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Place Based Needs Assessment Newbold & Brownsover

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Place Based Needs Assessment Newbold & Brownsover PLACE BASED NEEDS ASSESSMENT NEWBOLD & BROWNSOVER Warwickshire Joint Strategic Needs Assessment February 2019 Lead Rachel Robinson, Associate Director of Public Health Sponsor Cllr Emma Crane, Rugby Borough Council Insight Analyst/main author Chloe Kinton, Insight Service WCC Acknowledgements Thank you to everyone who contributed to the content of this report in particular the Newbold & Brownsover Steering Group, the stakeholders who attended various community engagement events and WCC colleagues who have provided data. Date published 8/2/2019 Report produced by the Insight Service 2 CONTENTS KEY MESSAGES………………………………………………………………………………………………………………………………… 4 INTRODUCTION & LOCAL CONTEXT………………………………………………………………………..……….….….……… 10 DEMOGRAPHICS…………………………………………………………………………………………………………….………………. 11 Current & future population……………………………………………………………………………………….…….. 11 Households…………………………………………………………………………………………………………………..…… 12 Mosaic profile……………………………………………..……………………………………………………..……………… 13 Ethnicity & background………………………………………………………………………………………………..……. 14 HEALTH……………………………………………………………………………………………………………………….…………………. 16 Birth rate & life expectancy…………………………………………………………………………….…………………. 16 Depression…………………………………………………………………………………………………………….………….. 17 Self-harm……………………………………………………………………………………………………………..……………. 18 Breast cancer………………………………………………………………………………………………………….…………. 18 Smoking……………………………………………………………………………………………………………….……………. 19 Drug & alcohol misuse & treatment………………………………………………………………………………….. 19 Health of young people…………………………………………………………………………………….……………….. 20 Carers……………………………………………………………………………………………………………….……………….. 21 SOCIAL CARE………………………………………………………………………………………………………………………………….. 21 Priority families…………………………………………………………………………………………………………………. 21 Children’s social care…………………………………………………………………………………….…………………… 22 Adult social care………………………………………………………………………………………………………………… 22 DEPRIVATION & POVERTY…….…………………………………………………………………………………….………..…..…… 23 ECONOMY………………………………………………………………………………………………………………….….…………….... 25 EDUCATION…………………………………………………………………………………………………………….……………………… 26 Early years…………………………………………………………………………………………………………………………. 26 End of primary school attainment – Key Stage 2…………………………………………….…………………. 26 End of secondary school attainment – Key Stage 4…………………………………………..……………….. 27 Free School Meals (FSM)………………………………………………………………………………….………….……. 27 Pupil absence…………………………………………………………………………………………………….….…………… 28 COMMUNITY SAFETY…………………………………..…………………………………………………………………………………. 28 Crime & anti-social behaviour…………………………………………………………………………….…………….. 28 Road safety……………………………………………………………………………………………………….….…………… 29 ENVIRONMENT……………………………………………………………………………………………………………….……………… 29 COMMUNITY ASSETS ………………………………………………………………………………………………..………………..…. 30 LOCAL KNOWLEDGE……………………………………………………………………………………………………….……….……… 31 Rugby Town North stakeholder event……………………………………………………………..………………… 31 Consultation ……….…………………………………………………………………………………………….…………..…. 33 REFERENCES……………………………………………………………………………………………………………………..……………. 39 Report produced by the Insight Service 3 KEY MESSAGES DEMOGRAPHICS The total population of the Newbold & Brownsover JSNA area (referred to as Rugby Town North throughout this document) is 25,873. Compared to Warwickshire, Rugby Town North has a relatively high proportion of its population in the 0-9 and 25-44 age groups and a lower proportion over the age of 55. The population in Rugby Town North has grown by 5.9% between 2011 and 2016. This is a greater population increase than Rugby Borough (3.7%) and Warwickshire (2.1%) have experienced during the same time period. These population growth trends are likely to continue into the future based on the population projections available for the borough. Projections show that there will be a 19.3% increase in the number of households in Rugby Borough by 2041, which is higher than any other Warwickshire borough or district, or than the county as a whole (14.4%). Rugby Town North is relatively diverse in terms of ethnic profile with 26.1% of the population being of Black Minority Ethnic (BME) origin, compared to 11.5% in Warwickshire. There is a high proportion of White Other population living in Rugby Town North (9.1%). Furthermore, 18.5% of the area’s population were recorded as being born outside of the UK, with a relatively high proportion of Rugby Town North residents born in Poland (4.6%). The 2015 Index of Multiple Deprivation (IMD) measures relative deprivation in small areas (Lower Super Output Areas, or LSOAs). Within Rugby Town North, Brownsover South Lake District North LSOA is in the top 20% most deprived areas nationally, and Newbold on Avon, Town Centre and Cattlemarket LSOAs are in the top 30% most deprived areas. HEALTH Life expectancy at birth for Rugby Town North males is 77.8 years and is 81.3 years for females. This means that Rugby Town North residents can expect to live for approximately two years less than the average Warwickshire resident. The live birth rate (per 1,000 females aged 15-44) is 69.8. Only three other JSNA areas in Warwickshire had a higher general fertility rate. The prevalence of depression in adults (18+ years old) in five surgeries whose registered patients largely live in Rugby Town North has remained significantly higher than both the CCG and England rates since 2012/13. The overall trend is that the prevalence of depression is increasing. Similarly, the number of new cases of depression has been increasing since 2012/13, with the incidence in Central Surgery and Clifton Road Surgery significantly higher than the England average in 2016/17. The crude admission rate for self-harm (10-24 year olds) in Rugby Town North between 2014/15 and 2017/18 was 7.2 per 1,000 population which is almost twice as high as the county rate (4.2) and means that Rugby Town North had the highest admission rate for self- harm (10-24 year olds) across all twenty-two JSNA areas. The number of 10-24 year olds admitted for self-harm admissions in Rugby Town North has increased by 39.1% since 2014/15. Report produced by the Insight Service 4 The standardised incidence ratio (SIR) of new cases of female breast cancer (2011-2015) was markedly higher than national ratio (100) in two MSOA areas covering Rugby Town North – Brownsover South and North (a SIR of 133.3) (this MSOA also covers the Cattlemarket and Town Centre areas), and New Brownsover North (a SIR of 116.3) (although it should be noted that this MSOA is not confined to the JSNA boundary and also includes parts of Rugby Rural North JSNA). In 2016/17, the estimated smoking prevalence (aged 15+ years) at five of the general practices was significantly higher than both the Coventry & Rugby CCG and England rates. However, the estimated smoking prevalence has been slowly decreasing since 2013/14. Data from the National Child Measurement Programme (NCMP) suggests that during the four year period 2013/14 to 2016/17, children in both Reception (ages 4-5 years) and Year 6 (ages 10-11 years) were more likely to be classed as very overweight in Rugby Town North compared to children more generally in Warwickshire. For the period 2011/12-2015/16, the standardised admission ratio (SAR) for injuries in 15-24 year olds (caused by unintentional and deliberate injuries) in Newbold MSOA (302.7) was significantly higher than the England rate (133.1). During the three year period 2014/15 to 2016/17, Rugby Town North’s rate for admissions for injuries in 15-24 year olds ranked third highest of all the JSNA areas. SOCIAL CARE At 31st March 2018 there were 38 children looked after (CLA) in Rugby Town North (this constitutes 6.0% of all of Warwickshire’s CLA). Within Rugby Town North, levels have decreased by 5.0% overall, however small numbers result in larger percentage changes. At 31st March 2018 there were 26 children subject to a Child Protection Plan (CPP) in Rugby Town North (this constitutes 4.9% of all of Warwickshire’s CPP). Within Rugby Town North, levels have decreased by 38.1% overall, however small numbers result in larger percentage changes. At 31st March 2018 there were 202 children in Rugby Town North subject to a Child in Need Plan (a rate of 330.2 per 10,000 children). Almost half of these children are located in one of three Rugby Town North LSOAs: Brownsover South Lake District North, Town Centre, and Whinfield Park. The proportion of Adult Social Care service users accessing Mental Health Services in Rugby Town North is 5.4%, higher than the county (3.1%) and the proportion of service users accessing Physical Difficulties Support Services (PDSS) is 12.8% compared to the county proportion of 7.7%. EDUCATION In 2017, the proportion of children achieving a Good Level of Development (GLD) in Rugby Town North decreased from 71.0% in 2016 to 66.4%. This is lower than the borough, Warwickshire and national averages. In 2017, 59.2% of children achieved the Expected Level of Development (ELD) for Reading, Writing and Maths in Rugby Town North compared to 63.0% in Rugby Borough and 62.0% in Warwickshire. At all geographies this was an increase compared to 2016 results. However, Report produced by the Insight Service 5 the gap between those children achieving the ELD who are disadvantaged and those who are not was 27.5%. Fewer students (43.5%) living in Rugby Town North achieved a strong pass in English & Maths Key Stage 4 in 2017 compared to students in Rugby Borough (50.6%) and Warwickshire (48.1%). In 2017, there were a higher percentage of school children in Rugby Town North eligible and registered for
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