Joint Strategic Needs Assessment 2019 Argyll and Bute HSCP 2 Contents Forward ................................................................................................................................ 6 Introduction .......................................................................................................................... 7 Overview of Argyll and Bute Geography and Locality Planning Areas ............................... 10 Part A: Current and future levels of need and assets ........................................................ 12 A1: Demographic Profile .................................................................................................... 12 A1: Summary .................................................................................................................. 12 A1: Current and future needs .......................................................................................... 12 A1: Assets ....................................................................................................................... 12 A1.2. Population size by age and gender ....................................................................... 14 A1.3. Population Change ................................................................................................ 18 A1.4. Projected population .............................................................................................. 24 A1.5. Dependency ratios ................................................................................................. 28 A2: Life Circumstances ...................................................................................................... 30 A2: Summary .................................................................................................................. 30 A2: Current and future needs .......................................................................................... 31 A2: Assets ....................................................................................................................... 31 A2.1. Inequalities and protected characteristics .............................................................. 32 A2.2. Rural and Remote ................................................................................................. 35 A2.4. Income and employment deprivation ..................................................................... 38 A2.5. Multiple deprivation ................................................................................................ 40 A2.12 Crime .................................................................................................................... 44 A2.6. Economy and employment .................................................................................... 45 A2.8 Child poverty........................................................................................................... 46 A2.9. Ethnicity, language and religion ............................................................................. 47 A2.10. Households and Housing .................................................................................... 49 A2.11 Neighbourhoods ................................................................................................... 53 A2.13 Unpaid care .......................................................................................................... 56 A2.14 Trauma ................................................................................................................. 58 A2.15 Police reports to HSCP ......................................................................................... 58 A3: Health and Wellbeing Status ....................................................................................... 60 A3: Summary .................................................................................................................. 60 A3: Current and Future needs ........................................................................................ 61 A3: Assets ....................................................................................................................... 61 A3.1 General Health ....................................................................................................... 62 A3.2 Life expectancy ....................................................................................................... 64 Argyll and Bute HSCP 3 A3.4. Births ..................................................................................................................... 67 A3.5. Deaths ................................................................................................................... 69 A3.6. Deaths by cause .................................................................................................... 73 A3.7 Long-term conditions .............................................................................................. 74 A3.8 Inequalities in health and wellbeing by SIMD ......................................................... 87 A4: Behaviours and risk factors ......................................................................................... 92 A4: Summary .................................................................................................................. 92 A4: Current and future needs .......................................................................................... 92 A4: Assets ....................................................................................................................... 93 A4.1 Physical Activity ...................................................................................................... 94 A4.2 Smoking ................................................................................................................. 97 A4.3 Diet ....................................................................................................................... 100 A4.4 Healthy weight ...................................................................................................... 101 A4.5 Alcohol misuse ..................................................................................................... 103 A4.6. Drug misuse ........................................................................................................ 106 A4.6 Suicide .................................................................................................................. 109 A4.7 Sexual Health ....................................................................................................... 110 Part B: Current levels of supply of services ..................................................................... 111 B1: Infrastructure and the organisation of services .......................................................... 111 B1: Summary ................................................................................................................ 111 B1: Gaps ....................................................................................................................... 111 B1: Assets ..................................................................................................................... 111 B1.1. Services and organisational structures ................................................................ 112 B1.3. HSCP Infrastructure ............................................................................................ 112 B1.4. Commissioning and contracted services ............................................................. 124 B1.5 Third Sector services in Argyll and Bute ............................................................... 128 B2: Workforce information ............................................................................................... 129 B2: Summary ................................................................................................................ 129 B2: Gaps ....................................................................................................................... 129 B2: Assets ..................................................................................................................... 129 B2.1 Headcount ............................................................................................................ 130 B2.2 Staff vacancies ..................................................................................................... 134 B2.3 Staff sickness ....................................................................................................... 134 B2.4. General Practice .................................................................................................. 135 B3: HSCP service provision and performance ................................................................. 138 B3: Summary ................................................................................................................ 138 Argyll and Bute HSCP 4 B3: Assets ..................................................................................................................... 140 B3: Gaps ....................................................................................................................... 141 B3.1 Acute hospital inpatient and day case activity ...................................................... 142 B3.2 Psychiatric hospital activity ................................................................................... 153 B3.3 Delayed Discharges ............................................................................................