Equality and Diversity Profile for High Weald Lewes Havens Clinical Commissioning Group

East Sussex Public Health January 2018

INTRODUCTION

This profile updates the previous individual CCG profiles published in February 2017. There are currently nine equality characteristics that are protected by discrimination law. These are age, disability, gender reassignment, marriage and civil partnership, pregnancy and maternity, race, religion and belief, sex and sexual orientation. This profile includes data for seven of the equality characteristics currently protected by law; age, gender, disability, race, religion, sexual orientation and marriage and civil partnership. The profile provides a summary of the data available for East Sussex Clinical Commissioning Groups (CCGs), and includes data on carers in the County.

Further equalities information from the 2011 Census is available at District and Borough level from East Sussex in Figures www.tinyurl.com/c8jmtqr

Currently there is no data on gender reassignment at a local level and for this reason information on this strand is not presented. However, we have some local data on sexual orientation from a Population survey in 2015/16 of 13,700 East Sussex residents. This survey will be repeated in 2017 and 2019. Where population percentages have been calculated within this briefing, ONS Mid year 2016 estimates have been used as these are the latest figures. This means that any population changes after this time are not captured within the calculations.

EAST SUSSEX CCGS

There are 3 CCGs in East Sussex (High Weald Lewes Havens (HWLH) CCG, Eastbourne, Hailsham and Seaford (EHS) CGG and Hastings and Rother (HR) CCG, each made up of several localities. The map below shows the three CCGs in East Sussex in relation to each other. It also shows the towns, villages and built-up areas within each CCG. As at 1st October 2017, EHS CCG has the largest patient population (195,456), then HR CCG (188,313) and HWLH CCG has the smallest (170,172 patients).

AGE The average age in HWLH CCG (43.7 years) is higher than for England (39.8 years) but lower than East Sussex overall (44.4 years). POPULATION AGE

Looking at 5 year age bands, people aged 50 to 54 make up the highest proportion of the population with 8.1% of all people in HWLH CCG. People aged 50 to 54 make up the highest proportion of the male population (8.2%), and the female population (8.1%).

GP registered population by age and gender, HWLH CCG, 1 Oct 2017 Total Persons Males Females No. % No. % No. % 0-4 7,832 4.6% 4036 4.8% 3796 4.4% 5-9 9,687 5.7% 5045 6.0% 4642 5.4% 10-14 10,047 5.9% 5210 6.2% 4837 5.6% 15-19 9,368 5.5% 4777 5.7% 4591 5.3% 20-24 8,120 4.8% 4190 5.0% 3930 4.5% 25-29 8,592 5.0% 4339 5.2% 4253 4.9% 30-34 8,375 4.9% 4161 5.0% 4214 4.9% 35-39 8,939 5.3% 4360 5.2% 4579 5.3% 40-44 9,972 5.9% 4811 5.8% 5161 6.0% 45-49 12,697 7.5% 6209 7.4% 6488 7.5% 50-54 13,860 8.1% 6864 8.2% 6996 8.1% 55-59 12,530 7.4% 6242 7.5% 6288 7.3% 60-64 11,021 6.5% 5438 6.5% 5583 6.4% 65-69 10,873 6.4% 5250 6.3% 5623 6.5% 70-74 10,664 6.3% 5022 6.0% 5642 6.5% 75-79 7,008 4.1% 3290 3.9% 3718 4.3% 80-84 5,210 3.1% 2304 2.8% 2906 3.4% 85-89 3,291 1.9% 1300 1.6% 1991 2.3% 90-94 1,556 0.9% 533 0.6% 1023 1.2% 95+ 530 0.3% 120 0.1% 410 0.5% All Ages 170,172 100.0% 83,501 100.0% 86,671 100.0%

Source: GP registrations in October 2017, NHS Digital http://digital.nhs.uk/catalogue/PUB30111

LIFE EXPECTANCY Life expectancy at birth in HWLH (84.1 years) is significantly higher than East Life expectancy is the estimated number of years a person would be expected Sussex overall (82.4 years). The localities of Crowborough (85.4) Havens (83.5) to survive if he or she continued to experience the area’s mortality rate at and Lewes (84.9) have significantly higher life expectancies than East Sussex that time throughout the rest of their life. The figures reflect mortality of overall, while life expectancy in Uckfield (82.6) is similar to East Sussex. those living in an area at that point in time rather than those born in the area. Life expectancy at age 75 is the number of years a person living in an area Life expectancy at 75 could expect to survive if they were to experience that area's mortality rates for people aged 75 years and over. Figures show life expectancy at birth and from the age of 75 based on the mortality rates for 2014 to 2016 within each CCG in East Sussex and their localities.

Life expectancy at Birth

Source: East Sussex JSNA Scorecards, February 2017

Life expectancy at age 75 is similar in HWLH (13.4 years) than East Sussex CCGs overall (12.9 years). However, there is considerable variation across

Source: East Sussex JSNAA Scorecards, November 2017 localities, with Lewes (14.5) Crowborough (14.1) and Havens having significantly higher life expectancy at age 75 than East Sussex CCGs as a whole, while Uckfield (11.9) has a significantly lower life expectancy at 75 years.

GENDER 21.3% males in HR CCG are aged 65 years or older compared to 24.6% of females. The proportion of working aged (15-64 years) males (61.5%) is The charts below shows a population pyramid for patients registered with a slightly larger than working aged females (60.1%). This compares to an GP Practice in each CCG. It shows the male and female population broken England average of 16% males and 18.7% females aged 65 years and older, down by age group and shows the comparison with England and Wales and 66.9% males and 65% females of working age.

In HWLH CCG 49.1% are males and 50.9% are females. HWLH CCG has a larger proportion of the population aged 0-14 year (16.2%) than either EHS CCG (15.2%) or HR CCG (15.3%), and a smaller proportion of people aged 65+ (23%) compared to 26% in EHS CCG and 25.1% in HR CCG.

GP registered population by age and gender, HWLH, 1st October 2017 Total Persons Males Females No. % No. % No. % 0-14 27,566 16.2 14,291 17.1 13,275 15.3 15-64 103,474 60.8 51,391 61.5 52,083 60.1 65+ 39,132 23.0 17,819 21.3 21,313 24.6

As with East Sussex and England, females have an older average age (44.9) than males (42.4) in HWLH CCG, and for both males and females the average age is lower than for the other two CCGs in East Sussex.

Average age (in years), 2016 East HWLH Sussex England All people 43.7 44.4 39.8 Males 42.4 43.0 38.9 Females 44.9 45.7 40.8

DEPRIVATION Index of Multiple Deprivation, 2015 HWLH CCG has an IMD rank of average score of 182 of the 209 CCG’s The Indices of Deprivation 2015 provide a set of relative measures of nationally, compared to a rank of 99 for East Sussex. deprivation for small areas (Lower-layer Super Output Areas) across England, based on 7 domains of deprivation. The domains were combined using the following weights to produce the overall Index of Multiple Deprivation (IMD):

 Income Deprivation (22.5%)  Employment Deprivation (22.5%)  Education, Skills and Training Deprivation (13.5%)  Health Deprivation and Disability (13.5%)  Crime (9.3%)  Barriers to Housing and Services (9.3%)  Living Environment Deprivation (9.3%)

In addition to the Index of Multiple Deprivation and the seven domain indices, there are two supplementary indices: the Income Deprivation Affecting Children Index (IDACI) and the Income Deprivation Affecting Older People Index (IDAOPI).

The IMD measures relative deprivation for lower-layer super output areas (LSOAs), small areas with an average population of 1,500 residents. Within East Sussex there are 329 LSOAs, 19 of which rank among the 10% most deprived neighbourhoods in England. CCGs have boundaries that are coterminous with those of Lower-Layer Super Output Areas (LSOAs). At the time of publication, there were 209 CCGs.

IMD is presented in a score (the higher the score, the more deprived the area) and a rank. The CCG with a rank of 1 is the most deprived, and ranked 209 is IMD 2015 the least deprived. Local authorities are ranked from 1 (most deprived) to 152 HWLH East Sussex IMD - Average rank 10286.75 15034.23 (least deprived). IMD - Rank of average rank 180 99 IMD - Average score 12.142 18.8 For further information on the IMD measures please visit: IMD - Rank of average score 182 99 IMD - Proportion of LSOAs in most deprived 10% nationally 0 5.8 https://www.gov.uk/government/statistics/english-indices-of-deprivation- IMD - Rank of proportion of LSOAs in most deprived 10% nationally 174 88 2015 Source: Department for Communities and Local Government

HWLH CCG has no LSOA’s within the most deprived 10% nationally.

Domain 1: Income Deprivation Domain 2: Employment Deprivation The Income Deprivation Domain measures the proportion of the population The Employment Deprivation Domain measures the proportion of the experiencing deprivation relating to low income. The definition of low income working-age population in an area involuntarily excluded from the labour used includes both those people that are out-of-work, and those that are in market. This includes people who would like to work but are unable to do so work but who have low earnings (and who satisfy the respective means tests). due to unemployment, sickness or disability, or caring responsibilities.

High Weald Lewes Havens CCG is ranked 184 of 209 CCGs for income High Weald Lewes Havens CCG is ranked 186 of 209 CCGs for employment deprivation and has significantly lower income deprivation than East Sussex deprivation and has significantly lower employment deprivation than East overall (rank 97) and both EHS and HR CCGs. Sussex overall (rank 82) and both EHS and HR CCGs.

Income Deprivation 2015 Employment Deprivation 2015 HWLH East Sussex HWLH East Sussex Income Deprivation - Average rank 10708.75 15604.92 Employment Deprivation - Average rank 9930.27 16372.16 Employment Deprivation - Rank of average rank 184 86 Income Deprivation - Rank of average rank 183 96 Employment Deprivation - Average score 0.072 0.116 Income Deprivation - Average score 0.086 0.131 Employment Deprivation - Rank of average score 186 82 Income Deprivation - Rank of average score 184 97 Employment Deprivation - Proportion of LSOAs in most deprived 10% nationally 0 0.0699 Income Deprivation - Proportion of LSOAs in most deprived 10% nationally 0 0.0547 Employment Deprivation - Rank of proportion of LSOAs in most deprived 10% nationally 173 75 Income Deprivation - Rank of proportion of LSOAs in most deprived 10% nationally 181 93 Source: Department for Communities and Local Government Source: Department for Communities and Local Government

HWLH CCG does not have any LSOA’s within the 10% most employment HWLH CCG does not have any LSOA’s within the 10% most income deprived deprived nationally. nationally.

Domain 3: Education, Skills and Training Deprivation Domain 4: Health Deprivation and Disability The Education, Skills and Training Deprivation Domain measures the lack of The Health Deprivation and Disability Domain measures the risk of attainment and skills in the local population. The indicators fall into two sub- premature death and the impairment of quality of life through poor physical domains: one relating to children and young people and one relating to adult or mental health. The domain measures morbidity, disability and premature skills. mortality but not aspects of behaviour or environment that may be predictive of future health deprivation.

High Weald Lewes Havens CCG is ranked 160 of 209 CCGs for education, skills High Weald Lewes Havens CCG is ranked 193 of 209 CCGs for health and training deprivation and has significantly lower deprivation in this domain deprivation and disability, and has significantly lower deprivation in this than East Sussex overall (rank 69) and both EHS and HR CCGs. domain than East Sussex overall (rank 100) and both EHS and HR CCGs.

Education, Skills and Training Deprivation 2015 Health Deprivation and Disability 2015 HWLH East Sussex HWLH East Sussex Education Skills and Training Deprivation - Average rank 13435.96 17270.57 Health Deprivation and Disability - Average rank 7431.49 13834.34 Education Skills and Training Deprivation - Rank of average rank 157 66 Health Deprivation and Disability - Rank of average rank 191 98 Education Skills and Training Deprivation - Average score 15.6 21.674 Health Deprivation and Disability - Average score -0.834 -0.241 Education Skills and Training Deprivation - Rank of average score 160 69 Health Deprivation and Disability - Rank of average score 193 100 Education Skills and Training Deprivation - Proportion of LSOAs in most deprived 10% nationally 0.0288 0.0699 Health Deprivation and Disability - Proportion of LSOAs in most deprived 10% nationally 0 0.0426 Education Skills and Training Deprivation - Rank of proportion of LSOAs in most deprived 10% nationally 150 76 Health Deprivation and Disability - Rank of proportion of LSOAs in most deprived 10% nationally 158 74 Source: Department for Communities and Local Government Source: Department for Communities and Local Government

3% of the LSOA’s in HWLH CCG are within the 10% most deprived for HWLH CCG does not have any LSOA’s within the 10% most employment education, skills and training nationally. deprived nationally.

Domain 5: Crime Domain 6: Barriers to Housing and Services The Crime Domain measures the risk of personal and material victimisation at The Barriers to Housing and Services Domain measures the physical and local level. financial accessibility of housing and local services. The indicators fall into two sub-domains: ‘geographical barriers’, which relate to the physical proximity of local services, and ‘wider barriers’ which includes issues relating to access to housing such as affordability.

High Weald Lewes Havens CCG is ranked 199 of 209 CCGs for crime, and has significantly lower crime risk than East Sussex overall (rank 128) and HR CCG. High Weald Lewes Havens CCG is ranked 41 of 209 CCGs for barriers to housing and services score so has more barriers to housing and services than Crime 2015 East Sussex overall (rank 62). HWLH East Sussex Barriers to Housing and Services 2015 Crime - Average rank 7961.95 11485.8 HWLH East Sussex Crime - Rank of average rank 203 129 Barriers to Housing and Services - Average rank 19914.12 17479.11 Crime - Average score -0.658 -0.388 Barriers to Housing and Services - Rank of average rank 48 67 Crime - Rank of average score 199 128 Barriers to Housing and Services - Average score 25.712 22.645 Crime - Proportion of LSOAs in most deprived 10% nationally 0 0.0243 Barriers to Housing and Services - Rank of average score 41 62 Barriers to Housing and Services - Proportion of LSOAs in most deprived 10% nationally 0.1923 0.1094 Crime - Rank of proportion of LSOAs in most deprived 10% nationally 188 117 Barriers to Housing and Services - Rank of proportion of LSOAs in most deprived 10% nationally 33 43 Source: Department for Communities and Local Government Source: Department for Communities and Local Government www.gov.uk/government/statistics/english-indices-of-deprivation-2015 HWLH CCG does not have any LSOA’s within the 10% most deprived for crime risk nationally. 19% of the LSOA’s in HWLH CCG are within the 10% most deprived for barriers to housing and services nationally.

Domain 7: Living Environment Deprivation The Living Environment Deprivation Domain measures the quality of the local environment. The indicators fall into two sub-domains. The ‘indoors’ living environment measures the quality of housing; while the ‘outdoors’ living environment contains measures of air quality and road traffic accidents.

High Weald Lewes Havens CCG is ranked 147 of 209 CCGs for living environment deprivation score, significantly lower living environment deprivation than East Sussex overall (rank 91).

Living Environment Deprivation 2015 HWLH East Sussex Living Environment Deprivation - Average rank 12399.41 14151.92 Living Environment Deprivation - Rank of average rank 151 100 Living Environment Deprivation - Average score 15.659 18.736 Living Environment Deprivation - Rank of average score 147 91 Living Environment Deprivation - Proportion of LSOAs in most deprived 10% nationally 0.0288 0.0851 Living Environment Deprivation - Rank of proportion of LSOAs in most deprived 10% nationally 125 56 Source: Department for Communities and Local Government

3% of the LSOA’s in HWLH CCG are within the 10% most deprived for living environment nationally.

Income Deprivation Affecting Older People Index The higher the IDAOPI score, the higher the percentage of older people in the The Income Deprivation Affecting Older People Index (IDAOPI) measures the area affected by income deprivation. In High Weald Lewes Havens CCG 10% proportion of all those aged 60 or over who experience income deprivation. It of older people are affected by income deprivation, significantly lower than is a subset of the Income Deprivation Domain which measures the proportion the East Sussex average of 15%. There is large variation within the CCG from of the population in an area experiencing deprivation relating to low income. 8% of older people in Crowborough, to 16% in Havens affected by income The definition of low income used includes both those people that are out-of- deprivation. work, and those that are in work but who have low earnings (and who satisfy the respective means tests).

High Weald Lewes Havens CCG is ranked 188 of 209 CCGs for IDAOPI score, indicating a significantly lower proportion of older people living in income deprived families than East Sussex overall (rank 111). HWLH CCG does not have any LSOA’s within the 10% most income deprivation affecting older people nationally.

Income Deprivation Affecting Older People Index 2015 HWLH East Sussex IDAOPI - Average rank 9207.19 12429.17 IDAOPI - Rank of average rank 188 110 IDAOPI - Average score 0.1 0.131 IDAOPI - Rank of average score 189 111 IDAOPI - Proportion of LSOAs in most deprived 10% nationally 0 0.0304 IDAOPI - Rank of proportion of LSOAs in most deprived 10% nationally 168 100 Source: Department for Communities and Local Government

Income Deprivation Affecting Children Index Income Deprivation Affecting Children Index 2015 HWLH East Sussex IDACI - Average rank 11165.43 16022.95 The Income Deprivation Affecting Children Index (IDACI) measures the IDACI - Rank of average rank 187 99 proportion of all children aged 0 to 15 living in income deprived families. It is IDACI - Average score 0.111 0.174 IDACI - Rank of average score 188 101 a subset of the Income Deprivation Domain which measures the proportion of IDACI - Proportion of LSOAs in most deprived 10% nationally 0 0.0517 the population in an area experiencing deprivation relating to low income. IDACI - Rank of proportion of LSOAs in most deprived 10% nationally 189 103 The definition of low income used includes both those people that are out-of- Source: Department for Communities and Local Government work, and those that are in work but who have low earnings (and who satisfy the respective means tests). The higher the IDACI score, the higher the percentage of children in the area affected by income deprivation. In High Weald Lewes Havens CCG 11% of children are affected by income deprivation, significantly lower than the East Sussex average of 17% of children. There is large variation within the CCG from 7% of children in Crowborough, to one in five children in Havens (21%) affected by income deprivation.

Higher scores signify greater deprivation. HWLH CCG has an overall rank for IDACI score of 188 of the 209 CCG’s nationally, compared to a rank of 101 for East Sussex. The lower the rank the more deprived the area. HWLH CCG does not have any LSOA’s within the 10% most income deprivation affecting children nationally.

DISABILITY is expected to last, at least 12 months. This map shows the percentage of persons of all ages reporting a limiting long-term health problem or There is no single measure of disability. Four data sets are used in this profile: disability by Lower Super Output Area (LSOA) in East Sussex. 1. 2011 Census – this looks at the number of people with a limiting long-term health problem or disability. 16.5% of all residents of HWLH report having a limiting long-term health 2. July 2017 Department of Work and Pensions (DWP) Benefits Data – this problem or disability and it is 11.0% for working age adults. This is lower counts the claimants of the Disability Living Allowance (DLA) than both East Sussex (20.3% and 13.8%) and England & Wales (17.9% and 3. July 2017 Department of Work and Pensions (DWP) Benefits data – this 13.0%). counts claimants of Personal Independence Payments (PIP) but is only available at District/Borough level 4. July 2017 Department of Work and Pensions (DWP) Benefits data – this counts claimants of Attendance Allowance (AA)

LIMITING LONG-TERM HEALTH PROBLEM OR DISABILITY

The 2011 Census provides a snap shot of the characteristics of the resident population as at 2011. The 2011 Census asks people whether their day-to-day activities limited because of a health problem or disability which has lasted, or

Within HWLH the highest LSOA was within Peacehaven East ward (29.3%) and the lowest was within Forest Row (10.0%).

DISABILITY LIVING ALLOWANCE CLAIMANTS BY CCG 2.7% of HWLH CCG residents claim Disability Living Allowance which is lower than both East Sussex overall (3.5%) and the national average (3.6%). Within Disability Living Allowance (DLA) was designed to help meet some of the HWLH in May 2017, 4,366 people were claiming Disability Living Allowance, a extra costs people may have because of a long-term health condition or decline from 5,654 people in May 2014. The decline is reflected nationally disability. and regionally. The number of claimants in HWLH CCG is substantially less than either EHS CCG (6,934) or HR CCG (8,070). The map below shows the percentage of persons of all ages claiming Disability Living Allowance (DLA) lower super output area (LSOA) in May 2017. From 8th April 2013, the Department for Work and Pensions started to replace Disability Living Allowance for working age people (aged 16 to 64 years) with Personal Independence Payment (PIP). This change applies to everyone, even for those with an indefinite or lifetime DLA award. Data for PIP is also presented in this document.

England South East East Sussex EHS CCG HR CCG HWLH CCG Male 3.8% 3.2% 3.8% 4.0% 4.7% 2.7% Female 3.4% 2.7% 3.3% 3.4% 3.9% 2.3% Total 3.6% 3.0% 3.5% 3.7% 4.3% 2.5%

A greater proportion of males (2.7%) than females (2.3%) in HWLH CCG claimed DLA in May 2017, reflecting the national and regional picture. It is not possible to look at DLA figures by age group at CCG level due to rounding of numbers at Lower Super Output Area level.

In May 2017 the average weekly amount of benefit claimed was £84.31 in HWLH CCG, higher than HR CCG (£84.15), but lower than EHS CCG (85.58) and East Sussex overall (£84.69). The national average weekly claim was £85.32 as at May 2017. The average weekly claim in HWLH been increasing since 2014, although at a slower rate than nationally and compared to the other two CCGs.

DISABILITY LIVING ALLOWANCE CLAIMANTS BY LA In East Sussex in May 2017, 3.5% of the population claimed DLA, compared to 3.4% nationally. The greatest proportion of DLA claimants in East Sussex were From April 8 2013, a new benefit called Personal Independence Payment (PIP) aged 60 years and over (4.5%), with the smallest proportion aged 16-59 has been gradually replacing DLA for people aged 16 to 64, even for those (2.8%). This represents a smaller overall percentage of DLA claimants aged 60 with an indefinite or lifetime DLA award. If a person was 65 or over on 8 April years and over than nationally (6.5%), but a larger proportion of 16-59 year 2013 they can continue to get DLA if eligible until PIP has been fully old claimants than nationally (2.1%). implemented. The following information is the DLA claimant data as at May 2017 for East Sussex District and Boroughs. Caseload includes the number of Within East Sussex, the greatest proportion of claimants was in Hastings (5%) clients on the data base in May 2017. and the smallest in Wealden (2.5%). The greatest proportions of 0-15 year olds (4.8%); 16-59 year olds (3.9%) and those aged 60+ (7.5%) are in Hastings. In May 2017 there were 19,386 DLA claimants in East Sussex: 9,218 female claimants and 10,168 male claimants. The highest caseloads of DLA claimants for both males (5.7%) and females (4.5%) are in Hastings, and the lowest proportions are in Wealden (2.7% males and 2.4% females).

England South East East Sussex Eastbourne Hastings Lewes Rother Wealden Male 3.6% 3.1% 3.8% 4.3% 5.7% 3.5% 3.9% 2.7% Female 3.2% 2.5% 3.3% 3.5% 4.5% 3.0% 3.5% 2.4% Total 3.4% 2.8% 3.5% 3.9% 5.0% 3.2% 3.7% 2.6%

Disability Living Allowance, Caseload. Local Authority of claimant by age of claimant, May 2017 PERSONAL INDEPENDENCE PAYMENT CLAIMANTS BY LA England South East East Sussex Eastbourne Hastings Lewes Rother Wealden Total 1,880,001 252,332 19,389 4,029 4,644 3,244 3,443 4,029 0-15 382,844 59,695 3,626 775 833 664 538 816 Personal Independence Payment (PIP) helps with some of the extra costs 16-19 30,779 6,228 429 78 103 56 93 99 caused by long-term disability, ill-health or terminal ill-health. From 8th April 20-24 54,832 9,749 639 128 169 93 117 132 2013, the Department for Work and Pensions started to replace Disability 25-29 56,057 9,192 650 144 175 107 108 116 Living Allowance for working age people (aged 16 to 64 years) with Personal 30-34 52,129 7,914 624 132 192 87 94 119 35-39 54,782 8,270 639 130 160 94 110 145 Independence Payment (PIP). This change applies to everyone, even for those 40-44 65,377 9,716 780 165 205 133 137 140 with an indefinite or lifetime DLA award. Due to the ongoing implementation 45-49 96,007 13,941 1,089 260 273 182 166 208 of PIP, data are only available at Local Authority level. The following 50-54 122,910 17,581 1,459 303 371 230 260 295 information is the PIP claimant data for East Sussex District and Boroughs. 55-59 137,082 18,648 1,556 339 394 255 268 300 Caseload includes the number of clients on the data base in July 2017. 60-65 182,245 24,008 2,063 429 536 315 365 418 66+ 644,906 67,390 5,787 1,150 1,216 1,013 1,192 1,216 There were 11,422 people in East Sussex claiming Personal Independence The average weekly benefit claim amount in East Sussex is £85.26, similar to Payments (PIP) in July 2017: 5,136 males and 6,285 females. The highest the national average of £85.32, but higher than the regional average of caseload of PIP claimants for both males (3.7%) and females (3.9%) are in £84.19. The highest weekly amount claimed is in Lewes (£86.01), and the Hastings, and the lowest proportions are in Wealden (1.5% males and 1.8% lowest in Hastings (£81.94). With the exception of Rother where there were females). similar average claim amounts in May 2015 and May 2016, the average claim across all districts and borough has risen year on year since May 2014, reflecting national and regional trends.

May-14 May-15 May-16 May-17 England 82.43 84.35 84.53 85.32 South East 81.46 83.33 83.45 84.19 East Sussex 82.39 84.31 84.48 85.26 Eastbourne 82.19 83.93 84.09 84.95 Hastings 79.36 81.54 81.77 81.94 Lewes 83.61 85.4 85.49 86.01 Rother 82.45 84.77 84.75 85.88

Wealden 81.68 83.56 83.86 84.05 EHS CCG 82.74 84.52 84.77 85.58 HR CCG 81.59 83.82 83.55 84.15

HWLH CCG 82.27 84.09 84.26 84.31 CCG Total 82.20 84.15 84.20 84.69 July 2017 PIP Claims in Payment England South East East Sussex Eastbourne Hastings Lewes Rother Wealden Total 1,209,515 146,365 11,422 2,600 2,881 1,939 1,855 2,147 Male 556,986 66,471 5,136 1,177 1,345 844 832 938 Female 652,531 79,894 6,285 1,423 1,531 1,101 1,021 1,209

In East Sussex in July 2017, 2.5% of the population claimed PIP, compared to Between July 2016 and July 2017 the number of PIP claimants in East Sussex 2.7% nationally. Nearly twice the proportion of claimants were working age rose month on month from 6,788 to 11,422. This is a rise from approximately (3.1%) in East Sussex than aged 60+ years (1.6%). This represents a smaller 1.5% of the eligible population to 2.5%. This rise can be seen for all Districts overall percentage of PIP claimants aged 60 years and over than nationally and Boroughs and reflects national trends (from 1.7% in July 2016 to 2.7% in (2.4%), and a larger proportion of 16-59 years than nationally (2.8%). July 2017) given the national agenda to move more people onto PIP from DLA. The greatest increase has been in Hastings (from 2.4% to 3.8% eligible Within East Sussex, the greatest proportion of claimants was in Hastings population) and the smallest in Wealden (from 1% to 1.6%). (3.8%) and the smallest in Wealden (1.6%).

England South East East Sussex Eastbourne Hastings Lewes Rother Wealden Total 2.7% 2.0% 2.5% 3.0% 3.8% 2.3% 2.3% 1.6% East Sussex Eastbourne Hastings Lewes Rother Wealden 16-19 2.7% 2.4% 2.8% 3.0% 3.1% 2.9% 3.2% 2.1% Jul-16 6,788 1,523 1,835 1,117 1,061 1,252 20-24 1.7% 1.5% 2.3% 2.1% 2.6% 2.8% 2.6% 1.6% Aug-16 25-29 1.6% 1.5% 2.5% 3.0% 3.3% 2.5% 2.6% 1.5% 7,129 1,597 1,925 1,189 1,101 1,317 30-34 1.8% 1.5% 2.5% 2.7% 3.0% 2.3% 3.1% 1.7% Sep-16 7,488 1,701 1,996 1,254 1,170 1,367 35-39 2.2% 1.7% 2.6% 3.2% 3.5% 2.2% 2.8% 1.7% Oct-16 7,934 1,826 2,060 1,341 1,252 1,455 40-44 2.7% 2.0% 2.8% 3.7% 4.4% 2.5% 2.6% 1.6% 45-49 3.4% 2.5% 3.3% 4.5% 5.2% 3.0% 3.2% 1.8% Nov-16 8,366 1,927 2,168 1,422 1,313 1,536 50-54 4.2% 2.9% 3.8% 5.1% 5.9% 3.3% 3.3% 2.4% Dec-16 8,719 2,012 2,242 1,481 1,372 1,612 55-59 5.1% 3.5% 4.1% 5.5% 6.3% 3.4% 3.6% 2.8% Jan-17 60-65 5.9% 4.0% 4.4% 5.7% 7.3% 3.7% 4.2% 2.7% 9,098 2,091 2,318 1,557 1,451 1,681 66+ 1.1% 0.7% 0.7% 0.8% 1.2% 0.8% 0.6% 0.6% Feb-17 9,480 2,185 2,405 1,615 1,523 1,752 Mar-17 9,997 2,311 2,514 1,707 1,603 1,862 Apr-17 10,356 2,368 2,625 1,755 1,687 1,921 May-17 10,726 2,446 2,710 1,826 1,748 1,996 Jun-17 11,087 2,543 2,799 1,883 1,797 2,065 Jul-17 11,422 2,600 2,881 1,939 1,855 2,147

ATTENDANCE ALLOWANCE CLAIMANTS BY CCG May 2017 Attendance Allowance Claims in Payment England South East E Sx CCGs EHS CCG HR CCG HWLH CCG Attendance Allowance (AA) provides a non-contributory, non-means-tested total 1,206,252 184,651 16,303 6,486 5,751 4,066 and tax-free contribution towards the disability-related extra costs of severely Male 423,992 64,043 5,590 2,231 1,998 1,361 disabled people who are aged 65 and over when they claim help with those Female 782,263 120,599 10,713 4,255 3,753 2,705 costs. It can be awarded for a fixed or an indefinite period. AA is paid at 2 different weekly rates depending on the level of help needed: HWLH CCG has lower proportions of those aged 70-74, 75-79 and 80-84 years  Lower – for those needing frequent help or constant supervision during claiming AA than East Sussex overall and nationally. the day, or supervision at night.  Higher – for those needing help or supervision throughout both day and night, or who are terminally ill

10.2% of HWLH CCG residents claim AA which lower than both East Sussex (11.8%) and the national average (12.2%). Within HWLH in May 2017, 4,066 people were claiming AA, similar to the numbers claiming in May 2014 (4,184). This is substantially lower than the number of claimants in and EHS CCG (6,504) and HR CCG (5,740).

More females (12.3%) than males (7.6%) in HWLH CCG claimed AA in May 2017, reflecting the national picture. This is lower than the eligible proportions of males and females claiming AA in either EHS CCG (14.9% and 9.9% respectively) or HR CCG (14.4% and 9.4% respectively).

65-69 70-74 75-79 80-84 85-89 90 and over Total 65+ England 3,032,055 2,381,289 1,796,046 1,345,359 840,246 487,846 9,882,841 South East 514,958 411,263 304,576 234,090 152,601 92,950 1,710,438 E Sx CCGs 40,662 33,004 24,037 18,901 13,041 8,619 138,264 EHS CCG 14,085 11,802 9,050 7,365 5,339 3,440 51,081 HR CCG 14,420 11,341 8,125 6,178 4,306 2,930 47,300 HWLH CCG 12,157 9,861 6,862 5,358 3,396 2,249 39,883

In May 2017 the average weekly amount of AA claimed was £71.70 in HWLH CCG, slightly below the national average (£72.20).

ATTENDANCE ALLOWANCE CLAIMANTS BY LA

In East Sussex in May 2017, 11.8% of the 65+ population claimed AA, compared to 12.2% nationally. There were 16,257 people in East Sussex claiming Attendance Allowance (AA) in May 2017: 5,593 males and 10,670 females. The highest caseload of AA claimants for both males (9.9% of the eligible population) and females (15.9%) are in Eastbourne, and the lowest proportions are in Wealden (8.4% males and 12.4% females).

65-69 70-74 75-79 80-84 85-89 90 and over Total 65+ England 3,032,055 2,381,289 1,796,046 1,345,359 840,246 487,846 9,882,841 South East 514,958 411,263 304,576 234,090 152,601 92,950 1,710,438 East Sussex 40,662 33,004 24,037 18,901 13,041 8,619 138,264 Eastbourne 7,003 5,629 4,420 3,593 2,774 1,843 25,262 Hastings 5,847 4,304 2,947 2,179 1,509 1,066 17,852 Lewes 7,268 5,948 4,482 3,632 2,441 1,621 25,392 Rother 8,573 7,037 5,178 3,999 2,797 1,864 29,448

Wealden 11,971 10,086 7,010 5,498 3,520 2,225 40,310 May 2017 Attendance Allowance Claims in Payment England South East East Sussex Eastbourne Hastings Lewes Rother Wealden Between May 2014 and May 2017 the proportion of people claiming AA total 1,206,252 184,651 16,257 3,353 2,217 2,914 3,503 4,270 Male 423,992 64,043 5,593 1,101 758 991 1,226 1,517 across East Sussex has remained broadly static. This is reflected nationally. Female 782,263 120,599 10,670 2,255 1,460 1,926 2,272 2,757 The average weekly AA claim amount in East Sussex is £71.90, similar to the national average of £72.20, and the regional average of £71.60. The proportion of AA claimants increases with age, from between 1% and 2% of 65 to 69 year olds, to approximately half of those aged 90 years and over. East Sussex overall has slightly lower proportions of all age bands claiming AA than nationally. However, there are slightly higher proportions of 75-79 year olds and 80-84 year olds, and a lower proportion of those aged 90+ claiming AA in Hastings compared to both East Sussex and England.

SPECIAL EDUCATIONAL NEEDS IN SCHOOLS CARERS

The School Census collects information about individual pupils and Carer's Allowance is paid to carers who look after a severely disabled person information about the schools themselves, such as their educational for at least 35 hours a week. To claim Carer's Allowance the customer has to provision. The individual pupil information collected includes free school meal be aged 16 or over. eligibility, ethnicity, special educational needs, attendance and exclusions. CARERS ALLOWANCE CLAIMANTS BY CCG The following charts show the rate of pupils with a statement of SEN or and EHCP per 1,000 pupils resident in East Sussex and attending East Sussex 0.9% of the 16+ HWLH CCG population claim carers allowance, which is maintained schools. Schools are currently in a transition stage where pupils substantially less than both East Sussex overall (1.3%) and the national are reviewed and where appropriate are moved to the new EHCP. average (1.5%). Within HWLH CCG in May 2017, 1,305 people were claiming Carers Allowance, an increase from 1,117 people in May 2014. This increase is In HWLH CCG 30.8 per 1,000 pupils have a statement of SEN or an EHCP, reflected nationally and regionally. HWLH CCG has approximately half the statistically similar to East Sussex overall (34.3 per 1,000). However, the rate number of people claiming carers allowance than HR CCG. in Crowborough locality is significantly lower than East Sussex overall (26.7 per 1,000). Over three times the proportion of females (1.4%) than males (0.4%) in HWLH CCG claimed carers allowance in May 2017. It is not possible to look at Carers Allowance figures by age group by CCG due to rounding of numbers at Lower Super Output Area level.

May 2017 Carers Allowance Claimants The proportion of claimants increases by five year age band between 16-24 England South East E Sx CCGs EHS CCG HR CCG HWLH CCG years (0.6%) and 40-44 years (2.4%) before gradually declining to age 60-65 Male 186,995 20,393 1,612 614 753 245 years (1.7%), with only 0.1% of those aged 66 and over claiming CA in East Female 499,968 63,737 4,400 1,539 1,860 1,001 Sussex. total 686,961 84,130 6,012 2153 2613 1246

In May 2017 the average weekly amount of Carers Allowance claimed was £62.61 in HWLH CCG, similar to both East Sussex (£62.44) and the national average (£62.56).

CARERS ALLOWANCE CLAIMANTS BY LA

In East Sussex in May 2017, 1.3% of the 16+ population claimed CA, compared to 1.5% nationally. There were 6,012 people in East Sussex claiming Carers Allowance (CA) in May 2017, with over twice as many females (4,400) claiming CA than males (1,612). East Sussex has slightly higher proportions of younger claimants than The highest caseload of CA claimants for both males (1.4% of the eligible nationally, and slightly lower proportions of those aged over 45 years. population) and females (2.7%) are in Hastings, and the lowest proportions Hastings has substantially higher proportions of claimants across all age bands are in Wealden (0.5% males and 1.3% females). than both nationally and East Sussex overall.

SEXUAL ORIENTATION MARRIAGE AND CIVIL PARTNERSHIP

ALL CCGs The 2011 Census asked people to record their legal marital or same-sex Between November 2015 and February 2016, a community survey civil partnership status. There is a higher proportion of married adults questionnaire was sent out to 42,316 addresses in East Sussex. People were (52.8%) in HWLH than in East Sussex (48.4%), and a slightly lower invited to respond to a number of questions, including how they would proportion of those who are divorced (9.6%) or widowed (7.4%) than East describe their sexual orientation. Of the 13,700 people who responded 93% Sussex (10.7% and 8.7% respectively). identified as heterosexual and 3% as LGBT. Based on the survey data, HWLH CCG has a significantly higher heterosexual population than either EHS CCG or Marital status, 2011 HR CCG. The East Sussex Community Survey is currently being repeated and is HWLH East Sussex England & Wales Number Percent Number Percent Number Percent due to be repeated again in 2019/20. All people aged 16 and over 134,928 100.0% 435,515 100.0% 45,496,780 100.0% Single 37,000 27.4% 126,922 29.1% 15,730,275 34.6% Married 71,230 52.8% 210,786 48.4% 21,196,684 46.6% East In a registered same-sex civil partnership 485 0.4% 1471 0.3% 104942 0.2% EHS HR HWLH Sussex Separated 3,279 2.4% 11,954 2.7% 1,195,882 2.6% Divorced 12,951 9.6% 46,470 10.7% 4,099,330 9.0% All 13,800 3,550 5,200 5,100 Widowed 9,983 7.4% 37,912 8.7% 3,169,667 7.0% Source: 2011 Census, ONS Heterosexual 93% 92% 92% 95%

LGBT 3% 3% 3% 2% None of these 4% 5% 5% 3%

PREGNANCY AND MATERNITY The rate of live births for 15-19 year olds in HWLH CCG in 2014-16 (6.5 per 1,000) was significantly lower than East Sussex (13 per 1,000), a trend seen Data on pregnancy and maternity at local level areas are calculated by across three of the four localities within the areas: Crowborough, 5.1 per mother’s area of residence and not by GP practice level data. 1,000; Lewes, 3.1 per 1,000 and Uckfield, 6.4 per 1,000. In contrast, Havens locality had a similar rate to East Sussex (14 per 1,000). MATERNAL AGE

In 2014-16 in HWLH CCG the rate of live births for 15-44 year old women was 55.2 per 1,000, significantly lower than the East Sussex rate of 59.6. Crowborough and Lewes localities have significantly lower rates than East Sussex (51.1 and 48.2 per 1,000 respectively) while Havens has a significantly higher rate (65.4 per 1,000).

The rate of live births for 35-44 year old women in HWLH CCG was 36.7 per 1,000, similar to the East Sussex rate of 35.2 per 1,000). All localities in HWLH CCG have similar rates of live births for 35-44 year old women than East Sussex: Crowborough 38.3 per 1,000; Havens 34.6 per 1,000; Lewes 40 per 1,000; and Uckfield 33.5 per 1,000).

Maternal Age - live births per 1,000 women HWLH East Sussex ESBT 15-44 55.2 59.6 61.7 15-19 6.5 13.0 16.1 35-44 36.7 35.2 34.4

LOW BIRTH WEIGHT LONE PARENTING

Low birth weight is classified as a birth weight less than 2,500g. In 2016 in The 2011 Census asked people to record number of people, and number England and Wales, 7.0% (48,490) of live births were low birthweight. This of dependent children living in the household. The data below is modelled percentage has remained unchanged nationally since 2011, yet varies by from 2011 census data. region from 8.3% in the West Midlands to 6.0% in the South East. Data for 2014-2016 shows 6.0% of babies in East Sussex were of low birth weight. Data modelled from the 2011 census shows that 6% of households in HWLH CCG were lone parent households, similar to East Sussex (6%). Within the In 2014-16, 4.9 % live births in HWLH CCG were low birthweight, lower than area, Crowborough and Uckfield localities have a significantly lower East Sussex (6%). All localities in HWLH CCG have a statistically similar percentage of low lone parent households (5%) While Havens has a proportion of low birthweight births than East Sussex overall. significantly higher percentage (7%) than East Sussex overall.

RACE AND ETHNIC ORIGIN Ethnic group, 2011 HWLH East Sussex England & Wales Number Percent Number Percent Number Percent The 2011 Census asked people to record their ethnic group. The charts below All groups 165,374 100.0% 526,671 100.0% 56,075,912 100.0% White British and Northern Irish 153,357 92.7% 482,769 91.7% 45,134,686 80.5% exclude White British/Northern Irish as it is by far the largest recorded group All groups other than White British & NI 12,017 7.3% 43,902 8.3% 10,941,226 19.5% (92.7%) and would make the charts very hard to read for the other groups. White British and Northern Irish 153,357 92.7% 482,769 91.7% 45,134,686 80.5% White Irish 1,155 0.7% 3,966 0.8% 531,087 0.9% Gypsy or Irish Traveller 243 0.1% 815 0.2% 57,680 0.1% In HWLH, the percentage of residents of an ethnic group other than White Other White 5,573 3.4% 17,872 3.4% 2,485,942 4.4% British/Northern Irish is 7.3%. This is below the figure for East Sussex (8.3%) White and Black Caribbean 470 0.3% 1,947 0.4% 426,715 0.8% White and Black African 241 0.1% 1,023 0.2% 165,974 0.3% and England & Wales (19.5%). The largest of these groups is Other White White and Asian 777 0.5% 2,584 0.5% 341,727 0.6% (3.4%). Other Mixed 519 0.3% 1,919 0.4% 289,984 0.5% Indian 535 0.3% 2,253 0.4% 1,412,958 2.5% Pakistani 87 0.1% 317 0.1% 1,124,511 2.0% Bangladeshi 220 0.1% 1,042 0.2% 447,201 0.8% Chinese 511 0.3% 1,931 0.4% 393,141 0.7% Other Asian 754 0.5% 3,600 0.7% 835,720 1.5% African 329 0.2% 1,800 0.3% 989,628 1.8% Caribbean 168 0.1% 771 0.1% 594,825 1.1% Other Black 48 0.0% 341 0.1% 280,437 0.5% Arab 122 0.1% 638 0.1% 230,600 0.4% Any other ethnic group 265 0.2% 1,083 0.2% 333,096 0.6% Source: 2011 Census, ONS

The following map shows the percentage of all persons reporting their ethnic There are higher proportions of persons aged 0-15 within the mixed ethnic group as anything other than White British or Northern Irish by Lower Super groups and higher proportions of older people within the White Output Area (LSOA) in East Sussex. Within HWLH the highest LSOA was within British/Northern Irish and White Irish groups in HWLH CCG. Crowborough East ward (19.2%) and the lowest was within Heathfield North and Central ward (2.1%).

RELIGION OR BELIEF The age profile of each religion is fairly similar. However there is a slightly younger age profile for the following religious groups: Muslim, Sikh and No The 2011 Census asked people a voluntary question to record their religion. religion. There is a slightly older age profile for the following religious groups: Christian and Jewish Within HWLH, as in East Sussex and England & Wales as a whole, the highest proportion of people (60.5%) state that their religion is Christianity.

Religion, 2011 HWLH East Sussex England & Wales Number Percent Number Percent Number Percent All categories 165,374 100.0% 526,671 100.0% 56,075,912 100.0% Christian 100,103 60.5% 315,659 59.9% 33,243,175 59.3% Buddhist 708 0.4% 2,190 0.4% 247,743 0.4% Hindu 320 0.2% 1501 0.3% 816633 1.5% Jewish 399 0.2% 1,074 0.2% 263,346 0.5% Muslim 770 0.5% 4,201 0.8% 2,706,066 4.8% Sikh 55 0.0% 178 0.0% 423,158 0.8% Other religion 1,291 0.8% 3,508 0.7% 240,530 0.4% No religion 48,420 29.3% 155,723 29.6% 14,097,229 25.1% Religion not stated 13,308 8.0% 42,637 8.1% 4,038,032 7.2% Source: 2011 Census, ONS

A higher proportion stated no religion (29.3%) or left the question blank (8.0%) than for England & Wales (25.1% and 7.2% respectively).This was similar to East Sussex overall

Religion group by age group, HWLH, 2011 Total 0-14 15-64 65+ All categories 165,374 17.1% 62.5% 20.4% Christian 100,103 15.0% 58.3% 26.7% Buddhist 708 10.2% 83.1% 6.8% Hindu 320 20% 74% 7% GENDER REASSIGNMENT Jewish 399 14.5% 59.1% 26.3% There is currently no data available on gender reassignment in East Sussex. Muslim 770 22.6% 72.1% 5.3% Sikh 55 18.2% 78.2% 3.6% Copies of this report are available from the East Sussex JSNA site Other religion 1,291 5.8% 84.5% 9.7% www.eastsussexjsna.org.uk No religion 48,420 21.4% 70.5% 8.1% Please direct any questions relating to this profile to: Religion not stated 13,308 18.8% 61.0% 20.2% East Sussex Public Health Intelligence Source: 2011 Census, ONS Email: [email protected] Author: Miranda Scambler