Aylesbury Vale South Locality Profile

Home , Aylesbury, Marsh Gibbon, Steeple Claydon, Stoke Mandeville, Waddesdon

Prevention Matters Priorities

The Community Links Officer (CLO) has identified a number of key Prevention Matters priorities for the locality that will form the focus of the work over the next few months. These priorities also help to determine the sort of services and projects where Prevention Matters grants can be targeted.

The priorities have been identified using the data provided by the Community Practice Workers (CPW) in terms of successful referrals and unmet demand (gaps where there are no appropriate services available), consultation with district council officers, town and parish councils, other statutory and voluntary sector organisations and also through the in depth knowledge of the cohort and the locality that the CLO has gained.

The CLO has also worked with the other CLOs across the county to identify some key countywide priorities which affect all localities.

Countywide Priorities Befriending Community Transport

Aylesbury Vale North Priorities Cuddington Film Club Ashendon Film Club Haddenham Villages Dementia Asset Long Crendon Asset Development Waddesdon Active Bucks Day Haddenham Community Vehicle Motivational Interviewing Pilot

Background data

Physical Area

The Aylesbury Vale South locality (AV South) is one of the largest localities in terms of land area. There are officially 39 parishes covering the area. There is an area to the southwest of the locality that is included in the Aylesbury Vale CCG South Locality but outside Buckinghamshire.

Fig. 1 showing the area of AV South that is inside of the CCG locality but outside Buckinghamshire.

Population

Aylesbury Vale South Locality has the smallest population size of the Buckinghamshire localities with a total registered population of 47,404.

Local Area Forums

There are three main Local Area Forums (LAF) within the locality, Haddenham & Long Crendon Local Area (15 parishes), Waddesdon Local Area (15 parishes) and North West Chilterns (9 parishes).

Age Demographics

The population is older than the Bucks average, with a higher proportion of people aged 65+ and 85+. There is a smaller proportion of those aged 20-39 (19.7% vs 24.1%) and a larger proportion of people aged 65+ (19.2% vs 16.1%) in 2011. Areas around Long Crendon, Haddenham, Whiteleaf and Waddesdon (lower super output areas) had more than 15% of households occupied by pensioners living alone in 2001.

Ethnic Diversity

AV South locality is less ethnically diverse than Buckinghamshire. There is a low proportion of people overall from a black and minority ethnic group (1.4%-2.5%) compared to 7.9% for the county. There is a lower proportion of pupils in maintained schools (4.4%-6.1%) from a black and minority ethnic group compared to the Bucks average (20.7%).

Within the locality ethnic diversity can be broken down further into the three main local areas: 3

 95.7% White (4.3% Black and Minority Ethnic) in the Waddesdon Local Area.  96.9% White (3.1% Black and Minority Ethnic) in the Haddenham & Long Crendon Local Area.  97.5% White (2.5% Black and Minority Ethnic) in the North West Chilterns Local Area.

Deprivation

AV South is less deprived than Buckinghamshire with 0% of the population in the 30% most deprived areas for Overall Deprivation.

A lower proportion of people received job seeker’s allowance, pension credits (minimum guaranteed income for those aged 60+), disability living allowance and lone parent income support compared to the Bucks average.

Household income is similar to the rest of the county, broken down further by local areas:  Haddenham and Long Crendon household income is slightly higher than the county as a whole with 36.5% of households in earning £50K or more (compared to 34.9%).  North West Chilterns household income in slightly higher than the county as a whole with 37.4% of households earning £50k or more (compared to 34.9%).  Waddesdon household income in local area is slightly higher than the county as a whole for those earning £20k-£34k and £35k-£49k, but lower for households earning £50k and over with 33.5% (compared to 34.9%).

Social Cohesion

87%-92% of people felt that those from different backgrounds in the area get on well, compared with 85% for the county as a whole. A higher proportion of people were also satisfied with the local area as a place to live compared to Bucks. A lower proportion felt that respect/consideration of others was a problem.

Health

The population of the AV South locality experiences on average similar or better health than the Buckinghamshire population:  Long term conditions are more common, reflecting the older population in this locality.  Emergency admission rates to hospital and attendances at A&E are statistically lower than the Bucks average.  Elective admission rates are statistically higher, for all admissions and for elective angioplasty.  Early death rates are similar to Bucks, which itself has some of the lowest death rates in the country.

Some specific issues that have been identified in the AV South Locality are:  The needs of older people across the locality (including dementia, depression and falls prevention). A higher proportion of older people are estimated to have difficulty with one or more activities of daily living.  People with long term conditions - cardiovascular conditions in particular, but also those with multiple conditions and co-existing mental health problems.

As a result of this, three priorities were proposed for AV South at the locality’s first Public and Patient Engagement Workshop. These were:

 Cardiovascular disease  Lifestyle prevention: physical activity, smoking, alcohol and healthy eating  Older people’s health and wellbeing

CLO OVERVIEW AND NETWORKS

Kyle Banks is the Aylesbury Vale South Community links Officer (AVS CLO) (Tel: 01296 383570; Mob: 07917 210597; Email: [email protected])

Princes Risborough is the most populace (10 000) settlement in the Aylesbury Vale South CLO area and straddles High Wycombe and Aylesbury. According to Clinical Commissioning Group data, Princes Risborough has an uncharacteristically high level of older people.

The AVS area aligns with areas of geographical coverage matched by Wycombe District Council (e.g. Princes Risborough, Bledlow) Aylesbury Vale District Council (e.g. Haddenham, Waddesdon) and also pockets of Oxfordshire (e.g. Thame and Chinnor). As such, there are opportunities to share knowledge with the District community engagement teams and other Oxfordshire based services such as Age UK Oxfordshire and Enrych Oxfordshire. Oxfordshire also host a web portal, Oxfordshire Support Finder to facilitate better access to community assets.

Community focused groups such as the Thame Alliance group also provide an opportunity to keep up-to - date with developments in the area. Attendees include Local Community Providers, Councillors, Officers, Health and Social Care Professionals and Supported Housing Providers. The CLO has presented at the network and is a member of the steering group.

Sample CLO Initiated networks:

Villages Workshop (see Asset Mapping)

Dementia Asset Development Long Crendon Haddenham:

Delivered Working group to develop better dementia services supported by Haddenham Age Concern; Age UK; Alzheimers; Carers Trust and two GP Practice Managers.

Sample CLO partnered networks:

The launch in November 2014 of the New Dementia Asset for Carers in Princes Risborough, Changing Places.

The launch event was very well attended (in the 50’s) with a good cross-section of professionals – e.g. Age UK; Alzheimers; some over the border orgs too – e.g. Oxford Memory Clinic; Older Adults CMHT; Oxford Older Adult Care Group; Oxford Health Healthy Minds, Oxford Dementia care network and Councillors from various Parish, District and County levels. There was a diverse mix of Voluntary and Community Sector providers from Bucks and Oxfordshire. The CLO was really pleased to talk with the manager of the

Chinnor Village Centre as it is a very pertinent hub for the cohort. And most importantly there was a good amount of carers and some really valuable Q&A across the floor around shared-issues.

Attending local community events such as the Princes Centre (a community run day opportunity provider) Anniversary Event, the Haddenham Neighbourhood Planning Day, Princes Risborough, Long Crendon Health and Oakley Health Fairs have provided useful locality-based networking opportunities.

As of July 2015 the AVS CLO has compiled a distribution list of 300+ contacts.

E-distribution bulletins such as the locality tailored Thames Valley Alerts updates also provide enhanced opportunities for intelligence gathering.

Oxfordshire Support Finder provides an opportunity to identify services online.

Local Area Forums (LAF’s)

The CLO attends all three of the main Local Area Forums in the locality and works closely with the two Locality Managers covering the patch. To date there have been numerous opportunities for joint-working. One such example has been working with the North West Chilterns (NWC) LAF and the Princes Centre to joint initiate a Changing Places. The CLO has been working with the NWC Chair on the LAF Subgroup for Health and wellbeing.

L to R: Carl Etholen (County Councillor and Local Area Forum Chair ), Marianne Talbot (author of Keeping Mum), Helen Robinson (Founder of Changing Places), Eugenie Bendyshe-Brown (Major supporter of Changing Places), Kyle Banks (Community Links Officer, Prevention Matters). Photo Courtesy of The Bucks Free Press

There are also shared projects in the Haddenham LAF – e.g. promoting a Bishopstone Community Club and the Waddesdon LAF – e.g. formulating a working group to consider Community Transport and another to deliver a promotional event with Waddesdon Manor in September 15. The Locality Managers are a fantastic resource to the Community Links Officers in terms of their knowledge of local areas and contacts with Parish, District and County Councillors.

Promoting Prevention Matters at the Bishopstone Lunch Club (including Older and Learning Disabled People) with the North West Chilterns Localities Manager

VOLUNTEERING

Organisations and locality

The locality has a large number of very active and committed volunteers. A good example of this is the Haddenham Age Concern group in Haddenham. Throughout the villages in the locality there are many great Friendship Groups and Good Neighbour Schemes as well as lots of lunch clubs. These volunteers work so hard to support others in the community. One challenge however is the number of groups who rely on volunteers who themselves are getting older, which must call into question their long-term sustainability. One of the challenges and priorities of Prevention Matters is to promote the re-vitalisation some of these groups with a crop of younger volunteers through Volunteer Hub Campaigns.

Opportunities

There are lots of opportunities for people to volunteer in many different ways. Volunteers are often needed for Simply Walks, Community Transport Schemes, Lunch Clubs, Befriending and Visiting.

Understanding the needs of the locality with the Long Crendon ‘Coffee Thursday’ volunteers

Recruitment

The CLO for the AV South Locality is working closely with the Prevention Matters Volunteer Hub to enhance opportunities for recruiting more volunteers into Prevention Matters related activities. The Time Credits Model is providing an additional interesting and innovative dimesnion to this. Local groups such as The Waddesdon Wednesday Lunch Club have signed up to the scheme with the support and guidance of the CLO.

Red Kite Community Housing Officers Finding out more about Time Credits

Connections have also been made with the team mangers at Oxfordshire Community and Voluntary Action.

ACCESS TO HEALTH SERVICES

There are 5 GP surgeries covering the AV South locality.

Haddenham Medical Surgery Waddesdon Surgery Stanbridge Road Goss Avenue Haddenham Waddesdon HP17 8JX HP18 0LY Tel: 08444 778576 Tel: 01296 658585 Fax: 08444 477 8575 Fax: 01296 658467 www.haddenham.org www.waddesdonsurgery.nhs.uk

The Cross Keys Practice Wellington House High Street Stratton Road Princes Risborough Princes Risborough HP27 0AX HP27 9AX Tel: 01844 344488 Tel: 01844 344281 Fax: 01844 271606 Fax: 01844 274719 www.crosskeyspractice.co.uk www.wellingtonhouse.nhs.uk

Trinity Health New Chapel Surgery High Street Long Crendon HP18 9AF Tel: 01844 208228 Fax: 01844 201906 www.trinity-health.co.uk

There are also a number of hospitals that patients in the AV South locality can access.

Buckingham Hospital High Street Buckingham MK18 1NU T: 01280 813243 F: 01280 824966 http://www.buckshealthcare.nhs.uk/

More info:

Thame Community Hospital Thame Community Hospital East Street Thame Oxfordshire OX9 3JT Tel. 01844 212727 http://www.buckshealthcare.nhs.uk/Thame/thame-hospital.htm

Thame community Hospital provides rehabilitation care to patients either requiring support following surgery or an acute hospital stay or support which would prevent them from needing to attend an acute hospital.

The hospital acts as a bridge between hospital and home, and has strong links with GP practices, social services and the adult community health care teams, who all assist in facilitating discharge home. Thame Community Hospital also provides palliative and end of life care.

Stoke Mandeville Hospital Mandeville Road Aylesbury HP21 8AL. T: 01296-315000 http://www.buckshealthcare.nhs.uk/

More info: Outpatient care: Outpatients, diagnostics, therapies, older people’s day hospital Planned and inpatient care: Day case surgery, consultant-led women and children’s centre, neonatal intensive care, rehabilitation, chemotherapy Emergency care: Accident & emergency, critical care, emergency and trauma surgery, acute medical care, acute obstetrics and gynaecology Specialist care: National Spinal Injuries Centre, burns and plastic surgery unit, opthalmology Clinical support services: Radiology, MRI and CT, pharmacy, pathology, infection control

Wycombe Hospital Queen Alexandra Road High Wycombe HP11 2TT T: 01494 526161 http://www.buckshealthcare.nhs.uk/

More info: Outpatient care: Outpatients, diagnostics, therapies, older people’s day hospital Planned and inpatient care: Day case surgery, elective treatment centre, rehabilitation, midwife-led birth centre, children’s ambulatory care centre, chemotherapy Minor injuries and illness care: GP-led Minor Injuries and Illness Unit (MIIU) Specialist care: Specialist cardiology, respiratory services, haematology and inpatient stroke care Clinical support services: Radiology, MRI and CT, pharmacy, pathology, infection control

Milton Keynes Hospital NHS Foundation Trust Standing Way Eaglestone Milton Keynes MK6 5LD T: 01908 660033 F: 01908 669348 More info: http://www.mkhospital.nhs.uk/contact-us

John Radcliffe Hospital Headley Way Headington Oxford OX3 9DU T: 01865 741166

More info: http://www.ouh.nhs.uk/hospitals/default.aspx

There are a number of dental practices that cover the area.

Waddesdon Dental 5 High Street Waddesdon HP18 0JP 01296 655577 www.waddesdondental.co.uk

Long Crendon Dental Practice 1 Chearsley Road Long Crendon HP18 9BS www.thegallerydental.com/

ACCESS TO APPROPRIATE HOUSING

There are a number of care homes and sheltered housing schemes operating in the locality.

Red Kite Housing Association Berryfield Road Princes Risborough HP27 0HQ T: 01494 476 100 www.redkitehousing.org.uk

Red Kite Housing Association Gatensbury Place Clifford Road Princes Risborough HP27 0DS T: 01494 476100 www.redkitehousing.org.uk

Red Kite Housing Association Woodfield Road Princes Risborough HP27 0HX T: 01494 476100 www.redkitehousing.org.uk

Red Kite Housing Association Wollerton Court Longwick Road Princes Risborough HP27 9HB T: 01494 476100 www.redkitehousing.org.uk

ASSET MAPPING

The Asset Mapping of the locality was undertaken in stages using several methods to help build a more complete picture.

1. The first stage of the mapping exercise was implemented using Bucks Connect and other internal information to start building a spreadsheet of Prevention Matters related activities. More recently partnerships have been established with the team implementing the Care Advice Website which supersedes Bucks Connect:

The Care Advice Buckinghamshire Website

2. The second stage involved a more general internet search, looking at parish, village and church websites to find additional services that were not on Bucks Connect or other BCC databases.

3. The third stage was to start visiting known groups and organisations and getting out into the villages to meet people. This led to further activities and groups being found and added to the ever growing spreadsheet.

Attending local community events such as the Waddesdon Manor Emergency Services day provide a good opportunity to talk to the community about assets and needs

4. A fourth stage involved the CLO delivering a community workshop within AVS to promote the work of Prevention Matters. The workshop was held as a co-production session for groups supporting the PM cohort in Haddenham and the surrounding villages. It was attended by a diverse mix of 28 stakeholders from across the area. Haddenham and the villages were selected as this was a sizeable, central part of the patch to radiate the message from. In addition to this the CLO had

established strong links with the Local Area Forum and a willingness from them to be to become involved.

The Workshop was attended by a diverse mix of 28 stakeholders from across the area. Groups represented and professionals in attendance included: GP’s; GP Practice Managers; NHS Trust Patient Champion Reps; County, District and Parish Councillors; Supported Accommodation providers; Carers; Churches; Businesses; and VCS Groups (e.g. Age Concern, Age UK, Haddenham FISH Transport Scheme, U3A, two community libraries and a variety of other community clubs and groups).

The Asset Mapping continues as an ongoing piece of work, but it will now be much more targeted given the information that has already been found.

UNMET NEEDS AND ISSUES

The data that is being fed back by the Community Practice Workers (CPW) provides vital intelligence to the CLO and the wider Prevention Matters programme.

The biggest areas of need identified to date are for Befriending (group social activities and one to one partnerships), Dementia/Memory Loss community groups and Physical Access to Community Services – Community Transport. For further information see the Asset Development section.

As a result of the stage 4 workshop delivered in July 14 (see report in appendix) needs were established around better community services for Dementia/memory Loss, Social isolation and an enhanced capacity to connect people through Community Transport.

ASSET DEVELOPMENT

To date, the CLO has supported on establishing the following related assets:

Nov 2014. Supported, developed and funded the Changing Places Support group incorporating attending the launch event as a key speaker. The group meets monthly with 20 carers attending

Jan 2015. Supported, developed and funded the Cuddington Matinee Cinema Club (Targeting Older People in the villages.) Meeting every 2 months averaging 80 attendees.

Jun 2015. Supported, developed and funded the Ashendon Villages Film Club (An outcome of the successful promotion of the above asset). Launching in July 2015.

July 2015 Supported, developed and funded the funded the Haddenham and Villages Community Vehicle Scheme. Launching in August 2015.

July 2015 Developed and commissioned a Memory Friendly Singing pilot with The Carers Trust to meet the identified workshop need for increased provision of dementia support in the community.

Sep 2015 Waddesdon Active Bucks event incorporating PM assets and PM related activities

Asset creation in depth case study Changing Places Support group:

What?

A monthly networking support group for adults who care for a parent with dementia. Changing Places 24/7 aims to bring together people whose parents have been touched by dementia and give emotional support and advice by sharing experiences and tips.

Why?

CPW work identifying unmet need for localised carer support adults who care for a parent with dementia Based on the CLO asset report data it was apparent to him that there were carer groups dedicated more towards the needs of partners caring for their partners affected by dementia. A care group run by Carers Bucks in Princes Risborough had recently closed.

Discussion was also undertaken with colleagues and the Age UK Memory advice service to help ascertain the need for this service. Dementia and provision of associated interventions is recognised as a priority concern for the wellbeing of the cohort.

Outcome

Feedback requested from service deliverer in Feb 2015:

‘The group has over 20 members and is already having a positive effect for those who are coming along regularly - they feel part of a support network where they can share the same experiences, empathise with others as to how they are feeling coping with their parents and are helping one another to find solutions and not have to carry this alone – Carers Bucks, Alzheimers Bucks, Healthy Minds and Social Services have been or are coming to the monthly group meetings to pass on their expertise and support. It has been a great success so far and the funding will help us to continue reaching out to others in the community who care about a parent with dementia and need help and support to cope on this roller coaster ride.

It is nice to know someone is out there thinking about you and keeping in contact as most days I am thinking about helping others…You do a great job out there.’

(For more detail see case study in appendix)

On the following pages there is a brief summary of each local area including the numbers of assets and their type and the transport links within the local area.

THE MAIN GEOGRAPHIC AREAS HADDENHAM & LONG CRENDON LOCAL AREA

Physical attributes and features of the area

The Haddenham & Long Crendon Local Area comprises 15 parishes which are home to 15,942 people.

Public Transport

The following is the list of Bus services that exist in the Haddenham & Long Crendon Local Area. For detailed timetables and stops click on the link in left hand column or visit http://www.transportforbucks.net/Buses-and-trains/Bus-timetables.aspx

280 Aylesbury – Thame - Oxford

111 Aylesbury – Thame – Brill - Oakley

110 Aylesbury – Long Crendon – Thame (- Worminghall)

613 Haddenham - Waddesdon

There is one mainline train station within the locality, Haddenham and Thame Parkway. Residents are also close to Princes Risborough, Monks Risborough and Stoke Mandeville mainline train stations.

Community Transport

Number of transport schemes 2 Dial a ride Hospital/GP transport options Community car – in development Good neighbour schemes with transport

Prevention Matters Assets

A full list of assets mapped to date is available in a separate document entitled, Asset Spreadsheet – AV South Report.

Local area priorities

The Haddenham & Long Crendon Local Area Forum (LAF) was established in 2008 to provide oversight of the needs of the local area, and has met on a regular basis ever since, considering the needs of the area and taking action to address those needs wherever possible. The priorities for the area were identified at a workshop help in 2011 and refreshed in November 2013. The following actionable priorities were identified at the workshop. These will be worked on locally by the LAF and community groups  Teenagers and community facilities  Traffic calming  Support for carers and support for older people to live in their homes.

WADDESDON LOCAL AREA

Physical attributes and features of the area

The Waddesdon Local area is comprised of 15 parishes, home to 7,946 people.

Public Transport

The following is the list of Bus services that exist in the Waddesdon Local Area. For detailed timetables and stops click on the link in left hand column or visit http://www.transportforbucks.net/Buses-and-trains/Bus- timetables.aspx

16 Aylesbury - Waddesdon - Steeple Claydon (-Marsh Gibbon)

17 Aylesbury – Waddesdon - Bicester

613 Haddenham - Waddesdon

There is one mainline train station within the locality, Haddenham & Thame Parkway.

Community Transport

Number of transport schemes Dial a ride Hospital/GP transport options Good neighbour schemes with transport

Prevention Matters Assets

A full list of assets mapped to date is available in a separate document entitled, Asset Spreadsheet – AV South Report.

Local area priorities

The Waddesdon Local Area Forum (LAF) was established in 2008 to determine local residents’ needs and priorities. The LAF reviewed these priorities in October 2013. The following actionable priorities were identified at the workshop. These will be worked on locally by the LAF and community groups.  Addressing fuel poverty  Community transport  Conditions of footpaths and pavements  Dealing with excess speed and heavy traffic  Maintaining the environment  Parking around schools  Support for community facilities 18

NORTH WEST CHILTERNS LOCAL AREA

Physical attributes and features of the area

The North West Chilterns area is comprised of 9 parishes, home to 25,520 people.

Public Transport

The following is the list of Bus services that exist in the North West Chilterns Local Area. For detailed timetables and stops click on the link in left hand column or visit http://www.transportforbucks.net/Buses- and-trains/Bus-timetables.aspx

300 High Wycombe – Princes Risborough - Aylesbury

321 Aylesbury – Princes Risborough – High Wycombe

120/121 Thame/Watlington – Chinnor – Princes Risborough

There is one mainline train station within the locality, Princes Risborough.

Community Transport

Number of transport schemes Dial a ride Hospital/GP transport options Community bus Risborough Area Community Bus Good neighbour schemes with transport

Prevention Matters Assets

A full list of assets mapped to date is available in a separate document entitled, Asset Spreadsheet – AV South Report.

Local area priorities

The priorities for the area were identified at a workshop help in 2011. The following actionable priorities were identified at the workshop. These will be worked on locally by the LAF and community groups  Public transport in rural areas  Traffic management focussing particularly on speeding  Youth activities/provision  Support for older people