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North Northamptonshire Health Study

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North Northamptonshire Health Study NORTH NORTHAMPTONSHIRE HEALTH STUDY NORTH NORTHAMPTONSHIRE JOINT PLANNING AND DELIVERY UNIT January 2018 Our Ref: Q70096 Contents EXECUTIVE SUMMARY ........................................................................................................................................ 1 1 INTRODUCTION ................................................................................................................................... 8 2 OBJECTIVE AND AIMS ........................................................................................................................ 10 3 HEALTH AND PLANNING ................................................................................................................... 11 4 METHODOLOGY ................................................................................................................................ 19 5 SOCIO-ECONOMIC BASELINE ............................................................................................................ 22 6 HEALTH FACILITIES ............................................................................................................................ 75 7 BASELINE SUMMARY ......................................................................................................................... 84 8 GROWTH IN NORTH NORTHAMPTONSHIRE ..................................................................................... 86 9 SUSTAINABLE URBAN EXTENSIONS .................................................................................................. 91 10 INFRASTRUCTURE DEMAND ........................................................................................................... 100 11 DELIVERING INFRASTRUCTURE ....................................................................................................... 102 12 BUILDING IN HEALTH ...................................................................................................................... 115 13 RECOMMENDATIONS AND CONCLUSION ....................................................................................... 130 APPENDIX 1 DETAILED WARD DATA APPENDIX 2 LIFETIME HOME STANDARDS Tables Table 5.1: Life Expectancy at Birth (Source: ONS, 2012-2014) ........................................................................ 26 Table 5.2: Tenure Profile (Source: ONS Census 2011) ..................................................................................... 44 Table 5.3: Economic Activity and Inactivity (Source: ONS Census 2011) ........................................................ 49 Table 10.1: SUEs Infrastructure Requirements and Costs ............................................................................. 100 Table 10.2: Infrastructure Demand Summary ............................................................................................... 101 Table 11.1: Action Plan for Delivery for SUE provision ................................................................................. 112 Figures Figure 1: Age Profile (Source: ONS Census 2011) ............................................................................................ 23 Figure 2: Proportion of Residents over 65 (Source: ONS Census 2011) .......................................................... 25 Figure 3: Male Life Expectancy at Birth (Source: ONS, 2014) .......................................................................... 27 Figure 4: Female Life Expectancy at Birth (Source: ONS, 2014) ...................................................................... 27 Figure 5: Residents Self-reporting bad or very bad health (Source: ONS Census 2011) ................................. 29 Figure 6: Health Issues relating to housing ..................................................................................................... 36 Figure 7: Population Density (Source: ONS Census 2011) ............................................................................... 38 Figure 8: Overcrowding Across North Northamptonshire (Source: ONS Census 2011) .................................. 40 Figure 9: Tenure Profile of North Northamptonshire (Source: ONS Census 2011) ......................................... 41 Figure 10: Distribution of Social Rented Homes across North Northamptonshire (Source: ONS Census 2011) ......................................................................................................................................................................... 43 Figure 11: Health issues related to economic status....................................................................................... 47 Figure 12: Distribution of Economic Inactivity across North Northamptonshire (Source: ONS Census 2011) 50 Figure 13: Distribution of Economic Inactive Retired Residents across North Northamptonshire (Source: ONS Census 2011) ........................................................................................................................................... 51 Figure 14: Claimant Count (Jan 2013 to May 2016) (Source: ONS Claimant Count) ....................................... 52 Figure 15: Long Term Unemployment (Source: ONS 2011 Census) ................................................................ 53 Figure 16: Distribution of Household Incomes (Source: CACI 2016) ............................................................... 54 Figure 17: Qualification Attainment (Source: ONS 2011 Census) ................................................................... 56 Figure 18: Heath issues related to living environment ................................................................................... 58 Figure 19: Excess Weight among Adults (Source: Active People Survey 2012) .............................................. 61 Figure 20: Crime rates across Northamptonshire, October 2017 (Source: Crime Stats, 2017) ...................... 63 Figure 21: Time Series of Crime across Northamptonshire (October 2015 to October 2017) (Source: Crime Stats, 2017) ...................................................................................................................................................... 63 Figure 22: Overall Indices of Multiple Deprivation (IMD), 2015 ..................................................................... 68 Figure 23: IMD (2015) – Barriers to Housing and Services .............................................................................. 69 Figure 24: IMD (2015) - Education, Skills and Training .................................................................................... 70 North Northamptonshire North Northamptonshire Health Study January 2018 Figure 25: IMD (2015) – Income ...................................................................................................................... 71 Figure 26: IMD (2015) – Employment Deprivation ......................................................................................... 72 Figure 27: IMD (2015) – Living Environment ................................................................................................... 73 Figure 28: IMD (2015) – Crime ........................................................................................................................ 74 Figure 29: Existing Health Facilities across North Northamptonshire ............................................................. 78 Figure 30: Priority Need across GPs in North Northamptonshire ................................................................... 81 Figure 31: Patients per sqm ............................................................................................................................. 83 Figure 32: Age Pyramid 2014 - 2031 ............................................................................................................... 89 Figure 33: Mechanism for Delivery ............................................................................................................... 105 Figure 34: Approach Healthcare Provision in New Developments ............................................................... 110 North Northamptonshire North Northamptonshire Health Study January 2018 EXECUTIVE SUMMARY Overarching Context of Health and Planning 1. Today there is a greater emphasis on health and wellbeing as a whole. Our population is growing and aging, this combined with the strain on public resources means that the Government must support people in living healthier lives for longer. 2. Planning and the various aspects it controls can have an impact on many areas of people’s health and wellbeing. Where we live and work has the most immediate impact on our personal state of health and wellbeing. How we move around our environment, whether it be our daily commute, or how active we are, equally has a major effect on our physical and mental wellbeing. 3. Our ability to access facilities and care is paramount to addressing health issues head on. Primary healthcare facilities act as the gateway into the wider healthcare system within the UK. The efficient provision of primary healthcare is therefore important to managing the health of the population over their lifetime. 4. Planning has a role to play in many of these aspects that impacts on health and wellbeing particularly around design and providing opportunities for healthier lifestyles. However it is important to understand the extent to which planning can have an impact, and manage the expectations of the positive health outcomes that can be achieved within the remit of planning. There is a balance between encouraging healthy lifestyles, and not having
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