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Chiltern CCG – GP LOCALITY PROFILES – Wooburn Green

Locality Profile

CSCSU 9/9/2016 [Edition 1, Volume 1] Wooburn Green Locality Chapters   

Map of the locality

Demographics and Public

Health Data

Local Plan

Transport

Patient Services used, Community assets,

 Pharmacies  Dentists Who's Who  Opticians Dr Peter Newman  Learning Disability Clinical Locality Lead, Wooburn Green Locality Centers GP at Hawthornden Surgery, Bourne End, Bucks,  Children Centers  Social Care

Nurse Locality Lead: Vacant Voluntary sector services Locality GP Practices  Highfield Surgery Prisons, Universities,  Hawthornden Surgery  Millbarn Medical Centre colleges, Private  Pound House Surgery hospitals, Schools etc.  The Simpson Centre  Marlow Medical Group  Stokenchurch Medical Centre  Cherrymead Surgery

1 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Chiltern CCG – GP LOCALITY PROFILES – Wooburn Green

Overview

Health is influenced by a wide range of factors including the circumstances in which people are born, grow up, live and work. The specific health needs of an area are also influenced by the population’s age and ethnic mix, as different ethnic groups have different health needs. This locality profile includes data on the key influences of health and wellbeing, such as levels of deprivation, health related behaviours (such as smoking and physical activity), health outcomes, and use of health care services, in addition to the demographic profile of the population.

This profile should be read together with the Joint Strategic Needs Assessment 2016-20. The report is available at www.healthandwellbeingbucks.org/what-is-the-JSNA. This profile was produced by Buckinghamshire Public Health, Buckinghamshire County Council in November 2016 (email: [email protected]).

Understanding localities

The Practices in Buckinghamshire recognised that they each have a unique patient population with different needs, some of which may depend on where they live in the county. With this in mind, seven different geographical areas, called localities, were identified to focus their work on a very local level. The GP practices in each of the locality areas work together to discuss and agree what is best for their patients, meeting on a regular basis to discuss progress on their priorities for healthcare in their area of the county.

Localities are a health-based geography (meaning that they are based on the location of Practice populations) which, in Buckinghamshire, are different to the administrative county boundary. Due to the non-coterminous nature of health and county, some locality-level analyses may not contain complete data, and will be highlighted.

Setting Buckinghamshire in the national context

Buckinghamshire is the 5th least deprived upper-tier local authority in England. The county has some of the best educational and social outcomes and consequently health outcomes in the country, as reported through the Public Health Outcomes Framework published by Public Health England. Buckinghamshire therefore has relatively low healthcare funding as a consequence of the above. Although residents overall are much healthier than the national average, there is significant variation in the health and wellbeing across the county.

Deprivation within Buckinghamshire

The following maps show the latest data (Indices of Deprivation 2015) for the Index of Multiple Deprivation (map 1), Income Deprivation Affecting Children, which is the proportion of children aged 0-15 living in an income deprived family in receipt of benefits (map 2) and Income Deprivation Affecting Older People, which is the proportion of all those aged 60 or over who experience income deprivation (map 3), each distributed in to equal fifths of the

2 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Chiltern CCG – GP LOCALITY PROFILES – Wooburn Green population (deprivation quintiles). Map 4 shows the proportion of the working age population, in each ward, claiming Job Seekers Allowance (JSA, July 2016).

3 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Chiltern CCG – GP LOCALITY PROFILES – Wooburn Green Map 1 Map 2

4 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Chiltern CCG – GP LOCALITY PROFILES – Wooburn Green Map 3 Map 4

5 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Locality Profile 2016

Map of Chiltern CCG practices

Locality Profile 2016

Specific issues to consider from data available for Chiltern CCG’s Wooburn Green Locality

 The Wooburn Green locality’s population size is 89,602 people – around 16% of the total Buckinghamshire population.  20% of the population is aged 65+, 9.2% is aged 75+ and 2.8% is aged 85+, which are higher than the Chiltern CCG averages of 18.2%, 8.5% and 2.6% respectively and the Buckinghamshire averages of 17.9%, 8.2% and 2.4% respectively. 14.6% of the population however are aged 20-34, lower than Chiltern CCG average and Buckinghamshire average of 17%.  The locality is less deprived compared to Chiltern CCG and Buckinghamshire as a whole, but areas in Marlow South East, The Wooburns, Flackwell Heath and Little Marlow and Chiltern Rise wards are in the most deprived population quintile in Buckinghamshire  The locality is less ethnically diverse compared to Chiltern CCG and Buckinghamshire as a whole.  There is a difference of almost 3 years in life expectancy between males and females in Wooburn Green locality, which is the same as in Buckinghamshire localities combined.

The population of Wooburn Green locality generally experiences better health and statistically significantly higher life expectancy, compared to the Buckinghamshire population. Emergency admission rates to hospital are statistically lower than the Buckinghamshire and Chiltern CCG average. Early death rates are statistically significantly lower compared to Buckinghamshire, which itself has some of the lowest death rates in the country.

Locality Profile 2016

DETAILED REPORT

Demography - Population

 Locality size (2016): There are 8 GP practices in the Wooburn Green locality with a total registered population of 89,602 which is 26% of the total Chiltern CCG registered population.

 GP Practices (2016): Hawthornden Surgery, Millbarn Medical Centre, Highfield Surgery, The Marlow Medical Group, Cherrymead Surgery, The Simpson Centre, Stokenchurch Medical Centre, Pound House Surgery.

 Age profile: Relatively older population compared to Chiltern CCG and Buckinghamshire profiles with a lower proportion of those aged 20-29 (9.3% v 11%). 23.6% are aged 0-19 and more than 1 in 4 (26%) are aged 60 and over.

 Population changes: There has been an increase in all the older population groups since 2014 with a rise of 4.6% in those aged 65 and over; 4.8% aged 65-74; 1.8% aged 75-84; 10.7% in those aged 85 and over; 8.2% in those aged 85-94. Those aged 95 and over has risen by a half (51.9%) compared to 25.1% Buckinghamshire average increase.

 Population Projection 2016-2026: The population for Wycombe District is predicted to increase by 6% (10,500 people). The district population is forecast to fall by 17% (2,120 people) in those aged 35- 54 (compared to a fall of an average of 6% in Buckinghamshire), and a 20% increase (6,350 people) in those aged 65 and over (compared to an average of 24% increase in Buckinghamshire). This includes a 47% increase (1,900 people) in those aged 85 and over (which is the same increase as the average increase in Buckinghamshire).

 Ethnicity (2011): Lower proportion of population from a black and minority ethnic group, accounting for 6.9% of the total population compared to the Chiltern CCG average of 15.9%, the Buckinghamshire average of 13.6% and to England average of 14.7% [Census 2011].

 Deprivation (2015): The Index of Multiple Deprivation (2015) based on LSOAs shows an average deprivation score of 6.4 in Wooburn Green locality compared to 9.1 in Chiltern CCG (Range 6.4-13.4). (Higher the score, more the deprivation).

Locality Profile 2016

Wooburn Green Locality registered population pyramid, July 2016

85+ 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34

main X axis 25-29 20-24 15-19 10-14 05-09 00-04

10 8 6 4 2 0 2 4 6 8 10 % of gender total population Female Male Female Wooburn Green Locality Wooburn Green Locality CCCG Male Female Male CCCG England England

Locality Profile 2016

Housing in Poor Condition: This indicator from the Census 2011 indicates when a household has at least one bedroom too few for the number and composition of people living in the household and is considered overcrowded by the bedroom standard. In Wooburn Green locality, 2.0% of the population are living in households which are considered as overcrowded by this indicator which is below the average for Chiltern CCG of 3.7%.

Occupancy rating (bedrooms) of -1 or less AVCCG CCCG Bucks

1 or 1 less -

2% % Ocupancy rating of (bedrooms) rating % Ocupancy

0% Central North South Amersham & Southern Wooburn Wycombe Chesham Green GP Locality Census 2011

Births, low birth weight and infant mortality

 Births: There were 801 live births in the Wooburn Green locality, compared to 6,089 in all Buckinghamshire localities in 2015 (13.2% of all births in Buckinghamshire CCGs). The birth rate in the Wooburn Green locality was statistically significantly lower at 10.1, compared to the Buckinghamshire CCG rate of 11.8 in 2015, and the England rate of 12.2 (live births per 1,000 population, in 2014). The general fertility rate (per 1,000 female population aged 15-44) in the locality was 61.4 (which is not statistically different) compared to 64.8 in all Buckinghamshire localities, and 62.2 in England (2014).

 Low birth weight (LBW): 2013-15 records (from ONS) show that 6.0% of babies born to mothers in the Wooburn Green locality had a low birth weight (<2,500g), compared to 7.4% of babies in all 10

Locality Profile 2016

Buckinghamshire localities (and 7.4% of babies in England in 2014, latest data). This is not statistically different to the combined Buckinghamshire localities data.

 Infant deaths: The infant mortality (deaths at ages under 1 year) rate for Wooburn Green locality in 2013-15 was 1.2, which is lower (but not statistically different) than the combined Buckinghamshire localities rate of 3.8 (England rate, in 2014, was 4.0 per 1,000 live births).

Children

 Early Years Foundation Stage Profile (EYFSP): In Wooburn Green, 72.1% of pupils attending Buckinghamshire maintained schools and academies, achieved a Good Level of Development in 2016. This is higher than the average of 70.5% for all pupils attending Buckinghamshire schools/settings.

 Looked After Children: The rate of Looked After Children in Wooburn Green locality is 2.3 per 1,000 which is lower (but not statistically different) than the combined Buckinghamshire localities rate of 3.3 (as at 31st March 2016).

Life Expectancy and Mortality

 Life expectancy: The male life expectancy in the Wooburn Green population in 2013-15 was 83.8 years, which is statistically significantly higher than the Buckinghamshire average of 82.3 years (England average = 79.5 in 2012-14). Female life expectancy was 86.6 in Wooburn Green compared to 85.1 in Buckinghamshire, which is statistically significantly (England average = 83.2 in 2012-14).

 Mortality in under 75s: The chart below shows the contribution of each condition to the ‘gap’ in mortality between the locality and the Buckinghamshire mortality rate.

The mortality profile in the under 75 population in Wooburn Green locality shows a statistically significantly lower overall premature death rate than the combined Buckinghamshire localities (210.7 vs 240.6 per 100,000), with the major causes of premature deaths being Cancer, Circulatory disease and External Causes (accidents and injuries).

Locality Profile 2016

Under 75s, cause specific mortality profile (2013-15 combined) Wooburn Green Locality

300

250 11.3 15.9 Other causes 9.8 200 10.6 Infectious & parasitic diseases 17.4 13.4 External causes 7.2 18.8 Genitourinary system diseases 14.8 Nervous system diseases 150 13.5 Mental and behavioral disorders Digestive diseases Respiratory diseases

standardised rates per 100,000 population 100,000 per rates standardised 112.4 - 100 Cancers 99.8 Circulatory diseases

Directly age Directly 50

50.2 39.4

0 Wooburn Green Locality Bucks CCGs Other causes 9.8 11.3 Infectious & parasitic diseases 2.4 2.4 External causes 17.4 15.9 Genitourinary system diseases 1.7 1.4 Nervous system diseases 7.2 10.6 Mental and behavioral disorders 5.1 4.3 Digestive diseases 14.8 13.4 Respiratory diseases 13.5 18.8 Cancers 99.8 112.4 Circulatory diseases 39.4 50.2

 Mortality in over 75s: The mortality profile in the over 75 population in Wooburn Green locality also shows a statistically significantly lower overall death rate than the combined Buckinghamshire localities (5,586 vs 6,577 per 100,000), with the major causes of deaths in older ages being Circulatory disease, Cancer and Respiratory disease.

Locality Profile 2016

Over 75s, cause specific mortality profile (2013-15 combined) Wooburn Green Locality

8,000

7,000 307.6 171.6 6,000 419.7 Other causes 248.3 Infectious & parasitic diseases 167.3 861.9 5,000 297.5 External causes Genitourinary system diseases 497.8 272.9 Nervous system diseases 4,000 258.8 1080.2 Mental and behavioral disorders 870.9 Digestive diseases

3,000 Respiratory diseases standardised rates per 100,000 population 100,000 per rates standardised - 1481.4 Cancers 1,342.7 Circulatory diseases

2,000 Directly age Directly

1,000 1,751.1 1884.5

0 Wooburn Green Locality Bucks CCGs Other causes 248.3 307.6 Infectious & parasitic diseases 75.3 72.9 External causes 167.3 171.6 Genitourinary system diseases 113.1 159.6 Nervous system diseases 297.5 419.7 Mental and behavioral disorders 497.8 861.9 Digestive diseases 258.8 272.9 Respiratory diseases 870.9 1080.2 Cancers 1,342.7 1481.4 Circulatory diseases 1,751.1 1884.5

Lifestyle

 Smoking: Based on the Annual Population Survey (APS), 11.0% of adults are estimated to be smokers in Buckinghamshire compared to 16.9% in England (2015). This equates to around 7,758 current smokers in Wooburn Green locality.

 Physical Activity: Based on the Active People Survey (APS) from Sport England, 22.0% of adults in Buckinghamshire are estimated to be physically inactive (less than 30 minutes activity a week), which is better than the England figure of 28.7%. This equates to around 15,915 adults in Wooburn Green locality.

 Excess weight in Adults (Obese and overweight): Based on the Active People Survey (APS) from Sport England, 63% of adults in Buckinghamshire are estimated to be obese or overweight, which is similar to the England figure of 65%. This equates to around 45,214 adults in Wooburn Green locality.

 Alcohol consumption: Based on the 2011 Topography of Drinking Behaviours in England, 7.6% of drinkers in Buckinghamshire are estimated to be higher risk (harmful) drinkers (men who regularly drink over 8 units per day or over 50 units per week and women who regularly drink over 6 units per day and over 35 units per week), compared to 7.1% in England. This equates to around 5,465 in Wooburn Green locality.

Locality Profile 2016

  Obesity (Children) o Aged 4-5 years: According to the National Child Measurement Programme (NCMP), in 2014- 15, 17.3% of children aged 4-5 years (Reception Year) are estimated to be overweight or obese in the Wooburn Green locality, compared to 18.6% in Buckinghamshire localities (which is not statistically significantly different), and 21.9% in England. o Aged 10-11 years: According to the National Child Measurement Programme (NCMP), in 2014-15, 20.1% of children aged 10-11 years (Year 6) are estimated to be overweight or obese in the Wooburn Green locality, compared to 26.6% in Buckinghamshire localities (which is statistically significantly low), and 33.2% in England.

 In treatment for substance misuse o The rate of adult clients in significant contact with Buckinghamshire’s substance misuse treatment system (structured and non-structured) during 2013/14 to 2015/16 was 195.6 (per 100,000) in Wooburn Green, which is statistically significantly lower than in Buckinghamshire localities (combined rate of 274.2). o The rate of adult clients in significant contact with Buckinghamshire’s substance misuse treatment system for alcohol only use (structured and non-structured) during 2013/14 to 2015/16 was 90.0 (per 100,000) in Wooburn Green, which is lower, but not statistically different than in Buckinghamshire localities (combined rate of 109.6). o The rate of adult clients in significant contact with Buckinghamshire’s substance misuse treatment system for drug use (structured and non-structured) during 2013/14 to 2015/16 was 105.7 (per 100,000) in Wooburn Green, which is statistically significantly lower than in Buckinghamshire localities (combined rate of 164.6).

Screening, immunisation and NHS Health Checks

 Cancer screening: o Cervical Cancer: 78.1% of eligible women were screened for cervical cancer in Wooburn Green locality compared to 75.1% in Chiltern CCG (NHS Cancer Screening Programme 2014/15). o Breast Cancer: 79.6% of eligible women were screened for breast cancer within 6 months of invitation in Wooburn Green locality compared to 76.2% in Chiltern CCG (NHS Cancer Screening Programme 2014/15). o Bowel Cancer: 60.3% of eligible people were screened for bowel cancer within 6 months of invitation in Wooburn Green locality compared to 58.0% in Chiltern CCG (NHS Cancer Screening Programme 2014/15).

 Flu vaccination: In 2015/16, 72% of population aged 65 and over in Wooburn Green locality received the influenza vaccination compared to the Buckinghamshire average of 71%; slightly lower than the recommended level of uptake at 75%. Uptake among the pregnant group was 40% in Wooburn Green locality, which was lower than the Buckinghamshire average of 43%. Uptake among children aged 2, 3 and 4 was 49%, higher than the Buckinghamshire average of 39% and among children aged 5 and 6 was 64%, higher than the Buckinghamshire average of 44%.

 NHS Health Checks: In 2015/16, local data shows 9.5% of the eligible population in Wooburn Green locality received an NHS Health Check compared to the Chiltern CCG average of 7.6% and Buckinghamshire average of 7.2% 14

Locality Profile 2016

% Offered and Given Health Check, by CCG locality in 2015/16 25%

Equivalent to annual 20% target of 20%

15%

10% Equivalent to 50% of eligible population given a health check

% Offered Health Check % Given Health Check

South

North

Central

Southern

Wycombe

Chiltern CCG Chiltern

Wooburn Green Wooburn

Aylesbury Vale CCG Vale Aylesbury Combined Bucks CCGs Bucks Combined Chesham & Amersham

Long term conditions – Detection and management

The General Practice disease registers provide a count of individuals on registers such as Coronary Heart Disease (CHD), Hypertension, Chronic Obstructive Pulmonary Disease (COPD) register. These are detected prevalence rates and may not be true prevalence rates. Nationally, Public Health England have also developed models to estimate the prevalence of long term conditions in the local population using models that help estimate prevalence of conditions such as diabetes, hypertension, COPD, Dementia and CHD. These estimates help local healthcare organisations understand the undetected prevalence and actual disease burden. Modelled prevalence estimates draw on national surveys and local relevant data such as age, sex and deprivation. These modelled estimates are then compared against GP recorded data to identify the proportion of cases that may as yet be undiagnosed. It is important to note that these estimates have limitations but can be used to understand the ratio of detected to estimated prevalence of conditions like diabetes or hypertension. Confidence intervals are usually too wide to statistically compare the estimates locally and have not been published.

Expected prevalence: o Hypertension: Hypertension prevalence model estimates that the prevalence of hypertension in Wooburn Green locality is around 25% compared to the detected prevalence of 14.0% which means there could be around 9,600 individuals with undiagnosed hypertension in the locality and 36,600 undiagnosed in Chiltern CCG

Locality Profile 2016

o Diabetes: The diabetes prevalence model developed by Public Health England estimates the prevalence of diabetes in Chiltern CCG as 8% compared to the detected prevalence of 5.9%; which means there could be around 6,000 individuals with undetected diabetes in Chiltern CCG with around 2,200 undiagnosed in the Wooburn Green locality. (Note, these are modelled estimates and further analysis using practice population can be done to get approximate number of undetected cases in the practice population). The NHS Health Checks programme in Buckinghamshire is expected to identify undiagnosed cases of hypertension and diabetes among those aged 40-75.

Dementia: The Dementia modelled prevalence (Primary Care Web Tool, March 2015 data) shows a dementia diagnosis gap in Wooburn Green, with an estimated prevalence of 1.38% compared to a detected prevalence of 0.64%, which means there could be around 81 undiagnosed dementia cases in the locality. This compares to an estimated prevalence rate of 1.30% vs. 0.65% detected in Chiltern CCG (2,152 people), and 1.24% vs. 0.68% in Bucks CCGs combined (3,195) people.

Detected prevalence: (Source: 2015/16 CQRS provisional figures. Since these figures are not published by HSCIC, regional and national comparator values are not yet available.) o Hypertension: 14.0% in Wooburn Green locality with 12,418 individuals on hypertension register, compared to 13.4% in Buckinghamshire CCGs (combined). o Diabetes: 5.1% in Wooburn Green locality with 3,601 individuals on the diabetes register, compared to 5.9% in Buckinghamshire CCGs (combined). o Coronary heart disease (CHD): 2.8% in Wooburn Green locality with 2,510 individuals on the CHD register similar to Buckinghamshire CCGs (combined) average of 2.9%. o Heart failure (HF): 0.59% in Wooburn Green locality with 527 individuals on the HF register, compared to 0.60% in Buckinghamshire CCGs (combined). o Stroke and Transient Ischaemic Attack (STIA): 1.88% in Wooburn Green locality with 1,674 individuals on the STIA register, compared to 1.62% in Buckinghamshire CCGs (combined). o Atrial Fibrillation (AF): 2.1% in Wooburn Green locality with 1,856 individuals on the AF register, compared to 1.9% in Buckinghamshire CCGs (combined). o Chronic Kidney Disease (CKD): 3.2% in Wooburn Green locality with 2,223 individuals on the CKD register, compared to 3.3% in Buckinghamshire CCGs (combined). o COPD: 1.34% in Wooburn Green locality with 1,190 individuals on the COPD register, compared to Buckinghamshire CCGs (combined) average of 1.36%. o Asthma: 5.8% in Wooburn Green locality with 5,170 individuals on the Asthma register, compared to 6.0% in Buckinghamshire CCGs (combined). o Depression: 7.5% in Wooburn Green locality with 5,255 individuals on the Depression register, compared to 7.9% in Buckinghamshire CCGs (combined). o Dementia: 0.72% in Wooburn Green locality with 640 individuals on the Dementia register, compared to 0.73% in Buckinghamshire CCGs (combined). o Severe mental illness (SMI): 0.63% in Wooburn Green locality with 560 individuals on the SMI register, compared to 0.72% in Buckinghamshire CCGs (combined). o Cancer: 3.0% in Wooburn Green locality with 2,708 individuals on the Cancer register, compared to 2.7% in Buckinghamshire CCGs (combined).

Locality Profile 2016

Adult Social Care

 Trend summary for clients receiving Adult Social Care services 2013/14 to 2015/16 (age-standardised per 100,000 population aged 18+)

For definitions of these terms please see the glossary on page 22

Healthcare use (hospitals) – Secondary Uses Services

 Emergency admission rates (Directly standardised rate per 100,000 population, 2015/16. Note: actual admission rates available in summary table) o All causes: The rate is significantly lower than the combined Buckinghamshire localities average. . Between 2008/09 and 2015/16 the rate of admissions in Wooburn Green locality have increased by 11%

Locality Profile 2016

All Emergency Admissions (excluding admissions to MH Trusts), All Ages, FY 08/09 to FY 15/16, by locality within Chiltern CCG

12,000

10,000

8,000

6,000

4,000 DASR per 100,000 population 100,000 per DASR

2,000

0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG

o All causes, 65+: The rate is significantly lower than the combined Buckinghamshire localities average. o All causes, 75+: The rate is lower than the combined Buckinghamshire localities but with no significant difference. . Between 2008/09 and 2015/16 the rate of admissions in Wooburn Green locality have increased by 9%

Locality Profile 2016

All Emergency Admissions (excluding admissions to MH Trusts), Ages 75+, FY 08/09 to FY 15/16, by locality within Chiltern CCG

40,000

35,000

30,000

25,000

20,000

15,000

DASR per 100,000 population 100,000 per DASR 10,000

5,000

0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG

o All circulatory: The rate is significantly lower than the combined Buckinghamshire localities average. o Coronary Heart Disease (CHD): The rate is significantly lower than the combined Buckinghamshire localities average. o Stroke: The rate is higher than the combined Buckinghamshire localities but with no significant difference. o HF: The rate is lower than the combined Buckinghamshire localities but with no significant difference. o Diabetes: The rate is significantly lower than the combined Buckinghamshire localities average. o All respiratory: The rate is significantly lower than the combined Buckinghamshire localities average. o COPD: The rate is significantly lower than the combined Buckinghamshire localities average. o All cancers: The rate is significantly lower than the combined Buckinghamshire localities average. o Falls (65+): The rate is higher than the combined Buckinghamshire localities but with no significant difference.

 Admission rates for Mental Health (specialties or diagnosis): The rate is lower than the combined Buckinghamshire localities but with no significant difference.

 Emergency admissions as a % of patients on the respective disease register (2015/16) 19

Locality Profile 2016

o Heart failure: 17% in Wooburn Green locality compared to 19% in Buckinghamshire CCGs (from SCWCSU Urgent Care Dashboard). o COPD: 9% in Wooburn Green locality compared to 11% in Buckinghamshire CCGs (from SCWCSU Urgent Care Dashboard).

 Top causes of admissions (all) in people aged 65 and over, 2013/14-2015/16 (combined) Wooburn Green 6398 1 Cataract 1161 18.1% 2 Cancer 1048 16.4% 3 Pneumonia 764 11.9% 4 Blood in urine 541 8.5% 5 Osteoartritis lower limb 527 8.2% 6 Urinary tract infection 483 7.5% 7 Coronary heart disease 303 4.7% 8 Atrial fibrillation and flutter 266 4.2% 9 Gastrointestinal bleed 252 3.9% 10 Syncope and collapse 231 3.6% 11 Indigestion 221 3.5% 12 Gastroenteritis 211 3.3% 13 Chest pain, unspecified 196 3.1% 14 Retention of urine 194 3.0%

 Bed days, 2015/16 o Emergency admission: In 2015/16 the registered population of Wooburn Green had a total of 19,373 bed days for emergency admissions. 73.0%, or 14,133 bed days, were in the 65+ population and 57.6%, or 11,151 bed days, were in the 75+ population.

o All admissions: In 2015/16 the registered population of Wooburn Green had a total of 34,785 bed days for all admissions. 54.6%, or 18,976 bed days, were in the 65+ population and 40.1%, or 13,964 bed days, were in the 75+ population.

o Emergency admissions 65+: 55.7% of in-year bed days, for the registered population of Wooburn Green, are for emergency admissions, with 74.5% of in-year bed days for the population aged 65+ being for emergency admissions.

 Repeat admissions, 2015/16 o All ages: In the Wooburn Green locality, there were 7,146 emergency admissions to 5,283 people; 4,004 people had a single admission, 819 people had two admissions, 275 people had three admissions and 185 people had four or more emergency admissions in the year. In Wooburn Green locality the maximum number of repeat admissions was 19 within the year.

Locality Profile 2016

Across the Buckinghamshire localities, of the 33,267 people admitted as an emergency in 2015/16, 2,743 were previously admitted as an emergency in 2014/15 and 1,657 of them were also previously admitted as an emergency in 2013/14.

o Ages 65+: In the Wooburn Green locality, there were 3,171 emergency admissions to 2,229 people; 1,573 people had a single admission, 401 people had two admissions, 158 people had three admissions and 97 people had four or more emergency admissions in the year. In Wooburn Green locality the maximum number of repeat admissions was 15 within the year. Across the Buckinghamshire localities, of the 12,891 people age 65 and over admitted as an emergency in 2015/16, 1,492 were previously admitted as an emergency in 2014/15 and 925 of them were also previously admitted as an emergency in 2013/14.

o Ages 75+: In the Wooburn Green locality, there were 2,304 emergency admissions to 1,612 people; 1,111 people had a single admission, 304 people had two admissions, 121 people had three admissions and 76 people had four or more emergency admissions in the year. In Wooburn Green locality the maximum number of repeat admissions was 15 within the year. Across the Buckinghamshire localities, of the 9,045 people age 75 and over admitted as an emergency in 2015/16, 1,128 were previously admitted as an emergency in 2014/15 and 652 of them were also previously admitted as an emergency in 2013/14. Diabetes repeat admissions o Person admissions: The 27 emergency admissions for diabetes in 2015/16 were to 24 different people o Repeat admissions: In the Wooburn Green locality, 23 people had one admission and one person had four emergency admissions for diabetes. Across the Buckinghamshire localities, of the 222 people admitted as an emergency in 2015/16, 11 were previously admitted as an emergency in 2014/15 and nine of them were also previously admitted as an emergency in 2013/14 for diabetes. Cancer admissions o All admissions: In 2015/16 in Wooburn Green locality, there were aver 2,250 admissions for cancer (primary diagnosis). The rate is significantly lower than the combined Buckinghamshire localities average. o Emergency: Of these, 25.2% (569 admissions) were an emergency. This is lower than the Buckinghamshire average of 26.2%.

Childrens admissions (Directly standardised rate per 100000 population, 2015/16) o All emergency admissions, under 5s: The rate is higher than the combined Buckinghamshire localities, but with no significant difference. . Between 2008/09 and 2015/16 the rate of admissions in Wooburn Green locality has remained almost the same

Locality Profile 2016

All Emergency Admissions, Under 5s FY 08/09 to FY 15/16, by locality within Chiltern CCG

30,000

25,000

20,000

15,000

10,000 DASR per 100,000 population 100,000 per DASR

5,000

0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG

o All emergency admissions, under 15s: The rate is higher than the combined Buckinghamshire localities, but with no significant difference. o All emergency admissions, under 20s: The rate is higher than the combined Buckinghamshire localities, but with no significant difference. o Respiratory admissions (Lower Respiratory Tract Infections), under 20s: The rate is lower than that of the combined Buckinghamshire localities, but with no significant difference. o Accidental and deliberate injuries, under 15s: The rate is higher than the combined Buckinghamshire localities, but with no significant difference. o Accidental and deliberate injuries, 15-24s: The rate is lower than the combined Buckinghamshire localities, but with no significant difference. . Between 2008/09 and 2015/16 the rate of admissions in Wooburn Green locality has increased by almost 70%

Locality Profile 2016

Emergency Admissions for unintentional and deliberate injuries, ages 15-24 FY 08/09 to FY 15/16, by locality within Chiltern CCG

1,800

1,600

1,400

1,200

1,000

800

600 DASR per 100,000 population 100,000 per DASR 400

200

0 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Year Amersham & Chesham Southern Wooburn Green Wycombe Bucks CCGs (Combined) Aylesbury Vale CCG Chiltern CCG Patient experience – GP

The graph below presents the percentage patient satisfaction score by practice in Chiltern CCG.

Patient Satisfaction Score for Chiltern CCG Practices, Published July 2016 CCCG average = 86.0% Bucks CCGs average = 85.5% England average = 85.2% % Good % Good Chiltern CCG % Good Bucks CCGs 100.0%

95.0% 94.9% 94.4% 94.8% 95.0% 93.4% 93.5% 93.6% 93.8% 93.7% 94.0% 93.7% 92.7% 91.7% 92.0% 92.0% 91.1% 91.3% 91.5% 89.9% 89.3% 89.6% 90.0% 88.7% 88.9% 86.9%

85.0% 84.5% 82.1% 82.4%

80.0%

76.0% 76.4% 75.0% 72.6% 71.1% 69.2% % Satisfaction score Satisfaction % 70.0% 66.8%

65.0% 63.6%

60.0%

55.0%

50.0%

K82621 K82004 K82058 K82049 K82037 K82035 K82024 K82618 K82001 K82006 K82045 K82055 K82033 K82078 K82008 K82051 K82031 K82023 K82048 K82011 K82066 K82029 K82046 K82005 K82012 K82030 K82603 K82020 K82022 K82036 K82053 K82017 K82010 K82044 Amersham & Chesham Southern Wooburn Green Wycombe Chiltern CCG Practices 23

Locality Profile 2016

Notes/caveats

Indicators where data is not complete for Buckinghamshire localities (this will affect the South locality, Aylesbury Vale CCG total and Buckinghamshire CCGs combined total), i.e. data is only available for Buckinghamshire County only, but matched to localities for analysis purposes;

o Deprivation maps (drawn for Buckinghamshire County, with locality boundaries) o Births o Early Years Foundation Stage Profile o Looked After Children o National Childhood Monitoring Programme (NCMP) o Substance Misuse o Adult Social Care

Locality Profile 2016

Comparison measured against Bucks localities (combined) average

Statistically worse Higher Not compared Similar Similar Statistically better Lower

Aylesbury Vale CCG Chiltern CCG Amersham Wooburn Indicator Year England Bucks AVCCG CCCG Central North South Southern Wycombe & Chesham Green Total population 2016 549,458 209,871 339,587 103,189 58,328 48,354 75,666 84,033 89,602 90,286 under 5 population 2016 32,338 12,652 19,686 7,522 2,795 2,335 4,135 4,443 5,069 6,039 under 5 % of total 2016 5.8% 5.9% 6.0% 5.8% 7.3% 4.8% 4.8% 5.5% 5.3% 5.7% 6.7% 65+ population 2016 98,445 36,589 61,856 14,928 10,897 10,764 15,131 16,492 17,937 12,296 65+ % of total 2016 17.3% 17.9% 17.4% 18.2% 14.5% 18.7% 22.3% 20.0% 19.6% 20.0% 13.6% 75+ population 2016 44,899 15,945 28,954 6,813 4,398 4,734 7,035 7,944 8,219 5,756 75+ % of total 2016 7.8% 8.2% 7.6% 8.5% 6.6% 7.5% 9.8% 9.3% 9.5% 9.2% 6.4% 85+ population 2016 13,373 4,698 8,675 2,060 1,233 1,405 2,089 2,539 2,478 1,569 85+ % of total 2016 2.3% 2.4% 2.2% 2.6% 2.0% 2.1% 2.9% 2.8% 3.0% 2.8% 1.7% Black and minority ethnic communities 2011 14.7% 13.6% 9.8% 15.9% 16.1% 4.8% 3.6% 9.0% 14.6% 6.9% 31.0%

Deprivation (average IMD score) 2015 21.8 9.7 10.8 9.1 13.5 8.9 8.0 7.3 8.5 6.4 13.4 Demography - Population - Demography Housing in poor condition: No central heating 2011 2.7% 1.4% 1.6% 1.4% 1.6% 1.7% 1.4% 1.2% 1.1% 1.2% 1.9% Overcrowding (bedrooms) 2011 4.6% 3.6% 3.5% 3.7% 5.3% 2.0% 1.7% 2.8% 2.4% 2.0% 7.3% Live births* 2015 6,089 2,404 3,685 1,487 592 325 724 784 801 1,376 Crude birth rate (per 1,000)* 2015 (P) 11.8 12.4 11.5 15.4 10.1 8.3 9.7 10.2 10.1 15.1 General fertility rate (per 1,000)* 2015 (P) 64.8 66.9 63.5 75.1 57.8 55.4 59.5 61.7 61.4 68.3 Low birth weight births, % <2,500g * 2013-15 7.4% 7.6% 7.2% 8.0% 7.0% 6.7% 7.9% 6.8% 6.0% 7.8%

Deaths at ages under 1 year 2013-15 68 30 38 Births,, LBWB & LBWB Births,, Infant Mortality Infant Infant mortality rate (per 1,000) 2013-15 3.8 4.4 3.5 5.5 1.7 4.1 5.0 2.2 1.2 4.7 # EYFSP pupils within the area* 2016 6,582 1,410 692 449 841 710 918 1,266 % achieving a Good Level of Development 2016 70.5 71.0 77.9 77.5 73.6 71.1 72.1 60.5

Children Looked After Children (LAC) rate (per 1,000) 2015/16 3.3 4.2 2.8 5.6 2.8 2.4 2.8 1.4 2.3 4.2 Life expectancy at birth - PERSONS 2013-15 83.8 82.9 84.3 81.4 84.1 84.7 85.6 83.2 85.3 83.2 Life expectancy at birth - MALES 2013-15 82.3 81.7 82.6 80.2 82.5 83.7 83.5 81.6 83.8 81.7 Life expectancy at birth - FEMALES 2013-15 85.1 84.1 85.9 82.4 85.7 85.6 87.6 84.7 86.6 84.6

All cause premature mortality rate 2013-15 241 254 233 293 236 212 204 266 211 255 & Mortality &

Life Expectancy Life Expectancy All cause 75+ mortality rate 2013-15 6,577 7,323 6,167 8,559 6,502 6,280 5,491 6,850 5,586 6,877

* Data item for which areas in South Oxfordshire cannot be obtained

(P) Provisional25 data - awaiting updated populations

Locality Profile 2016

Comparison measured against Bucks localities (combined) average

Statistically worse Higher Not compared Similar Similar Statistically better Lower

Aylesbury Vale CCG Chiltern CCG Amersham Wooburn Indicator Year England Bucks AVCCG CCCG Central North South Southern Wycombe & Chesham Green Excess weight in children, 4-5 years (YrR)* 2014-15 18.6% 19.4% 18.0% 20.2% 18.5% 18.1% 22.4% 16.5% 17.3% 16.2% Excess weight in children, 10-11 years (Yr6)* 2014-15 26.6% 27.7% 25.9% 30.4% 22.6% 28.6% 27.5% 25.1% 20.1% 29.9% Adults in substance 2013/14 - 274 296 261 441 180 154 219 159 196 441 misuse treatment rate (per 100,000)* 2015/16 2013/14 -

Lifestyle Adults in alcohol treatment rate (per 100,000)* 109.6 126.3 99.1 171.3 88.3 84.5 100.6 62.3 90.0 137.9 2015/16 2013/14 - Adults in drug treatment rate (per 100,000)* 164.6 169.7 161.4 269.8 91.3 69.5 118.1 96.8 105.7 303.4 2015/16 Cervical Cancer Screening 2014/15 73.5 77.3 75.1 74.2 81.0 79.8 77.6 75.9 78.1 69.2 Breast Cancer Screening (within 6mths invite) 2014/15 72.8 74.8 76.2 72.9 71.5 79.8 75.7 74.9 79.6 75.0 Bowel Cancer Screening (within 6mths invite) 2014/15 57.6 59.0 58.0 55.1 60.9 62.6 62.6 56.2 60.3 52.2 Flu vaccination - 65+ population 2015/16 71.0% 70.6% 71.3% 71.2% 69.8% 70.6% 73.9% 69.1% 72.3% 69.3% Flu vaccination - pregnant women 2015/16 43.0% 44.5% 42.0% 41.9% 49.8% 48.1% 46.7% 43.4% 40.2% 39.4% Flu vaccination - children aged 2, 3 or 4 2015/16 38.9% 36.5% 40.3% 30.1% 38.4% 53.1% 43.1% 38.5% 49.1% 31.7% Flu vaccination - children aged 5 or 6 2015/16 44.2% 40.2% 46.7% 32.6% 52.6% 46.5% 55.5% 43.5% 63.8% 26.5%

NHS Health Checks - % Offered 2015/15 16.5% 15.5% 17.2% 14.3% 16.6% 15.6% 18.0% 14.4% 19.4% 17.0% and NHS Health Checks Health NHS and Screening, immunisation immunisation Screening, NHS Health Checks - % Uptake 2015/16 7.2% 6.6% 7.6% 5.6% 7.1% 6.9% 8.1% 6.7% 9.5% 6.1% Hypertension 2015/16 13.4% 13.5% 13.3% 11.9% 14.3% 15.9% 13.7% 13.7% 14.0% 11.9% Diabetes 2015/16 5.9% 6.0% 5.9% 6.4% 5.5% 5.8% 5.5% 5.7% 5.1% 7.2% Coronary Heart Disease (CHD) 2015/16 2.9% 3.1% 2.8% 3.0% 3.0% 3.4% 2.8% 3.0% 2.8% 2.6% Heart Failure 2015/16 0.60% 0.67% 0.56% 0.59% 0.66% 0.87% 0.54% 0.59% 0.59% 0.52% Stroke & Transient Ischaemic Attack (TIA) 2015/16 1.62% 1.52% 1.68% 1.42% 1.44% 1.82% 1.69% 1.84% 1.88% 1.31% Atrial Fibrillation 2015/16 1.9% 1.9% 1.9% 1.6% 2.0% 2.4% 2.1% 2.1% 2.1% 1.3% Chronic Kidney Disease 2015/16 3.3% 3.1% 3.4% 2.5% 3.1% 4.4% 3.5% 2.9% 3.2% 3.9% Chronic Obstructive Pulmonary Disease (COPD) 2015/16 1.36% 1.53% 1.25% 1.57% 1.40% 1.59% 1.21% 1.30% 1.34% 1.15% Asthma 2015/16 6.0% 6.3% 5.9% 6.4% 6.1% 6.2% 6.3% 5.5% 5.8% 6.0% Depression 2015/16 7.9% 8.7% 7.5% 9.6% 8.4% 7.2% 7.0% 7.7% 7.5% 7.6% Dementia 2015/16 0.73% 0.77% 0.71% 0.76% 0.72% 0.85% 0.71% 0.86% 0.72% 0.56% Severe Mental Illness 2015/16 0.72% 0.73% 0.71% 0.95% 0.53% 0.54% 0.68% 0.61% 0.63% 0.90% Long Term Condition Prevalence Condition Term Long Cancer 2015/16 2.7% 2.6% 2.7% 2.2% 2.8% 3.2% 3.1% 2.9% 3.0% 1.8%

* Data item for which areas in South Oxfordshire cannot be obtained

(P) Provisional26 data - awaiting updated populations

Locality Profile 2016

Comparison measured against Bucks localities (combined) average

Statistically worse Higher Not compared Similar Similar Statistically better Lower

Aylesbury Vale CCG Chiltern CCG Amersham Wooburn Indicator Year England Bucks AVCCG CCCG Central North South Southern Wycombe & Chesham Green Daycare rate (per 100,000)* 2015/16 131.8 196.0 154.2 78.1 119.3 66.3 105.1 214.0 Direct Payment rate (per 100,000)* 2015/16 333.0 482.4 256.9 247.0 359.2 244.2 261.8 451.1 Equipment rate (per 100,000)* 2015/16 162.7 203.5 163.3 82.1 136.5 154.5 139.4 267.5 Home Care rate (per 100,000)* 2015/16 479.9 644.8 480.1 355.1 486.3 389.0 375.5 640.4

Services Laundry rate (per 100,000)* 2015/16 44.6 52.3 37.7 39.5 51.4 21.8 36.6 79.3

Supported Living rate (per 100,000)* 2015/16 88.6 153.7 59.8 104.1 72.8 38.6 27.3 156.1 Adult Social Care Care Social Adult Telecare rate (per 100,000)* 2015/16 1079.4 1587.3 1008.0 870.0 1117.6 896.0 922.9 1157.3 All age emergency admission rate 2015/16 8,762.3 9,113.4 8,551.2 10,079.0 8,215.0 8,295.7 7,637.0 8,649.1 8,065.3 9,741.4 65+ emergency admission rate 2015/16 20,079 20,357 19,902 21,298 19,497 20,009 17,889 22,492 18,481 20,945 75+ emergency admission rate 2015/16 30,760 30,906 30,671 31,052 30,529 31,047 27,673 33,755 29,108 32,355 Emergency circulatory admission rate 2015/16 702.3 712.2 696.0 758.2 707.2 647.7 611.0 789.5 620.9 769.4 Emergency CHD admission rate 2015/16 152.4 172.2 140.9 195.6 166.2 147.4 142.1 136.1 107.8 188.2 Emergency Stroke admission rate 2015/16 118.4 120.9 117.3 146.3 100.0 106.0 96.9 109.8 127.9 134.5 Emergency Heart Failure admission rate 2015/16 99.1 86.1 106.4 86.5 97.6 74.5 66.4 154.4 92.3 110.0 Emergency Diabetes admission rate 2015/16 51.0 60.2 45.8 81.9 41.7 39.9 35.1 50.9 30.5 67.4 Emergency respiratory admission rate 2015/16 1,123 1,166 1,099 1,292 1,170 935 912 1,142 972 1,368 Emergency COPD admission rate 2015/16 147.5 175.0 131.9 222.6 163.9 124.2 95.1 146.3 106.1 190.2 Emergency cancer admission rate 2015/16 702.3 712.2 696.0 758.2 707.2 647.7 611.0 789.5 620.9 769.4 65+ emergency Falls admission rate 2015/16 2,608 2,502 2,668 2,581 2,409 2,497 2,261 3,034 2,650 2,697 Mental Health admission rate 2015/16 309.1 338.8 292.5 460.5 243.1 201.7 222.0 226.4 308.0 393.2

Healthcare use Healthcare Cancer admission rate 2015/16 2,688 2,548 2,771 2,807 2,410 2,294 2,505 3,463 2,498 2,560 Under 5 emergency admission rate 2015/16 17,660 16,885 18,100 18,394 15,876 13,934 16,367 12,670 18,616 23,440 Under 15 emergency admission rate 2015/16 8,238 7,924 8,416 8,584 7,469 6,773 7,683 6,357 8,555 10,599 Under 20 emergency admission rate 2015/16 7,345 7,227 7,407 7,984 6,689 6,144 6,742 5,810 7,538 9,157 Under 20 emergency respiratory admission rate 2015/16 420.0 460.0 397.3 542.0 434.6 271.6 417.2 267.9 374.6 515.5 Under 15 emergency unintentional and 2015/16 945 1,019 902 1,125 774 1,042 831 816 1,041 903

(hospital admissions, rates per 100,000per rates population) admissions, (hospital deliberate injuries admission rate 15-24 emergency unintentional and deliberate 2015/16 1,419 1,632 1,291 1,862 1,149 1,881 1,250 993 1,357 1,501 injuries admission rate

* Data item for which areas in South Oxfordshire cannot be obtained (P) Provisional data - awaiting updated populations

Locality Profile 2016

Transport:

Public Transport: For bus timetable information contact 0845 2302882 or email: [email protected] Concessionary Fares free bus travel for older and disabled people. Bus passes are valid nationally from 09:30-23:00hrs Monday to Friday and all day at weekends. In Buckinghamshire the scheme is extended to include journeys from 09:00-23:00hrs on Monday to Friday. Contact 0845 5212521 E mail: [email protected]

Chiltern Railways: Customer services contact: 08456 005 165 (0700-2200hrs) www.chilternrailways.co.uk (from London Marylebone with stations at Denham, Denham Golf Club, Gerrards Cross and Seer Green & Jordan’s to Beaconsfield and Birmingham). For passengers with wheelchairs and limited mobility who require assistance 08456005165, then option 3 followed by 3 with 24hrs notice, ramps can be made available at staffed stations. On-board there is a designated ‘wheelchair area’ and colour scheme designed to help those with visual difficulties. The majority of long distance trains have an accessible toilet. To assist those with hearing problems, all carriages have electronic visual displays showing the stations at which the train stops.

First Great Western: Customer services contact: 08457 000 125 www.firstgreatwestern.co.uk from/to London Paddington with stations at Cookham, Bourne End and Marlow to/from Maidenhead and Reading. For assisted travel a booking form requires completion and submission at least 24 hours before travel.

National Rail Enquiries: Contact: www.nationalrail.co.uk or customer services 08457 484950 for timetable and fare enquiries.

Senior Railcard: To apply for a Senior Railcard you must be over 60+. There are time restrictions allowing the card to be used only outside peak times (morning rush hour). It is advisable to confirm with ticket office staff before ticket purchase.

Disabled Persons Railcard: contact telephone 0845 605 0525 (0700hrs-22:00hrs Monday to Sunday) email: [email protected] Minicom/Textphone: 0845 601 0132

The Community Transport Hub: A one stop shop for information. Advice and guidance on community transport providers in Buckinghamshire. From Dial A Ride to community car schemes. If there are no suitable services in the immediate area, plans to work with the local community can be made to establish them. Contact 0800 085 8480 10:00-14:00 Monday to Friday visit Community Impact Bucks www.communityimpactbucks.org.uk or email [email protected]

Chiltern Dial-a-Ride: A ‘not for profit’ organisation dedicated to providing an affordable, accessible and safe transport service for people not able to transport themselves or use public transport. Chiltern’s Dial-a-Ride operate a door to door transport service for people with restricted mobility and wheelchair access on all vehicles is standard, staff are fully trained and insured. Regular services run from 08:30 to 17:00 Monday to Friday with the exception of public holidays. For smaller vehicles the run time can be extended to 19:00hrs subject to driver availability. Day trips can be arranged for members when at least four members have registered an 28

Locality Profile 2016 interest in the event. An outing will occur once a month minimum and is notified through the quarterly newsletter. Typically a trip to the seaside, theatre, garden centres or places of natural or historic interest. Bookings are made on a first come first serve basis and acceptance is subject to operational capability. Reservations should be made at least 2 days in advance to avoid disappointment. All smaller vehicles have capacity for a wheelchair and 2 other passengers. Where a carer must accompany a member the carer can travel free of charge (with exception of planned outings). Membership subscription is required (currently £15.00 2013) payable by cheque to: Chilterns Dial-a-Ride Ltd. Community based organisations may make use of larger vehicles in the fleet with a 16 seat capacity or 8 seated and 4 wheelchair users on a contract basis. Contact: Helen Petty or Jo Francis - Gow 01494 766123 or [email protected]

Locality Profile 2016

Patient Services used (BSM Patient Flows from Optum and other reports)

Locality Profile 2016

Community: Pharmacies: TRADING NAME ADDRESS TOWN POSTCODE TEL 01494 Boots the Chemist 7-12 Station Road Beaconsfield HP9 1NL 673320

Boots the Chemist 3 Aires House, The Straight Bit Flackwell Heath HP10 9NB

01494 Boots the Chemist 9 Park Parade, Western Dene Hazlemere HP15 7AA 711713 01628 Boots the Chemist 4-5 Market Square Marlow SL7 3HH 482875 01628 Glade Pharmacy Victoria Road Marlow SL7 1DS 482078 01494 Lansdales Pharmacy Ltd Penn Surgery, Elm Road Penn HP10 8LQ 816163 01494 Lloyds Pharmacy 30-32 London End Beaconsfield HP9 2JH 673014 01494 Lloyds Pharmacy 5 The Highway Beaconsfield HP9 1QD 672677

01628 Lloyds Pharmacy 1 The Parade Bourne End SL8 5SA 520144

Marlow Bottom Marlow 01628 2 Brucewood Parade Marlow Bottom Pharmacy Bottom 486312 01628 Marlow Pharmacy 61 High Street Marlow SL7 1AB 482241 Compass House, Knave 0800 Pharmacare Medical Loudwater HP10 9QY Beech Way 6521554 01494 Rowlands Pharmacy 2 Market Parade Hazlemere HP15 7LQ 711557 01494 Rowlands Pharmacy Oxford Road Stokenchurch HP14 3TA 482103 Gateway House, Wycombe 01494 Ryemead Pharmacy High Wycombe HP11 1FY Retail Park 525752 01494 Lloyds Pharmacy Maxwell Road Beaconsfield HP9 1QH 670060 Cavell House, Knaves Way, 01628 Securicare (Medical) Ltd High Wycombe HP10 9QY Loudwater 850100 01628 Tesco Pharmacy London Road, Loudwater High Wycombe HP10 9RT 659847 Wooburn Green 01628 51 The Green Wooburn Green HP10 0EU Pharmacy 521397 31

Locality Profile 2016

 Dentists and Orthodontics:

TELEPHONE DENTIST NAME PREMISES ADDRESS NUMBER Oasis Dental Care 30 Straight Bit 01628 526178 Flackwell Heath HP10 9LT

Courthouse Dental Practice The Old Courthouse 01628 482002 Trinity Road Marlow SL7 3AN

Ash Tree House Dental 6b The Green 01628 532932 Practice Wooburn Green HP10 0EE

Millhouse Dental Practice London Road 01494 523003 Loudwater HP10 9TJ

Court Dental Clinic 7 Highway Court 01494 671119 Beaconsfield HP9 1QB

Tooth Booth 28 Aylesbury End 01494 730940 Beaconsfield HP9 1LW

Locality Profile 2016

Dental Healthcare Marlow 2a Chapel Street 01628 486278 Marlow SL7 1DD

Hazlemere Dental Practice 1 Holmer Green 01494 711940 Hazlemere HP15 7BB

Beaconsfield Dental 5 Ledborough Lane 01494 673219 Practice Beaconsfield HP9 2PZ

Glade Dental Practice 55a Glade Road 01628 483531 Marlow SL7 1DQ

 Opticians:

TRADE NAME PREMISES ADDRESS TEL. NO Boots Opticians Boots Opticians 01494 812755 25 Gregories Road Beaconsfield HP9 1HH

Ashton Opticians Ashton Opticians 01628 530420 1 Acorn House 12-16 Straight Bit

Flackwell Heath

HP10 9LS

Boots Opticians Boots Opticians 01628 483052 93 High Street Marlow SL7 1AB

Locality Profile 2016

David Clulow Marlow David Clulow Marlow Limited 01628 484544 Limited 42 High Street Marlow, SL7 1AW

John Andrew Stewart- John Andrew Stewart-Robinson 01628 482906 Robinson 49 West Street Marlow SL7 2LS

Leightons Insight Leightons Insight Opticians 01628 477998 Opticians 73 High Street Marlow

SL7 1AB

W J Kepetzis W J Kepetzis Optometrists 01494 716708 Optometrists 26 Eastern Dene Hazlemere HP15 7BS

Michael Blackstone Michael Blackstone Optometrists 01494 673782 Optometrists 18 The Highway Station Road Beaconsfield HP9 1QQ

S.H. Harrold (1937) S.H. Harrold (1937) Limited 01895 237799 Limited 26 Gregories Road Beaconsfield HP9 1HQ

Scrivens Scrivens Opticians 0121 456 8700 20-24 The Parade Bourne End SL8 5SY

Care Homes:

Locality Profile 2016

Alde House: Church Road Penn Buckinghamshire HP10 8NX Telephone: (01494) 813365 Care Types: Care Home • Older People Bradbury House: Abbeyfield Beaconsfield Society Windsor End Beaconsfield Buckinghamshire HP9 2JW Telephone: (01494) 671780 Care Types: Care Home • Older People • Sensory Impairment Brook House: 28 The Green Wooburn Green, High Wycombe Buckinghamshire HP10 0EJ Telephone: (01628) 528228 Care Types: Care Home with Nursing • Older People Campbells Private Home Care: 21 Woodside Avenue Beaconsfield Buckinghamshire HP9 1JJ Telephone: (01494) 680657 Care Types: Dementia • Domiciliary Home Care • Drug or Alcohol Dependance • Learning disability/autism • Mental Health • Older People • Physical Disability • Sensory Impairment • Younger Adults Cliveden Manor: 210 Little Marlow Road Marlow Buckinghamshire SL7 1HX Telephone: (01628) 401100 Care Types: Care Home with Nursing • Dementia • Older People • Younger Adults

Harrias House Residential Care Home:

Locality Profile 2016

Hedgerley Lane Beaconsfield Buckinghamshire HP9 2SD Telephone: (01494) 674204 Care Types: Care Home • Older People Hazlemere Lodge: Barn Lane Hazlemere High Wycombe Buckinghamshire HP15 7BQ Telephone: (01494) 767800 Care Types: Care Home with Nursing • Dementia • Older People • Physical Disability • Sensory Impairment Home Instead Senior Care: Unit D Bourne End Business Park, Cores End Road Bourne End Buckinghamshire SL8 5AS Telephone: (01494) 411268 Care Types: Dementia • Domiciliary Home Care • Drug or Alcohol Dependence • Eating disorder • Learning disability/autism • Mental Health • Older People • Physical Disability • Sensory Impairment Home Instead Senior Care: The Business Centre The Courtyard Glory Park, Wooburn Green Buckinghamshire HP10 0DG Telephone: (01494) 411268 Care Types: Dementia • Domiciliary Home Care • Drug or Alcohol Dependence • Eating disorder • Learning disability/autism • Mental Health • Older People • Physical Disability • Sensory Impairment Kingfishers Nursing Home: Fieldhead Gardens Bourne End Buckinghamshire SL8 5RA Telephone: (01628) 520020 Care Types: Care Home with Nursing • Older People Meadowside Residential Care Home:

Locality Profile 2016

202 Little Marlow Road Marlow Buckinghamshire SL7 1HX Telephone: (01628) 898068 Care Types: Care Home • Older People • Sensory Impairment Penley Grange: Marlow Road Stokenchurch Buckinghamshire HP14 3UW Telephone: (01494) 483119 Care Types: Care Home • Learning disability/autism Seeleys Respite Centre: Seeleys House Campbell Drive Beaconsfield Buckinghamshire HP9 1TF Telephone: (01494) 475340 Care Types: Care Home • Learning disability/autism • Younger Adults Sir Aubrey Ward House: Prospect Road Marlow Buckinghamshire SL7 2PJ Telephone: (01628) 890150 Care Types: Care Home • Dementia • Older People St James Court: Barn Lane Hazlemere High Wycombe Buckinghamshire HP15 7DQ Telephone: (01494) 767970 Care Types: Dementia • Domiciliary Home Care • Housing with Care • Older People • Physical Disability • Sensory Impairment

Sunrise of Beaconsfield: 30-34 Station Road Beaconsfield Buckinghamshire HP9 1AB Telephone: (01494) 739600 37

Locality Profile 2016

Care Types: Care Home • Dementia • Older People Universal Care – Beaconsfield: Chester House 9 Windsor End Beaconsfield Buckinghamshire HP9 2DF Telephone: (01494) 678811 Care Types: Dementia • Domiciliary Home Care • Eating disorder • Learning disability/autism • Mental Health • Older People • Physical Disability • Sensory Impairment • Younger Adults White Lodge Care Home Limited: White Lodge Bisham Road Marlow Buckinghamshire SL7 1RP Telephone: (01628) 898281 Care Types: Care Home • Dementia • Older People • Physical Disability

Home Care Providers: Campbells Private Homecare, Beaconsfield Tel: 01494 680657

Carers Trust Central & South Bucks High Wycombe Tel: 01494 568980

Carewatch (South Bucks & North Berks) Beaconsfield Tel: 01494 730530

Home Instead Senior Care Bourne End Tel: 01494 411268

Universal Care Beaconsfield Tel: 01494 678811

Supported Living in Buckinghamshire:

Locality Profile 2016

Supported Living in Buckinghamshire Info: http://www.buckscc.gov.uk/bcc/adult_social_care/abode.page Buckinghamshire Care homes and supported housing Search: http://www.bucksconnect.org.uk/care-and-support/care-homes-and-supported-housing.aspx Transport / Getting around Search: http://www.bucksconnect.org.uk/community/getting-around.aspx Care and Support and at Home Search: http://www.bucksconnect.org.uk/care-and-support/care-and-support-at-home.aspx Personal Assistants Search: http://www.bucksconnect.org.uk/care-and-support/personal-assistants.aspx Meals: http://www.buckscc.gov.uk/bcc/adult_social_care/meals.page Assistive technology: http://www.buckscc.gov.uk/bcc/adult_social_care/telecare.page

Children Centres:

Wooburn Green and Bourne End Children's Centre:

Address: The Meadows School, School Road, Wooburn Green, High Wycombe, Buckinghamshire HP10 0HF Contact Name: Heidi Hopwood Telephone:01628 525802, Service Co-ordinator Heidi 07734 569853, Bianca (Family Support Worker) 07837 802836 E-mail:[email protected].

Beaconsfield Children's Centre:

Address: Beacon Close, Beaconsfield, Buckinghamshire HP9 1RJ Contact Name: Heidi Hopwood Contact Position: Service Co-ordinator

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Telephone:01494 678244, Service Co-ordinator - 07734 569853, Aarti (Family Support Workers) 07795 355331, Chantel (Family Support Workers) 07889 201695 E-mail:[email protected]

Marlow Children's Centre:

Address: Newfield Road, Marlow, Buckinghamshire SL7 1JW Contact Name: Debby Morgan Telephone: 01628 472121, Annette Townsend (Family Support Worker) 07525 733862 E-mail: [email protected]

Stokenchurch and Hambleden Valley Children's Centre:

Address: Betty Messenger Building, Longburrow, Park Lane, Stokenchurch, High Wycombe, Buckinghamshire HP14 3TQ Contact Name: Debby Morgan Telephone: 01494 483 140 - Longburrow, 01494 881 333 - Lane End (Satellite), Glenda Curlewis (Family Support Worker) 07930 869345, Raynor Allen (Family Support Worker) 07850 724294 E-mail: [email protected]

Useful local contacts in Buckinghamshire:

Adult Social Care: Buckinghamshire County Council Tel: 01296 383204 Email: [email protected] Web: www.buckscc.gov.uk Web: www.careadvicebuckinghamshire.org

Age UK Buckinghamshire (previously called Age Concern): Confidential, up-to-date, independent information and advice on all issues of concern, including dementia, for older people, their families, friends and carers. Helpline Tel: 01296 431911 open between 9.30am and 12.30am each weekday morning. Web: www.ageuk.org.uk/buckinghamshire

Alzheimer’s Society: Alzheimer’s Society works to improve the quality of life of people affected by dementia by providing advice, information and support.

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South Buckinghamshire Tel: 01494 670 909 Email: [email protected] Buckinghamshire Hospitals NHS Trust: Tel: 01494 434411 Web: www.buckinghamshirehospitals.nhs.uk Email: [email protected] The Care Quality Commission: An independent body set up by Government to carry out inspections, report on care services and councils with the aim of improving social care. Tel: 03000 616161 Web: www.cqc.org.uk Carers Bucks: Supports carers in their caring role by providing information, advice and emotional support. Tel: 01296 392711 Web: www.carersbucks.org Citizens Advice Bureau: A registered charity offering advice and information to the public on a wide range of topics. The service is free, confidential and independent. Chiltern Tel: 0344 245 1289 High Wycombe and District Tel: 0344 245 1289 Web: www.citizensadvice.org.uk

Crossroads: Provides a reliable, tailored service, for each carer and the person they care for; this charity improves the lives of carers by giving them a break from their caring responsibilities. Crossroads Care Central and South Buckinghamshire Tel: 01494 568980 Web: www.buckscrossroads.org.uk Email: [email protected]

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Paying for care: We have a factsheet ‘Do you have to pay?’ which explains what contribution (if any) you will have to make towards paying for any services you need. Contact Adult Social Care at Buckinghamshire County Council, County Hall, Aylesbury HP20 1YU or phone 01296 383204 for a current factsheet. More information can be found on the website: www.careadvicebuckinghamshire.org ‘Tell Us Once’ When you make an appointment to register a death in Buckinghamshire, you can extend your appointment and take up the ‘Tell Us Once’ service. This will mean that the registrar can send your information to other government organisations that need to know about the death. To book an appointment with the registrar online, visit: https://s5.sishost.co.uk//BK/Agenda/OnlineBookingsPublic/Signup.aspx Or call: Aylesbury area: 01296 382581 Beaconsfield area: 01494 475200 Telecare and specialist equipment: Specialist equipment at home: There is a wide range of equipment available to make life easier for you if you are struggling with your mobility. SAFE+WELL is a new service offered by our contracted equipment suppliers NRS Healthcare. The service is available to all residents either online or by telephone. Through a simple and straightforward set of questions the short survey will help you choose the right daily living aids, suggest places you can buy them, and let you know where you can try them locally. To find out more visit www.safeandwell.co.uk/buckinghamshire or call: 0300 100 0247. Healthcare advice and support Patient Advice and Liaison Service (PALS) Each NHS Trust in Buckinghamshire has a Patient Advice and Liaison Service within it which serves as a one stop shop for patients and their families seeking advice and support on all aspects of healthcare. Buckinghamshire Hospitals NHS Trust Tel: 01296 316042 Email: [email protected]

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Oxford Health NHS Foundation Trust Tel: 0800 328 7971 Email: [email protected] Wycombe and Amersham Hospitals Tel: 01494 425882 Email: [email protected]

Safeguarding adults in Buckinghamshire: Buckinghamshire County Council and partners in Thames Valley Police, the NHS and service provider organisations have a Safeguarding Adults Board to ensure that vulnerable people are protected from abuse, and that where abuse exists, every effort is made to bring abusers to justice. Thames Valley Police Tel: 0845 850 5505 (in an emergency, dial 999). More information is available on the Buckinghamshire County Council website: www.careadvicebuckinghamshire.org ‘Deprivation of Liberty Safeguards’ Further information about this Act can be found on our website: www.buckscc.gov.uk or by telephoning customer services on: 0845 370 8090. Bucks Stroke Support: Bucks Stroke Support helps you if you have had a stroke to make the best possible recovery. This includes support to leave hospital, home visits to help recovery and training to help regain speech. Stroke survivors, carers and family members can also join an Expert Stroke Programme to help them manage the condition. This is a free six week course (two hours a week) run throughout the year across the county. Whether you have had a stroke recently or in the last few years, you can call: 0300 330 0761 or email: [email protected] for information, advice and support, or to book a place on the Expert Stroke Programme.

Voluntary sector Services:

Movers and Shakers Health and wellbeing model supports adults from socially disadvantaged communities and encourage them to lead healthier lifestyles. Use of an innovative, inclusive and self-care model to 43

Locality Profile 2016 promote healthy ageing and wellbeing for older adults enable them to live longer independent lives. Members report that ‘attending the sessions makes them feel younger and rejuvenated’. Group sessions for adults are a way to meet others and take part in a number of enjoyable activities including: Art & Craft, Gentle Exercise and Guest Speakers. The weekly sessions are held in community settings and lead by friendly volunteers. A light lunch is also provided. Groups currently operate in Aylesbury Vale, Wycombe, Chiltern and South Bucks Districts.

Five Ways to Wellbeing Well-being is when you feel good and enjoy your day to day life and has two main aspects: feeling good and functioning well. Feelings of happiness, contentment, curiosity, engagement and enjoyment are characteristic of someone with a positive experience of their life. The five ways are: Connect, Be Active, Take Notice, Keep Learning and Give

HEALTHWISE: PHYSICAL ACTIVITY REFERRAL SCHEME Introduces individuals to the benefits of physical activity in order to help reduce risk factors for chronic disease and manage existing medical conditions. The programme aims to encourage people of all abilities to become and remain more physically active, helping to increase fitness levels and improve health and well-being. The scheme is for Chilterns and South Bucks residents and their GP or doctors surgery is based in the same locality. It is designed to help people with medical conditions or other specialist requirements that prevent them from entering mainstream exercise.

Common reasons for referral:

 HIGH BLOOD PRESSURE  DIABETES  OBESITY  ASTHMA  CIRCULATORY / RESPIRATORY DISEASES  DEPRESSION & ANXIETY  ARTHRITIS

Healthwise offer a range of classes to suit all abilities, through a facilitator suitable classes can be selected e.g.: Gym based supervised sessions, Group exercise options, Healthy Walks, Water- based exercises, Weight management classes, Musculoskeletal classes (lower back), Cardiac and pulmonary rehabilitation classes. REGISTRATION: through referral of GP or Practice Nurse, if the GP is not registered with the scheme contact through the ‘Healthwise’ Coordinator at the local ‘Better Leisure Centre’.

On completion of referral form and initial assessment registration and enrolment on a 12 week needs appropriate course follows at: Chiltern Pools Leisure Centre, Amersham or The Beacon Sports Centre, Beaconsfield, or Chalfont Leisure Centre, or Chalfont St Peter, or Chesham Leisure Centre, or Sprinters Leisure Centre Prestwood. Contact: Chalfont Leisure Centre, Nicol Road, Chalfont St Peter, Bucks SL9 9LR. Telephone: 01753 887812 or mobile: 07970 214 742. Fax 08724464506 44

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PARKWOOD HEALTHCARE Health Trainer Service aims to improve the health and well-being of local residents and reduce health inequalities. This service is free and is commissioned by Public Health. The service provision includes:

-being and ability to manage stress. on

[email protected],uk www.parkwoodhealthcare.co.uk Telephone 01628 857311

Samaritans 24 hour helpline Confidential, emotional support to anyone in crisis experiencing feelings of distress or despair. www.samaritans.org Email: [email protected] Contact: 0845 7909 090

Action on Elder Abuse (AEA) AEA works to protect and prevent the abuse of vulnerable adults. A confidential helpline provides information, advice and support to victims of abuse and others concerned about or have witnessed abuse. www.elderabuse.org.uk Contact telephone: 0808 808 8141 (Monday to Friday 0900-1700)

Community Advice Network (CAN) www.canhelp.org.uk People who live or work in the Chiltern and South Bucks can access free advice through one telephone number: 0300 323 0121 / [email protected] CAN aims to make life easier for local people to find the advice they are looking for. If advice is needed on any issue including debt, benefits, housing, mental health or employment a fully trained adviser is available to speak to. In partnership with Age UK, Bucks Floating Support, MIND and Carers Bucks the local CAB service will provide referrals to these and other local agencies via the one phone number, making it simpler to get the right advice. All advice is completely free, confidential and open to everyone in the local community

Tax Help for Older People are an independent free tax advice service for older people on low incomes who cannot afford to pay for professional advice. Older people on low incomes and their carers are eligible. Contact 0845 6013321 www.taxvol.org.uk

Prisons, Universities, colleges and Private hospitals:

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Private Hospitals The Wooburn Green Locality has no Private Hospitals

Prisons There are no prisons in the Wooburn Green Locality

Colleges and Universities The Wooburn Green Locality has no colleges or universities

Libraries:

Beaconsfield Library: Address: Reynolds Road, Beaconsfield HP9 2NJ Email: [email protected]

Bourne End Library: Address: Wakeman Road, Bourne End SL8 5SX Email: [email protected]

Flackwell Heath Library: Address: Flackwell Heath Community Library, Chapel Road Flackwell Heath, Bucks HP10 9AA Email: [email protected] Telephone: 0845 230 3232 / 01296 382415

Hazlemere Library: Address: 312 Amersham Road, Hazlemere, Bucks, HP15 7PY Email: [email protected]

Marlow Library: Address: Institute Road, Marlow SL7 1BL Email: [email protected]

Stokenchurch Community Library: Address: Wycombe Road, Stokenchurch, High Wycombe, Buckinghamshire HP14 3RG Telephone: 0845 2303232 / 01296 382415

Locality Profile 2016