Aylesbury Vale CCG Aylesbury Vale Central Locality Profile
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Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central Aylesbury Vale CCG Aylesbury Vale Central Locality Profile 1 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central 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 2 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central aged 60 or over who experience income deprivation (map 3), each distributed in to equal fifths of the 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 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central Map 1 Map 2 4 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central Map 3 Map 4 5 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central Map of Aylesbury Vale CCG practices 6 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central Key Practice Name Locality 1 K82007: The Swan Practice Aylesbury Vale North 2 K82042: Whitchurch Surgery Aylesbury Vale North 3 K82043: Norden House Surgery Aylesbury Vale North 4 K82061: Ashcroft Surgery Aylesbury Vale North 5 K82069: Verney Close Surgery Aylesbury Vale North 6 K82070: The Surgery, Wing Aylesbury Vale North 7 K82079: Edlesborough Surgery Aylesbury Vale North 8 K82014: Oakfield Surgery Aylesbury Vale Central (INNER) 9 K82018: Meadowcroft Surgery Aylesbury Vale Central (INNER) 10 K82019: Mandeville & Elmhurst Surgery Aylesbury Vale Central (INNER) 11 K82038: Poplar Grove Surgery Aylesbury Vale Central (INNER) 12 K82040: Whitehill Surgery Aylesbury Vale Central (INNER) 13 Y01964: Berryfields Aylesbury Vale Central (INNER) 14 K82073: Westongrove Partnership Aylesbury Vale Central (OUTER) 15 K82021: The Cross Keys Aylesbury Vale South 16 K82028: Haddenham Health Aylesbury Vale South 17 K82034: Wellington House Aylesbury Vale South 18 K82047: Trinity Health Aylesbury Vale South 19 K82068: Waddesdon Surgery Aylesbury Vale South 7 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central Specific issues to consider from data available for Aylesbury Vale CCG’s Aylesbury Vale Central Locality The Aylesbury Vale Central locality’s population size is 103,189 people – around 19% of the total Buckinghamshire population. 14.5% of the population is aged 65+, 6.6% is aged 75+ and 2.0% is aged 85+, which are lower than the Aylesbury Vale CCG averages of 17.4%, 7.6% and 2.2% respectively and the Buckinghamshire averages of 17.9%, 8.2% and 2.4% respectively. 7.3% of the population are aged under 5, higher than Aylesbury Vale CCG average and Buckinghamshire average of 6%. The locality is more deprived compared to Aylesbury Vale CCG and Buckinghamshire as a whole, with areas in Oakfield, Aylesbury Central, Quarrendon, Mandeville and Elm Farm, Elmhurst and Watermead, Southcourt, Gatehouse, Walton Court and Hawkslade & Coldharbour wards in the most deprived population quintile in Buckinghamshire. The locality is more ethnically diverse compared to Aylesbury Vale CCG and Buckinghamshire as a whole. There is a difference of 2 years in life expectancy between males and females in Aylesbury Vale Central locality, compared to a difference of 3 years in Buckinghamshire. The population of Aylesbury Vale Central locality generally experiences worse health and statistically significantly lower life expectancy, compared to the Buckinghamshire population. Emergency admission rates to hospital are statistically higher than the Buckinghamshire and Aylesbury Vale CCG average. Early death rates are statistically significantly higher compared to Buckinghamshire, which itself has some of the lowest death rates in the country. 8 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central DETAILED REPORT Demography - Population Locality size (2016): There are 7 GP practices in the Central Aylesbury locality with a total registered population of 103,189 which is 49% of the total Aylesbury Vale CCG registered population. GP Practices (2016): Oakfield Surgery, Meadowcroft Surgery, Mandeville & Elmhurst Surgery, Poplar Grove Surgery, Whitehill Surgery, Berryfields, Westongrove Partnership Age profile: Higher proportion of those aged 0-4 compared to AVCCG average (7.3% v 6%) and also those aged 25-39 (21.9% v 18.3%). There is however a lower proportion, only 1 in 4, aged 55 and over compared to the AVCCG average (25.2% v 29.7%). Population changes: There has been small increases in all the older population groups since 2014 with a rise of 5.4% in those aged 65 and over; 5.6% aged 65-74 and 4.4% aged 75-84, 7% in those aged 85 and over. Those aged 95 and over has risen by more than a third (35.7%) compared to 25.1% Buckinghamshire average increase. NB: Since the 2014 profiles, Edlesborough Surgery has moved locality from Central to North, but this has been accounted for in the population change calculations. Population Projection 2016-2026: The population for Aylesbury Vale District is predicted to increase by 12% (23,700 people). The district population is forecast to fall by 11% (1,080 people) in those aged 20-24 (compared to a fall of an average of 9% in Buckinghamshire) and 33% increase (10,620 people) in those aged 65 and over (compared to an average of 24% increase in Buckinghamshire). This includes a 52% increase (2,150 people) in those aged 85 and over (compared to an average increase of 47% in Buckinghamshire). Ethnicity (2011): 16.1% of the population are from Black and minority ethnic communities which is higher than the Aylesbury Vale CCG average of 9.8%, 13.6% in Buckinghamshire and 14.7% in England [Census 2011]. Deprivation (2015): The Index of Multiple Deprivation (2015) based on LSOAs shows an average deprivation score of 13.5 in Aylesbury Vale Central locality compared to 10.8 in Aylesbury Vale CCG (Range 8.0-13.5). (Higher the score, more the deprivation). 9 Produced by Buckinghamshire Public Health ([email protected]), November 2016 Aylesbury Vale CCG – GP LOCALITY PROFILES – Aylesbury Vale Central Central 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 main X axis 30-34 25-29 20-24 15-19 10-14 05-09 00-04 10 8