Joint Director of Public Health Annual Report & Joint Strategic Needs Assessment 2010/11 Doncaster > www.doncastertogether.org.uk > www.doncaster.nhs.uk > www.doncaster.gov.uk Joint Director of Public Health Annual Report & Joint Strategic Needs Assessment 2010/11 Joint Strategic Needs Assessment & Joint Director of Public Health Annual report 2010/11 > Contributors Laurie Mott NHS Doncaster Jim Drake Doncaster MBC Jon Briggs NHS Doncaster Nick Germain NHS Doncaster Heather Coleman NHS Doncaster Ian Bates NHS Doncaster Alan Wiltshire Doncaster MBC Matthew Redden NHS Doncaster Joint Director of Public Health Annual Report & Joint Strategic Needs Assessment 2010/11 2 Joint Director of Public Health Annual Report & Joint Strategic Needs Assessment 2010/11 > Contents > List of figures.............................................................................................................................5 > Joint Director of Public Health Annual Report................................................................... 9 > Foreword ................................................................................................................................10 > Executive Summary..............................................................................................................11 > Progress against recommendations .................................................................................13 > Challenges & Recommendations – 2010/11...................................................................17 > Joint Strategic Needs Assessment ................................................................................... 19 > Introduction ...........................................................................................................................20 > Living Well: a Doncaster overview ................................................................................... 23 > Summary - Living Well ..........................................................................................................25 > Demography .........................................................................................................................26 > Lifestyle & risk factors............................................................................................................40 > Ill-health & disability..............................................................................................................42 > Signposts.................................................................................................................................45 > Starting Well: Early Years (0-4).......................................................................................... 47 > Summary – Starting Well (0-4).............................................................................................49 > Demography .........................................................................................................................50 > Social and environmental context....................................................................................52 > Lifestyle and risk factors .......................................................................................................53 > Ill-health and disability .........................................................................................................58 > Signposts.................................................................................................................................60 > Developing Well: School Years (5-19) ............................................................................. 61 > Summary – Developing Well (5-19) ...................................................................................63 > Demography .........................................................................................................................64 > Social & Environmental Context........................................................................................66 > Lifestyle & risk factors............................................................................................................68 > Ill-health & Disability..............................................................................................................74 > Signposts.................................................................................................................................78 > Developing Well: Training (15-24) .................................................................................... 79 > Summary – Developing Well (15-24) .................................................................................81 > Demography .........................................................................................................................82 > Social & environmental context ........................................................................................84 > Ill-health and disability .........................................................................................................87 > Signposts.................................................................................................................................88 > Working Well: Employment (25-64).................................................................................. 89 > Summary – Working well (25-64) ........................................................................................91 > Demography .........................................................................................................................92 > Social and environmental context....................................................................................94 > Lifestyle & risk factors............................................................................................................98 > Ill-health and disability ...................................................................................................... 102 > Signposts.............................................................................................................................. 107 > Ageing Well: Retirement (65+)........................................................................................ 109 > Summary – Ageing Well (65+) ......................................................................................... 111 > Demography ...................................................................................................................... 112 > Social and Environmental Context ................................................................................ 114 > Lifestyle and risk factors .................................................................................................... 118 > Ill health and disability ...................................................................................................... 120 > Signposts.............................................................................................................................. 136 > Abbreviations ................................................................................................................... 137 > Appendix 1: All age all cause mortality........................................................................ 139 > Appendix 2: Policy Objectives ....................................................................................... 149 3 Joint Director of Public Health Annual Report & Joint Strategic Needs Assessment 2010/11 4 Joint Director of Public Health Annual Report & Joint Strategic Needs Assessment 2010/11 > List of figures Figure 1: Areas of action across the life course.....................................................................21 Figure 2: Total mid-year population estimates with projections for Doncaster, 1991- 2020 ................................................................................................................................................26 Figure 3: Changes in population by age group in Doncaster, 2009-20............................27 Figure 4: Mid year population estimates for Doncaster by age group, 2009..................27 Figure 5: Population estimates by ethnicity (excluding White British) in Doncaster and England, 2007...............................................................................................................................28 Figure 6: Changes in Doncaster’s ethnic populations (excluding White British), 2001-07 ........................................................................................................................................................29 Figure 7: Migration into Doncaster and England & Wales, 2000/01-2007/08 ..................29 Figure 8: Population density by community, 2009 ................................................................30 Figure 9: The proportion of the Doncaster population in the most deprived 10% and 20% of England’s LSOAs according to the IMD 2007 and its domains..............................32 Figure 10: Index of Multiple Deprivation in Doncaster, 2007...............................................33 Figure 11: Deprivation by Community in Doncaster, 2001..................................................33 Figure 12: Economic Development Index (EDI) for Doncaster, 1999-2005.......................34 Figure 13: Weekly earnings in Doncaster and England & Wales, 1998-2009 ...................35 Figure 14: Employment by occupation aged 16+, 2010 .....................................................35 Figure 15: Urban rural map ........................................................................................................36