Haringey's Northumberland Park

Northumberland Park Profile – May 2012 The following describes the key population characteristics of Northumberland Park; these include a description of the demographics of the residents, an exploration into some of the wider determinants of health and a description of the key health outcomes for this neighbourhood. Key findings for Northumberland Park: Northumberland Park is the most deprived ward in Haringey and some areas are within the 5% most deprived within the country. There is a high proportion of under 20s compared to Haringey and nationally suggesting an increased need for services aimed at mothers, children and young people. A higher than average proportion of residents are from ethnic backgrounds; most notably Black Caribbean, Black African and Other White groups. A high proportion of residents are employed in low level jobs or are receiving benefits. Crime is high in Northumberland Park compared to Haringey. Significant criminal activities in the ward include theft and handling and violence against the person. Male life expectancy is low compared to the Haringey average. There are high levels of deaths attributed to external causes and respiratory disease in the general population compared to Haringey. Cancer and cardiovascular disease mortality rates amongst the under 75s are high (19% and 35% above expected rates). There are higher proportions of people on disease registers in the north east of Haringey compared to other areas for the following conditions: heart failure, hypertension, diabetes, severe mental health, depression, chronic kidney disease and the highest proportions of smoking and obesity. The Birth rate is high in Northumberland Park and there are a high proportion of low birth weight babies. There are a limited number of GP practices actually in the ward and patients access primary care out of the ward. There is a high rate of A&E attendance. Page 1 of 27 Northumberland Park is situated in the north east of Haringey. It has borders with White Hart Lane, Bruce Grove and Tottenham Hale within Haringey, along with a northern border with Edmonton in Enfield and an eastern border with Tower Hamlets. Figure 1 is a map of the area. Figure 1: Street map of Northumberland Park Northumberland Park is made up of 8 Lower Super Output Areasi (LSOAs) of which some are within the 5% most deprived in the country (see figure 2). The indices of deprivation are published at LSOA level enabling an average deprivation score to be developed for a ward. Based on this Northumberland Park is the most deprived ward in Haringey (see figure 3). i A Lower Super Output Area is a low level geography that fits with an electoral ward. Wards in Haringey have either 7 or 8 in each ward. Census statistics are available at LSOA level geography. Page 2 of 27 Figure 2: Indices of deprivation by LSOA in Haringey (2010) Source: Department for Communities and Local Government, Indices of Deprivation 2010 Figure 3: Average LSOA deprivation scores per ward (2010) 60.0 50.0 40.0 30.0 20.0 Deprivation score. 10.0 0.0 Source: Department for Communities and Local Government, Indices of Deprivation 2010 The indices of deprivation are based on a number of different statistics; these include income deprivation, crime, housing, health and access to services. The following section of this needs Page 3 of 27 assessment describes some of these characteristics that are often referred to as the wider determinants of health. This is then followed by an assessment of the health of the population of Northumberland Park, benchmarked against other wards in Haringey and where possible against averages for Haringey, London and either England or England and Wales, depending upon which geographies are available. Demographics: The population of Haringey is particularly diverse both across the borough and within wards. Any needs assessment requires an understanding of the population who live in an area or who use a service. A basic understanding of the age profile and the ethnic mix is now described. The age structure of an area can influence the range of services that are required within an area. Areas with young population are more likely to require maternity services, sexual health and child visiting services, compared to older populations who need health and social care aimed at older residents. This could include palliative care and residential care. The 2010 mid year estimate for Northumberland Park estimated that there are currently 13,184 residents. The age profile of the ward suggests that the population structure is young with 31.2% of the population aged under 20, compared to Haringey 24.0%, London 23.8% and England 23.7%. Conversely the proportion of residents aged over 65 is low with only 8.4% compared with Haringey 9.5%, London 11.6% and England 16.6% (see figure 4). Figure 4: Age profile of Northumberland Park ward compared to Haringey, London and England Age Group Northumberland Haringey London England Park 0-4 10.2% 8.2% 7.5% 6.2% 5-9 8.1% 6.2% 5.8% 5.5% 10-14 6.1% 4.7% 5.2% 5.7% 15-19 6.8% 4.9% 5.3% 6.3% 20-24 6.0% 6.8% 7.1% 6.9% 25-29 7.8% 9.9% 9.5% 6.8% 30-34 8.4% 10.8% 9.7% 6.3% 35-39 8.6% 9.5% 8.7% 6.8% 40-44 9.2% 8.8% 8.1% 7.4% 45-49 8.1% 7.5% 7.1% 7.3% 50-54 5.7% 5.5% 5.7% 6.3% 55-59 3.6% 4.1% 4.6% 5.7% 60-64 3.0% 3.7% 4.3% 6.1% 65-69 2.4% 2.7% 3.1% 4.7% 70-74 2.4% 2.5% 2.8% 4.0% 75-79 1.8% 2.0% 2.3% 3.2% 80-84 1.1% 1.2% 1.7% 2.4% 85+ 0.7% 1.1% 1.7% 2.3% Total 13,184 224,996 7,825 55,240 Source: ONS, Mid Year Estimates, 2010 Page 4 of 27 Figures 5 and Figures 6 map the number of residents aged 0-19 and over 65 by ward. Figure 5: Map of the distribution of 0-19 year olds in Haringey Figure 6: Map of the distribution of over 65s in Haringey Page 5 of 27 Ethnicity The ethnic profile of an area or district has implications for the kind of services required. Ethnic and cultural backgrounds can influence access to services; services should be culturally aware so as to ensure equity of access; and services such as translation should be available as and when required if possible. Certain ethnic groups are also predisposed to certain diseases types; such as Asians and an increased risk of diabetes and Black Caribbean’s and psychosis. Haringey is characterised by its ethnic mix, being one of the most ethnically diverse areas in the country and over 175 languages are spoken in Haringey schools. Although it is clear that Haringey is ethnically diverse, data that describes the ethnic composition of Haringey is now out of date as the most reliable source, the census of 2001 (see figure 7), is now out of date. It is therefore likely that the composition of Haringey has changed since this time and is most likely to be more ethnically diverse with higher proportions of the population coming from Black and minority ethnic groups (BME). Figure 7: Ethnic composition of Northumberland Park benchmarked against Haringey, London and England and Wales. Northumberland Haringey London England and Park Wales White 47.5 65.6 71.2 91.3 British 28.9 45.3 59.8 87.5 Irish 3.7 4.3 3.1 1.2 Other White 14.9 16.0 8.3 2.6 Mixed 5.3 4.6 3.2 1.4 White and Black Caribbean 2.2 1.5 1.0 0.5 White and Black African 0.7 0.7 0.5 0.2 White and Asian 1.0 1.1 0.8 0.4 Other Mixed 1.4 1.3 0.9 0.3 Asian or Asian British 6.3 6.7 12.2 4.4 Indian 2.2 2.8 6.1 2.0 Pakistani 1.1 0.9 2.0 1.4 Bangladeshi 1.0 1.4 2.2 0.5 Other Asian 2.0 1.5 1.9 0.5 Black or Black British 37.8 20.0 10.9 2.2 Black Caribbean 18.1 9.5 4.8 1.1 Black African 17.3 9.2 5.3 0.9 Other Black 2.4 1.4 0.8 0.2 Chinese or Other Ethnic Group 3.1 3.1 2.7 0.8 Chinese 0.8 1.1 1.1 0.4 Other Ethnic Group 2.3 2.0 1.6 0.4 Source, 2001 Census Figure 7 describes the ethnic composition of Northumberland Park at the time of the 2001 census. At this time only 28.9% of the population were White British, which is low compared to Haringey 45.3%, London 59.8% and England and Wales 87.5%. Almost 3 in 4 of the residents of Northumberland Park could be considered as belonging to a BME group. Northumberland Park has Page 6 of 27 particularly high proportions of residents from Black groups (37.8%), with similar proportions from Black Caribbean (18.1%) and Black African (17.3%) backgrounds. There are also high proportions of residents from Other White group (14.9%) and Mixed ethnic backgrounds (5.3%). Figure 8: describes the distribution of BME population groups across Haringey.

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