Understanding Cotswold 2015 Produced by the Strategic Needs Analysis Team, Gloucestershire County Council Version: v1.0 1 Contents 1. Introduction ................................................................................................................ 4 2. Executive summary .................................................................................................... 5 2.1 Cotswold context .................................................................................................... 5 2.2 Getting the right start in life ..................................................................................... 6 2.3 Keeping Healthy - Prevention ................................................................................. 6 2.4 Particular Needs ..................................................................................................... 7 2.5 Healthy and Sustainable Places and Communities ................................................. 8 3. Cotswold context ...................................................................................................... 10 3.1 About this section ................................................................................................. 10 3.2 Demographics ....................................................................................................... 10 3.3 Deprivation ........................................................................................................... 18 3.4 Life expectancy ..................................................................................................... 26 3.5 Mortality ................................................................................................................ 27 3.6 Economy ............................................................................................................... 30 3.7 Protected characteristics ....................................................................................... 49 3.8 Key Messages ...................................................................................................... 56 4. Getting the right start in life ....................................................................................... 58 4.1 About this section ................................................................................................. 58 4.2 Maternity ............................................................................................................... 58 4.3 Maintaining a healthy weight in childhood ............................................................. 61 4.4 Sexual health ........................................................................................................ 64 4.5 Educational outcomes ........................................................................................... 65 4.6 Promoting the welfare of children and Safeguarding ............................................. 81 4.7 Key Messages ...................................................................................................... 86 5. Keeping Healthy – Prevention .................................................................................. 87 5.1 About this section ................................................................................................. 87 5.2 Alcohol .................................................................................................................. 87 5.3 Smoking ................................................................................................................ 88 5.4 Maintaining a healthy weight in adults ................................................................... 88 5.5 Social Isolation ...................................................................................................... 90 5.6 Key Messages ...................................................................................................... 95 6. Particular Needs ....................................................................................................... 96 6.1 About this section ................................................................................................. 96 6.2 Disability ............................................................................................................... 96 6.3 Mental Health ...................................................................................................... 110 2 6.4 Long-term conditions .......................................................................................... 111 6.5 Dementia ............................................................................................................ 113 6.6 Service use profile – community-based care ....................................................... 115 6.7 Service user profile – residential and nursing care .............................................. 116 6.8 Place of death ..................................................................................................... 118 6.9 Key Messages .................................................................................................... 119 7. Healthy and Sustainable Places and Communities ................................................. 121 7.1 About this section ............................................................................................... 121 7.2 Community Assets .............................................................................................. 121 7.3 Carers ................................................................................................................. 122 7.4 Volunteering........................................................................................................ 125 7.5 Culture and Leisure ............................................................................................. 127 7.6 Transport ............................................................................................................ 130 7.7 Housing .............................................................................................................. 133 7.8 Education ............................................................................................................ 149 7.9 Unemployment .................................................................................................... 149 7.10 Community Safety............................................................................................... 149 7.11 Key Messages .................................................................................................... 153 3 1. Introduction Understanding Cotswold has been produced to provide an understanding of the district and its communities. It looks at the needs of communities and how we expect them to change in the future and assesses current and future health and social care needs of the citizens of the Cotswold’s. The report is part of a suite of documents, which also includes: Understanding Cheltenham, Understanding Forest of Dean, Understanding Gloucester, Understanding Stroud, Understanding Tewkesbury and Understanding Gloucestershire – A Joint Strategic Needs Analysis. Where possible the documents follow a similar structure to one another, although difficulties in obtaining some data at district level means Understanding Gloucestershire – A Joint Strategic Needs Analysis, features some topics that are not available in the other reports. For any feedback please contact the Strategic Needs Analysis Team: [email protected] 4 2. Executive summary Cotswold context Cotswold district has a total population of around 84,600 people. It grows by around 280 people a year (0.35%), this is well below the Gloucestershire and England & Wales averages. The biggest growth comes from the net movement to the district from elsewhere in the UK. The over 65 population continues to increase, while the younger population decreases. 7.1% of the total population were born outside the UK, 33% of these were recent migrants, having arrived since 2004. Cotswold has one of the lowest proportions of BME population, accounting for 2.2% of the population. There are no LSOA's that rank in the top 20% most deprived in England. The worst ranking domain remains "Barriers to Housing and Services" of which Ermin ranked as 178th nationally and is the most deprived LSOA in Gloucestershire in terms of this domain. Male and Female life expectancies have been steadily increasing, and are currently 81 years for males and 85 years for females. The three leading causes of death in Cotswold are cancer, cardiovascular disease (CVD), and respiratory disease. The industry base is varied with local concentration particularly based on; Accommodation and food services sector relating to tourism; Professional, scientific & technical focusing on consultancy and head office activities; Manufacturing ranging from vehicles, orthopaedic equipment, pumps, textiles and food products and Retail. The commuting to work pattern indicates that just over half of the resident employed population remained within the district to work and the majority of the inward and outward flows tend to be within the Gloucestershire, particularly relating to Stroud and Cheltenham districts. The Accommodation & food services sector which is related to the tourism industry is not unsurprisingly the largest in the district. The number of businesses in Cotswold increased by 9.0% in the last five years. The number of people claiming Job Seekers Allowance (JSA) in Cotswold district has