Health & Social Care Maps Swale Local Authority Overview Chapter Health and Social Care Map – Swale Overview 1 Introduction Welcome to the Swale locality health and social care maps overview. This chapter sketches an overall picture of the Swale area. For more detail please visit the remaining chapters on children, older people, key killers, inequalities, mental health & well-being, service provision or prevalence & activity. This document contains information, data and commentaries that together provide a picture of health and social care in the Swale locality, and includes the following: • Transport links • Locality map with Mosaic groupings • Resident population by Mosaic public sector group • Key to electoral wards • Population and distribution (various breakdowns) • Projected population • Ethnicity • Fertility • Teenage conception • Life expectancy • Care homes • Disability prevalence • Indices of Multiple Deprivation (IMD) • Unemployment/benefits/income • Causes of death • Admissions for assaults/mental and behavioural disorders • Crime • Housing tenure/occupancy • Adult obesity • Binge drinking • • Smoking prevalence • Fruit and vegetable consumption Please note this is a top-level look at the locality and much of the information included here can be found, together with more detail, elsewhere in the full chapters of the Swale locality map. Health and Social Care Map – Swale Overview 2 Transport links The main transport link in Swale is the M2 which runs from London down to pass Sittingbourne and Faversham before reaching on to Canterbury and Dover beyond. The A249 also links Sheerness on the Isle of Sheppey through to Sittingbourne and on to the M20. The A299 connects Faversham to Whitstable and the Thanet towns and the A2 allows easy access directly into the Medway towns. The main line railway runs from Canterbury, through both Faversham and Sittingbourne, where a branch line connects the Isle of Sheppey, and continues through Medway and on into London. The benefits of good transport links to public health are increased access to a range of services including employment, education, health facilities and leisure opportunities both within Swale and further afield. The downside of having good transport links can be an increase in traffic and congestion. This can lead to increased noise pollution, accidents and higher levels of air pollution such as PM10s that are associated with circulatory and respiratory disease. Health and Social Care Map – Swale Overview 3 Mosaic Public Sector – Kent and Medway groupings by location Mosaic Public Sector is a population segmentation tool, designed specifically for use by the public sector. It focuses on the needs of citizens and provides a detailed and accurate understanding of population location, their demographics, lifestyles and behaviours. Mosaic Public Sector provides a common currency that enables the same population to be viewed in the same way by all public bodies, thereby assisting joined-up government and partnership working. To help support the understanding of the population and their service needs, Mosaic Public Sector is linked to a number of specific public sector data sources from criminal justice, education, the environment and health, as well as central and local government. This gives a considerable insight into the UK population and their requirements enabling agencies to deliver better value for money by focussing services around the needs of the individual. The rural areas are predominantly populated by people who fall into group K (people living in rural areas far from urbanisation). In Faversham there are mix of people with groups D (close knit, inner city and manufacturing town communities), C (older families living in suburbia) and H (upwardly mobile families living in homes bought from social landlords) being the most prevalent. There is a similar pattern in Sittingbourne with groups C and D being prevalent. Sittingbourne also has a large section of group B (younger families living in newer homes) and group I (older people living in social housing with high care needs). The groups of people who live on the Isle of Sheppey fall into three main categories. There are those from groups D and G (low income families living in estate based social housing) who live in Sheerness and people from group C in Minster. Health and Social Care Map – Swale Overview 4 This data is useful because it gives an enhanced definition of deprivation in comparison to using the Indices of Deprivation alone. This shows where the projected health need is likely to be according to the local population and highlights the types of commissioning priorities. Commissioning services that target reducing poverty in families would be best placed in areas where D, F and G groups live. This would include parts of Sheerness, Queenborough, Leysdown and Warden, Murston, Milton Regis, areas in the east, north and south west of Faversham. There may be greater levels of isolation and a decreased level of people being able to access services in rural areas. The majority of the Swale geographical area is rural. Swale Families - a ‘vignette’ profile • K&M 8 - families with young children living in social housing (29%) • K&M 2 - families in comfortable homes in suburbia (24%) • K&M 4 - middle income couples with young children (13%) Three dominant groups in Swale are K&M 8 and K&M 9 and K&M 2. This represents 66% of the population. Resident population of Swale Local Authority by MOSAIC Kent & Medway Group 35 K&M2: Attitude to lifestlyes tends to be Kent Area everything in moderation. Moderate Swale 29.37 30 levels of exercise, smoking and drinking. K&M8: Fairly active but with poor diet and heavy alcohol and tobacco consumption. Teenage conceptions are an 25 24.43 issue. K&M4: Good general 20.09 19.23 20 health, active lifestyles and low rate of hospital admissions 15.69 15 13 10.31 9.31 9.7 10 8.8 Percentage of resident population resident of Percentage 7.54 6.34 5.37 5.55 5 4.43 2.8 3.13 1.65 0.71 0.9 0.02 0.06 0 K&M1: Successful K&M2: Families in K&M3: Young K&M4: Middle K&M5: Diverse K&M6: Young K&M7: Young adults K&M8: Families with K&M9: Low Income K&M10: Early K&M11: Rural Citizens Comfortable Homes Aspirational Adults Income Couples Minorities Professionals on Low Income Young Children Pensioners Retirees & Active Communities with in Suburbia with Young Children living in Social Pensioners High Number of Housing Commuters Mosaic Group Source: Experian, Mosaic Public Sector, 2008 populations (ONS) Health and Social Care Map – Swale Overview 5 Map of wards in Swale: Health and Social Care Map – Swale Overview 6 Key for Swale wards: Health and Social Care Map – Swale Overview 7 Demographics: Swale has a higher percentage of under 19s than the national profile but a much smaller proportion of 20 to 34s. The pyramid also highlights the largest section of the local population are aged 35 to 49. The majority of the population in all age categories either meet or exceed the Kent average apart from people aged 80 years plus where this is below the Kent average. Health and Social Care Map – Swale Overview 8 Sheppey Central, Sheerness East, Queenborough and Halfway, Grove, Kemsley and Murston have the highest number of children aged 0 to 4. The wards with the fewest number of children aged 0 to 4are Borden, Woodstock, West Downs, East Downs and Devington Priory. There are 9048 children aged 0 to 4 in Swale. Health and Social Care Map – Swale Overview 9 Sheppey Central, Sheerness East, Queenborough and Halfway, Grove, Kemsley and Murston have the highest number of people aged 0 to 19. The wards with the fewest number of people aged 0 to 19 are Devington Priory, East Downs, West Downs, Borden and Leysdown anden Ward. There are 34879 people aged 0 to 19 in Swale. Health and Social Care Map – Swale Overview 10 Sheppey Central, Kemsley and Grove have the highest number of working aged people, (16 to 64). The wards with the fewest number of working aged people (16 to 64) are Borden, West Downs, East Downs, Devington Priory and Leysdown anden Ward. There are 86073 working aged people (16 to 64) in Swale. Health and Social Care Map – Swale Overview 11 Sheppey Central, Woodstock, Minster Cliffs and Queenborough and Halfway have the highest number of people aged 65 plus. The wards with the fewest number of people aged 65 plus are Iwade and Lower Halstow, Boden, West Downs, East Downs and Devington Priory. There are 25213 people aged 65 plus in Swale. Health and Social Care Map – Swale Overview 12 Woodstock and Abbey have the highest number of people aged 85 plus. The wards with the fewest number of people aged 85 plus are Leysdown anden Ward, Iwade and Lower Halstow, Kemsley, Borden, East Downs and Devington Priory. There are 2861 people aged 85 plus in Swale. Health and Social Care Map – Swale Overview 13 The most densely populated wards in Swale are Sheerness East, Chalkwell, Roman and St Anns. The average number of people per hectare across all of Swale is 3.72. Health and Social Care Map – Swale Overview 14 Projected populations by broad age groups, Swale LA Population 2015 2016 2017 2018 2019 0-4 9147.358 9212.042 9287.011 9380.648 9442.104 0-19 35361.848 35669.752 35936.718 36238.537 36612.123 20-64 74143.403 74564.148 75119.943 75604.325 75958.56 65-84 23737.772 24311.068 24767.458 25302.81 25889.388 85+ 3065.551 3182.994 3298.13 3393.09 3500.895 All Ages 142528.386 144222.121 145892.548 147571.582 149245.963 Columns may not sum due to rounding Derived from ONS based projections Population projections from the Office for National Statistics (ONS) show a rise in all age groups over the next five years with the largest percentage rises occurring in the 65-84 age group.