DOCSLIB.ORG

Oral Cancer in England: a Report on Incidence, Survival and Mortality

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Oral Cancer in England: a Report on Incidence, Survival and Mortality Title goes here as running header Oral cancer in England A report on incidence, survival and mortality rates of oral cancer in England, 2012 to 2016 1 Oral cancer in England About Public Health England Public Health England exists to protect and improve the nation’s health and wellbeing and reduce health inequalities. We do this through world-leading science, research, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. We are an executive agency of the Department of Health and Social Care, and a distinct delivery organisation with operational autonomy. We provide government, local government, the NHS, Parliament, industry and the public with evidence-based professional, scientific and delivery expertise and support. Public Health England Wellington House 133-155 Waterloo Road London SE1 8UG Tel: 020 7654 8000 www.gov.uk/phe Twitter: @PHE_uk Facebook: www.facebook.com/PublicHealthEngland For queries relating to this document, please contact: [email protected] © Crown copyright 2020 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v3.0. To view this licence, visit OGL. Where we have identified any third-party copyright information you will need to obtain permission from the copyright holders concerned. Published May 2020 PHE publications PHE supports the UN gateway number: GW-1209 Sustainable Development Goals 2 Oral cancer in England Contents Oral cancer in England 1 About Public Health England 2 Executive summary 4 1. Introduction 5 2. Methods 6 3. Results 7 4. Discussion and conclusion 31 5. References 32 6. Summary tables 34 3 Oral cancer in England Executive summary Oral cancer is an important public health issue in England. The National Cancer Registration and Analysis Service (NCRAS) is responsible for cancer registration in England and uses a wide range of data sources to support cancer epidemiology, public health, service monitoring and research. In England from 2012 to 2016 there were 35,830 new cases of oral cancer diagnosed and 10,908 deaths. Most cases present late in the disease process, which reduces prognosis. Incidence and mortality rates for oral cancer have risen in recent years and there are stark inequalities between geographic areas and population groups. Those living in urban areas and in the North of England are more likely to be diagnosed with oral cancer and more likely to die from oral cancer than those living in rural areas and in the South. Oral cancer disproportionately affects males and its incidence and mortality increase with deprivation and age. The reasons for these increases are poorly understood but may be partially explained by trends in risk factors and latency period. The data in this report identifies the geographic areas and population groups most at risk to facilitate the planning of health improvement initiatives and clinical services. 4 Oral cancer in England 1. Introduction Oral cancer, also known as mouth cancer (1), includes cancers of all sites of the oral cavity and pharynx and is the sixth most common cancer globally (2). In the UK oral cancer is the ninth most common cancer and accounts for just over 2% of all cancers diagnosed (3). Known risk factors for oral cancer are linked to social determinants (2) and include smoking, other ways of using tobacco such as chewing, drinking alcohol and infection with the human papilloma virus (HPV) (1). Where oral cancer is suspected on the basis of clinical examination or symptoms, the diagnosis is confirmed by biopsy (4). Treatment may be with surgery, radiotherapy, chemotherapy or a combination of these (4). The degree of spread at initial presentation, described as stage, and the grade of a cancer are important indicators of prognosis (5). There are opportunities to prevent oral cancer and to support early detection and treatment (2). In England the responsibility for local population health improvement, including oral health, passed to local authorities with the coming into force of the 2012 Health and Social Care Act (6). Public Health England (PHE) coordinates surveys of dental health in England (7). The information from these surveys is used by commissioners and other health planners when conducting needs assessments, although they lack data on oral cancer. This report provides an overview of oral cancer in England and may be used alongside the surveys of dental health to facilitate commissioning and planning at local, regional and national levels. 5 Oral cancer in England 2. Methods This work uses data that has been provided by patients and collected by the NHS as part of their care and support. The data is collated, maintained and quality assured by the National Cancer Registration and Analysis Service (NCRAS), which is part of PHE. Rates have been calculated using the Office for National Statistics Mid-2017 Lower Super Output Area Population Estimates and standardisation is by age and gender according to the 2013 European Standard Population (8). Confidence limits have been calculated using the Tiwari modified gamma method and the threshold for statistical significance has been set at 95%. Trends are reported for the period 2001 to 2016 and other data is for 2012 to 2016. This report uses 2 categories for reporting based on International Classification of Diseases (ICD) version 10: lip, oral cavity and pharynx (C00-C14) and oral cavity (C00- C06). The latter grouping features cancers of sites likely to be visible in a dental examination. The figures in this report do not include malignant neoplasms of bone (C41) or connective or soft tissue (C45-C49) of the head and neck which may occur in the mouth, yet with very low incidence. In situ or benign neoplasms of uncertain behaviour were also excluded; they may be under-recorded in the cancer registry but are important to note as these and pre-cancerous conditions contribute to dental referrals for investigation. 6 Oral cancer in England 3. Results 3.1. Incidence An incident case of cancer is a new primary tumour, counted once when the cancer is diagnosed (8). One person may be diagnosed with more than one primary tumour, in which case they would feature multiple times in the incidence statistics. From 2012 to 2016 there were 35,830 cases of oral cancer diagnosed (Table 1). Of these, malignant neoplasm of the tonsil (C09) was the most frequent diagnosis, closely followed by malignant neoplasm of other and unspecified parts of tongue (C02). Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx (C14) was the least frequent. The tongue (C01 and C02) and floor of mouth (C04) accounted for over a third of cases. Table 1: Incidence of C00-C14 individually, 2012 to 2016. % of total ICD10 Number of Site number of Code cases cases C00 Malignant neoplasm of the lip 1,190 3.3% C01 Malignant neoplasm of base of tongue 4,241 11.8% Malignant neoplasm of other and unspecified C02 6,324 17.7% parts of tongue C03 Malignant neoplasm of gum 1,823 5.1% C04 Malignant neoplasm of floor of mouth 2,306 6.4% C05 Malignant neoplasm of palate 1,993 5.6% Malignant neoplasm of other and unspecified C06 2,711 7.6% parts of mouth C07 Malignant neoplasm of parotid gland 2,334 6.5% Malignant neoplasm of other and unspecified C08 678 1.9% major salivary glands C09 Malignant neoplasm of tonsil 6,944 19.4% C10 Malignant neoplasm of oropharynx 1,223 3.4% C11 Malignant neoplasm of nasopharynx 1,035 2.9% C12 Malignant neoplasm of piriform sinus 1,455 4.1% C13 Malignant neoplasm of hypopharynx 1,142 3.2% Malignant neoplasm of other and ill-defined C14 431 1.2% sites in the lip, oral cavity and pharynx Total C00-C14 35,830 7 Oral cancer in England There was wide variation in incidence across England’s 9 statistical regions (Figure 1). At regional level, incidence in the East of England, South East and South West was lower than for England overall. Incidence in Yorkshire and the Humber, North East and North West was higher than for England overall. Incidence in the West Midlands, East Midlands and London was similar to the England mean. Figure 1: Standardised incidence of C00-C14 by statistical region, 2012 to 2016. East of England South East South West West Midlands East Midlands Region EnglandEngland London Yorkshire and the Humber North East North West 0 2 4 6 8 10 12 14 16 18 20 Standardised incidence per 100,000 Error bars represent 95% confidence limits There was also wide variation in the incidence of C00-C14 across the 326 lower-tier local authority areas (Figure 2). The majority of lower-tier local authority areas in which incidence was greater than for England overall were densely populated urban centres in the North such as Tyne and Wear, Merseyside and Greater Manchester. Eden in Cumbria was the only lower-tier local authority area where incidence was below the England mean outside of the South and Midlands. 8 Oral cancer in England Figure 2: Standardised incidence of C00-C14 by lower-tier local authority area, 2012 to 2016. The pattern of incidence for C00-C06 cancers by statistical region mirrored that for C00-C14 (Figure 3). Incidence in the South West, South East and East of England were lower than for England overall and higher in the North East and North West. Incidence in the West Midlands, East Midlands, London and Yorkshire and the Humber were similar to that for England. 9 Oral cancer in England Figure 3: Standardised incidence of C00-C06 by statistical region, 2012 to 2016. South West South East East of England West Midlands East Midlands EnglandEngland Region London Yorkshire and the Humber North East North West 0 1 2 3 4 5 6 7 8 9 10 11 12 Standardised incidence per 100,000 Error bars represent 95% confidence limits The pattern of incidence for C00-C06 by lower-tier local authority area resembled that for C00-C14 (Figure 4).
Load more

Recommended publications
  • Dear Sirs, A14 Cambridge to Huntingdon
    My ref: Your ref: Date: 12 June 2015 Contact: Direct dial: 01223 7175471 E Mail: [email protected] Office of Economy, Transport and Environment Services Executive Director, Graham Hughes Transport and Infrastructure Policy & Funding Box No: SH1310 Cambridgeshire County Council Shire Hall Castle Hill Cambridge CB3 0AP Dear Sirs, A14 Cambridge to Huntingdon – First Round of Questions Please find below the answers to the first round of questions asked of Cambridgeshire County Council, where Cambridgeshire County Council is able to provide an answer. In terms of the questions asked generally of “local authorities” relating to noise and air quality, the County Council refers the Examining Authority to the answers from the District Councils and City Council. Question Reference: Q1.1.17 Question: Dust from construction is identified as a significant effect which could be mitigated through best practice measures implemented via the Code of Construction Practice. If best practice measures are not followed by contractors or prove to be ineffective, what further action can be taken by local authorities to control these effects? Response: Compliance with the Code of Construction Practice (CoCP) is a Requirement (No 3) on the Secretary of State. The County Council is seeking a revision to this Requirement to secure consultation with local authorities in its development and of the CEMP and Local Environmental Management Plans, to ensure that the CoCP is an effective management tool. If Highways England fails to comply with a Requirement in the made DCO it becomes in the opinion of the County Council an enforceable matter under Part 8 of the Planning Act 2008.
    [Show full text]
  • A Market Town Plan for Ely
    Appendix 1 A Market Town Plan for Ely 1 Contents About this document 3 Introduction 4 A vision for Ely 5 Area of focus 1: Station gateway 15 Area of focus 2: City Centre 19 Area of focus 3: Connectivity 24 Implementation Plan 28 2 About this document This document has been commissioned by the Cambridgeshire and Peterborough Combined Authority (CPCA), working in partnership with East Cambridgeshire District Council. This Market Town Plan is a series of living documents, owned and updated by local partners including the District Council and the Combined Authority. The devolution deal which created the combined authority recognises the important role of market town economies in growing the wider Cambridgeshire and Peterborough economy. A masterplan for each of the eleven market towns across the region provides the opportunity to look at the unique features of each town, and offers deliverables which will benefit the immediate and wider economy. This Market Town Plan for Ely endorses Mayor James Palmer’s target for the combined authority region to double its Gross Value Added (GVA) over the next twenty-five years. To achieve this, market town economies must ‘do their bit’ – the interventions outlined in this document have been selected for the purpose of achieving this. We don’t expect everything in this document to be funded immediately. There are some quick wins where an injection of funding can get things moving. For other projects, we will need to spend time developing detailed plans and compelling investment cases before we can begin to leverage in funding. While the Cambridgeshire and Peterborough Combined Authority (CPCA) has funded this report, and is keen to invest in our city, we know we will need to build a coalition of supporters, including central government, to get some of the schemes detailed here delivered.
    [Show full text]
  • Agenda Document for Health and Wellbeing Board, 05/12/2016 13:00
    Public Document Pack AB HEALTH AND WELLBEING BOARD MONDAY 5 DECEMBER 2016 1.00 PM Bourges/Viersen Room - Town Hall Contact – [email protected], 01733 452508 AGENDA Page No 1. Apologies for Absence 2. Declarations of Interest 3. Minutes of the meeting held on 22 September 2016 3 - 6 4. Hydrotherapy 7 - 8 5. Health & Wellbeing and SPP Partnership Delivery Programme Board 9 - 46 Update 6. Healthwatch Update 47 - 60 7. Work in Peterborough - Recruitment and Retention Campaign 61 - 64 8. LGA Peer Review Of Adult Social Care 65 - 68 9. Annual Report of Peterborough Safeguarding Boards 69 - 208 10. PRISM (Enhanced Primary Care Mental Health Service) 209 - 214 11. Cambridgeshire and Peterborough Sustainability and Transformation 215 - 232 Programme Memorandum of Understanding for NHS Organisations in Cambridgeshire and Peterborough 12. Sustainability and Transformation Plan Update 233 - 246 INFORMATION AND OTHER ITEMS 13. Adult Social Care, Better Care Fund (BCF) Update 247 - 250 14. Devolution (Verbal Update) There is an induction hearing loop system available in all meeting rooms. Some of the systems are infra-red operated, if you wish to use this system then please contact Paulina Ford on 01733 452508 as soon as possible. 15. Schedule of Future Meetings and Draft Agenda Programme 251 - 252 To note the dates and agree future agenda items for the Board. To include frequency of reporting from other Boards, where appropriate, including Local Safeguarding Boards, Children’s and Adults Commissioning Boards, LCG Commissioning Board. Also to consider how we will monitor progress against the Health and Wellbeing strategy. Recording of Council Meetings: Any member of the public may film, audio-record, take photographs and use social media to report the proceedings of any meeting that is open to the public.
    [Show full text]
  • Diabetes in Cambridgeshire and Peterborough CCG July 2015
    Data supplement: Diabetes in Cambridgeshire and Peterborough CCG July 2015 Introduction This is one in a series of Data Supplements providing intelligence to inform future health and social care planning for the population registered with Cambridgeshire and Peterborough Clinical Commissioning Group (C&P CCG) GP practices produced in support of Cambridgeshire JSNA: Long Term Conditions Across the Lifecourse (2015). Background Diabetes is a lifelong metabolic condition in which the body does not produce sufficient insulin to regulate blood glucose levels. The two main types of diabetes, that account for about 98% of all diagnosed patients, are Type 1a and Type 2.b What is the prevalence and who is at risk? The risk of diabetes increases with age. In 2010 the national prevalence of diabetes was 0.4% for people aged 16 to 24 years, rising to 15.1% for people aged 70 to 84 years old. The higher prevalence of diabetes among older people is due to a higher risk of developing Type 2 diabetes at older ages.1 Diabetes in people aged 17 and over Nearly 40,000 people aged 17 and 8 over are recorded on disease 7 registers for diabetes in general 6 practices across Cambridgeshire and 5 Peterborough CCG. 4 The prevalence of diabetes is lower 3 in C&P CCG as a whole compared 2 Prevalence (%) with the England average (5.6% vs 1 6.2%). However, in Hunts Care 5313 7366 3060 6440 3142 4937 6931 2813 0 Partners, Wisbech, Isle of Ely and Peterborough LCGs, prevalence is higher than both the CCG and national averages.
    [Show full text]
  • CAMBRIDGESHIRE HEALTH and WELLBEING BOARD Date
    CAMBRIDGESHIRE HEALTH AND WELLBEING BOARD Date:Thursday, 19 January 2017 Democratic and Members' Services Quentin Baker LGSS Director: Lawand Governance 10:00hr Shire Hall Castle Hill Cambridge CB3 0AP Kreis Viersen Room Shire Hall, Castle Hill, Cambridge, CB3 0AP AGENDA Open to Public and Press 1 Apologies for absence and declarations of interest Guidance on declaring interests is available at http://tinyurl.com/ccc-dec-of-interests 2 Minutes of the Meeting on 17 November 2016 and Action Log 5 - 18 3 A Person's Story A verbal report. 4 Outcomes from 17 November 2016 Development Session 19 - 54 5 Cambridgeshire Better Care Fund Planning 2017-19 55 - 62 6 Priority 1 Report from the Children's Trust Executive Partnership 63 - 82 7 Update Report - New Housing Developments and the Built 83 - 86 Environment Joint Strategic Needs Assessment Page 1 of 238 8 Update on the Pharmaceutical Needs Assessment for 87 - 106 Cambridgeshire (2017) and Public Consultation January to March 2017 9 Sustainability and Transformation Programme (STP) 107 - 132 10 Health and Care Sustainability and Transformation Programme 133 - 144 Memorandum of Understanding - Local Authority Appendix 11 Mental Health Strategy Framework 145 - 188 12 Primary Care Strategy - Focus on GP Recruitment and Retention in 189 - 202 Cambridgeshire 13 Quality Premium 203 - 234 14 Forward Agenda Plan January 2017 235 - 238 15 Appointments to External Bodies To appoint a representative of the Health and Wellbeing Board to sit on the Primary Care Co-Commissioning Joint Committee. Information about the Committee is available at: http://www.cambridgeshireandpeterboroughccg.nhs.uk/primary-care-co- commissioning-joint-committee.htm 16 Date of Next Meeting The Health and Wellbeing Board will meet next on Thursday 30 March 2017 at 10.00am in the Council Chamber, South Cambridgeshire Hall, Cambourne, Cambridge CB23 6EA.
    [Show full text]
  • Final Report September 2018
    Final Report September 2018 www.cpier.org.uk The Cambridgeshire and Peterborough Independent Economic Review (CPIER) The Economic Review is the product of the Cambridgeshire and Peterborough Independent Economic Commission. This Commission was established by the Cambridgeshire and Peterborough Combined Authority (CPCA) in June 2017. It is chaired by Dame Kate Barker, and its other members are: Dr David Cleevely CBE, Sir David Arculus, Dame Carol Black, Matthew Bullock, Professor Diane Coyle CBE, Mark Dorsett, Warren East, Professor Alan Hughes, Professor Andy Neely, John Shropshire OBE and Lord David Willetts1. Its terms of reference were agreed at a Board Meeting of the CPCA, and are as follows: The Cambridgeshire and Peterborough Independent Economic Commission (IEC) will: • Develop an authoritative evidence base on the economic performance and potential of Cambridgeshire and Peterborough and its component parts that commands attention at the highest levels of government; • Reframe thinking about devolution within the UK policy debate – exploring the potential for devolution to unlock growth and improve social outcomes in multi-centred economies as well as in England’s core and key cities; • Provide impartial advice and guidance, on an ongoing basis, on the performance and growth of the Cambridgeshire and Peterborough economy; • Inform choices on policy priorities and strategic investment that are made locally, at the Cambridgeshire and Peterborough level, at national level and at European level; and • Foster a common understanding of the future development of Cambridgeshire and Peterborough’s economy and the long term drivers for change across local partners, Whitehall, and Ministers. The IEC will provide a robust and independent assessment of the Cambridgeshire and Peterborough economy and its potential for growth.
    [Show full text]
  • Inequality Analysis of Hypertension in Cambridgeshire & Peterborough
    Inequality analysis of hypertension in Cambridgeshire & Peterborough (August 2020) Background Persistent hypertension increases the risk of many serious conditions, including heart disease and heart attack, stroke, aortic aneurysm, kidney disease and vascular dementia. It is often asymptomatic and unnoticed by patients (1). The cost to NHS in England from conditions attributable to high blood pressure has been estimated to be £2 billion (2). Hypertension may be associated with increased Covid-19 severity and risk of death in older people although evidence is mixed and still emerging. According to the ISARIC report (updated as of 19 May) a frequency of comorbidities analysis show 45.7% of individuals that contracted Sars-Cov-2 had an history of hypertension (1,012 over 2,212 of patients) - to be noted though that the authors warn that this data should be taken into consideration with caution as the sample size is small due to it being a new variable in their dataset (3). Similarly, cardiovascular disease, hypertension, diabetes, respiratory disease, and cancers were all associated with increased risk of death due to Covid-19 in a large Chinese study describing 44,672 confirmed cases, but which lacked age-correction (4). Hypertension is very strongly associated with age and when the OpenSAFELY Collaborative study adjusted for this, they showed that in the UK there was no association between hypertension and COVID-19 (HR 0.95, 0.89-1.01) (5). However, in sensitivity analyses, diagnosed hypertension was associated with slightly increased risk (HR 1.07, 1.00-1.15) while high blood pressure (≥140/90 mmHg) at the most recent measurement was associated with lower risk (HR 0.61, 0.56-0.67).
    [Show full text]
  • 1.1 Health Inequalities Duties
    Cambridgeshire and Peterborough CCG Amended from NHS E documentation 17 th March 2017 1.1 Health Inequalities Duties The Health and Social Care Act 2012 established the first specific legal duties on NHS England to have regard to the need to reduce inequalities between patients in access to, and outcomes from, healthcare services and in securing that services are provided in an integrated way. These duties had legal effect from April 1st 2013. The duties require that NHS England properly and seriously takes into account inequalities when making decisions or exercising functions, and has evidence of compliance with the duties, whilst also assessing how well CCGs have discharged their legal duties on health inequalities. What is meant by “…have regard to…” in the duties? • Lawyers advise that “having regard to the need to reduce” means health inequalities must be properly and seriously taken into account when making decisions or exercising functions, including balancing that need against any countervailing factors. • Part of having due regard includes accurate record keeping of how the need to reduce health inequalities have been taken into account. Health Inequalities Analysis Please complete the template by applying each question to your work, referring to the best available evidence. We strongly advise that you use and work though the supporting questions in Annex A . 2 Health Inequalities Analysis Evidence 1. What evidence have you considered to determine what health inequalities exist in relation to your work? List the main sources of data, research and other sources of evidence (including full references) reviewed to determine impact on each equality group (protected characteristic).
    [Show full text]
  • Oncology Data Landscape in Europe Data Sources & Initiatives
    EFPIA Oncology data landscape in Europe Data sources & initiatives Research Report July 2018 IQVIA, A.T. Kearney Disclaimer The following research has been conducted by A.T. Kearney and IQVIA, and does not constitute an EFPIA position on health data in oncology. www.efpia.eu 2 Executive summary This deliverable focuses on: 1) Characterisation of the current data landscape, and its strengths and weaknesses, providing a macro-view of European data sources grouped by archetypes 2) Characterisation of current European oncology initiatives looking at their aims and methods, unique approaches, as well as the barriers they face We have conducted a bottom-up assessment of the current data landscape using the IQVIA RWD catalogue to identify data source archetypes – Research databases [standalone / partnerships] – Facilitated networks – EMR -linked sources – Administration and claims sources – Large scale clinical registries Interviews were conducted with initiative experts to gain first-hand knowledge of both the initiatives themselves and the barriers they believe exist in the landscape Initiatives provide insights into “what good looks like” and how EFPIA Oncology might consider collaborating or replicating to help develop future interventions Source: A.T. Kearney; IQVIA www.efpia.eu 3 Contents Introduction Data sources Data initiatives Appendix www.efpia.eu 4 Introduction www.efpia.eu 5 The health data landscape is diverse with many data sources and some standout initiatives; all with varying abilities to tackle the use cases European
    [Show full text]
  • Annual Report 2019-20
    Annual Report 2019/20 Introduction Our vision: Our Services Bedfordshire Cambridgeshire Luton Norfolk Peterborough Suffolk Improve the health and Our portfolio of services in 2019/20 were Adult services wellbeing of people across the provided from GP surgeries and health centres, community settings such as schools, children’s District nursing/ diverse communities we serve. community matrons centres and people’s own homes, as well as from the following main sites: Specialist nurses/long Our mission: • Bedfordshire: term conditions Kings Brook and the Child Development Neuro-rehabilitation Provide high quality care Centre in Bedford and a range of community through our excellent people. based facilities; Specialist services • Cambridgeshire: Community dental Our values Brookfields in Cambridge, Doddington services, Dental Access Oral health MOS only MOS only Hospital, Princess of Wales Hospital in Ely, Centres, and minor oral promotion North Cambridgeshire Hospital in Wisbech, surgery - MOS only Oaktree Centre and Hinchingbrooke Hospital in Huntingdon; Musculoskeletal services Honesty Ambition • Luton: Sexual health services Luton Treatment Centre, Redgrave Children and Young People’s Centre and a range of Children’s services community based facilities; Health visiting Empathy Respect • Norfolk: (see note) Breydon Clinic in Great Yarmouth, Oak Street Clinic in Norwich and Vancouver House in School nursing Kings Lynn and a range of community based (see note) facilities; Therapies • Peterborough: Our objectives Rivergate, Midgate and Kings
    [Show full text]
  • Draft – Work in Progress 0
    draft – work in progress 0 29 draft – work in progress Contents Foreword ....................................................................................................................................... 3 Executive summary ....................................................................................................................... 4 Chapter 1: Who we are ............................................................................................................... 10 Our population ......................................................................................................................... 10 Our health and care system ..................................................................................................... 15 Our challenges and opportunities ............................................................................................ 17 Chapter 2: How we want services to change ............................................................................... 20 Changes to health, care and wider public services .................................................................. 20 How we will work together differently ....................................................................................... 23 Chapter 3: An ambitious programme of transformational change ................................................ 26 Choosing where to focus ......................................................................................................... 26 System priorities .....................................................................................................................
    [Show full text]
  • Community Impact Assessment (Economy, Environment, Social and Community Recovery)
    COMMUNITY IMPACT ASSESSMENT (ECONOMY, ENVIRONMENT, SOCIAL AND COMMUNITY RECOVERY) Stage Reviewer Consultation Version 1.0 (26 May) Emma Charter David Edwards Version 1.1 (1 June) David Edwards Emma Charter Version 1.2 Emma Charter Economy and (17 June) Environment Recovery Version 1.3 Emma Charter Joanne Lancaster (19 June) David Edwards Oliver Morley Version 2.0 Emma Charter Senior Leadership (22 June) Daniel Buckridge Team Claudia Deeth David Edwards Oliver Morley Introduction This impact assessment relates to the recovery of the Huntingdonshire district from the effects of Covid-19, focussing on the key areas of the local economy, our local environment, wider local community and social effects. The document will provide an assessment of the impact of the pandemic within our communities and incorporate information from our wider partners and agencies, as detailed in the Consultation Table. This assessment will use official/locally collected data to present a current baseline of how our people and our local businesses have been affected. Whilst this document addresses the economic, social and environmental impacts district wide, recovery action plans have been developed, relating to urban spaces/high streets located within our market towns, St Ives, Huntingdon, St Neots and Ramsey. Wider, knock on effects, such as public concerns around safety and associated behaviour, the potential for further spikes in the number of COVID-19 cases (and the response that will be required), the phasing out and conclusion of the furlough scheme, the latter likely to result in significant job losses have not been considered in detail but will be addressed as the plan progresses.
    [Show full text]