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Bristol Demographic Information Pack

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Bristol Demographic Information Pack Health and Social Care Bristol Demographic Information Pack V 1.0 June 2011 Contents Page Content Page Overview and Introduction 3 Community Engagement map 5 Population Profile 6 Equalities 6 Population by Gender 7 Population by Faith 7 Population by Ethnicity 7 Demographic Context 8 JSNA Key Findings 10 Key Health Indicators 12 Quality of Life Survey 12 Quality of Life for the Older Population of Bristol 17 Needs Groups 17 Dementia 17 Learning Disability 17 Adults with a Physical Disability 18 Sensory Impairment 18 Adults with Mental health problems 18 Carers 18 Falls in the over 65's 19 Health and Social Care provided Services 19 Residential and Nursing Care 19 Residential and Nursing Placements 20 Community Care Packages 21 Health and Social Care Budget 23 Page 2 of 24 HSC Community Engagement Information Pack Overview and Introduction Across the country, the provision of health and social care for adults (people aged 18 years and over) is going through major change. This is because of a number of pressures that affect us all in one way or another:- • there will be a rise in the number of older people and fewer younger people in the workforce to support the cost of public services • people expect more of modern social care services and rightly demand higher quality • the Government is demanding change and across the country, councils are working hard to provide good, high quality services within a reducing budget These things mean that the way we currently do things is neither sustainable nor desirable for the future. Like other councils, Bristol is looking at the way social care support is provided for adults who need it. In order to do this well, we want to talk to people who live in Bristol to ask what they think we should do. We all have an interest because we use services or may use them in future and we all contribute towards the cost of services. Some of the improvements we want to make include:- • better access to information, advice and advocacy • promoting people’s health, well-being and independence • giving people more control over their care and support including more control over the funding for services • closer working across Health, Social Care, voluntary organisations and others providing care and support • making sure that people have opportunities to be part of a community and experience the friendships, care and support that can come from families, friends and neighbours. This pack contains information which has been developed to give a better idea of the needs of people in the city, the way those people can be supported and how we spend public money on social care. There is a lot of detail but we hope it will be useful in supporting you to think about the services you feel we should develop in the future. When consulted nationally or locally, people say they want more control over the support they receive. We have included a section in this pack which describes the sort of care traditionally available alongside some newer, more flexible types of support. We would be pleased to hear your thoughts about these different types of support. Page 3 of 24 HSC Community Engagement Information Pack How will the changes make a real difference to people’s lives? The stories set out below, show some of the ways we hope to make a real difference to the quality of experience for people who use our services (these are not real people):- Mrs Smith, aged 86, has had a recent fall. She did not need to go to hospital but had severely lost her confidence. Her son contacted Health and Social Care via Care Direct and after an assessment over the telephone, it was agreed that she would benefit from our reablement service to regain her confidence and independence. Staff worked with Mrs Smith on an intensive six week period of reablement and a number of simple pieces of equipment were installed in her house to help her mobility. The care workers set goals with Mrs Smith, such as managing her weekly shopping. At the end of the reablement period, Mrs Smith and Health & Social Care agreed that no longer term support was needed. Mrs Smith was put in touch with the falls clinic to make sure that further help could be given to reduce the risk of future falls. Mr Jones, aged 76, has advanced dementia. His wife and family care for him, but are struggling to cope, particularly at night. Mr Jones also tends to wander from his house. Following an assessment by Health & Social Care, Mr Jones was given a personal budget. His family were keen to manage the budget on his behalf. The social worker also suggested how assistive technology might be able to help. The family decided to work with our specialist dementia service to develop the support plan. They felt that assistive technology such as bed sensors and GPS pendants would help to keep Mr Jones safe. The support planner was also able to signpost Mr Jones and his family to community based support such as the specialist dementia cafes. The remainder of the personal budget was spent on a weekly painting class for Mr Jones and a small amount of traditional personal care to provide respite for the family. Mrs Jackson, aged 72, has just lost her husband of 45 years. Following a recent visit to the doctor, her GP made a referral to HSC via Care Direct because she was lonely. Care Direct spoke to Mrs Jackson - they felt that she needed support and put her in touch with her local LinkAge who arranged for someone to visit her weekly for a chat. This has now started to develop into a friendship. LinkAge have also put Mrs Jackson in touch with a weekly club. Care Direct was also able to arrange for a bereavement counselling service to meet with Mrs Jackson. Page 4 of 24 HSC Community Engagement Information Pack Health & Social Care Locality Map This map below shows the Neighbourhood Partnership Areas in Bristol and the three main localities across which Health & Social Care works . These are: North Bristol, South Bristol and Central /East Bristol. Page 5 of 24 HSC Community Engagement Information Pack The people who live in Bristol There are around 442,500 people living in Bristol today. About 70% of people are of working age and 15% are of pensionable age. This is how the age profile looks across the locality areas: Current Population Proportion by Age Band 0% 20% 40% 60% 80% 100% East Central 18611 37134 16078 8650 1620 North 29757 65006 27765 14697 3289 South 25564 49660 26175 14915 2390 Bristol Total 73932 151800 70018 38262 7299 0-19 20-44 45-64 65-84 85+ It is predicted by the Office for National Statistics that Bristol's population will increase to 512,800 in the next 10 years. The working age population will increase by 16% (47,600) people. The older population is forecast to increase by 11% (6,900 people). Equalities Promoting equality of opportunity, eliminating unlawful discrimination and promoting good relations are key elements of our work. We use equalities data and information when we are thinking about changes and developments in the way services are provided and delivered. In this way we strive to meet people’s needs by taking into account age, disability, gender, gender reassignment (otherwise known as transgender), pregnancy and maternity, race, religion and belief, and sexual orientation (lesbian, gay and bisexual people). Where we have robust, relevant equalities data, it has been included in this information pack. To enable Health and Social Care to monitor how well it is meeting the needs of people from equalities groups, we produce annually what is known as the Equalities Data Pack. From this data we know that: • About 50% of people who use social care services are aged 75 or over • About 60% are female • Overall 8.4% of service users are from Black and Minority Ethnic communities The Equalities data pack can be found our website, http://www.bristol.gov.uk/. Population by gender Page 6 of 24 HSC Community Engagement Information Pack 50 % of Bristol’s population is male and 50% female. There are more males than females amongst the 20 – 44 year olds, and more females than males in the 65 and over age group. Population by faith The Census is the latest reliable source of faith information for the whole population but we know that the profile is likely to have changed significantly in recent years. The Census suggests that around 62% of Bristol’s population is Christian, with the highest percentage of Christians in the south of the city. East/Central Bristol has the most diverse population in terms of faith with a comparatively high percentage of Muslims and Sikhs. Population by ethnicity Bristol is a multi-cultural city. The percentage of non-white British population is growing. It currently accounts for 17% of the Bristol population. The figures below are based on estimates from the Office of National Statistics. Of the non-white British population, White Other (including Eastern European) accounts for 6%, Indian 2%, Black African 1% Chinese 1% and Black Caribbean 1%. 2007 Population by Ethnic Group in Bristol Source: Office for Natioal Statistics, Crown Copyright 2009 (Experimental Statistics) Black Caribbean Chinese 1% White Irish 1% 1% 5400 White/ 5700 4100 Black African Black Caribbean <1% 1% 3800 Other Ethnic Group Pakistani 5800 1% 1% 3100 White/Asian 2300 1% 6000 Other Mixed White British Non-White 2 100 83% British 1% 343 400 17% 1900 Other Asian <1% 1700 Bangladeshi <1% 1300 9400 White/Black African <1% 1100 Other Black <1% Indian 2% 19200 White Other 6% Page 7 of 24 HSC Community Engagement Information Pack The chart below shows that the diversity of the population is increasing and that this is most noticeable amongst the younger population.
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