Northamptonshire County Council Business Intelligence and Performance Improvement O lder People’s Needs Assessment CONTENTS Gender............................................................................................................... 25 Ethnicity ............................................................................................................ 25 Introduction ............................................................................................................ 5 Life Expectancy .................................................................................................. 26 Executive Summary ................................................................................................ 6 Risk Factors ........................................................................................................... 30 Recommendations ................................................................................................ 10 Smoking ............................................................................................................. 30 Northamptonshire ............................................................................................ 11 Alcohol and Substance Abuse ........................................................................... 32 Corby................................................................................................................. 13 Living Arrangements ......................................................................................... 37 Daventry ........................................................................................................... 14 Social Engagement and Loneliness ................................................................... 41 East Northamptonshire .................................................................................... 15 Deprivation ........................................................................................................ 44 Kettering ........................................................................................................... 16 Frailty ................................................................................................................ 48 Northampton .................................................................................................... 17 Fuel Poverty ...................................................................................................... 50 South Northamptonshire .................................................................................. 18 Excess winter deaths ......................................................................................... 52 Wellingborough ................................................................................................ 19 Causes of Deaths ................................................................................................... 53 Legislative context: the Care Act .......................................................................... 20 Cancer ............................................................................................................... 53 General responsibilities .................................................................................... 20 Cardiovascular Diseases .................................................................................... 56 Who is entitled to care and support? ............................................................... 20 Respiratory Diseases ......................................................................................... 59 Older People in Northamptonshire – Demographic ............................................. 21 Deaths from ‘Other’ Causes .............................................................................. 61 Population in Numbers ..................................................................................... 21 Deaths from Liver Disease ................................................................................ 62 Learning Disabilities .......................................................................................... 86 Deaths from Communicable Disease ................................................................ 63 Autism ........................................................................................................... 89 Level of Need and Future Projection .................................................................... 64 Mobility ............................................................................................................. 90 Support ............................................................................................................. 64 Falls ............................................................................................................... 90 Daily Living Tasks .......................................................................................... 64 Sensory Impairment .......................................................................................... 93 Carers ............................................................................................................ 65 Visual Impairment ......................................................................................... 93 Physical Health.................................................................................................. 67 Hearing Impairment ...................................................................................... 95 Life Limiting Long term Illness ...................................................................... 67 Adult Social Care (ASC) .......................................................................................... 97 Heart Attack .................................................................................................. 70 Demographic ..................................................................................................... 97 Stroke ............................................................................................................ 72 Adult Social Care Contact With Older People ................................................. 101 Bronchitis/Emphysema ................................................................................. 74 General Care Needs ........................................................................................ 102 Incontinence ................................................................................................. 75 Adult Social Care Interventions ....................................................................... 103 Obesity .......................................................................................................... 78 Placements for Over 65’s ................................................................................ 104 Diabetes ........................................................................................................ 80 Social Care Population Projections.................................................................. 106 Mental Health ................................................................................................... 82 Social Care Population aged 50-64 .................................................................. 106 Dementia ...................................................................................................... 82 ASC Spend and the likely level of future resourcing ....................................... 108 Depression .................................................................................................... 84 People who fund their own care (self funders) ............................................... 110 3 Advice and Information Services .................................................................... 110 Assessment and Eligibility ............................................................................... 129 Preventative Services...................................................................................... 111 Care and Support Planning .............................................................................. 129 Advocacy ......................................................................................................... 111 Charging .......................................................................................................... 130 Reablement .................................................................................................... 112 Funding Reform ............................................................................................... 130 Targeted and Specialist Services ..................................................................... 112 Safeguarding ................................................................................................... 131 Hospital Discharges......................................................................................... 113 Carers Assessments ......................................................................................... 131 End of Life Care ............................................................................................... 116 Carer Eligibility ................................................................................................ 132 Accommodation ................................................................................................. 120 Continuity of Care ........................................................................................... 132 Current Demand 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