Maybole & North Carrick Communities

Locality Data Profile 2017

*Premature mortality is described as deaths under the age of 75 years. This measure is considered an important indicator as a higher premature mortality rate suggests there is still room to improve population health. POPULATION AND DEPRIVATION Overall, the South Ayrshire population is projected to remain relatively static between 2014 and 2039. However, projections suggest that there will be approximately a 10% drop in the working age population whilst the percentage of individuals of pensionable age and over is due to increase by 21% across the same time period. Many parts of South Ayrshire are prosperous and it is a vibrant area in which to live and work, and to visit; however, significant inequalities continue to exist within and between our communities. • The Maybole & North Carrick Communities (MNCC) Locality has grown slightly over recent years and now sits at 10,697 people. • One in five people in the MNCC Locality are aged over 65. • Approximately one out of eight people in the MNCC Locality live in a deprived neighbourhood. • Approximately one in ten children in the MNCC Locality live in poverty.

ECONOMY AND SKILLS The key driver underpinning our future prosperity and the ability to realise the potential of our communities is a local economy which develops and achieves sustainable growth. Delivering economic recovery and growth will contribute to improve outcomes for young and old, improved health, employment, inclusion, and safer and stronger communities. • Two out of three people aged 16 to 74 are economically active. • Approximately half the people in work in the MNCC Locality work in skilled trades, professional occupations and in elementary occupations. • The level of unemployment (taken from the claimant count) in the MNCC Locality has historically tended to be slightly lower than that for South Ayrshire as a whole. • The youth claimant count (16-24), as a proxy for youth unemployment, in the MNCC Locality is lower than the level across South Ayrshire as a whole. • Of the people not in work in the MNCC Locality, around one in six are long-term sick or disabled. • Approximately nine out of 10 pupils leave school for a positive destination (college, university, training or work).

SAFE COMMUNITIES South Ayrshire is a safe place to live, where crimes of public disorder and violence have continued to reduce. We want to maintain this downward trend and ensure that people feel safe within their own homes and communities.

• No datazones in the MNCC Locality are identified as the most deprived 0-15% in respect of crime. • The rate of deliberate dwelling fires in the MNCC locality has tended to be lower than the South Ayrshire average over recent years.

HEALTH & WELLBEING Positive health and wellbeing is at the heart of our community planning arrangements. We recognise that there are significant challenges in respect of the wellbeing of our communities and will work though Integrated Health and Social Care arrangements to tackle these challenges; • One in five mothers smoke during pregnancy in the MNCC Locality. • Approximately only one in five babies are breastfed in the MNCC Locality. • One in ten primary 1 children in the MNCC Locality are obese. • Around seven out of ten Primary 1 children have no obvious dental caries. • The level of teenage pregnancies (15-19) in the MNCC locality is slightly higher than the total South Ayrshire & Scottish average rates although this difference is not statistically significant. • The level of multiple emergency hospital admissions for older people (65+) in the MNCC Locality is similar to the level across South Ayrshire as a whole. • One in five people in the MNCC Locality have a long-term health condition. • The rate of hospital stays due to alcohol in the MNCC locality is approximately in line with levels across South Ayrshire as a whole as well as the Scottish average. • Hospital stays due to drugs are somewhat lower in the MNCC locality as compared to South Ayrshire and the Scottish average rate, however this difference is not significant. • Approximately one in five people in the MNCC Locality are prescribed drugs for anxiety, depression or psychosis.

Economy and Skills

The key driver underpinning our future prosperity and the ability to realise the potential of our communities is a local economy which develops and achieves sustainable growth. Delivering economic recovery and growth will contribute to improved outcomes for young and old, improved health, employment, inclusion, and safer and stronger communities.

Top 3 Occupations (2011) Status of Economically Active (2011) 3.9% Full-time Elementary 7.4% student 12.0% occupations Unemployed 19.2% Professional occupations 15.6% Self- 52.3% employed Skilled trades Employee: 13.0% occupations 20.7% Part-time Employee: Full-time

2015/16 School Leavers Data 4% Claimant Count 16+ 100% 92% 92% 93% 92% 3% 80% 71% 2% 60% 64%

1% 40%

0% 20%

0% Lit & Num SCQF Lit & Num SCQF College, University, Maybole and North Carrick Communities Level 4 or Better Level 5 or Better Training or Work South Ayrshire MNCC South Ayrshire Unemployment not only hurts the personal finances of those without work, but also reduces their participation in the overall economy. The inability to find work is also associated with stress, financial hardship, health problems, and strain on family relationships. The claimant count in the MNCC Locality has reduced from 2.7% in 2013 to 1.6% in 2017. Among the long-term factors that affect the unemployment rate in South Ayrshire are those that also affect the country's overall competitiveness: education levels, infrastructure investments, diversity and balance in its economic mix, tax rates, and the regulatory environment. Any changes that improve South Ayrshire's attractiveness as a place to live or to do business will, over longer periods of time, tend to reduce the unemployment rate. Education data for school leavers during 2015/16 demonstrates that within the MNCC locality pupils are more likely to leave education with literacy and numeracy skills at a higher level than other pupils across South Ayrshire and are also slightly more likely to leave school and enter either college, university, training or work. Safe Communities

South Ayrshire is a safe place to live where crimes of public disorder and violence have continued to reduce. We want to maintain this downward trend and ensure that people feel safe within their own homes and communities.

Dwelling Type(2016) Tenure (2011) Owned outright 1.0% 1.9% Owned with a mortgage or loan Shared ownership 19.6% 3.9% 10.7% Detached Rented (Council) 28.7% Semi-Detached 31.8% Rented (Social) Terraced 27.5% 20.2% Rented (Private) Average of Flats 24.1% 30.3% Rented (Other) 0.1% Living Rent Free

Housing has an important influence on health inequalities in Scotland. This is through the effects of housing costs, housing quality, fuel poverty and the role of housing in community life. Many people do not live in a home that is warm, dry and affordable. There is more work to do to ensure that housing across tenures provides a sufficient number of quality, affordable homes to meet the needs of people in South Ayrshire. Around 60%of properties are owned, either with a mortgage or outright in the MNCC locality, with 20% being rented council housing. Approximately 20% of all dwellings in the MNCC locality are flats. Detached and semi-detached homes make up more than half all dwellings in the MNCC locality.

SIMD Crime Domain (2016)

50-100% 5

30-50% 4

15-30% 4

10-15%

5-10%

0-5%

0 1 2 3 4 5 6

A high crime rate suggests an unsafe community, which impacts on people's quality of life and may deter public and private improvements or investment and reduce the residential desirability of an area. In an unfavourable or declining economy, crime can increase. Poor earning power, unemployment or frustration with the resulting deprivation are factors which may lead people to commit criminal acts. Other factors affecting crime levels include alcohol abuse and drug dependency. Intervening early, engaging with young people and getting the right help at important times in their lives - especially for the most vulnerable - are vital steps to divert them from the wrong choices and impairing life chances. An effective and visible police presence helps to tackle offending and reduce fear of crime. Safe Communities

Crime Rate per 100,000 Population Crimes by Grouping - rates per 100,000 (2016/17) 9000 2500 8000 2000 7000 1500 6000 1000 5000 500 4000 0 3000 2000 1000 0 2013/14 2014/15 2015/16 2016/17 MNCC South Ayrshire MNCC South Ayrshire Totals

The rate of annual crime per 100,000 individuals in the MNCC locality has tended to be slightly lower than the overall South Ayrshire average and has also been declining over recent years.

Crimes of disorder are the most common crime group in the MNCC locality followed by crimes of dishonesty and road traffic offences. The rate of road traffic offences was slightly higher in the MNCC locality during 2016/17 than the overall South Ayrshire average.

Accidental Dwelling Fires Rate per 100,000 Deliberate Dwelling Fires Rate per 100,000 100 300

80 250 200 60 150 40 100

20 50

0 0 2013/14 2014/15 2015/16 2016/17 2013/14 2014/15 2015/16 2016/17 MNCC South Ayrshire MNCC South Ayrshire

The rate of dwelling fires (both deliberate and accidental) has tended to be lower than the South Ayrshire average with the exception of deliberate fires during 2014/15 which was slightly higher than the South Ayrshire average.

Health & Wellbeing

Positive health and wellbeing is at the heart of our community planning arrangements. We recognise that there are significant challenges in respect of the wellbeing of our communities and will work through our Integrated Health and Social Care arrangements to tackle these challenges. Self-Described Health Status (2011) Long Term Health Conditions (2011) 100% Very bad 1.4% 1.3% 30.3% 80% 32.0% Bad 4.4% 4.2% 60% Fair 13.3% 12.4% 40% 69.7% 68.0% Good 30.1% 30.3% 20% Very good 50.8% 51.8% 0% 0% 10% 20% 30% 40% 50% 60% Maybole and North South Ayrshire Carrick Communities South Ayrshire Maybole and North Carrick Communities No Condition Sum of One or more conditions The wellbeing of individuals and communities is shaped by social, environmental and individual factors. Improvement in the health of younger people in particular could be achieved in the next 10-15 years if smoking and alcohol use in pregnancy could be reduced; breastfeeding support improved; healthy diets and physical activity promoted; and more support offered to families in need with housing, finance, safety, parenting, and social isolation. Premature Deaths from Coronary Heart Prermature Deaths from Cancer (Under 75s) 140 Disease (Under 75s) 250

120 200 100

80 150

60 100 40 50 20

0 0 2011 - 2013 2012 - 2014 2013 - 2015 2011 - 2013 2012 - 2014 2013 - 2015 MNCC South Ayrshire Scotland MNCC South Ayrshire Scotland The rate of deaths under the age of 75 years is generally accepted to be an important indicator of overall health in a community. The rates for premature deaths as a result of coronary heart disease in the MNCC locality have been falling in recent years in line with national trends however death rates for cancer have remained relatively stable. Smoking, excessive use of alcohol, drug use, obesity and poor mental wellbeing all increase the risk of premature death. While smoking and excessive use of alcohol rates are falling, obesity rates have been rising in recent years. Health & Wellbeing

Alcohol Related Hospital Stays per 100,000 Population 1,000

800

600

400

200

0 2011/12 2012/13 2013/14 2014/15 2015/16 MNCC South Ayrshire Scotland Excessive use of alcohol can cause harm through physical illness (cancer, liver disease, brain damage), mental health problems such as anxiety and depression, violence, and the emotional wellbeing of individuals and families. Hospital admissions related to the use of alcohol have demonstrated a downward trend in the MNCC locality since 2013/14 generally in line with the overall South Ayrshire & Scottish average rate.

The advice from the Chief Medical Officer on low-risk drinking is “not to drink more than 14 units of alcohol per week on a regular basis”. The possible introduction of a minimum price per unit of alcohol in Scotland is likely to help reduce harmful consumption. Individuals can obtain support and advice on their drinking habits by visiting their General Practitioner. Drug Related Hospital Stays per 100,000 Population 300

250

200

150

100

50

0 2011/12 - 2012/13 - 2013/14 - 2014/15 - 2013/14 2014/15 2015/16 2016/17 MNCC South Ayrshire Scotland Levels of drug use in a community are linked to a complex interplay of personal, environmental and societal factors. Rates of hospital stays related to drug use in the MNCC locality have been increasing in line with trends across South Ayrshire and Scotland as a whole. These hospital stays usually result from either a drug overdose or an accidental injury related to drug use. Efforts are ongoing to support people to enter or remain in education or employment where possible and to create purposeful community activities for people to become involved with. Drug use services and pharmacies are involved in ongoing efforts to provide support to individual drug users with their addiction and with managing the health consequences such as by providing clean equipment.

Health & Wellbeing

Rate of Patients (65+) with Multiple Emergency Hospitalisations per 100,000 Population 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 2011 - 2013 2012 - 2014 2013 - 2015 MNCC South Ayrshire Scotland

In some circumstances, hospital admission provides timely access to expert assessment and treatment which can be life-saving. However, for some elderly people in particular, hospital admission can result from gaps or deficiencies in care processes that are delivered in the community. These “avoidable hospital admissions” can expose people to unnecessary risks such as hospital-acquired infections in addition to disruption to their lives and the lives of family members and carers.

The rate of patients aged 65 and over with multiple emergency hospital admissions in the MNCC locality has remained fairly stable over recent years.

Some of the most common causes of “avoidable hospital admissions” in older people have been identified as urinary tract infections, Chronic Obstructive Pulmonary Disease (COPD), and angina; these account for up to 15% of all hospital admissions. Improvements to care processes can help to reduce “avoidable hospital admissions”, with examples including: patient self-management programmes, tele-related health care, home visits from District Nurses and increased involvement of General Practitioners and Hospital Consultants in decisions made at Accident and Emergency.

Health & Wellbeing

% of Population Prescribed Drugs for Anxiety/Depression/Psychosis 25

20

15

10

5

0 2011/12 2012/13 2013/14 2014/15 2015/16 MNCC South Ayrshire Scotland While some people benefit from these medicines, especially in the shorter term (6-12months), longer-term use can indicate a gap or deficiency in care services that help identify and address the underlying factors contributing to mental ill-health (“talking therapies”). Failure to address the underlying factors leaves people vulnerable to recurrence of illness or deterioration in mental health irrespective of medicines prescribed.

The number of people being prescribed medication for anxiety, depression or psychosis has increased steadily in the MNCC locality over the last five years, a similar pattern to South Ayrshire and to Scotland.

While most medicines for treating anxiety, depression and psychosis are safe, once the body adjusts to the initial effects of these drugs, their longer-term use can expose people to harmful side effects such as dependence/addiction and diabetes. % Mothers Smoking During Pregnancy 35 30 25 20 15 10 5 0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 MNCC South Ayrshire Scotland Smoking rates among pregnant women are similar to the general population and the harms to the mother’s health are the same as for any smoker (risk of heart disease, respiratory disease, cancer etc). However, smoking during pregnancy can also harm child development with a higher risk of low birth weight and pregnancy complications, in addition to the dangers of passive smoking after birth.

The percentage of women smoking during pregnancy has fallen in the MNCC locality over the last five years, in line with overall national trends.

Most smoking cessation therapies and treatments are safe to use in pregnancy and the smoking cessation service will be happy to support and advise mothers on these issues. Health & Wellbeing

% Babies Exclusively Breastfed at 6-8 Weeks 35 30

25

20

15

10

5

0 2011/12 - 2013/14 2012/13 - 2014/15 2013/14 - 2015/16 MNCC South Ayrshire Scotland Among the many health benefits, breastfeeding helps to support immune system development in babies, which is important for coping with infectious illnesses such as gastro-enteritis and infections of the chest and upper respiratory tract.

The percentage of babies exclusively breastfed at 6-8 weeks in the MNCC locality has remained fairly stable over recent years however rates remain below the overall Scottish average rates, although this difference is not statistically significant.

Health visitors offer advice and support to individual mothers with initiating and sustaining breastfeeding and efforts are also ongoing to make breastfeeding more accepted and supported across society. Teenage Pregnancies per 1,000 Population 100

80

60

40

20

0 2012 - 2014 2013 - 2015 MNCC South Ayrshire Scotland Planned pregnancies ensure that individuals are prepared for parenthood, giving children the best possible start in life. The teenage pregnancy rate in the MNCC is somewhat higher than the Scottish average and South Ayrshire rates however this difference is not statistically significant.

Health & Wellbeing

% of Children with No Obvious Dental Caries in Primary One 90 80 70 60 50 40 30 20 10 0 2012/13 2013/14 2014/15 MNCC South Ayrshire Scotland Childhood dental care is an important aspect of child health and a factor which can influence future disease prevention and oral health in later life.

The percentage of primary 1 children with no obvious dental caries have steadily increased across the last few years in Scotland as a whole. Local data for the MNCC locality shows that the percentage of children with no obvious dental caries has also increased slightly since 2012/13.

Childsmile is a national programme which seeks to provide every child attending nursery with free, daily supervised tooth brushing, a dental pack containing a tooth brush and toothpaste, and encouragement to register with a local dentist. Childsmile also provides additional activities in areas of socio-economic deprivation or where tooth decay is more common including supervised tooth brushing to some primary school children, fluoride varnish application and a home visit from a dental health support worker.

Deprivation

The Scottish Index of Multiple Deprivation (SIMD) is used to identify the most deprived areas in Scotland. SIMD identifies small area concentrations of multiple deprivation across all of Scotland in a consistent way. It allows effective targeting of policies and funding where the aim is to wholly or partly tackle or take account of area concentrations of multiple deprivation. SIMD ranks Datazones s from most deprived (ranked 1) to least deprived (ranked 6,976). People using SIMD will often focus on the DZs below a certain rank, such as the 5%, 10%, 15% or 20% most deprived Datazones in Scotland. In South Ayrshire there are 153 datazones of which 17% are located in the Ayr North and Former Coalfield Communities Locality.The ANGFCC Locality includes 16 small areas or ‘datazones’ in the most deprived 20% of datazones across Scotland.

The Ten Most Deprived Datazones in South Ayrshire Datazone Locality Rank S01012489 Ayr North and Former Coalfield Communities 37 S01012491 Ayr North and Former Coalfield Communities 42 1012502 Ayr North and Former Coalfield Communities 46 S01012492 Ayr North and Former Coalfield Communities 64 S01012501 Ayr North and Former Coalfield Communities 75 S01012498 Ayr North and Former Coalfield Communities 274 S01012490 Ayr North and Former Coalfield Communities 350 S01012426 Girvan and South Carrick Villages 383 S01012425 Girvan and South Carrick Villages 469 S01012497 Ayr North and Former Coalfield Communities 477

Maybole & North Carrick Communities – Sources

I. Information Services Division Scotland (ISD)

II. National Records of Scotland (NRS) http://www.nrscotland.gov.uk/statistics-and-data

III. Nomis https://www.nomisweb.co.uk/

IV. Scotland’s Census 2011 http://www.scotlandscensus.gov.uk/ods-web/standard-outputs.html

V. Scottish Public Health Observatory (ScotPho) http://www.scotpho.org.uk/comparative- health/profiles/online-profiles-tool

VI. SIMD 16 Analysis: South Ayrshire.

VII. Statistics.Gov.Scot http://statistics.gov.scot/