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Joint Strategic Needs Assessment Devon Overview 2015

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Joint Strategic Needs Assessment Devon Overview 2015 Joint Strategic Needs Assessment: Devon Overview 2015 Joint Strategic Needs Assessment Devon Overview 2015 This Version published 22 June 2015 Written and edited by Simon Chant (Public Health Specialist) and Kirsty Priestley (Senior Public Health Information Analyst) This document was completed under the guidance of the Devon Joint Strategic Needs Assessment Development and Steering groups. We would like to thank the following people for their direct input and content contributions: Jo Hooper, Melanie Burke, Dr Emily Youngman, Dr Gemma Hobson, Sarah Bird, Dave Slocombe, Edward Cross, Barnaby Harris, Khristine Norton, George Marshall, Damian Furniss, Tracey Polak, Tina Henry, Doug Eltham, Donna Luckett (Devon County Council); Caroline Lee, Lorna Davis (Healthwatch Devon); Alex Aylward (Northern, Eastern and Western Devon CCG); Richard Blackwell (South West Academic Health Science Network); Dr Andrew Williams (University of Exeter) Page 1 of 135 Joint Strategic Needs Assessment: Devon Overview 2015 Contents 1. Executive Summary: The main challenges in Devon ........................................................ 5 2. Introduction ...................................................................................................................... 10 2.01 The Joint Strategic Needs Assessment ....................................................................... 10 2.02 The Health and Care Landscape in Devon .................................................................. 11 2.03 Existing Strategic Priorities in Devon ........................................................................... 13 2.04 Health Inequalities ....................................................................................................... 16 2.05 Prevention .................................................................................................................... 17 3. Population ........................................................................................................................ 18 3.01 Population Structure .................................................................................................... 18 3.02 Population Change ...................................................................................................... 20 3.03 Migration ...................................................................................................................... 21 3.04 New developments and infrastructure ......................................................................... 25 4. Equality and Diversity ...................................................................................................... 26 4.01 Race and Ethnicity ....................................................................................................... 28 4.02 Disability ....................................................................................................................... 29 4.03 Religion or belief .......................................................................................................... 30 4.04 Age ............................................................................................................................... 31 4.05 Sexual Orientation ....................................................................................................... 33 4.06 Gender ......................................................................................................................... 35 4.07 Gender Reassignment ................................................................................................. 36 4.08 Pregnancy and Maternity ............................................................................................. 36 5. Economy .......................................................................................................................... 38 5.01 Devon Economic Assessment ..................................................................................... 38 5.02 Employment ................................................................................................................. 39 5.03 Income ......................................................................................................................... 39 5.04 Skills and Qualifications ............................................................................................... 40 5.05 Health and Wellbeing Benefits ..................................................................................... 41 5.06 Benefits and Welfare Reform ....................................................................................... 42 5.06 Food Poverty ................................................................................................................ 43 6. Community and Environment .......................................................................................... 45 6.01 Devon Strategic Assessment ....................................................................................... 45 6.02 Crime and Community Safety ...................................................................................... 45 6.03 Environment ................................................................................................................. 46 6.04 Social Isolation and Connectedness ............................................................................ 48 6.05 Community Resilience ................................................................................................. 49 6.06 Housing ........................................................................................................................ 49 6.07 Homelessness ............................................................................................................. 50 6.08 Rurality and Accessibility ............................................................................................. 51 7. Socio-Economic Deprivation ........................................................................................... 53 7.01 Indices of Deprivation .................................................................................................. 53 7.02 Trends in Child Poverty ................................................................................................ 56 Page 2 of 135 Joint Strategic Needs Assessment: Devon Overview 2015 7.03 Local Change in Deprivation ........................................................................................ 57 8. Starting Well: Children, Young People and Families ....................................................... 59 8.01 Early Help: prevention in childhood ............................................................................. 59 8.02 Fertility and Birth .......................................................................................................... 60 8.03 Infant Mortality ............................................................................................................. 61 8.04 Life Expectancy at Birth ............................................................................................... 62 8.05 Smoking in Pregnancy ................................................................................................. 64 8.06 Breastfeeding ............................................................................................................... 64 8.07 Education ..................................................................................................................... 64 8.08 Youth Offending and Crime ......................................................................................... 66 8.09 Accidents and Unintentional Injuries ............................................................................ 68 8.10 Healthy Weight ............................................................................................................. 70 8.11 Sexual Health and Teenage Conceptions ................................................................... 71 8.12 Not in Education, Employment or Training (NEETs) ................................................... 74 8.13 Mental Health and Wellbeing in Childhood .................................................................. 74 8.14 Child Sexual Exploitation ............................................................................................. 78 8.15 Female Genital Mutilation ............................................................................................ 79 8.16 Safeguarding Children ................................................................................................. 79 8.17 Domestic Violence and Abuse ..................................................................................... 80 9. Living Well: Adults ........................................................................................................... 82 9.01 Commissioning for Prevention ..................................................................................... 82 9.02 Premature Mortality ...................................................................................................... 83 9.03 Smoking ....................................................................................................................... 86 9.04 High Blood Pressure (Hypertension) ........................................................................... 89 9.05 Weight .......................................................................................................................... 90 9.06 Physical Activity ..........................................................................................................
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