Prestwick

Locality Data Profile 2017

*Premature mortality is described as deaths under the age of 75 years. This measure is considered an important indicator as a higher premature mortality rate suggests there is still room to improve population health. POPULATION AND DEPRIVATION Overall, the South Ayrshire population is projected to remain relatively static between 2014 and 2039. However, projections suggest that there will be approximately a 10% drop in the working age population whilst the percentage of individuals of pensionable age and over is due to increase by 21% across the same time period. Many parts of South Ayrshire are prosperous and it is a vibrant area in which to live and work, and to visit; however, significant inequalities continue to exist within and between our communities. • The Prestwick Locality has a population of 22,028 people, and the population has not changed much over the last few years. • One in four people in the Prestwick Locality are aged over 65. • One in ten children in the Prestwick Locality live in poverty.

ECONOMY AND SKILLS The key driver underpinning our future prosperity and the ability to realise the potential of our communities is a local economy which develops and achieves sustainable growth. Delivering economic recovery and growth will contribute to improve outcomes for young and old, improved health, employment, inclusion, and safer and stronger communities. • Seven out of ten people aged 16 to 74 are economically active. • Approximately half the people in work in the Prestwick Locality work in professional, associate professional or skilled trades. • The level of unemployment (taken from the claimant count) in the Prestwick Locality is lower than the overall South Ayrshire rate and has remained so for a number of years. • The youth claimant count (16-24), as a proxy for youth unemployment, in the Prestwick Locality is lower than the level across South Ayrshire and across Scotland as a whole. • Of the people not in work in the Prestwick Locality, more than one in eight are long-term sick or disabled. • More than nine out of 10 pupils leave school for a positive destination (college, university, training or work).

SAFE COMMUNITIES South Ayrshire is a safe place to live, where crimes of public disorder and violence have continued to reduce. We want to maintain this downward trend and ensure that people feel safe within their own homes and communities.

• Two datazones in the Prestwick Locality are identified as the most deprived 0-15% in respect of crime. • The rate of accidental dwelling fires in the Prestwick locality has tended to be lower than the South Ayrshire average over recent years.

HEALTH & WELLBEING Positive health and wellbeing is at the heart of our community planning arrangements. We recognise that there are significant challenges in respect of the wellbeing of our communities and will work though Integrated Health and Social Care arrangements to tackle these challenges; • One in eight mothers smoke during pregnancy in the Prestwick Locality. • Approximately 30% of babies are breastfed in the Prestwick Locality. • Around one in ten primary 1 children in the Prestwick Locality are obese. • More than four out of five of all Primary 1 children have no obvious dental caries. • The level of teenage pregnancies (15-19) in the Prestwick locality is lower than the level across South Ayrshire as a whole. • The level of multiple emergency hospital admissions for older people (65+) in the Prestwick Locality is largely in line with both the Scottish and total South Ayrshire rates. • One in five people in the Prestwick Locality have a long-term health condition. • Hospital stays due to alcohol are significantly lower in Prestwick compared to South Ayrshire as a whole. • Hospital stays due to drugs are also significantly lower in Prestwick compared to South Ayrshire as a whole, although rates have been increasing over recent years. • Approximately one in five people in the Prestwick Locality are prescribed drugs for anxiety, depression or psychosis.

Economy and Skills

The key driver underpinning our future prosperity and the ability to realise the potential of our communities is a local economy which develops and achieves sustainable growth. Delivering economic recovery and growth will contribute to improved outcomes for young and old, improved health, employment, inclusion, and safer and stronger communities. Top 3 Occupations (2011) Status of Economically Active (2011) 4.6% Full-time Elementary 5.6% student occupations 12.0% Unemployed Professional 19.2% 10.7% occupations Self- 57.2% employed Skilled trades 21.9% Employee: 13.0% occupations Part-time Employee: Full-time

Claimant Count 16+ 2015/16 School Leavers Data 100% 3.5% 94% 92% 95% 92% 3.0% 80% 2.5% 69% 71% 2.0% 60% 1.5% 40% 1.0% 0.5% 20% 0.0% 0% Lit & Num SCQF Lit & Num SCQF College, University, Level 4 or Better Level 5 or Better Training or Work Prestwick South Ayrshire Prestwick South Ayrshire Unemployment not only hurts the personal finances of those without work, but also reduces their participation in the overall economy. The inability to find work is also associated with stress, financial hardship, health problems, and strain on family relationships. The claimant count in the Prestwick Locality has reduced from 2.3% in 2013 to 1% in 2015. Among the long-term factors that affect the unemployment rate in South Ayrshire are those that also affect the country's overall competitiveness: education levels, infrastructure investments, diversity and balance in its economic mix, tax rates, and the regulatory environment. Any changes that improve South Ayrshire's attractiveness as a place to live or to do business will, over longer periods of time, tend to reduce the unemployment rate. Education data for school leavers during 2015/16 demonstrates that within the Prestwick locality pupils are more likely to leave school and enter college, university, training or work than other pupils across South Ayrshire. Safe Communities

South Ayrshire is a safe place to live where crimes of public disorder and violence have continued to reduce. We want to maintain this downward trend and ensure that people feel safe within their own homes and communities. Owned outright Dwelling Type(2016) 1.1% Tenure (2011) Owned with a 1.2% mortgage or loan 8.7% Detached 2.8% Shared ownership 23.5% 22.3% 10.8% Rented (Council) Semi-Detached 37.0% Rented (Social) Terraced 0.4% Rented (Private) 21.5% 32.6% Flats 37.9% Rented (Other)

Living Rent Free

Housing has an important influence on health inequalities in Scotland. This is through the effects of housing costs, housing quality, fuel poverty and the role of housing in community life. Many people do not live in a home that is warm, dry and affordable. There is more work to do to ensure that housing across tenures provides a sufficient number of quality, affordable homes to meet the needs of people in South Ayrshire. Almost 75% of dwellings are owned, either outright or with a mortgage, in the Prestwick locality and more than half of all dwellings are detached or semi-detached homes.

SIMD Crime Domain (2016)

50-100% 21

30-50% 7

15-30% 1

10-15% 1

5-10% 1

0-5%

0 5 10 15 20 25

A high crime rate suggests an unsafe community, which impacts on people's quality of life and may deter public and private improvements or investment and reduce the residential desirability of an area. In an unfavourable or declining economy, crime can increase. Poor earning power, unemployment or frustration with the resulting deprivation are factors which may lead people to commit criminal acts. Other factors affecting crime levels include alcohol abuse and drug dependency. In total, 2 datazones in the Prestwick Locality are identified as the most deprived 0-15% in respect of crime. Intervening early, engaging with young people and getting the right help at important times in their lives - especially for the most vulnerable - are vital steps to divert them from the wrong choices and impairing life chances. An effective and visible police presence helps to tackle offending and reduce fear of crime. Safe Communities Crime Rate per 100,000 Crimes by Grouping - rates per 100,000 (2016/17) Population 2500 10000 2000 8000 1500 1000 6000 500 4000 0

2000

0 2013/14 2014/15 2015/16 2016/17 Prestwick South Ayrshire Totals Prestwick South Ayrshire

The rate of annual crime per 100,000 individuals in the Prestwick locality has tended to be lower than the overall South Ayrshire average and has also been declining over recent years.

The most common crimes in Prestwick are road traffic accidents followed by crimes of disorder and crimes of dishonesty.

Accidental Dwelling Fires Rate per Deliberate Dwelling Fires Rate per 100,000 100,000 100 400

80 300

60 200 40 100 20

0 0 2013/14 2014/15 2015/16 2016/17 2013/14 2014/15 2015/16 2016/17 Prestwick South Ayrshire Prestwick South Ayrshire

The rate of accidental dwelling fires in the Prestwick locality has been substantially lower than the South Ayrshire average for a number of years. The rate of deliberate fires has been variables with rates climbing higher than the South Ayrshire average during years 2013/14 and 2016/17.

Health & Wellbeing

Positive health and wellbeing is at the heart of our community planning arrangements. We recognise that there are significant challenges in respect of the wellbeing of our communities and will work through our Integrated Health and Social Care arrangements to tackle these challenges.

Self-Described Health Status (2011) Long Term Health Conditions (2011) 100% Very bad 1.4% 1.2% 30.6% 80% 32.0% Bad 4.4% 3.8% 60% Fair 13.3% 12.5% 40% Good 30.1% 69.4% 68.0% 30.2% 20% Very good 50.8% 52.3% 0% 0% 10% 20% 30% 40% 50% 60% Prestwick South Ayrshire South Ayrshire Prestwick No Condition One or more conditions The wellbeing of individuals and communities is shaped by social, environmental and individual factors. Improvement in the health of younger people in particular could be achieved in the next 10-15 years if smoking and alcohol use in pregnancy could be reduced; breastfeeding support improved; healthy diets and physical activity promoted; and more support offered to families in need with housing, finance, safety, parenting, and social isolation. Premature Deaths from Coronary Heart Disease Prermature Deaths from Cancer (Under 75s) (Under 75s) 100 300

80 250

200 60 150 40 100 20 50 0 0 2011 - 2013 2012 - 2014 2013 - 2015 2011 - 2013 2012 - 2014 2013 - 2015 Prestwick South Ayrshire Scotland Prestwick South Ayrshire Scotland The rate of deaths under the age of 75 years is generally accepted to be an important indicator of overall health in a community. The rate for premature deaths as a result of coronary heart disease in the Prestwick locality has been largely stable in recent years however rates for cancer have increased since 2011. Smoking, excessive use of alcohol, drug use, obesity and poor mental wellbeing all increase the risk of premature death. While smoking and excessive use of alcohol rates are falling, obesity rates have been rising in recent years. Health & Wellbeing

Alcohol Related Hospital Stays per 100,000 Population 1,000

800

600

400

200

0 2011/12 2012/13 2013/14 2014/15 2015/16 Prestwick South Ayrshire Scotland Excessive use of alcohol can cause harm through physical illness (cancer, liver disease, brain damage), mental health problems such as anxiety and depression, violence, and the emotional wellbeing of individuals and families. Hospital admissions related to the use of alcohol have fallen in Prestwick locality and across South Ayrshire over the last five years. Rates in the Prestwick locality have tended to be significantly lower than the overall South Ayrshire rate, as well as the overall national average. However recent improvements across South Ayrshire have seen the gap between the Prestwick locality and the overall South Ayrshire rate narrow.

The advice from the Chief Medical Officer on low-risk drinking is “not to drink more than 14 units of alcohol per week on a regular basis”. The possible introduction of a minimum price per unit of alcohol in Scotland is likely to help reduce harmful consumption. Individuals can obtain support and advice on their drinking habits by visiting their General Practitioner. Drug Related Hospital Stays per 100,000 Population 250

200

150

100

50

0 2011/12 - 2012/13 - 2013/14 - 2014/15 - 2013/14 2014/15 2015/16 2016/17 Prestwick South Ayrshire Scotland Levels of drug use in a community are linked to a complex interplay of personal, environmental and societal factors. Rates of hospital stays related to drug use in the Prestwick locality have remained lower than the South Ayrshire and Scotland rates, although there has been a slight increase in rates locally in recent years. These hospital stays usually result from either a drug overdose or an accidental injury related to drug use. Efforts are ongoing to support people to enter or remain in education or employment where possible and to create purposeful community activities for people to become involved with. Drug use services and pharmacies are involved in ongoing efforts to provide support to individual drug users with their addiction and with managing the health consequences such as by providing clean equipment.

Health & Wellbeing

Rate of Patients (65+) with Multiple Emergency Hospitalisations per 100,000 Population 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 2011 - 2013 2012 - 2014 2013 - 2015 Prestwick South Ayrshire Scotland

In some circumstances, hospital admission provides timely access to expert assessment and treatment which can be life-saving. However, for some elderly people in particular, hospital admission can result from gaps or deficiencies in care processes that are delivered in the community. These “avoidable hospital admissions” can expose people to unnecessary risks such as hospital-acquired infections in addition to disruption to their lives and the lives of family members and carers.

The rate of patients aged 65 and over with multiple emergency hospital admissions have increased in the Prestwick locality over the last fifteen years. This is a similar pattern to South Ayrshire but the gap with the overall Scottish rate has increased in recent years.

Some of the most common causes of “avoidable hospital admissions” in older people have been identified as urinary tract infections, Chronic Obstructive Pulmonary Disease (COPD), and angina; these account for up to 15% of all hospital admissions. Improvements to care processes can help to reduce “avoidable hospital admissions”, with examples including: patient self-management programmes, tele-related health care, home visits from District Nurses and increased involvement of General Practitioners and Hospital Consultants in decisions made at Accident and Emergency.

Health & Wellbeing

% of Population Prescribed Drugs for Anxiety/Depression/Psychosis 25 20 15

10

5

0 2011/12 2012/13 2013/14 2014/15 2015/16 Prestwick South Ayrshire Scotland While some people benefit from these medicines, especially in the shorter term (6-12months), longer-term use can indicate a gap or deficiency in care services that help identify and address the underlying factors contributing to mental ill-health (“talking therapies”). Failure to address the underlying factors leaves people vulnerable to recurrence of illness or deterioration in mental health irrespective of medicines prescribed.

The number of people being prescribed medication for anxiety, depression or psychosis has increased steadily in the Prestwick locality over the last five years, a similar pattern to South Ayrshire and to Scotland as a whole.

While most medicines for treating anxiety, depression and psychosis are safe, once the body adjusts to the initial effects of these drugs, their longer-term use can expose people to harmful side effects such as dependence/addiction and diabetes. % Mothers Smoking During Pregnancy 25

20

15

10

5

0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 Prestwick South Ayrshire Scotland Smoking rates among pregnant women are similar to the general population and the harms to the mother’s health are the same as for any smoker (risk of heart disease, respiratory disease, cancer etc). However, smoking during pregnancy can also harm child development with a higher risk of low birth weight and pregnancy complications, in addition to the dangers of passive smoking after birth.

The percentage of women smoking during pregnancy has continued to fall in the Prestwick locality however more than one in eight mothers continue to smoke during pregnancy. Most smoking cessation therapies and treatments are safe to use in pregnancy and the smoking cessation service will be happy to support and advise mothers on these issues. Health & Wellbeing

% Babies Exclusively Breastfed at 6-8 Weeks 50 40 30

20

10

0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 Prestwick South Ayrshire Scotland Among the many health benefits, breastfeeding helps to support immune system development in babies, which is important for coping with infectious illnesses such as gastro-enteritis and infections of the chest and upper respiratory tract.

The percentage of babies exclusively breastfed at 6-8 weeks in the Prestwick locality have remained generally stable over recent years.

Health visitors offer advice and support to individual mothers with initiating and sustaining breastfeeding and efforts are also ongoing to make breastfeeding more accepted and supported across society. Teenage Pregnancies per 1,000 Population 50

40

30

20

10

0 2011 - 2013 2012 - 2014 2013 - 2015 Prestwick South Ayrshire Scotland Planned pregnancies ensure that individuals are prepared for parenthood, giving children the best possible start in life. The teenage pregnancy rate in the Prestwick has been generally stable over recent years, although ti remains below the total South Ayrshire and overall Scottish average rates.

Health & Wellbeing

% of Children with No Obvious Dental Caries in Primary One 100 80 60

40

20

0 2012/13 2013/14 2014/15 Prestwick South Ayrshire Scotland Childhood dental care is an important aspect of child health and a factor which can influence future disease prevention and oral health in later life.

The percentage of primary 1 children with no obvious dental caries have steadily increased across the last few years in Scotland and this picture is largely reproduced locally when more than 80% of children are free from any obvious dental caries.

Childsmile is a national programme which seeks to provide every child attending nursery with free, daily supervised tooth brushing, a dental pack containing a tooth brush and toothpaste, and encouragement to register with a local dentist. Childsmile also provides additional activities in areas of socio-economic deprivation or where tooth decay is more common including supervised tooth brushing to some primary school children, fluoride varnish application and a home visit from a dental health support worker.

Deprivation

The Scottish Index of Multiple Deprivation (SIMD) is used to identify the most deprived areas in Scotland. SIMD identifies small area concentrations of multiple deprivation across all of Scotland in a consistent way. It allows effective targeting of policies and funding where the aim is to wholly or partly tackle or take account of area concentrations of multiple deprivation. SIMD ranks Datazones s from most deprived (ranked 1) to least deprived (ranked 6,976). People using SIMD will often focus on the DZs below a certain rank, such as the 5%, 10%, 15% or 20% most deprived Datazones in Scotland. In South Ayrshire there are 153 datazones of which 17% are located in the Ayr North and Former Coalfield Communities Locality.The ANGFCC Locality includes 16 small areas or ‘datazones’ in the most deprived 20% of datazones across Scotland.

The Ten Most Deprived Datazones in South Ayrshire Datazone Locality Rank S01012489 Ayr North and Former Coalfield Communities 37 S01012491 Ayr North and Former Coalfield Communities 42 1012502 Ayr North and Former Coalfield Communities 46 S01012492 Ayr North and Former Coalfield Communities 64 S01012501 Ayr North and Former Coalfield Communities 75 S01012498 Ayr North and Former Coalfield Communities 274 S01012490 Ayr North and Former Coalfield Communities 350 S01012426 Girvan and South Carrick Villages 383 S01012425 Girvan and South Carrick Villages 469 S01012497 Ayr North and Former Coalfield Communities 477

Prestwick – Sources

I. Information Services Division Scotland (ISD)

II. National Records of Scotland (NRS) http://www.nrscotland.gov.uk/statistics-and-data

III. Nomis https://www.nomisweb.co.uk/

IV. Scotland’s Census 2011 http://www.scotlandscensus.gov.uk/ods-web/standard-outputs.html

V. Scottish Public Health Observatory (ScotPho) http://www.scotpho.org.uk/comparative- health/profiles/online-profiles-tool

VI. SIMD 16 Analysis: South Ayrshire.

VII. Statistics.Gov.Scot http://statistics.gov.scot/