Pharmaceutical Needs Assessment 2018-2021 2018-2021
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Pharmaceutical Needs Assessment 2018-2021 2018-2021 Produced by Derby City Public Health Department Knowledge, Intelligence & Strategic Planning This Pharmaceutical Needs Assessment has been produced for both Derby City Council and Derbyshire County Council Health & Wellbeing Boards. Pharmaceutical Needs Assessment 2018-2021 Acknowledgements The PNA Steering Group wishes to thank all the members of the public and wider stakeholders who participated in the consultation of this needs assessment. In addition, the Group would like to thank Charlotte Moore, Chris McManus, Leila Whiteley, Nicola Richmond and Sereena Raju for their valued contribution to the content of this PNA. It also wishes to acknowledge Derby City, Derbyshire County and District Local Authority Planning Departments for contributing the detail on future housing plans, to support the assessment of future need for community pharmacy across the area. A particular thank-you must be given to Andy Muirhead who has produced much of the content whilst also overseeing the production of the document as a whole, ensuring its timely and effective delivery. Finally, we would like to give special thanks to Graham Archer, Chief Officer, Derbyshire Local Pharmaceutical Committee (LPC), for his support in producing this and the previous two PNAs. This will be Graham’s last as he retires as Chief Officer. We wish you all the very best in your retirement Graham. Version Control Title Derby and Derbyshire Pharmaceutical Needs Assessment 2018-2021 Status Final document approved by Derby and Derbyshire Health & Wellbeing Boards Version 3.0 Date Created 26th March 2018 Approved by Derby & Derbyshire Joint PNA Steering Group and latterly by the two HWBs Author Andrew Muirhead Owner Derby City and Derbyshire County Health and Wellbeing Boards Amendment 1.0 – Draft for Stakeholder Consultation History 2.0 – Final draft for approval by Health & Wellbeing Boards Review date Every three years unless significant change to pharmaceutical service provision Comments All maps produced for this PNA are subject to copyright: Copyright © Experian Ltd 2008; Copyright © NAVTEQ 2008; Based on Crown Copyright material. If individual pages from this publication featuring a map are reproduced, distributed or transmitted in any form of by any means, they must feature the above Copyrights. Cover and header imagery reproduced courtesy of: Kreativkolors – Freepik.com; iStock photo; agescotland @ wordpress.com; Shutterstock.com Derby City & Derbyshire County Page 1 Pharmaceutical Needs Assessment 2018-2021 Contents Acknowledgements ................................................................................................................................. 1 Figures ..................................................................................................................................................... 6 Tables ...................................................................................................................................................... 8 Executive Summary ................................................................................................................................. 9 Key findings ......................................................................................................................................... 9 Key pharmacy provision headlines: .............................................................................................. 10 Key nomination headlines: ........................................................................................................... 11 Key housing plan targets: .............................................................................................................. 11 Top 3 causes of death where life expectancy could be gained: ................................................... 12 Key recommendations from the Murray Review ......................................................................... 13 1. Introduction .................................................................................................................................. 15 1.1 Background and purpose ...................................................................................................... 15 1.1.1 Legislative and Policy Background ................................................................................ 15 1.1.2 Sustainability & Transformation Plans .......................................................................... 17 1.1.3 Murray Review .............................................................................................................. 18 1.2 Process for producing the PNA ............................................................................................. 18 1.2.1 In scope ......................................................................................................................... 19 1.2.2 Consultation .................................................................................................................. 20 2. PNA Locality Profiles ..................................................................................................................... 21 2.1 Derby City .............................................................................................................................. 21 2.2 Derbyshire County and Districts ........................................................................................... 26 2.2.1 Amber Valley ................................................................................................................. 26 2.2.2 Bolsover......................................................................................................................... 31 2.2.3 Chesterfield ................................................................................................................... 36 2.2.4 Derbyshire Dales ........................................................................................................... 41 2.2.5 Erewash ......................................................................................................................... 46 2.2.6 High Peak ...................................................................................................................... 51 2.2.7 North East Derbyshire ................................................................................................... 56 2.2.8 South Derbyshire........................................................................................................... 61 2.3 Place ...................................................................................................................................... 66 3. Population health needs ............................................................................................................... 68 3.1 Population characteristics ..................................................................................................... 68 3.1.1 Age ................................................................................................................................ 68 Derby City & Derbyshire County Page 2 Pharmaceutical Needs Assessment 2018-2021 3.1.2 Census resident population .......................................................................................... 69 3.1.3 Predicted population growth ........................................................................................ 72 3.1.4 Housing developments ................................................................................................. 75 3.1.5 Locality Summary Spine Charts ..................................................................................... 77 3.1.6 Life expectancy.............................................................................................................. 81 3.1.7 Population segmentation .............................................................................................. 81 3.2 Specific communities ............................................................................................................ 83 3.2.1 Ethnicity ........................................................................................................................ 83 3.2.2 Migrant population ....................................................................................................... 85 3.2.3 Children ......................................................................................................................... 87 3.2.4 Children and adults in care ........................................................................................... 89 3.2.5 Disabled people............................................................................................................. 90 3.2.6 Other distinct population groups .................................................................................. 91 3.2.7 Breastfeeding populations ............................................................................................ 92 3.2.8 Transport ....................................................................................................................... 92 3.2.9 Deprivation.................................................................................................................... 92 3.3 Causes of ill health ................................................................................................................ 95 3.3.1 Cardiovascular disease .................................................................................................