Scottish Borders Health and Social Care Partnership - Facts and Statistics document September 2015 Scottish Borders Health and Social Care Partnership - Facts and Statistics document September 2015 Contents Introduction ....................................................................................................................................................... 5 Area and Population Profile .............................................................................................................................. 6 Projections of future population ..................................................................................................................... 11 Overview ...................................................................................................................................................... 11 Commentary on differences between 2010-based and 2012-based projections ....................................... 12 The Scottish Index of Multiple Deprivation in Borders: Overview .................................................................. 14 Geographic Access to services ......................................................................................................................... 18 Life Expectancy and Healthy Life Expectancy .................................................................................................. 22 Households and Housing ................................................................................................................................. 24 Household structure .................................................................................................................................... 24 Housing ........................................................................................................................................................ 26 Fuel Poverty ................................................................................................................................................. 27 Population Health ............................................................................................................................................ 30 General Health ............................................................................................................................................. 30 Cancer .......................................................................................................................................................... 33 Dementia ..................................................................................................................................................... 34 Diabetes ....................................................................................................................................................... 35 Learning Disability ....................................................................................................................................... 37 Mental Health .............................................................................................................................................. 39 Defining “Mental Health” and “Wellbeing” ............................................................................................ 39 Wellbeing ................................................................................................................................................. 40 Prevalence of Mental Health problems ................................................................................................... 41 Obesity ......................................................................................................................................................... 44 Physical Disability ........................................................................................................................................ 47 Sensory Impairment .................................................................................................................................... 49 Hearing Loss ............................................................................................................................................. 50 Sight Loss ................................................................................................................................................. 51 Deafblindness/dual sensory loss ............................................................................................................. 52 Other Long Term Conditions ....................................................................................................................... 53 Multi-morbidity ........................................................................................................................................... 55 High Resource Individuals ........................................................................................................................... 56 Behaviours / Risk Factors ................................................................................................................................ 59 Alcohol ......................................................................................................................................................... 59 Drugs ............................................................................................................................................................ 60 Smoking ....................................................................................................................................................... 61 Scottish Borders Health and Social Care Partnership - Facts and Statistics document September 2015 Mortality .......................................................................................................................................................... 64 Premature mortality .................................................................................................................................... 64 Cause of death ............................................................................................................................................. 66 Carers ............................................................................................................................................................... 67 Overview ...................................................................................................................................................... 67 Characteristics of Carers .............................................................................................................................. 69 Experience of Carers .................................................................................................................................... 73 Current Services............................................................................................................................................... 75 A snapshot of some of our care-providing premises .................................................................................. 75 GP practices ................................................................................................................................................. 76 Current Use of Health and Social Care Services .............................................................................................. 79 Emergency Hospital Care............................................................................................................................. 79 Accident & Emergency Activity and Waiting Times................................................................................. 79 Emergency Admissions to Hospital ......................................................................................................... 81 Delayed Discharges from Hospital............................................................................................................... 83 Social Care Services ..................................................................................................................................... 84 Home Care ............................................................................................................................................... 84 Direct Payments / Self-Directed Support (SDS) ....................................................................................... 86 Telecare / Community Alarms ................................................................................................................. 88 Housing with Care / Extra Care Housing.................................................................................................. 89 Care Homes ............................................................................................................................................. 90 Balance of Care ........................................................................................................................................ 92 Experience of Care recipients .................................................................................................................. 95 End of Life Care ............................................................................................................................................ 97 Costs of Health and Social Care in Scottish Borders ........................................................................................ 99 References ....................................................................................................................................................