Aylesbury Vale North Locality Profile Prevention Matters Priorities The Community Links Officer (CLO) has identified a number of key Prevention Matters priorities for the locality that will form the focus of the work over the next few months. These priorities also help to determine the sort of services and projects where Prevention Matters grants can be targeted. The priorities have been identified using the data provided by the Community Practice Workers (CPW) in terms of successful referrals and unmet demand (gaps where there are no appropriate services available), consultation with district council officers, town and parish councils, other statutory and voluntary sector organisations and also through the in depth knowledge of the cohort and the locality that the CLO has gained. The CLO has also worked with the other CLOs across the county to identify some key countywide priorities which affect all localities. Countywide Priorities Befriending Community Transport Aylesbury Vale North Priorities Affordable Day Activities Gentle Exercise Low Cost Gardening Services Dementia Services Social Gardening Men in Sheds Outreach for Carers Background data Physical Area The Aylesbury Vale North locality (AV North) is just less than 200 square miles in terms of land area (500 square kilometres). It is a very rural locality in the north of Buckinghamshire. There are officially 63 civil parishes covering the area (approximately a third of the parishes in Bucks). There are 2 small market towns, Buckingham and Winslow, and approximately 70 villages or hamlets (as some of the parishes cover more than one village). Population The total population of the Aylesbury Vale North locality (AV North) is 49,974 based on the populations of the 63 civil parishes from the 2011 Census statistics. The official Clinical Commissioning Group statistics for AV North do not include the area to the east of Little Horwood and the north of Stewkley and Wing e.g. Newton Longville, Great Brickhill etc. (see fig.1) This Fig. 1 showing the area is because they are not of AV North that is outside of the CCG officially part of the AV locality but inside North Clinical Buckinghamshire. Commissioning Group Locality, however, it was decided that, as they are still part of Buckinghamshire, the Community Links Officer (CLO) Service should cover this area. Buckingham is the largest town and has a population of around 12000. Winslow is much smaller with a population of 4500. The villages range in size from Wing, which has a population of around 2700, to Creslow, which has a population of 22. Local Area Forums There are 3 main Local Area Forums (LAF) within the locality, Buckingham Local Area (36 parishes), Winslow & District Local Area (15 Parishes) and Great Brickhill, Wing & Ivinghoe Local Area (GBWI), which is shared with Aylesbury Vale Central Locality (10 of the GBWI parishes are in AV North). There are two other parishes in the locality from different local areas, Marsh Gibbon (Waddesdon LAF) and Weedon (Greater Aylesbury LAF). (A full list of parishes and which Local area they are in can be found in appendix 2). Age Demographics In terms of age demographics, AV North is fairly representative of the wider Aylesbury Vale District and of Buckinghamshire County. Again official CCG statistics put the number of over 65s at 15.3%, lower than the Buckinghamshire average of 16.1%. However, including the additional parishes to the north-east of the patch and using the 2011 census statistics, this number rises to 16.3%, slightly higher than the Buckinghamshire average. Moreover projections indicate that the number of over 65s in Buckinghamshire will increase by approximately 40% over the next 10-15 years but in Aylesbury Vale as a whole the number is expected to rise by around 57%. This clearly has implications for Health and Social Care Services going forward. Another important point to note is that the overall population of Aylesbury Vale will rise by around 9% during that same time period compared to the Buckinghamshire projected rise of 5%. (see fig.2) Fig.2 Graph showing projected population change in Buckinghamshire districts from 2011-2026. Ethnic Diversity AV North is one of the least ethnically diverse localities in Buckinghamshire. Overall, the ethnicity of the locality is approximately 97.5% White British (2.5% Black and Minority Ethnic). This is much less diverse than the Aylesbury Vale District average of 89.6% White British (10.4% Black and Minority Ethnic) and lower still than the Bucks average of 86.4% White British (13.6% Black and Minority Ethnic). Within the locality ethnic diversity can be broken down further into the three main local areas: 96.5% White British (3.5% Black and Minority Ethnic) in the Buckingham Local Area. 98.2% White British (1.8% Black and Minority Ethnic) in the Winslow & District Local Area. 98.5% White British (1.5% Black and Minority Ethnic) in the Great Brickhill, Wing and Ivinghoe Local Area. Deprivation 0% of the population of the AV North Locality are in the 30% most deprived areas in terms of, Overall Deprivation, Income, Employment, Adult Qualifications, Health & Disability and Crime (although 5% of Children’s Education in the Buckingham Local Area is in the 30% most deprived areas). Average household incomes are comparable to the wider district and County averages. Health The population of the AV North locality experiences similar or better health than the Buckinghamshire population: Emergency admission rates to hospital and attendances at A&E are statistically lower than the Bucks average. Elective admission rates are statistically similar to Bucks for all admissions, but higher for elective angioplasty. Early death rates are similar to Bucks which itself has some of the lowest death rates in the country. Some specific issues that have been identified in the AV North Locality are: Falls - emergency admissions statistically higher than Bucks The needs of older people across the locality (including dementia, depression and social isolation). A higher proportion of older people are estimated to have difficulty with one or more activities of daily living. People with long term conditions - cardiovascular conditions in particular, but also those with multiple conditions and co-existing mental health problems. As a result of this, three priorities were proposed for AV North at the locality’s first Public and Patient Engagement Workshop. These were: Cardiovascular disease Falls in older people Older people’s health and wellbeing Key Groups or Networks Older People’s Action Groups There are currently no Older People’s Action Groups (OPAGs) as such running in the locality although there is a ‘virtual’ OPAG in Buckingham which, by choice, only meets occasionally to discuss specific pressing issues as they arise and information is disseminated by the leader of the group. Buckingham & Winslow Network Lunches The Buckingham Network lunches take place once a month in the lounges at Chandos Court in Buckingham and Swan Court in Winslow. There are around 30 groups who attend on a semi regular basis, although not usually at the same time as many of the groups prefer to drop in on alternate months or once every few months. It is a good meeting place to discuss issues and for groups to be introduced to one another and find out how they can work together. Leadership of the group is shared between the CLO and the District Council. Access for All Buckingham The Access for All Group in Buckingham aims to improve accessibility for vulnerable adults and those with disabilities. It works with local businesses and services. Community Care North Bucks Community Care North Bucks support carers in the north of Aylesbury Vale with support / social groups for adult carers, former carers and young carers. They also run the North Bucks Hospital Car Service which has around 70 volunteers and does over 1000 journeys a year giving older people and other vulnerable adults lifts to hospital appointments. Care Agencies There are a number of Care Agencies who provide quality home help services in the locality. The three which have engaged most with Prevention Matters are Home Instead, Buckingham Home Care and Extra Help. Churches There are a number of active churches in Aylesbury Vale North who provide Prevention Matters related assets. The Parish Church in Buckingham (St Peter & St Paul) is very active providing coffee mornings, lunches and transport via the church mini-bus. The 3 B’s Methodist Circuit have a pastoral worker who supports older people and vulnerable adults in Buckingham and a number of the surrounding villages including Thornborough, Steeple Claydon and Gawcott. They are also part of the Steeple Claydon Churches Together Group along with St Michaels who are in turn part of the Swan and Claydons Benefice. They have recently provided training for volunteers to provide a Home Visiting Service for socially isolated people and are thinking of starting a community car scheme across the Claydons. Winslow Big Society - Winslow The Winslow Big Society is a local voluntary group who work with others to identify gaps in local community provision of services of all types to all Winslow residents, regardless of age and situation. They then set up projects to meet the need. They are currently supporting the CAB in Winslow and Buckingham with their marketing, providing monthly lunches for people who are socially isolated, leading a simply walk for people who are not able to walk regularly, and developing an Easy Guide to Winslow and a community transport project for people in rural areas. Swan Community Hub - Buckingham The Swan Community Hub is a movement of local people committed to serving the local community. It works in partnership with a number of other organisations in Buckingham including the Citizen’s Advice Bureau (CAB) and the two main churches.