Stowmarket INT: Place-Based Needs Assessment (2020) Main authors Tom Delaney, Alliance JSNA Researcher Alison Matthews, Senior JSNA researcher Main editors Natacha Bines, Head of Population Insight Anna Crispe, Head of Knowledge & Intelligence Consultant reviewers Dr Padmanabhan Badrinath, Consultant in Public Health Medicine Dr Jeptepkeny Ronoh, Consultant in Public Health Medicine With many thanks to Integrated Neighbourhood Team colleagues and wider Suffolk colleagues for their input, collaboration and consultation. This is version 2 created on 1st November 2020 Word accessibility Please contact the Knowledge and Intelligence Team at Public Health Suffolk if you require a word accessible copy of this Place Based Needs Assessment. Public Health Suffolk Page 2 of 110 Stowmarket INT: Place-Based Needs Assessment (2020) Contents Executive summary .................................................................................................................................. 5 Demographics ..................................................................................................................................... 5 Wider determinants of health ............................................................................................................. 6 Primary care ........................................................................................................................................ 6 Hospital admissions ............................................................................................................................. 7 Children and young people ................................................................................................................. 8 Older people’s health and wellbeing ................................................................................................... 8 Introduction: Place-Based Needs Assessments ........................................................................................ 9 Geographies ........................................................................................................................................ 9 Numbers ............................................................................................................................................ 11 Demographics: Stowmarket INT ............................................................................................................. 13 NEW: Population ............................................................................................................................... 15 English as a second language ............................................................................................................ 18 People with learning disabilities in Stowmarket ................................................................................ 18 Wider determinants of health ................................................................................................................ 20 NEW: Wider determinants of health: Deprivation and population ................................................... 20 NEW: Mosaic ..................................................................................................................................... 23 NEW: Wider determinants of health: the cost of housing ................................................................ 24 Wider Determinants of health: Housing waiting list.......................................................................... 26 Wider determinants of health: Homelessness .................................................................................. 27 Wider determinants of health: Crime ............................................................................................... 29 Wider determinants of health: Employment and the economy ........................................................ 31 Wider Determinants of health: Children and young people.............................................................. 33 NEW: Income deprivation affecting children index (IDACI) ............................................................... 35 NEW: Primary care: GP QOF indicators .................................................................................................. 39 NEW: Cardiovascular health needs ................................................................................................... 42 NEW: Respiratory-based health needs .............................................................................................. 47 NEW: Lifestyle-based health needs ................................................................................................... 49 NEW: High dependency and long-term conditions ........................................................................... 51 NEW: Mental health .......................................................................................................................... 58 NEW: Hospital admissions ...................................................................................................................... 65 NEW: Top five emergency hospital admissions in Stowmarket INT area by age group ..................... 65 NEW: Top five elective hospital admissions in Stowmarket INT area by age group .......................... 66 NEW: Adult Community Services ........................................................................................................... 70 NEW: Adult community service: dementia ....................................................................................... 70 Public Health Suffolk Page 3 of 110 Stowmarket INT: Place-Based Needs Assessment (2020) NEW: Adult community service: mental health ................................................................................ 73 NEW: Adult community service: learning disabilities ........................................................................ 76 NEW: Adult community services: new service users ......................................................................... 79 NEW: Children and young people’s health ............................................................................................. 86 NEW: Smoking status at time of delivery .......................................................................................... 86 NEW: Pregnancy and birth ................................................................................................................ 86 NEW: Child and maternal health (early years) .................................................................................. 88 NEW: Young people ........................................................................................................................... 88 NEW: The National Child Measurement Programme ........................................................................ 89 NEW: Human papillomavirus (HPV) vaccine ...................................................................................... 90 Older people’s health and wellbeing ...................................................................................................... 93 NEW: Frailty ....................................................................................................................................... 93 End of life care................................................................................................................................... 99 References: .......................................................................................................................................... 103 Appendix 1: The Indices of Deprivation, 2019 ...................................................................................... 107 Appendix 2: Full segmentation data table for the INT, CCG and Suffolk ............................................... 109 Appendix 3: The electronic frailty index (eFI) ....................................................................................... 110 Public Health Suffolk Page 4 of 110 Stowmarket INT: Place-Based Needs Assessment (2020) Executive summary This Place-Based Needs Assessment (PBNA) gives an overview of the Stowmarket Integrated Neighbourhood Team (INT) locality to support understanding of the area’s health, needs, and wider determinants of health so that community-based, evidence-led work can be prioritised to improve health and reduce inequalities. PBNAs focus on a place, not a condition or a specific population group. They mainly use publicly available data. Published data is robust and enables comparisons with areas outside Suffolk and with England, but publication is often delayed by some months and so can only give a snapshot rather than reflect the current situation. The Knowledge and Intelligence Team (Public Health Suffolk) are looking to add more up to date, local, unpublished data from INT members (for example data from adult social care, children and young people’s services, and Suffolk Fire) to the PBNAs where appropriate: please check the link below for the latest version. PBNAs should be considered alongside the work that INTs are delivering in their area, that cannot easily be captured in national statistics (for example social prescribing, and health improvement initiatives). The latest versions of the Suffolk PBNAs are available here, together with presentations or other supporting information: www.healthysuffolk.org.uk/jsna/pbna If you have any questions about this PBNA, please contact [email protected] INT members include staff from Suffolk County Council’s adult