Southern 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 Southern Locality Priorities Increase Dementia Care Provision (quality and quantity) Healthy Lifestyle Provision (exercise, healthy eating, smoking) Mental Health Services for under 65s, (education and life skills) Increase Volunteering & student placement participation Improve access to community services including transport Befriending and shopping support Carer Support Background data Physical Area The Southern Locality comprises of 152 Km2 / 58 Square miles and is inhabited by approximately 70,000 people (8% growth over 2001-2011 Census with no projected significant growth to 2016 though increase in ageing is predicted). South Bucks District population estimate 67,000 Mid-2012. (Source ONS). This includes areas such as Beaconsfield, not covered by the Southern CCG Locality however does not include parts of the territory within Chiltern District (Chalfont St Peter, Chalfont St Giles and Seer Green) Total population of South Bucks District 2013 = 67,941 Age Structure: 20-44=27.6% 45-64=28.2% 65-79=14.4% 80+=6.2% Household Composition (South Bucks average) Single non-pensionable households 12.9% Single pensioner 14% = 9512 All other pensioner households 10.9% = 7456 Overall, the population is forecast to increase by 22.6% for South Bucks against an overall England increase of 16.2%. The movement is estimated to be almost all due to net migration, mainly from other parts of England. The largest increase is in the 65+ age group, forecast to increase by 72.8% (23,500), against 65% for England. The largest percentage increase by group is the 85+ age group across South Bucks and England, with the numbers of over ninety-year olds in the district expected to more than double to 2000. Age Group 2012 2022 2030 2037 % change 0-19 15,900 17,500 18,300 18,200 14.47% 20-64 38,000 39,400 39,900 40,800 7.37% 65+ 13,600 16,900 20,600 23,500 72.79% Total 67,400 73,900 78,800 82,600 22.55% Health (2011 Census) Source ref: Table QS302EW People who self-declared as having bad or very bad health in the district was 3.8%. Housing Tenure Social Rented: Council / Housing Assn / Reg Social Landlord 12.3% Private Rented: Private Landlord or Letting Agency 16.7% Population Summary of the 19 wards Chalfont Common approximate population of 5,000 Chalfont St Giles - “ - 7,000 Seer Green - “ - 2,100 Burnham Beeches - “ - 1,400 Burnham Church - “ - 5,300 Burnham Lent Rise - “ - 4,900 Dorney Burnham South - “ - 1, 700 Taplow - “ - 1,800 Farnham Royal - “ - 5,300 Hedgerley & Fulmer - “ - 1,600 Stoke Poges - “ - 5,200 Wexham and Iver West - “ - 3,200 Iver Village & Richings Park - “ - 5,000 Iver Heath - “ - 5,100 Denham South - “ - 3,600 Denham North - “ - 3,000 Gerrards Cross E & Denham SW “ - 2,000 Gerrards Cross South - * - 3,600 Gerrards Cross North - “ - 3,300 APPROX TOTAL POPULATION = 70,100 Chiltern Clinical Commissioning Group Southern Locality www.chilternccg.nhs.uk NHS Chiltern Clinical Commissioning Group Ground Floor Chiltern District Council Offices King George V Road Amersham HP6 5AW The Chiltern Clinical Commissioning Group reports the locality to have approximately 79.000 registered patients. This is largely consistent with Census research making it the fourth largest of the seven Bucks GP localities. The population is older than the Buckinghamshire average, with a higher proportion of people aged 65+ and deprivation is lower with the exception of some small areas being more deprived. The locality is generally less ethnically diverse than the Bucks average, though some areas are similar. The Southern Locality of Chiltern CCG The Chiltern CCG Southern Locality consists of 9 GP practices, their approximate list sizes specified. The three groupings denote geographic relationship and relative catchment areas. The Misbourne Surgery, Chalfont St Peter 12,154 The Hall Practice, Chalfont St Peter 9,282 Calcot Medical Centre, Chalfont St Peter 8,862 Denham Medical Centre, Denham 8,206 Iver Medical Centre, Iver 8,273 Iver Heath Health Centre, Iver Heath 1,504 Threeways Surgery, Stoke Poges 5,823 Southmead Surgery, Farnham Common 6,708 Burnham Health Centre, Burnham 17, 863 TOTAL CASELOAD REPORTED SEPTEMBER 2012 = 78,675 Differences between CCG list and census data is approximately 8,500. Registered, but ‘out of county’ patients, or patients travelling from another Buckinghamshire locality most likely reasons. Conversely residents of Farnham Royal and residents of New Denham are served by GP practices in Slough and Uxbridge respectively and therefore GP referral in to Prevention Matters are less likely to be from Buckinghamshire residents in these cases. 2013-2015 Priorities Encourage best practice between member practices Increase planned care in the community Reduce emergency admissions to acute hospitals Improve prescribing quality and reduce costs Improve wellbeing and lifestyle behaviours Engage more fully with patients and the public South Bucks District Health Profile PH Population: 68,000 Mid-2013 In 2012, 20.4% of adults were classified as obese. The rate of alcohol related harm hospital stays was 450 per 100,000 better than the England average representing305 stays per year. The rate of self-harm hospital stays was 122.3 per 100,000, better than the England average representing 79 stays per year. The rate of smoking related deaths was 208 per 100,000 better than the England average representing 90 deaths per year. Estimated levels of adult physical activity are better than the England average. Deaths and serious injuries on roads were worse than average. The rate of STIs are better than average. Rates of statutory homeless, violent crime, long term unemployment, drug misuse, early deaths from cardiovascular diseases and early deaths from cancer are better than average Public Health England Health Profile 2014 South Bucks District produced on 12th August 2014. Health in summary: The health of people in South Bucks is generally better than the England average. Deprivation is lower than average, however about 9.6% (1,200) children live in poverty. Life expectancy for both men and women is higher than the England average. Living longer: Life expectancy is 5.2 years lower for men in the most deprived areas of South Bucks than in the least deprived areas. Adult health: In 2012, 20.4% of adults were classified as obese. The rate of alcohol related harm hospital stays was 438*, better than the average for England. This represents 291 stays per year. The rate of self-harm hospital stays was 126.7* better than the England average. This represents 81 stays per year. The rate of smoking related deaths was 215*, better than the England average. This represents 91 deaths per year. Estimated levels of adult smoking are better than the England average. The rate of people killed and seriously injured on roads is worse than average. The rate of sexually transmitted infections is better than average. Rates of statutory homelessness, violent crime, long term unemployment, drug misuse, early deaths from cardiovascular diseases and early deaths from cancer are better than average. *rate per 100,000 population Local priorities: Priorities in South Bucks include those outlined in Buckinghamshire’s Joint Strategic Needs Assessment and the Director of Public Health’s Report. See www.buckscc.gov.uk or www.buckscc.gov.uk/dphannualreport Key Groups and Networks Movers and Shakers Health and wellbeing model supports adults from socially disadvantaged communities and encourage them to lead healthier lifestyles. Use of an innovative, inclusive and self-care model to promote healthy ageing and wellbeing for older adults enable them to live longer independent lives. Members report that ‘attending the sessions makes them feel younger and rejuvenated’. Group sessions for adults are a way to meet others and take part in a number of enjoyable activities including: Art & Craft, Gentle Exercise and Guest Speakers. The weekly sessions are held in community settings and lead by friendly volunteers. A light lunch is also provided. Groups currently operate in Aylesbury Vale, Wycombe, Chiltern and South Bucks Districts. Five Ways to Wellbeing Well-being is when you feel good and enjoy your day to day life and has two main aspects: feeling good and functioning well. Feelings of happiness, contentment, curiosity, engagement and enjoyment are characteristic of someone with a positive experience of their life. The five ways are: Connect, Be Active, Take Notice, Keep Learning and Give HEALTHWISE: PHYSICAL ACTIVITY REFERRAL SCHEME Introduces individuals to the benefits of physical activity in order to help reduce risk factors for chronic disease and manage existing medical conditions. The programme aims to encourage people of all abilities to become and remain more physically active, helping to increase fitness levels and improve health and well-being. The scheme is for Chilterns and South Bucks residents and their GP or doctors surgery is based in the same locality. It is designed to help people with medical conditions or other specialist requirements that prevent them from entering mainstream exercise.