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Monmouthshire Draft Data Analysis Monmouthshire Strategic Needs Assessment Version 2 Supporting document to the Single Integrated Plan 2013-17 Produced by the Local Government Data Unit ~ Wales in conjunction with Monmouthshire Partnership and Engagement Team 10/18/2012 Version 2 Monmouthshire Strategic Needs Assessment Document Control Version Number 2 Description Updated and amended Date 15thMarch 2013 Author & MonmouthshireCounty Council Lead Officer – Contact Details Gary Thomas Tel: 01633 644483 07879111322 Email: [email protected] Previous consideration Version Description 1 Draft for challenge & design sessions Welsh Language and Alternative Formats We will provide Welsh language versions of any part of this document on request. Copies can also be provided in other formats, including Braille, on request. Y Gymraeg a fformataueraill ByddwnyndarparufersiwnCymraeg o unrhyw ran o‟rddogfen are gais. Gellirhefyddarparucopiaumewnfformataueraillargais. 01633 644010 [email protected] We can also provide this document in Braille, large print, on tape or in electronic form. If you would like a copy in a different format please contact our Policy Officer (Equalities and Welsh Language) by: Phone: 01633 644010 Fax: 01633 644666 e mail: [email protected] 1 Monmouthshire Strategic Needs Assessment Contents Page 1. Introduction 2. Background 3. General health and well-being profile 3.1. Overview 3.2. General Health 3.3. Birth rate 3.4. Low birth weight babies 3.5. Teenage conceptions 3.6. Immunisation 3.7. Breastfeeding 3.8. Screening 3.9. Oral health 3.10. Learning disabilities 3.11. Physical activity 4. Outcome One: Older people are able to live their good life 4.1. Overview 4.2. Life expectancy and healthy life expectancy 4.3. Supporting older people 4.4. Identified needs 5. Outcome Two: People have access to appropriate and affordable housing 5.1. Overview 5.2. Housing market 5.3. Housing stock 5.4. Housing land supply 5.5. Homelessness 5.6. Identified needs 6. Outcome Three: People have good access and mobility. 6.1. Overview 6.2. Rurality 6.3. Transport 6.4. Identified needs 7. Outcome Four: People feel safe. 7.1. Overview 7.2. Crime 7.3. Violence against the person 7.4. Hate crime 7.5. Sexual offences 7.6. Domestic abuse 7.7. Burglary 7.8. Vehicle crime 7.9. Shoplifting and theft 2 Monmouthshire Strategic Needs Assessment 7.10. Criminal damage 7.11. Anti-social behaviour 7.12. Arson 7.13. Youth offending 7.14. Road safety 7.15. Identified needs 8. Outcome Five: People’s lives are not affected by alcohol and drug misuse 8.1. Overview 8.2. Drug and alcohol misuse 8.3. Identified needs 9. Outcome Six: Vulnerable families are supported 9.1. Overview 9.2. Looked after children 9.3. Safeguarding people 9.4. Child poverty 9.5. Self-harm and other significant events 9.6. Bullying 9.7. Supporting people in crisis 9.8. Identified needs 10. Outcome Seven: Business and enterprise thrives 10.1. Overview 10.2. Economy 10.3. Business 10.4. Technology 10.5. Tourism 10.6. Employment 10.7. Economic inactivity 10.8. Benefit claimants 10.9. Identified needs 11. Outcome Eight: People have access to practical and flexible learning. 11.1. Overview 11.2. Pre-school 11.3. School performance 11.4. Educational attainment 11.5. Impact of poverty on educational attainment 11.6. Absenteeism 11.7. Young people not in education, employment or training. 11.8. Adult education 11.9. Play opportunities for children 11.10. Identified needs 3 Monmouthshire Strategic Needs Assessment 12. Outcome Nine: People protect and enhance the environment 12.1. Overview 12.2. Ecological footprint 12.3. Green Spaces and environmental quality 12.4. Lakes and rivers 12.5. Natural beauty 12.6. Wildlife 12.7. Waste and recycling 12.8. Identified needs 13. References Appendices Annex A - Needs Assessment Triangle Annex B - Comparator Local Authorities. Annex C - Welsh Index of Multiple Deprivation 2011. Annex D - Pupil absenteeism by LSOA in Monmouthshire Annex E - Identified Play needs to meet the requirements of National Policy. 4 Monmouthshire Strategic Needs Assessment 1. Introduction In Monmouthshire we are trying to do things differently in order to explore the potential to improve the way we currently use partnership data. We see unified needs assessment as a continual process rather than a one off annual report. The first step in this process is to produce a robust data analysis by highlighting exception states, patterns and trends in the Monmouthshire population using a wide range of appropriate and relevant measures. The data analysis in this report has been used in context with a wide range of key stakeholders and the public to discuss and identify the needs of the population in Monmouthshire. We have done this through a series of county wide “challenge and design” sessions involving all key stakeholders. We intend to triangulate statistical factual evidence with stakeholder opinion and voice, and best practice evidence. We call this the Needs Assessment Triangle (See Annex A). 2. Background Unification of the needs assessment process is fundamental to the “re-boot” of a modern partnership. It must not be seen as a one-off annual process through the production of a report. We will support our decisions and actions using a robust approach to engagement and further consideration of best practice and research. It is vital to improve the way we measure and evaluate the impact of our interventions. We will work closely with partnership colleagues to ensure we can demonstrate benefit. Therefore, the development of a strong performance management culture will place the emphasis on the evaluation of impact and benefit to the local population. We will also support doing things differently through creative design. A number of design sessions have been used to consider how we can start to explore doing things differently in partnership. The successful submission of the council‟s application to NESTA will help underpin our intent to deliver innovation, this allied to the councils Intrepreneurship School will create an environment and attitude which will support delivery and the challenge of achieving better outcomes for the people of Monmouthshire. The strategic needs assessment in this report is the start of the journey, not the end. It should be considered in context to help inform key stakeholders and the public about some of the emerging key themes, outcomes and needs for the people of Monmouthshire. Wherever possible we have tried to consider Monmouthshire against similar Local Authorities in Wales, and areas with a similar profile in England (See Annex B) and use national reports and evidence such as the Welsh Index of Multiple Deprivation 2011 (WIMD) to provide a positional overview of some of the main issues to be considered (See Annex C). 5 Monmouthshire Strategic Needs Assessment 3. General health and well-being profile 3.1 Overview We want people to live healthy and fulfilled lives. The physical and emotional health and wellbeing of people has a major impact on all aspects of their lives. It affects their ability to secure and maintain employment, and fulfil their roles as family members and parents. In young people, good health and wellbeing allows them to fully engaged with their education and interact with their peers. In our youngest children, their health at birth and in their early years has a lasting impact, either positive or negative, on their development and attainment. The overall health of a population can have a huge impact on the economic prosperity and quality of life it enjoys. If people‟s lives are affected by ill-health, it can impact on their ability to work and likely to increase the health and social care services they require. In older age being healthy helps people stay independent living in their own homes doing what they want, when they want, in their own way. 3.2 General health Overall, the health of people in Monmouthshire is good. Using the health domain in the Welsh Index of Multiple Deprivation 2011, there are no lower super output areas (LSOA) in Monmouthshire in the 10% most deprived LSOAs in Wales for health. Only one LSOA is in the top 30% most deprived and only eight LSOAs (13.8%) are in the 50% most deprived LSOAs in Wales. The distribution shown in Table 1 indicates that Monmouthshire has the best, or second best, across the comparator authorities in Wales at all four percentages points. Table 1: Distribution of LSOAs by Health domain, WIMD 2011 Local Authority Number 10% Most 20% Most 30% Most 50% Most of LSOAs Deprived Deprived Deprived Deprived Monmouthshire 58 0.0 1.7 1.7 13.8 Ceredigion 47 0.0 0.0 0.0 6.4 Pembrokeshire 71 4.2 7.0 12.7 36.6 Powys 80 2.5 3.8 7.5 17.5 Wales 1896 10.0 20.0 30.0 50.0 Source: National Public Health Service Poor health in adults can impact on their ability to gain and maintain employment. Being unable to work due to ill health will not only impact on a household‟s economic status, but also on its health and wellbeing. In particular, it can affect the mental health of individuals. The 2011 census indicates that the day to day activities of 3.7% of people aged 16-64 are limited significantly compared with 5.3% in Wales, with 4.6% reporting bad health and 1.4% very bad health. 6 Monmouthshire Strategic Needs Assessment 3.3 Birth rate There are a number of indicators which can be used to reflect the birth rate in a local population. The General Fertility Rate (GFR) which is the number of live births per 1000 women between the ages of 15 and 44 years provides a measure of trends in fertility levels.
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