friday visit Community Impact Bucks www.communityimpactbucks.org.uk or email [email protected]
Chiltern Dial-a-Ride A ‘not for profit’ organisation dedicated to providing an affordable, accessible and safe transport service for people not able to transport themselves or use public transport. Chiltern’s Dial-a-Ride operate a door to door transport service for people with restricted mobility and wheelchair access on all vehicles is standard, staff are fully trained and insured. Regular services run from 08:30 to 17:00 Monday to Friday with the exception of public holidays. For smaller vehicles the run time can be extended to 19:00hrs subject to driver availability. Day trips can be arranged for members when at least four members have registered an
4 http://www.buckscc.gov.uk/media/3500188/southern-locality-report.pdf 25
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interest in the event. An outing will occur once a month minimum and is notified through the quarterly newsletter. Typically a trip to the seaside, theatre, garden centres or places of natural or historic interest. Bookings are made on a first come first serve basis and acceptance is subject to operational capability. Reservations should be made at least 2 days in advance to avoid disappointment. All smaller vehicles have capacity for a wheelchair and 2 other passengers. Where a carer must accompany a member the carer can travel free of charge (with exception of planned outings). Membership subscription is required (currently £15.00 2013) payable by cheque to: Chilterns Dial-a-Ride Ltd. Community based organisations may make use of larger vehicles in the fleet with a 16 seat capacity or 8 seated and 4 wheelchair users on a contract basis. Contact: Helen Petty or Jo Francis’Gow 01494 766123 or [email protected]
Hillingdon Community Transport Ltd (HCT) is a voluntary organisation and registered charity, part funded by the London Borough of Hillingdon. It is a requirement that users take out membership of HCT before any service can be provided. HCT operate 13 minibuses, 12 of which are fully accessible for the carriage of wheelchair passengers and people with mobility difficulties. In addition there is an 8 seat wheelchair accessible MPV. The minibus seating capacity varies from vehicle to vehicle, the maximum size is 16 seats plus the driver Community groups or not for profit organisations can register, although it is at HTCs discretion with regard to South Bucks if they can provide a service. Contact: Telephone: 01895 277773 email: [email protected]
Slough Community Transport (SCT) & Shop Mobility Charitable Company: Charity No 1096970/Company No 4624397 Office: Upton Hospital, Albert St, Slough SL1 1BJ Provide a dial a ride, door to door accessible transport service Contact: 01753 691131 In South Buckinghamshire services are provided entirely at the discretion of SCT. Slough Community Transport are members of MiDAS and offer an accredited training and assessment scheme for minibus driving. All SCT drivers are MiDAS trained and reassessed annually. Volunteering: Slough Community Transport & Shop-Mobility are continuously looking for volunteers to help improve services in the following roles: Drivers: To drive one of the adapted minibuses, volunteer expenses paid. Reception and administration volunteers: Helping, meeting and greeting members of the public Escort volunteers: Helping people to and from their homes
Out & About is a door to door accessible transport service for people whose mobility is restricted or who have great difficulty in using public transport. A disability may be physical or a mental health problem. Journeys can include: Shopping Trips Visiting family and friends Just simply getting out of the house Doctor’s Appointments Hospital Appointments
Journeys to locations further afield are available although fair rates differ. Joining Instructions: Telephone the office on 01753 536273 to request a joining form, complete and return. Bookings: Telephone 01753 691131 open from 09:30 am to 1pm Monday to Friday Hours of operation: The service operates from 07:30 Monday to Saturday till late (subject to availability). Cost: Local journeys are charged at £2.40 for a single journey. Information required: Name and address, the day and time of journeys and destinations, how many people are travelling and if any are using a wheelchair. If a destination is to be arrived at a specific time, advice will be given immediately of minibus availability. Companion seats should be booked if assistance
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is required by one accompanying. Guide dogs and dogs for the disabled may travel on the bus free of charge but must be booked in advance.
People To Places (PTP) The local charity in the Royal Borough of Windsor & Maidenhead providing specialist accessible transport for people with disabilities and mobility issues. PTP operates a range of community transport services including dial-a-ride for members. In South Buckinghamshire services are provided entirely at the discretion of PTP. Contact: 01628 587922 Community Transport Booking 01628 587920 09:30-12:30 Monday to Friday
Employment 5 There were 216,000 jobs in Buckinghamshire in 2011, with only 13.7 per cent in the public sector, the lowest proportion of any county council area. Of these, exactly a third were part-time, slightly above the national rate. As for the country as a whole, retail is the sector that employs the most people ahead of the health sector. Buckinghamshire is over-represented in sectors where the Government expects to drive the future growth of the national economy
Buckinghamshire’s employment rate of 75.2 per cent is well above the national and regional levels, ranking 8th highest of the 39 Local Enterprise Partnerships but only 12th highest among the 27 county council areas. Since the start of the recession, the number of working age Buckinghamshire residents in employment has fallen by 5,900 to 232,800, despite the working age population rising by 7,000 from 2008 to 2011. A positive boost has been provided by residents working beyond retirement, with employment for those aged 65 and over rising 2,900 to 11,800.
As is the case nationally, Buckinghamshire’s headline labour market resilience has been driven by part- time employment. Among those of working age part-time employment has grown by 4,600 as full-time employment has fallen by 10,800. The total number of men in employment has fallen 4,400 despite an extra 6,900 being in part-time employment. There are 1,900 fewer women in employment
5 https://www.buckscc.gov.uk/media/1036926/Economic-overview.pdf 27
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Patient Services used6
Community assets7 Pharmacies TRADING NAME ADDRESS TOWN POSTCODE TEL FAX Unit 2 Giles Hedgegrail 01753 01753 House, Bells Hill Stoke Poges SL2 4EW Pharmacy 645464 645464 Green 01753 01753 Lloyds Pharmacy 29 High Street Iver SL0 9ND 652294 652328 01753 Saley Chemists 42 Bathurst Walk Iver SL0 9BH 653182 7 Thornbridge 01753 01753 Jeeves Pharmacy Iver Heath SL0 0PU Road 653882 653882 Chalfont Centre Chalfont St 01494 01494 Chesham Lane SL9 0RJ for Epilepsy Peter 601352 871927 Richard Adams Chalfont St 01753 01753 1 The Broadway SL9 9DX Chemist Peter 882700 891221 1 Bishops House, Chalfont St 01753 01753 Vantage Chemists SL9 9HE Market Place Peter 884056 899068 Chalfont St 01494 01494 Lloyds Pharmacy High Street HP8 4QH Giles 874656 874066 01628 01628 Boots the Chemist 30 High Street Burnham SL1 7JP 603170 668718
6 Optum Health Population Manager tool 7 Information from NHS England 28
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Burnham Health 01628 01628 Lloyds Pharmacy Centre, Burnham SL1 7DE 602922 660343 Minniecroft Road 01895 01895 Boots the Chemist 16 Station Parade Denham UB9 5ET 832532 832532 Farnham 01753 01753 Lloyds Pharmacy The Broadway SL2 3PQ Common 644383 669362 01628 01628 Lloyds Pharmacy Lake End Road Taplow SL6 0QH 661405 661405
Dentists TELEPHONE DENTIST TELEPHONE DENTIST PRACTICE NUMBER PRACTICE NUMBER Ashcroft Dental Surgery 01895 833350 Tooth Booth 01494 730940 2 Ashcroft Drive 28 Aylesbury End Denham Beaconsfield Buckinghamshire Buckinghamshire UB9 5JF HP9 1LW The Dental Surgery 01628 664614 Carling Dental 01753 647359 Burnham Practice 43-45 High Street Ashley House, The Burnham Broadway Buckinghamshire Farnham Common SL1 7JD Buckinghamshire SL2 3PQ Burnham Dental Surgery 01628 604287 Oak End Dental 01753 893387 91 High Street Clinic Burnham 1 Oak End Way Buckinghamshire Gerrards Cross SL1 7JZ Buckinghamshire SL9 8BS Carling Dental Practice 01753 647359 AK Makhani & 01753 651014 Ashley House, The Associates Broadway 25 High Street Farnham Common Iver Buckinghamshire Buckinghamshire SL2 3PQ SL0 9ND Carling Dental Practice 01753 647359 Denham Green 01895 832238 Ashley House, The Dental Practice Broadway 24 Penn Drive Farnham Common Denham Buckinghamshire Uxbridge SL2 3PQ UB9 5JP Court Dental Clinic 01494 671119 Beaconsfield Dental 01494 673219 7 Highway Court Practice Beaconsfield 5 Ledborough Lane Buckinghamshire Beaconsfield HP9 1QB Buckinghamshire HP9 2PZ 29
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Nuleaf Dental Care 01753 888035 Beaconsfield Dental 01496 673219 71a Packhorse Road Practice Gerrards Cross 5 Ledborough Lane Buckinghamshire Beaconsfield SL9 8PQ Buckinghamshire HP9 2PZ Beaconsfield Dental 01496 673219 Practice 5 Ledborough Lane Beaconsfield Buckinghamshire HP9 2PZ
Opticians TRADE NAME PREMISES ADDRESS TEL. NO Boots Opticians Boots Opticians 01494 812755 52 Packhorse Road Gerrards Cross Buckinghamshire SL9 8EF Denham Opticians Denham Opticians 01895 832122 North Orbital Road 4 Broadway East Denham Green Buckinghamshire UB9 5HB Heaton Caffin Heaton Caffin Optometrists 01753 886806 Optometrists 33 St Peter's Court Chalfont St Peter Buckinghamshire SL9 9QQ Olivers Opticians Olivers Opticians Limited 01753 890822 Limited 2 Market Place Chalfont St Peter Buckinghamshire SL9 9EA Realeyes Limited Realeyes Limited 01628 559000 32 High Street Burnham SL1 7JP S.H. Harrold (1937) S.H. Harrold (1937) Limited 01895 237799 Limited 4 Station Approach Gerrards Cross Buckinghamshire SL9 8PP Chilton Watson Ltd ChiltonWatson 01753 891595 3 Station Road Gerrards Cross SL9 8ES 30
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Walker & Campbell Walker & Campbell Optometrists 01628 663055 Optometrists 47 High Street Burnham SL1 7JX
Learning Disability Centres Lent Rise House Coulson Way, Burnham, Slough SL1 7NL
Barchester Chalfont Lodge Care Centre Denham Lane, Chalfont St Peter, Gerrards Cross SL9 0QQ
Epilepsy Society Russell House, Greene House, Croft Cottage, Milton House, Micholls House, Queen Elizabeth House, Morton House Chalfont Centre, Chalfont St Peter, Gerrards Cross SL9 0R
The Gables Moreland Drive, Gerrards Cross SL9 8BD
Children Centres The Chalfonts Children’s Centre Tithe Barn, Sandy Rise, Chalfont St. Peter, Gerrards Cross, Buckinghamshire SL9 9TR
Denham & Gerrards Cross Children’s Centre Tilehouse Combined School, Nightingale Way, Denham, Uxbridge, Buckinghamshire UB9 5JL
The Ivers Children’s Centre Grange Way, Iver, Buckinghamshire SL0 9NT
Farnham Children’s Centre Victoria Road, Farnham Common, Slough, Buckinghamshire SL2 3NL
Burnham Children’s Centre Minniecroft Road, Burnham, Slough, Buckinghamshire SL1 7DE
Voluntary sector services8
Movers and Shakers Health and wellbeing model supports adults from socially disadvantaged communities and encourage them to lead healthier lifestyles. Use of an innovative, inclusive and self-care model to promote healthy ageing and wellbeing for older adults enable them to live longer independent lives. Members report that ‘attending the sessions makes them feel younger and rejuvenated’. Group sessions for adults are a way to meet others and take part in a number of enjoyable activities including: Art & Craft, Gentle Exercise and Guest Speakers. The weekly sessions are held in community settings and lead by friendly volunteers. A light lunch is also provided. Groups currently operate in Aylesbury Vale, Wycombe, Chiltern and South Bucks Districts.
8 http://www.buckscc.gov.uk/media/3500188/southern-locality-report.pdf 31
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Five Ways to Wellbeing Well-being is when you feel good and enjoy your day to day life and has two main aspects: feeling good and functioning well. Feelings of happiness, contentment, curiosity, engagement and enjoyment are characteristic of someone with a positive experience of their life. The five ways are: Connect, Be Active, Take Notice, Keep Learning and Give
HEALTHWISE: PHYSICAL ACTIVITY REFERRAL SCHEME Introduces individuals to the benefits of physical activity in order to help reduce risk factors for chronic disease and manage existing medical conditions. The programme aims to encourage people of all abilities to become and remain more physically active, helping to increase fitness levels and improve health and well-being. The scheme is for Chilterns and South Bucks residents and their GP or doctors surgery is based in the same locality. It is designed to help people with medical conditions or other specialist requirements that prevent them from entering mainstream exercise.
Common reasons for referral: HIGH BLOOD PRESSURE DIABETES OBESITY ASTHMA CIRCULATORY / RESPIRATORY DISEASES DEPRESSION & ANXIETY ARTHRITIS
Healthwise offer a range of classes to suit all abilities, through a facilitator suitable classes can be selected e.g.: Gym based supervised sessions, Group exercise options, Healthy Walks, Water- based exercises, Weight management classes, Musculoskeletal classes (lower back), Cardiac and pulmonary rehabilitation classes. REGISTRATION: through referral of GP or Practice Nurse, if the GP is not registered with the scheme contact through the ‘Healthwise’ Coordinator at the local ‘Better Leisure Centre’. On completion of referral form and initial assessment registration and enrolment on a 12 week needs appropriate course follows at: Chiltern Pools Leisure Centre, Amersham or The Beacon Sports Centre, Beaconsfield, or Chalfont Leisure Centre, or Chalfont St Peter, or Chesham Leisure Centre, or Sprinters Leisure Centre Prestwood. Contact: Chalfont Leisure Centre, Nicol Road, Chalfont St Peter, Bucks SL9 9LR. Telephone: 01753 887812 or mobile: 07970 214 742. Fax 08724464506 email: [email protected]
PARKWOOD HEALTHCARE Health Trainer Service aims to improve the health and well-being of local residents and reduce health inequalities. This service is free and is commissioned by Public Health. The service provision includes: A one to one look at health and lifestyles and identify areas of potential improvement. A tailor made health plan to help achievement of realistic goals. Improvement in well-being and ability to manage stress. Support, encouragement and motivation Information on local activities and groups to help achieve goals. Assistance with accessing other local services.
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Locality Profile 2016
[email protected],uk www.parkwoodhealthcare.co.uk Telephone 01628 857311
Samaritans 24 hour helpline Confidential, emotional support to anyone in crisis experiencing feelings of distress or despair. www.samaritans.org email: [email protected] Contact: 0845 7909 090 Textphone 0845 7909 192 Text 0772 5909 090 The Slough, Windsor and Maidenhead Samaritans branch is open at various times both day and night seven days a week for face to face talks with a volunteer. It is advisable to call to check availability. Address: Katharine House, 17 Uxbridge Road, Slough, SL1 1SN. Telephone 01753 531011 / 01753 531012 email: [email protected]
Action on Elder Abuse (AEA) AEA works to protect and prevent the abuse of vulnerable adults. A confidential helpline provides information, advice and support to victims of abuse and others concerned about or have witnessed abuse. www.elderabuse.org.uk Contact telephone: 0808 808 8141 (Monday to Friday 0900-1700)
Southern Locality Wide Credit Union South Buckinghamshire Community Bank is a part of M for Money Credit Union which is a financial co-operative that is owned and operated by its members for their benefit. Part funded by Bucks Community Fund and District Councils the aim is to ensure that everyone that is in South Buckinghamshire is able to access the service. M for Money Credit Union is authorised by the Financial Services Authority and member’s savings are covered by the Financial Services Compensation Scheme for up to £85,000.
Credit Unions are required by law to restrict membership to applicants with a ‘common bond’ – a geographical area, an employer, industry, religion or trade union. Residents and employees in Wycombe, Chiltern or South Bucks District Council areas can save or source affordable credit from South Buckinghamshire Community Bank. The bank is part funded by Buckinghamshire County Council and District Councils with an aim to ensure everyone in South Buckinghamshire can access the banks services. M for Money Credit Union is Authorised by the Prudential Regulation Authority (Registration No 216633) and regulated by the Financial Conduct Authority. Contact: Tel 020 8756 3866 www.mformoneycreditunion.org email: [email protected] Opening times for face-to-face help and advice: Chiltern District Council Amersham MONDAY 13:30-16:00 High Wycombe County Library FRIDAY 10:00-14:00 Farnham Common Community Library WEDNESDAY 10:00-12:00 Chesham County Library SATURDAY 10:00-12:00 Burnham County Library SATURDAY 14:00-16:00
Community Advice Network (CAN) www.canhelp.org.uk People who live or work in the Chiltern and South Bucks can access free advice through one telephone number: 0300 323 0121 / [email protected] 33
Locality Profile 2016
CAN aims to make life easier for local people to find the advice they are looking for. If advice is needed on any issue including debt, benefits, housing, mental health or employment a fully trained adviser is available to speak to. In partnership with Age UK, Bucks Floating Support, MIND and Carers Bucks the local CAB service will provide referrals to these and other local agencies via the one phone number, making it simpler to get the right advice. All advice is completely free, confidential and open to everyone in the local community
Tax Help for Older People are an independent free tax advice service for older people on low incomes who cannot afford to pay for professional advice. Older people on low incomes and their carers are eligible. Contact 0845 6013321 www.taxvol.org.uk
South Bucks Citizens Advice Bureau provides free impartial, confidential and completely independent advice and information on a wide range of issues including: Debt Relationship Problems State Benefits Consumer Issues Employment Immigration Homelessness Housing South Bucks CAB offer specialist debt service, by appointment to clients from the South Bucks area, working with clients to resolve their debt problems. Provision of specialist casework in appealing against benefit decisions for South Bucks residents. Contact Details: Mondays & Thursdays 10:00-15:00hrs 01895 837551 (South Bucks Residents) Capswood, Oxford Rd, Denham or Mon-Fri 10:00-16:00 (county wide service).
Monthly Advice Sessions in the South Bucks community: Burnham (no appointment necessary just drop in) The Meeting Place, Burnham Methodist Church Hall, Lent Rise 10:00-12:00 2nd Wed / month Denham (by appointment through the Denham Children’s Centre Tel: 01895 835967). Children’s Centre, Nightingale Way, Denham 10:00-12:00hrs 2nd Wednesday of each month. Iver (no appointment necessary just drop in) Grange Way, Iver 10:00-12:00hrs 2nd Tuesday of each month. Advice is given professionally by fully trained voluntary staff and paid staff from a national information system. The service is free and open to all regardless of race, creed, gender, age or sexual orientation.
Furniture for low income / vulnerable Thames Valley Hospice 01753 866303 Slough Furniture Project 01753 692535 High Wycombe Furniture Project 01494 443459 Christian Sharing 01753 887173 Consumables [email protected]
Prisons, Universities, colleges Private hospitals etc.
Private Hospitals9 The Southern Locality has no Private Hospitals
Prisons10 There are no prisons in the Southern Locality
9 http://www.buckscc.gov.uk/ 10 http://www.buckscc.gov.uk/ 34
Locality Profile 2016
Colleges and Universities11 The Southern Locality has no colleges or universities
Libraries12 Chalfont St Giles Community Library High Street, Chalfont St Giles HP8 4QA Phone: 01494 874732
Chalfont St Peter Community Library High Street, Chalfont St Peter, Gerrards Cross SL9 9QA Phone: 0845 2303232
Gerrards Cross Library 38 Station Road, Gerrards Cross SL9 8EL Phone: 0845 2303232
Burnham Library Windsor Lane, Burnham, Slough SL1 7HR Phone: 0845 2303232
Iver Heath Library St Margaret's Close, Iver Heath, Iver SL0 0DA Phone: 0845 2303232
Farnham Common Library Victoria Road, Farnham Common, Slough SL2 3NL Phone: 0845 230323
11 http://www.buckscc.gov.uk/ 12 http://www.buckscc.gov.uk/leisure-and-culture/libraries/find-a-library/ 35