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SW LHIN Report Mapping Neighbourhoods

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SW LHIN Report Mapping Neighbourhoods SW LHIN Report Mapping Neighbourhoods SW LHIN | Mapping Neighbourhoods | Page 1 of 17 SW LHIN | Mapping Neighbourhoods Summary of Work Overview of the LHIN Geography The South West Local Health Integration Network (SW LHIN) covers a geographical area from Lake Erie to the Bruce Peninsula, an area of 21,639 square kilometers, which includes Bruce, Elgin, a portion of Grey, Huron, Middlesex, a portion of Norfolk, Oxford and Perth counties. The LHIN is home to almost one million people. The LHIN is actively engaged in the funding and performance measurements of many unique health service providers including 20 public hospitals (33 sites), 1 private hospital, and 78 Long Term Care Homes. Sub-Regions Within the LHIN, there are five sub-regions: Grey Bruce, Huron Perth, Oxford, London-Middlesex, and Elgin (see map). Indigenous On-Reserve Populations There are three First Nations reserves located in the Middlesex County area including Chippewas of the Thames First Nation, Munsee Delaware Nation, and Oneida Nation of the Thames. Mapping Neighbourhood Project Background & Summary Starting in 2017, the Population Health Solutions Lab (the Lab) partnered with the SW LHIN, public health units and other local partners to develop, test and validate appropriate and meaningful mid-level geographies as a basis for analysis and joint health planning in the region. These mid-level geography use Census geographies as building blocks. They also contain 7,000 to 50,000 population size, but generally fall in the range of 10,000 to 20,000 population, as defined by the 2016 Census. SW LHIN | Mapping Neighbourhoods | Page 2 of 17 Within the SW LHIN, this phase of the Mapping Neighbourhoods project only included mapping for the London-Middlesex sub-region given the team had a short-window of time to execute work in the region (January to March 2019) as well the opportunity to leverage existing stakeholder engagement and data work already underway in this area. Given the current existence of neighbourhoods, these mid-level geographies were termed ‘Health and Community Planning Areas’ (HCPA) as opposed to ‘neighbourhoods’ by the SW LHIN and partners early in the project. This title also clarified that geographies created as an outcome of this project will not replace existing work by Middlesex County and the City if London. Having both ‘health’ and ‘community’ in the title was deemed important to reflect that this work is primarily intended for health and community planning purposes. Approach to Mapping To allow for optimal adaption of local context within the sub-region, different approaches to mapping were undertaken in Middlesex County and the City of London. Nevertheless, in both areas, alignment to municipality boundaries was determined to be important. A separate process was used for First Nations on-reserve communities. Through a series of meetings, insights were gathered from geospatial and data experts from four organizations who had completed copious work in population health assessment and geospatial mapping of these communities: (1) Middlesex London Health Unit; (2) City of London; (3) Human Environments Analysis Laboratory; and (4) County of Middlesex. HCPA were defined using standard Census geographies. A population size of 7,000 was set as the minimum. In areas where population size (of a municipality or Planning District) was 16,000 or greater, there was further discussion around splitting into two HCPAs. Overall, HCPAs had an average size of 12,000. Middlesex County In Middlesex County, DAs were used as building blocks for HCPAs. DAs were combined to match municipality boundaries as closely as possible. From there, the eight municipalities were either divided or combined based on the following factors: population size and density; physical barriers such as streets and rivers; data on socioeconomic status from the Ontario Marginalization Index; and knowledge of local community context. For example, the northwestern area of the Municipality of Strathroy-Caradoc has a densely populated pocket. Based on local insight, it was determined to combine the DAs in this pocket together and separate the pocket from the remainder of the municipality to form two HCPAs – one HCPA with high population density and one HCPA with low population density. In total, 6 HCPAs were created in Middlesex County. Table 1: Original and new HCPAs in Middlesex County. SW LHIN | Mapping Neighbourhoods | Page 3 of 17 Municipality Change New HCPA Strathroy-Caradoc Split into two HCPAs along densely populated area at top. HCPA 4 HCPA 3 Southwest Combined with Newbury and Adelaide Metcalfe to form one HCPA. HCPA 1 Middlesex Adelaide Metcalfe Combined with Southwest Middlesex and Newbury to form on HCPA 1 HCPA. Newbury Combined with Southwest Middlesex and Adelaide Metcalfe to HCPA 1 form on HCPA. North Middlesex Combined with Lucan Biddulph to form one HCPA. HCPA 2 Lucan Biddulph Combined with North Middlesex to form one HCPA. HCPA 2 Thames Centre Included DAs as one HCPA. HCPA 6 Middlesex Centre Included DAs as one HCPA. HCPA 5 First Nations Kept the DAs that are linked to First Nations reserves as separate Reserves from HCPA 4. City of London In the City of London, the City’s Planning Districts were determined to be an appropriate starting point for HCPA creation. DAs were combined to align as closely as possible with existing Planning District boundaries. Wherever a DA straddled two or more planning districts, it was assigned to only one planning district. The approach to creating HCPA in the City of London included the following factors: population size and density; planning district population projections for 2024; physical barriers such as streets and rivers; data on socioeconomic status from the Ontario Marginalization Index; and knowledge of local community context. For example, the current planning district of Medway has a population size greater than 16,000. Based on local insight, it was determined to split this planning district along Wonderland Road North to form two smaller HCPAs. In total, 31 HCPAs were created in the City of London. Table 2: Original and new HCPAs in the City of London. Planning Change New District HCPA Airport Combined with DAs that align to Fox-Hollow, Fanshawe, and part of Uplands, HCPA Crumlin, Sunningdale and Stoney Creek to form one HCPA. 10 Argyle Population size is 26,271, which was determined to be too large. Splitting HCPA along Clark Road was deemed most appropriate to allow for sufficient 24 population sizes. Included DAs west of this road as one HCPA (24) and DAs HCPA east of this road as one HCPA (25). Included DA 0844 into HCPA 25. 25 Bostwick Combined with DAs that align to Woodhull, Longwoods, Sharon Creek, HCPA Tempo, Glanworth, Brockely and some of Highbury to form one HCPA. 36 SW LHIN | Mapping Neighbourhoods | Page 4 of 17 Bradley Combined with DAs that align to Jackson, Old Victoria, some of Highbury and HCPA Westminster to form one HCPA. 37 Brockley Combined with DAs that align to Woodhull, Bostwick, Sharon Creek, HCPA Longwoods, Tempo, Glanworth and some of Highbury to form one HCPA. 36 Byron Combined with Riverbend to form one HCPA. HCPA 8 Carling Split into two HCPAs along Victoria Street (HCPA 17, 22). HCPA 17 For HCPA 22, extend the boundary north to Huron Street, west to Adelaide HCPA and east to Highbury. Exclude DAs 35390630 and 35390632. Area west of 22 Highbury Avenue North and north of Huron Street (Huron Heights) combined with HCPA 17. Exclude DAs 35390652, 35390932 and 35390933. Central Included DAs as one HCPA. HCPA London 21 Crumlin Combined with DAs that align to Fox-Hollow, Fanshawe, Airport and part of HCPA Uplands, Sunningdale and Stoney Creek to form one HCPA. 10 East London Included DAs as one HCPA. HCPA 23 Fanshawe Combined with DAs that align to Fox-Hollow, Airport, and part of Sunningdale, HCPA Uplands, Crumlin, and Stoney Creek to form one HCPA. 10 Fox Hollow Combined with DAs that align to Fanshawe, Airport, and part of Sunningdale, HCPA Uplands, Crumlin, and Stoney Creek to form one HCPA. 10 Glanworth Combined with DAs that align to Woodhull, Bostwick, Sharon Creek, HCPA Longwoods, Tempo, Brockely and some of Highbury to form one HCPA. 36 Glen Cairn Included DAs as one HCPA. HCPA 30 Hamilton Split along Clark Road to form two HCPAs. HCPA Road 31 HCPA 25 Highbury Combined with DAs that align to Jackson, Bradley, Old Victoria and some of HCPA Westminster to form one HCPA. 37 HCPA Combined with DAs that align to Woodhull, Bostwick, Sharon Creek, 36 Longwoods, Tempo, Glanworth, and Brockely to form one HCPA. Highland Split into two HCPA along Commissioners Road East; area north of this road HCPA went into South London to form one HCPA; area south of Commissioners 27 Road East formed another HCPA. SW LHIN | Mapping Neighbourhoods | Page 5 of 17 HCPA Population size of 22,178 was then determined to be too large. Splitting area 29 south of Commissioners Road at Wharncliffe Road South was deemed HCPA appropriate. Included DAs east of this road as one HCPA and DAs west of 34 this road as one HCPA. Included DAs 0148, 0149, 0151, 0150, 0152, 0153, 0235, 0234, 0237, and 0236 from HCPA 33 into HCPA 34. Huron Split into two HCPAs along Highbury Avenue North. Area west of this road and HCPA Heights north of Huron Street combined with HCPA 17. Exclude DAs 35390652, 17 35390932 and 35390933. Area west of this road and south of Huron Street HCPA combined with HCPA 22. 18 HCPA 22 Hyde Park Included DAs as one HCPA but moved DA 0942 into HCPA 20 due to rail road HCPA track boundaries. 9 Jackson Combined with DAs that align to Old Victoria, Bradley, some of Highbury and HCPA Westminster to form one HCPA.
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