NORWICH ... ~ City Council
LOCAL AREA PROFILE April 2020
Updated Quarterly last updated July 2021
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Contents Page Section Number 1 Introduction 2 2 Gambling participation and problem gambling 3 3 Risk Factors a) Problem gamblers who are seeking treatment 6 b) Substance and or alcohol abuse or misuse 7 c) Youth 10 d) Poor mental health 12 e) Financial difficulties and debt 17 f) Education, skills and training attainment 25 g) Unemployment 26 h) Homelessness 28 i) Ethnic groups 29 j) Crime and disorder 31 k) Immigrant population 32 l) Late Night Activity Zone 33 4 Summary 34 5 Appendices Appendix 1 Local area profile mapping tool 35 Appendix 2 Map of Norwich City Council electoral wards 37 Appendix 3 Profile summary table 38 Appendix 4 List of educational establishments 39 Appendix 5 Businesses indicating an area of financial hardship 40 Appendix 6 Homelessness services 41 Appendix 7 Organisations that provide financial support 41 Appendix 8 Sexual Entertainment Venue Licences 42 Appendix 9 Sex Shop Licences 42 Appendix 10 Gambling Licences 42 Appendix 11 Premises Licences 43 Appendix 12 GP Practices proximal & within Norwich City Council 57 Appendix 13 List of source links 58
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• Introduction
“Licensing statements, backed up by local area profiles, provide an opportunity for authorities to set out how gambling will be regulated in their areas, and their expectations of operators. They can be used to identify areas where the risk of harm from gambling may be greater due to the particular characteristics of an area and how these risks can be mitigated”.1
Whilst there is no mandatory requirement to have a local area profile,2 there are a number of benefits:
• it enables Norwich City Council as a licensing authority to better serve their local community, by reflecting the community and the risks within it • the local area profile will help to inform operators of specific risks that will need to address in their risk assessment which will form a part of any new licence application, or an application to vary a licence • it gives operators clarity as to the relevant factors and risks Norwich City Council takes into account when decision making • it will lead to improved licence applications, with the operator already incorporating controls and measures to mitigate risk in their application • it enables Norwich City Council to make robust but fair evidence-based decisions • it encourages a proactive approach to risk that is likely to result in reduced compliance and enforcement action. There is increasing awareness about harmful gambling and its impact on families and local communities, as well as the individuals directly harmed by it. The following characteristics were identified in research sponsored by the Local Government Association (LGA)3 4 as indicating vulnerability to gambling related harm.
• Problem gamblers who are seeking treatment • Substance and or alcohol abuse/misuse • Youth • Poor mental health • Financial difficulties/debt
1 Local Government Association (2018). Gambling regulation Councillor handbook (England and Wales) updated guidance 2018 [online]. Available from https://www.local.gov.uk/gambling-regulation-councillor- handbook-england-and-wales [Accessed 01 July 2021].
2 Gambling Commission (2021). Guidance to licensing authorities [online]. Available from https://www.gamblingcommission.gov.uk/guidance/guidance-to-licensing-authorities [Accessed 01 July 2021].
3 Geofutures (2015). Exploring area-based vulnerability to gambling-related harm: Who is vulnerable? [online]. Available from https://www.westminster.gov.uk/gambling-research [Accessed 01 July 2021].
4 Geofutures (2016). Exploring area-based vulnerability to gambling-related harm: Developing the gambling- related harm risk index [online]. Available from https://www.westminster.gov.uk/gambling-research [Accessed 01 July 2021].
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• Low IQ • Unemployment • Ethnic groups • Homelessness. • Immigrant population
This local area profile will use these categories to identify different parts of the local area where there are greater or specific risks of gambling related harm.
This document will reference data from a number of published sources which can assist local gambling operators prepare their local assessments.
This profile should be read in conjunction with the licensed premises register and gambling local area profile mapping tool available on the Norwich City Council website see Appendix 1 for a key to the metrics available on the map.
The profile is also intended to assist Norwich City Council and potential applicants when considering applications for sex establishments across the city. To that end it should be read in conjunction with the City Councils Policy on Sex Establishments.
• Gambling participation and problem gambling
The Gambling Commission, commissions a standalone quarterly telephone survey conducted by Yonder Consulting. Data was collected quarterly in June, September and December 2020 and in March 2021. A nationally representative sample of 4,009 adults aged 16 and over were interviewed, all the data was collected during periods of restricted activity due to Covid-19.
The year to March 20215 found that overall, there was a statistically significant change of 7- percentage point decline compared to the previous year with 40.0% of respondents having participated in at least one form of gambling in the past four weeks in March 2021. This compares with 46.7% in the year to March 2020.
In-person gambling activities have been severely affected since the beginning of the Covid- 19 pandemic. Data shows that in year to March 2021, 23% of adults had gambled in person in the previous four weeks, a significant decrease (12 percentage points) since March 2020. This significant reduction in in person gambling spans each age group and gender.
Decreases in in-person gambling have been seen in all types of gambling including National Lottery draws, other lotteries, scratch cards, sports betting, private betting, football pools, bingo, betting on horse races, betting on other events and casino games.
Overall, in the year to March 2021, nearly 24% of adults had gambled online in the previous four weeks, which is a significant increase (3 percentage points) since 2020 and a 7- percentage point increase since 2017.
5 Gambling Commission (2021). Gambling behaviour in 2021: Findings from the quarterly telephone survey Statistics on participation and problem gambling year to March 2021 [online]. Available from https://www.gamblingcommission.gov.uk/statistics-and-research/publication/year-to-March-2021 [Accessed 01 July 2021].
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Data shows that online gambling participation rates are decreasing for 16- to 44-year-olds but increasing for 45 to 65+ year olds.
When those who have only played National Lottery, draws are removed from the data, the ‘all respondents’ online participation rate has increased between March 2020 and March 2021 by 0.4 of a percentage.
There have been significant increases in gamblers taking part in the National Lottery other lotteries, casino games and sports betting via an online method.
The National Lottery draws remain the most popular gambling activity with 25.9% participating in March 2021 down from 29.3% in March 2020.
The year to March 2021 shows a statistically significant decrease in the proportion of respondents aged between 16 and 44 participating in at least one form of gambling in the past four weeks (excluding those only playing National Lottery draw products)
Figure 1 below taken from the Gambling Commission (2021), Gambling behaviour in 2021: Findings from the quarterly telephone survey Statistics on participation and problem gambling year to March 20215 shows the gambling participation by participants in the survey over the last five years by gender and age.
Page 4 of 61 Figure 1. Proportion of respondents participating in at least one form of gambling in the past four weeks excluding those only playing National Lottery draw products, by gender and age
Data source: Gambling behaviour in 2021: Findings from the quarterly telephone survey Statistics on participation and problem gambling year to March 20215
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Problem gambling is defined as behaviour related to gambling which causes harm to the gambler and those around them. This may include family, friends and others who know them or care for them.
The NHS Digital Health Survey for England 20186, which uses the full PGSI (Problem Gambling Severity Index) and DSM-IV diagnostic screening tools. Identifies in 2018, 0.4% of adults as problem gamblers and 3.6% as low or moderate risk gamblers. The year to December 2020 survey5 reports 0.3% of adult respondents as problem gamblers and 2.9% as low or moderate risk gamblers. The 2018 PGSI scores identify 6.3% of men as problem or at-risk gamblers which is substantially higher than women at 1.5%. The year to December 2020 survey5 identifies 4.5% of men as problem or at-risk gamblers and 2.1% of women. These figures show a decrease in problem gambling over past two years.
The proportion of problem or at-risk gamblers is 5.2% for ages 16-24, 5.3% for ages 25-34 peaking at 5.5% in the 35-44 age group. Falling to 0.6 % in those aged 75+ taken from year to December survey 20205.
• Risk factors
The following characteristics or risk factors were identified in research sponsored by the Local Government Association (LGA)7 8 as indicating vulnerability to gambling related harm. Wherever possible data has been extracted at ward level to aid risk assessment. a) Problem gamblers who are seeking treatment Locations listed below are places where people with gambling problems will be visiting to meet for support with problem gambling and hence ‘pull’ this potentially vulnerable group to this location. These places can also be located on the Norwich City Council licensed premises register and gambling local area profile mapping tool. During the Covid-19 pandemic many of these groups have been suspended or moved online refer to website for details.
Gamblers Anonymous
Gamblers Anonymous9 has a main meeting at • Mary Magdalene Church, Silver Road, Norwich NR3 4TF in Sewell electoral ward
These meetings are where compulsive gamblers sit together and help each other through the difficulties of compulsive gambling. They are not professionally facilitated.
6 NHS Digital (2019). Health Survey for England 2018 [online]. Available from https://digital.nhs.uk/data-and- information/publications/statistical/health-survey-for-england/2018 [Accessed 01 July 2021].
7 Geofutures (2015). Exploring area-based vulnerability to gambling-related harm: Who is vulnerable? [online]. Available from https://www.westminster.gov.uk/gambling-research [Accessed 01 July 2021].
8 Geofutures (2016). Exploring area-based vulnerability to gambling-related harm: Developing the gambling- related harm risk index [online]. Available from https://www.westminster.gov.uk/gambling-research [Accessed 01 July 2021].
9 Gamblers Anonymous (2021). Find a meeting [online]. Available at https://www.gamblersanonymous.org.uk/geocoding-search?postcode=nr3+4tr. [Accessed 01 July 2021].
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GamCare
GamCare and Breakeven10 their counselling partner are the leading national provider of free information, advice and support for anyone affected by problem gambling. They offer free treatment to those who gamble and those adversely affected by the gambling of a family member or friend (provided by experienced counsellors who are trained specialists working with problem gambling. Breakeven Norwich is based at
• Charing Cross Centre, 17-19 St John Maddermarket, Norwich NR2 1DN in Mancroft electoral ward. b) Substance and or alcohol abuse or misuse
The Gambling Commission in its guidance to Local Authorities11 identifies the following people as being vulnerable and needing protection
“people who gamble more than they want to, people who gamble beyond their means and people who may not be able to make informed or balanced decisions about gambling due to, for example, mental health, a learning disability or substance misuse relating to alcohol or drugs.”
Locations listed below are places where people with substance abuse or misuse problems will be visiting to meet for support with problem gambling and hence ‘pull’ this potentially vulnerable group to this location. These places can also be located on the Norwich City Council licensed premises register and gambling local area profile mapping tool. During the Covid-19 pandemic many of these groups have been suspended or moved online refer to website for details.
The list includes drug and alcohol treatment and recovery centres, clinics within GP surgeries, needle exchanges, and accommodation for persons who require treatment for substance misuse.
The major data source is FRANK12 a key lever in delivering the government drug strategy, to reduce demand, by preventing people from taking drugs (including alcohol) in the first place. The following services are listed on the FRANK website for Norwich.
• Vulnerable Adults Service, Under 1 Roof, Westwick Street, Norwich NR2 4SZ in Mancroft electoral ward.
Vulnerable Adults Service, provides healthcare services for people who find it difficult to visit mainstream GP services. The service is provided for people who are homeless, or
10 Breakeven (no date), Our Offices [online]. Available from http://www.breakeven.org.uk/Locations.aspx?VenueID=31 [Accessed 01 July 2021].
11 Gambling Commission (2021). Guidance to licensing authorities last updated 13 May 2021 [online]. Available from https://www.gamblingcommission.gov.uk/guidance/guidance-to-licensing-authorities [Accessed 01 July 2021].
12 FRANK (no date). Find support near you [online]. Available from https://www.talktofrank.com/get- help/find-support-near-you [Accessed 01 July 2021].
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those at risk of being homeless, sex workers, prisoners and ex-offenders, substance misusers, travellers and asylum seekers. Showers are available, as is advice on mental health or substance misuse, needle exchange and referrals to specialist services.
• Hebron House, 12 Stanley Avenue, Thorpe Hamlet, Norwich, NR7 0BE in Thorpe Hamlet electoral ward.
Hebron House is a safe, nurturing and intensively supportive community environment in which to rehabilitate from drug and alcohol dependency and the life-dominating problems that serious substance misuse can cause.
• The Matthew Project - Unity, Unit 8, 83-87 Pottergate, Norwich NR2 1DZ in Mancroft electoral ward.
The Unity service is a multi-agency team of drug and alcohol workers providing universal, targeted and specialist interventions for young people under 19 across Norfolk. The team also provide advice and support to parents and carers, young people whose family members use substances and professionals working with young people. Services include, harm reduction, needle exchange and access to residential substance misuse treatment.
• CGL Norfolk-Norwich, Adobe House, 5 Barton Way, Norwich NR1 1DL in Thorpe Hamlet electoral ward.
CGL, Norfolk Alcohol and Drug Behaviour Change Service is a free and confidential service for adults (including offenders), families, and carers and affected others.
A further data source is Narcotics Anonymous13 this group use the therapeutic value of addicts working with each other to achieve recovery; they hold meetings in the following locations. During the Covid-19 pandemic many of these groups have been suspended or moved online refer to website for details. • Various AA groups, St Mark's Church Hall, Hall Rd, NR1 3HL, Lakenham electoral ward
• Men's Shed, 43-51 Pitt Street, Norwich NR3 1DE, Mancroft electoral ward.
• Next Steps - Matthew Project, 70-80 Oak St, NR3 3AQ, Mancroft electoral ward
• Norwich Primary Purpose, Friends Meeting House, Pottergate, Upper Goat Lane., NR2 1EW, Mancroft electoral ward
• Soul Survivors Group, Baptist Church, Duke Street, Norwich NR3 3AP in Mancroft electoral ward
• The WEekend Group, Quakers Meeting House, Norwich NR2 1EW in Mancroft electoral ward.
13 Narcotics Anonymous (2021). Local UK Online Meetings [online]. Available from https://ukna.org/meetings/search [Accessed 01 July 2021].
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• Various groups, Norwich Central Baptist Church, Duke St, NR3 3AP, Mancroft electoral ward
• "Women Can Heal" Group, Baptist Church, Silver Road, Norwich NR3 4TE in Sewell electoral ward
• Norfolk Alcohol and Drug Behaviour Change Service14, Adobe House, 5 Barton Way, Norwich NR1 1DL in Thorpe Hamlet electoral ward
• Step Meeting Group, Methodist Church, Chapelfield Road, Norwich NR2 1SD, Town Close electoral ward
• Twelve Monkeys Beginners Group, Vauxhall Centre, Johnson Place, Norwich NR2 2SA, Town Close electoral ward
• Plus Four's Living Clean Group, Wensum Community Centre, Hotblack Road, Norwich NR2 4HN, Wensum electoral ward
A further data source is Alcoholics Anonymous (AA)15. AA is a non-allied self-supporting fellowship of men and women who share their experience, strength and hope with each other that they may solve their common problem and help others to recover from alcoholism. They hold regular meetings in locations already mentioned above and in addition the following locations in Norwich.
• Norwich Newcomers, CGL, Adobe House, 5 Barton Way, City Office Park, NR1 1DL, Thorpe Hamlet electoral ward
• Norwich Back to Basics, St Alban's Hall, Grove Walk, NR1 2QF, Town Close electoral ward
• Step Meeting Group, Methodist Church, Chapelfield Road, Norwich NR2 1SD in Town Close electoral ward.
Norfolk Alcohol and Drug Behaviour Change Service offers help with breaking free from harmful patterns of behaviour. In addition, to support with drug and alcohol-related issues, they offer free counselling for problem gambling. Help is for both problem gamblers and for those affected by the gambling of a family member or friend.
• Twelve Monkeys Beginners' Group, Vauxhall Centre, Norwich NR2 2SA in Town Close electoral ward.
• Various AA groups, Chapelfield Road Methodist Church, Chapelfield Road., NR2 1SD, Town Close electoral ward
14 Norfolk Alcohol and Drug Behaviour Change Service (no date). Find a service near you [online]. Available from https://www.changegrowlive.org/service-search- results?postal_code=nr3%204tr&distance=10&service_type%5B9%5D=9 [Accessed 01 July 2021].
15 Alcoholics Anonymous (no date). AA meetings [online]. Available from https://www.alcoholics- anonymous.org.uk/AA-Meetings/Find-a-Meeting/Norwich [Accessed 01 July 2021].
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c) Youth
Children are singled out for additional regulatory protection in The Gambling Act 200516 and the Geofutures8 research identifies the distinctive age range 10-24 of ‘emerging adults’ as well as younger children in ‘transitional life stages’ as vulnerable. Two metrics have been used to explore this category of risk, educational institutions and the population density of 10-24 years old.
Educational institutions
State educational institutions17 and independent schools18 in Norwich can be located on the Norwich City Council licensed premises register and gambling local area profile mapping tool. They are also itemised in Appendix 3 sorted alphabetically by electoral ward. A map of Norwich electoral wards is available in Appendix 1.
Population Demographic
Norwich has a youthful demographic in comparison to Norfolk and the rest of the country, with 24 per cent of residents in the 10 to 24 age group, as opposed to 17 per cent in Norfolk and 18 per cent in England.
Population density of 10 - 24-year-olds is taken from Norfolk County Council, Norfolk Insights webpage19 data is based on Office of National Statistics (ONS) 2019 Mid-Year estimates.
16 Legislation.gov.uk. (2021). Gambling Act 2005 [online]. Available from http://www.legislation.gov.uk/ukpga/2005/19/body [Accessed 01 July 2021].
17 Norfolk County Council (no date). Norfolk Schools [online]. Available from https://csapps.norfolk.gov.uk/schoolfinder/default.asp [Accessed 01 July 2021].
18 Independent Schools Council (no date). Find a school [online]. Available from https://www.isc.co.uk/schools/ [Accessed 01 July 2021].
19 Norfolk Insight (2021). Population [online] Available at: https://www.norfolkinsight.org.uk/population/report/view/b15822d80ec54439bb12134b7c857bb9/E07000 148 [Accessed 01 July 2021].
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Figure 2. Population estimates for all persons by 5-year age group for 2019 released May 2020 Data source: ONS 201920
This chart shows that the percentage of the age groups 15 -19 and 20 - 24 are higher in Norwich than in Norfolk and England.
Figure 3 below highlights the particular electoral wards in Norwich where the % of 10 - 24- year-olds is greater than the Norwich average and are at the highest risk of gambling related harm.
Figure 3. Norwich population density (%) for 10 - 24 years old by ward released in October 2019 Source data: ONS 201920
Norwich 23.9% Ward Bowthorpe 29.2% Catton Grove 17.8% Crome 17.3% Eaton 18.1% Lakenham 17.6% Mancroft 18.6% Mile Cross 20.6% Nelson 30.6% Sewell 16.1% Thorpe Hamlet 15.4% Town Close 20.8% University 55.3% Wensum 27.1% Norfolk 16.3% England 17.7% Highlighted figures are wards in Norwich where the % of 10 – 24-year-olds is greater than the Norwich average
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d) Poor Mental Health
The NatCen Social Research on physical and mental health conditions and gambling in England and Scotland 20 found that individuals experiencing poor mental health are significantly and substantially more likely to experience problem gambling. This is particularly the case for men. The odds of male problem gambling were 7.8 times higher among those with a probable psychological disorder, 5.6 times higher among those with probable depression and 3.8 times higher among those with a diagnosed mental health disorder. These relationships are substantial and significant, persisting after age, ethnicity, education, and household tenure were taken into consideration. This suggests that those with poor mental health should be considered vulnerable to problem gambling.
There are several community mental health services in Norwich where service users are ‘pulled’ to.
The location of community NHS mental health services in Norwich21
• Harmful Sexual Behaviour Team (HSB) 2nd floor, Carrow House, 301 King's Street, Norwich, NR1 2TN in Lakenham electoral ward.
The HSB Team supports professionals who are working with young people from 0 to 18 years of age and who are displaying harmful sexual behaviours. The team offers training, consultation and support with assessment and intervention.
• Early Intervention and Psychosis Services, 7 Unthank Road, Norwich, NR2 2PA in Nelson electoral ward.
The Early Intervention in Psychosis Service supports people between the ages of 14 and 65 in Norfolk and Waveney who are experiencing symptoms of a first episode of psychosis. The Early Intervention in Psychosis Service aims to help people who use the service, and their family, to understand more about the symptoms of psychosis and what treatments are available.
• Eating Disorders Service Norfolk and Waveney, Julian Hospital. Bowthorpe Road,Norwich, NR2 3TD in Nelson electoral ward.
The Community Eating Disorders Service (CEDS) provides support and access to therapies for people who have an eating disorder or difficulty maintaining a healthy weight.
20 NatCen (2021). Physical and mental health conditions and gambling in England and Scotland [online]. Available at: https://www.natcen.ac.uk/our-research/research/physical-and-mental-health- conditions-and-gambling-in-england-and-scotland/ [Accessed 01 July 2021].
21 NHS Norfolk and Suffolk NHS Foundation Trust (2021). Search Services [online]. Available at https://www.nsft.nhs.uk/community- services?ser_search_text=&ser_search_location=76&ser_search_age=&ser_search_type=&ser_submit=&ser _page_type=list [Accessed 01 July 2021].
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• Intensive Older People's Service (IOPS) and Norwich Older People’s Community Team, The Julian Hospital, Bowthorpe Road, Norwich, NR2 3TD in Nelson electoral ward.
These teams offers assessments and interventions for adults with age related needs. This service is not only for people over the age of 75. It is for people living with acute, severe and enduring mental health problems. This includes anxiety, depression, psychosis, confusion, dementia (any age) and related behavioural problems.
• Youth Children, Families and Young People (CFYP), 80 St Stephens Road, Norwich, NR1 3RE, in Town Close electoral ward.
The Youth CFYP Norfolk and Waveney service is a youth-friendly and accessible service for young people aged between 14 and 25 years of age.
• Adult Attention Deficit Hyperactivity Disorder (ADHD) Service, 80 Stephen's Road, Norwich NR1 3RE in Town Close electoral ward.
The ADHD Service, provides diagnostic assessment and ongoing medical management of ADHD for people over the age of 18.
• Adult Community Mental Health Service, Peddars Centre, Hellesdon Hospital, Drayton High Road, Norwich, NR6 5BE borders Wensum and Mile Cross electoral wards.
The Adult Community Mental Health Service delivers a secondary care mental health service for adults between the ages of 25 and 75. A service for people with severe and enduring mental health problems.
• The Wellbeing Service, Hellesdon Hospital, Drayton High Road, Norwich, NR6 5BE borders Wensum and Mile Cross electoral wards.
The Wellbeing Service offers help and support to improve wellbeing and manage stress, low mood and anxiety. Reducing the onset of mental ill health, preventing deterioration and promoting recovery by offering a range of flexible services
• Crisis Resolution and Home Treatment Team (CRHT) The Weavers Centre, Hellesdon Hospital, Drayton High Road, Norwich, NR6 5BE borders Wensum and Mile Cross electoral wards.
The CRHT service provides support for adults who are experiencing a mental health crisis. This service also works with other service providers to support young people outside normal office hours.
• Child and Adolescent Mental Health Services (CAMHS), Mary Chapman House, 120 Hotblack Road, NR2 4HN in Wensum electoral ward.
The CAMH Service, provides comprehensive pathways for children and young people aged 14 years and under with moderate to severe mental health difficulties.
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The NHS Quality and Outcomes Framework (QOF)
The NHS Quality and Outcomes Framework (QOF)22 published in August 2020 has a number of indicators across a range of key areas of clinical care and public health. The data used here is for the reporting year 1 April 2019 to 31 March 2020.
Because the metrics are recorded at GP surgery level they are useful proxies to determine the health of the population at electoral ward level. The two measures used are, • Percentage of patients aged 18 or over with depression in the preceding year 1 April 2019 to 31 March 2020
• Percentage of patients with a recorded disease within the mental health and neurology group in the preceding year 1 April 2019 to 31 March 2020
The prevalence is tabled below for each GP Practice located within Norwich City Council boundaries licensed premises register and gambling local area profile mapping tool.
22 NHS Digital (2020). Quality and Outcomes Framework, Achievement, prevalence and exceptions data 2019-2020 [Online]. Available from https://digital.nhs.uk/data-and- information/publications/statistical/quality-and-outcomes-framework-achievement-prevalence-and- exceptions-data/2019-20#resources [Accessed 01 July 2021].
Page 14 of 62 Figure 4. Percentage of patients aged 18 or over with depression in the preceding year 1 April 2019 to 31 March 2020 Source data: NHS Quality and Outcomes Framework [published 20 August 2020]23
Norwich GP Practices at time of report Ward % Woodcock Road Surgery Catton Grove 17.8 29 Woodcock Road, Norwich NR3 3UA The Lionwood Medical Practice Crome 11.6 30a Wellesley Avenue North, Norwich NR1 4NU Thorpewood Surgery Crome 13.6 Woodside Road, Thorpe St Andrew, Norwich NR7 9QL Castle Partnership, Gurney Surgery Mancroft 15.7 101-103 Magdalen Street, Norwich NR3 1LN Norwich Practices Health Centre Mancroft 9.7 Rouen House, Rouen Road, Norwich NR1 1RB Oak Street Medical Practice Mancroft 8.4 Oak Street, Norwich NR3 3DL Prospect Medical Practice Mile Cross 11.2 95 Aylsham Road, Norwich NR3 2HW West Pottergate Health Centre Nelson 11.1 West Pottergate, Earlham Road, Norwich NR2 4BX Lawson Road Surgery Sewell 8.5 Lawson Road, Norwich NR3 4LE Magdalen Medical Practice Sewell 13.4 Lawson Road, Norwich NR3 4LF Lakenham Surgery Town Close 14.6 1 Ninham Street, Lakenham, Norwich NR1 3JJ St Stephens Gate Medical Practice Town Close 10.0 55 Wessex Street, Norwich NR2 2TJ Trinity & Bowthorpe Surgery Town Close 10.3 1 Trinity Street, Norwich NR2 2BQ Bacon Road Medical Centre University 17.4 16 Bacon Road, Norwich NR2 3QX The Health Centre University 10.2 University Of East Anglia, Norwich NR4 7TJ Wensum Valley Medical Practice University 12.4 West Earlham Health Centre, Norwich NR5 8AD
Average of the above Norwich GP Practices 12.2 Average of English GP Practices 12.0
Highlighted figures are GP Practices that have a prevalence % higher than above Norwich GP Practices average.
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Figure 5. Percentage of patients with a recorded disease within the mental health and neurology group in the preceding year 1 April 2019 to 31 March 2020 Source data: NHS Quality and Outcomes Framework [published 20 August 2020]23
Norwich GP Practices at time of report Ward % Woodcock Road Surgery Catton Grove 1.0 29 Woodcock Road, Norwich NR3 3UA The Lionwood Medical Practice Crome 1.3 30a Wellesley Avenue North, Norwich NR1 4NU Thorpewood Surgery Woodside Road, Thorpe St Andrew, Norwich NR7 Crome 0.9 9QL Castle Partnership, Gurney Surgery Mancroft 1.2 101-103 Magdalen Street, Norwich NR3 1LN Norwich Practices Health Centre Mancroft 1.1 Rouen House, Rouen Road, Norwich NR1 1RB Oak Street Medical Practice Mancroft 2.2 Oak Street, Norwich NR3 3DL Prospect Medical Practice Mile Cross 1.6 95 Aylsham Road, Norwich NR3 2HW West Pottergate Health Centre Nelson 1.4 West Pottergate, Earlham Road, Norwich NR2 4BX Lawson Road Surgery Sewell 1.9 Lawson Road, Norwich NR3 4LE Magdalen Medical Practice Sewell 1.3 Lawson Road, Norwich NR3 4LF Lakenham Surgery Town Close 1.9 1 Ninham Street, Lakenham, Norwich NR1 3JJ St Stephens Gate Medical Practice Town Close 1.5 55 Wessex Street, Norwich NR2 2TJ Trinity & Bowthorpe Surgery Town Close 1.2 1 Trinity Street, Norwich NR2 2BQ Bacon Road Medical Centre University 1.6 16 Bacon Road, Norwich NR2 3QX The Health Centre University 0.5 University Of East Anglia, Norwich NR4 7TJ Wensum Valley Medical Practice University 1.3 West Earlham Health Centre, Norwich NR5 8AD
Average of the above Norwich GP Practices 1.4 Average of England Practices 0.9
Highlighted figures are GP Practices that have a % of patients higher than the above Norwich GP Practice average.
Page 16 of 61 e) Financial difficulties and debt
In the Geofutures (2015) study Exploring area-based vulnerability to gambling-related harm: Who is vulnerable?23 Found that low income – particularly individuals defined as being in poverty - may serve as a reasonable proxy for vulnerability. To identify areas of Norwich where the population is experiencing financial difficulties and debt several data sources have been used. Household Income
The Office for National Statistics (ONS)24 estimates the average household disposable income in local areas called Middle-layer Super Output Areas (MSOAs) in England and Wales.
23 Geofutures (2015). Exploring area-based vulnerability to gambling-related harm: Who is vulnerable? [online]. Available from http://transact.westminster.gov.uk/docstores/publications_store/licensing/final_phase1_exploring_area- based_vulnerability_and_gambling_related_harm_report_v2.pdf [Accessed 01 July 2021].
24 Office of National Statistics (2020). Income estimates for small areas, England and Wales: financial year ending 2018 [online]. Available Income estimates for small areas, England and Wales - Office for National Statistics (ons.gov.uk) [Accessed 01 July 2021].
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Figure 6. Average disposable household income (after housing costs) by Middle- layer Super Output Areas (MSOA) for the financial year ending 2018 Source data: Office for National Statistics [published March 2020]25
Average MSOA Ref. City Code Area Name income E02005584 Norwich 001 Catton Grove & Airport £24,900
E02005585 Norwich 002 Mile Cross £22,800
E02005586 Norwich 003 New Catton & Mousehold North £28,300
E02005587 Norwich 004 Heartsease & Pilling Park £26,000
E02005588 Norwich 005 Bowthorpe & West Earlham £25,100
E02005589 Norwich 006 Earlham £24,500
E02005590 Norwich 007 City Centre West £24,300
E02005592 Norwich 009 Earlham Road & College Road £38,400
E02005593 Norwich 010 University & Avenues £22,900
E02005594 Norwich 011 Town Close £30,400
E02005595 Norwich 012 Eaton £39,100
E02005596 Norwich 013 Lakenham & Tuckswood £25,000
E02006907 Norwich 014 City Centre East £31,000
E02006908 Norwich 015 Thorpe Hamlet & Mousehold South £26,500
England and Wales £28,105 Highlighting indicates MSOA average household income below England and Wales average
Page 18 of 62 Figure 7 on the left is a map of the Middle-layer Super Output Areas (MSOA) in Norwich and on the right a map of the income after housing costs by MSOA. Data source: ONS 201825
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Figure 8 is a map of Norwich showing that 33 of the Lower-layer Super Output Area LSOAs in Norwich are among the 20% of most deprived LSOAs nationally based on the Income Domain of the 2019 English Indices of deprivation. Data source: An English Atlas of Inequality 25
Map of Norwich City Council Electoral Wards
25 An English Atlas of Inequality (2019). Local Authority Districts [online]. Available from An English Atlas of Inequality (2019) (alasdairrae.github.io) [Accessed 01 July 2021].
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Businesses and organisations that indicate an area where there is financial hardship
The presence of food banks26, pawnbrokers, cheque cashing and loan shops indicates an area where people are experiencing financial hardship27 https://www.yell.com/. Appendix 5 lists these facilities sorted alphabetically by electoral ward and Figure 9 shows the prevalence by ward.
Figure 9. The prevalence of businesses and organisations that indicate an area where there is financial hardship Data source: Foodbanks Network Norwich & Yell.com 27 & 28
Cheque Electoral ward Food bank Loans Pawnbrokers Total cashing Catton Grove 2 2 4 Crome 1 1 2 Lakenham 1 1 Mancroft 2 2 10 4 18 Thorpe Hamlet 1 1 University 1 1 2 Wensum 3 3 Total 3 9 13 6 31
The Indices of Deprivation 2019
The Indices of Deprivation are a unique measure of relative deprivation at a small