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Grangegorman Neighbourhood and Primary Care Area Health Needs Assessment Grangegorman Neighbourhood and Primary Care Area • Health Needs Assessment ACKNOWLEDGEMENTS

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Grangegorman Neighbourhood and Primary Care Area Health Needs Assessment Grangegorman Neighbourhood and Primary Care Area • Health Needs Assessment ACKNOWLEDGEMENTS Grangegorman Neighbourhood and Primary Care Area Health Needs Assessment Grangegorman Neighbourhood and Primary Care Area • Health Needs Assessment ACKNOWLEDGEMENTS This preparation of this Health Needs Assessment involved individuals and organisations across the study area and beyond and the researchers would like to take this opportunity to thank those people and groups who gave of their time, knowledge and experiences. The members of the research team would particularly like to thank: The members of the advisory and steering group who supported the research team. t n e The busy health care professionals who made themselves available to be interviewed or who attended the m various focus group meeting. s s e s The representatives of the various community based organisations who met with us and who provided us s with unique insights and facilitated members of the research team meeting with particular health service A s users. d e e The individuals who conducted the community interviews: Aisling, Alison, Chris, Ciara, Janet, Joanne, Kate, N Kim, Leanne, Rachel, Sharon and Sheila as well as Carmel and Fidelma who continually made sure everyone h t was clear about what was to be done and where. l a e The members of the research team would also like to thank the local residents who participated in the H • community survey. A full and accurate assessment of the health needs of the area would not have been a possible without this input. e r A Thanks are all due to the staff at the Health Information Unit, Carmel and Miriam, and particularly Derek and e r Alison who prepared the detailed maps within the report. a C y r a m i r P d n a d o o h r u o b h g i e N n a m r o g e g n a r G 1 TABLE OF CONTENTS Chapter 1 Introduction 4 Chapter 2 A Demographic Profile of the Study Area 9 t Chapter 3 An Overview of Local Health and Health Related Services 26 n e m Chapter 4 Health Services: the Community Perspective 56 s s e Chapter 5 Findings, Conclusions and Recommendations 71 s s A s d e e N h t LIST OF TABLES l a e H • Table 2.1 Breakdown of the Population by ED, 2006 9 a e Table 2.2 The Size of Households in the Study Area 11 r Table 2.3 Lone Parent Families 13 A e Table 2.4 Number of People over the age of 65 Living Alone 14 r a Table 2.5 Deaths in Dublin City and the State 15 C Table 2.6 The Main Causes of Mortality in the State and in Dublin City 16 y r Table 2.7 Major types of cancer diagnosed in residents in Dublin 7 16 a Table 2.8 Accommodation for Homeless Households in Dublin 1 and Dublin 7 18 m i Table 2.9 Percentage Unemployment Rates - 20 r P Table 2.10 A breakdown of the Medical Card Holders across the study area 22 d Table 2.11 Distribution and labels of Relative Index Scores, 2006 23 n Table 2.12 Relative Index Scores - Haase and Pratschke 23 a d o Table 3.1 Services available in the Health Centres/Community Welfare Offices 28 o h Table 3.2 The No, of Children in Care in the Dublin North West LHO 34 r u Table 3.3 The No of New & Existing Child Protection and Child Welfare Referrals 34 o Table 3.4 No of In-Patients with a Dublin 7 Address Attending Local Hospitals 41 b h Table 3.5 Nature of childcare facilities in study area, 2006 44 g i Table 3.6 Playgrounds in the Study Area 45 e Table 3.7 Church Halls, Parish Halls and Community Centres in the Study Area 47 N Table 3.8 Social Centres in the Study Area 47 n a Table 3.9 Parks, Gardens and Open Spaces in the Study Area 47 m r o Table 4.1 Health Status of Individuals in Households Surveyed 57 g Table 4.2 Average Number of Cigarettes Smoked per Day 57 e g Table 4.3 Reasons given for not having Regular physical exam/check up 58 n a Table 4.4 Breakdown of Illnesses for 51 individuals in Households surveyed 59 r Table 4.5 Difficulties Being Experienced in the Households Surveyed 59 G Table 4.6 Satisfaction Levels with Local Health Centre 61 Table 4.7 Satisfaction Levels with Physiotherapy Services 63 Table 4.8. Levels of Satisfaction with Ophthalmic Services 63 Table 4.9 Key Issues with CWO supports 64 Table 4.10 Additional Comments on Community Welfare service 65 2 LIST OF FIGURES Figure 2.1 Age Breakdown of the Population 10 Figure 2.2 Age Breakdown of the Population (%), 1996, 2002, 2006 11 Figure 2.3 Nationalities in the Study Area, 2006 12 Figure 2.4 ‘White Irish’ as a Percentage of the Total Study Area Population, 2006 13 Figure 2.5 Age Breakdown of People with Disabilities (Total: 3,593) 14 t n Figure 2.6 Breakdown of Number of Hours Worked by Unpaid Carers 15 e Figure 2.7 Housing Tenure in the Study area)in comparison with the state) 17 m Figure 2.8 Socio-Economic Status of Population of Grangegorman Area, 2006 18 s s Figure 2.9 Unemployment Rates, 2006 19 e s Figure 2.10 Proportion of the Population with No Formal Education 20 s Figure 2.11 Proportion of the Population with a Third Level Qualification 21 A s Figure 2.12 Haase-Pratschke Index Scores, 2006 24 d e e N h LIST OF MAPS t l a e H Map 1.1 The Grangegorman Heath Needs Assessment Study area 5 • Map 3.1 GP Practices, Pharmacies, Chiropodists & Dentists in study area 27 a e Map 3.2 Location of Health Centres, Hospitals Nursing Homes and Addiction Centres 30 r Map 3.3 Location of various Homeless Services in the Study Area 42 A e Map 3.4 Location of Pre-school Facilities and Schools in the study area 44 r a Map 3.5 Location of Playgrounds and Parks in the study area 46 C Map 3.6 Location of the Sporting and Recreational Facilities 49 y r a m i r ANNEX LIST P d n a Annex 1 Membership of the HNA Advisory group and Steering Group 77 d o Annex 2 An Analysis of the Key Findings of Local Reports 78 o Annex 3 The areas of health service where interviews were conducted 84 h r Annex 4 A list of community organistions consulted 85 u o Annex 5 A breakdown of population at EA level 86 b Annex 6 Details of the Childcare facilities located in/adjacent to the study area 87 h g i e N n a m r o g e g n a r G 3 CHAPTER 1 INTRODUCTION t n e m s s e s s 1.1 Introduction to the Research 1.2 The Research Objectives A s d The study aims to identify and collect information The study has a number of key objectives as follows: e e on the health needs of the population in the wider N Grangegorman/North Inner City area. Findings from 1. To detail and analyse statistical data regarding h t l the assessment will assist in developing health the socio-economic and demographic details a facilities in the re-developed Grangegorman site of the NWIC/ Grangegorman area (population e H and more generally support the HSE in developing trends, age profile, unemployment patterns, • recommendations for planning services and levels of educational attainment/early school a e responses to future health needs in the area (and leaving etc.). r A reviewing existing views on these matters). The area 2. To analyse relevant local and national reports, e r included in the research is made up of 10 ED’s and data and research. a is that defined in the Grangegorman Development C 3. To consider the impact on the community y Act as the Grangegorman Neighbourhood, plus r which the significant infrastructural, social, a additional Electoral Districts that form the economic and cultural changes which have m Grangegorman Network for the HSE. See Map 1.1 i taken place in the NWIC. r for an outline of the study area. P 4. To carry out an audit of current health service d n The research will also be used to inform the provision in the area. a d development of health facilities in the 5. To analyse and describe significant health o factors of the population, based on public o redevelopment of the 73 acre Grangegorman site. h health indicators. r u The research was carried out using participatory 6. To examine the community’s experiences of o b research methods, in order to facilitate the active health services in terms of: h involvement of the local community in the design, g • Access and availability. i e management and development of findings. The • Response and treatments. N study was managed as a partnership project n • Pathways in and out of acute services. a between local Community Representatives and m Organisations, the Health Services Executive (HSE) • Access to Allied Health services. r o and the Grangegorman Development Agency 7. To detail plans which the HSE have for the g (GDA). e Grangegorman Primary care network. g n 8. To articulate the hopes, fears, concerns and a The project was managed by an Advisory Group r aspirations of local people living within the G who in turn reported to the Steering Group, Grangegorman area regarding health services consisting of representatives of the various partners for this area.
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