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Rugby CCG (Jan 2012)

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Presentation to Rugby Clinical Commissioning Group by the Warwickshire Observatory

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Rugby CCG (Jan 2012)

  1. 1. A Socio-Demographic and Health Overview of Rugby Borough Gareth Wrench – Senior Public Health Intelligence Analyst/Epidemiologist Spencer Payne – Corporate Research Manager Rugby Clinical Commissioning Partnership Group Wednesday 4th January 2012
  2. 2. Introduction <ul><li>What is the Observatory? </li></ul><ul><li>Mix of socio-economic, demographic & health data – Rugby Borough </li></ul><ul><li>JSNA -> HWB Strategy </li></ul>
  3. 3. No, not this
  4. 4. Warwickshire Observatory <ul><li>Not stargazers! </li></ul><ul><li>Strategic Priority: </li></ul><ul><ul><li>Develop a sound intelligence led evidence base for the needs of WCC, its communities and its partners, and strategically use effective consultation and engagement to help deliver improved customer satisfaction. </li></ul></ul><ul><li>Physical entity based within WCC </li></ul><ul><ul><li>Split into 3 teams </li></ul></ul>
  5. 5. A Profile of Rugby? The Dahlgren and Whitehead schema of factors that influence health.
  6. 6. Introduction <ul><li>Demographics </li></ul><ul><li>Deprivation </li></ul><ul><li>Economy & Education </li></ul><ul><li>Community Safety </li></ul><ul><li>Mosaic </li></ul>population, age profile, life expectancy, ethnicity, migration official indices of deprivation, types of deprivation unemployment, school attainment headline trends household types, characteristics, engagement techniques
  7. 7. Demographics <ul><li>Current population = 94,200 </li></ul><ul><li>Was 87,500 in 1981 </li></ul><ul><li>Approximately 67,000 in Rugby Town </li></ul>A growing and ageing population…
  8. 8. Demographics <ul><li>Growth a mixture of natural increase and migration </li></ul>A growing and ageing population… 91,800 2007 total population plus births plus international in-migration minus domestic out-migration minus deaths plus domestic in-migration minus international out-migration 2008 total population + 1,140 - 795 + 4,464 - 4,072 + 492 - 237 92,700 + 345 + 255 + 392
  9. 9. Demographics A growing and ageing population…
  10. 10. Demographics A growing and ageing population…
  11. 11. Demographics Life expectancies on the increase… Rugby Rugby Males England Females England 1991-93 2007-09 73.6 75.3 79.1 78.7 78.1 78.7 82.2 82.6
  12. 12. Demographics Ethnicity… Non-white population = 9%
  13. 13. Deprivation <ul><li>Rugby is 219 th most deprived local authority district out of 326 </li></ul><ul><li>Masks significant variation at the local level </li></ul><ul><li>Generally measured at Super Output Area level; communities of around 1,500 people </li></ul>
  14. 14. Deprivation <ul><li>There are 32,482 SOAs in England </li></ul><ul><li>Rugby’s SOAs range from 3,314 th most deprived to 31,916 th </li></ul><ul><li>Rugby has 2 SOAs in the 20% most deprived nationally </li></ul><ul><ul><li>Part of Brownsover South </li></ul></ul><ul><ul><li>Part of Newbold / town centre </li></ul></ul>
  15. 15. Deprivation Newbold Benn Brownsover New Bilton Hillmorton Bilton
  16. 16. Deprivation Brownsover South Lake District North Town Central Overslade North West Newbold on Avon Overslade North New Bilton East Cattlemarket Whinfield Park Admirals East Church Lawford, Kings Newnham & Long Lawford North Ten Most Deprived Communities in Rugby…
  17. 17. Deprivation Varies in nature… Highest IMD ranking Highest unemployment total Highest Council Tax Benefit Claimants with children Highest free school meal claimants Highest lone parent benefit claimants Highest teenage pregnancy 30% aged 0 – 15 Brownsover South Lake District North
  18. 18. Deprivation 2nd Highest IMD ranking Lowest household income levels Highest Pension Credit claimants Highest Incapacity Benefit claimants Highest CTB/HB claimants (pensioners) Most deprived in health domain 46% pensioners ‘ Town Central’
  19. 19. Deprivation <ul><li>Health Domain </li></ul><ul><li>More concentrated in urban areas </li></ul><ul><li>Town Centre SOA is in most deprived 10% nationally </li></ul>
  20. 20. Economy & Education Double dip recession…?
  21. 21. Economy & Education Widening inequalities…
  22. 22. Economy & Education Benefit claimants… All Benefit Claimants 6,560 Jobseekers Allowance 1,635 Jobseekers Allowance ESA / Incapacity Benefits 2,715 ESA / Incapacity Benefit Carers 530 Carers Lone Parents 745 Lone Parents Disabled 555 Disabled Bereaved Bereaved 150 Other income-related benefits 230 Other
  23. 23. Economy & Education GCSE Attainment… <ul><li>Percentage attaining 5+ A*-C including Eng & Maths = 65% in Rugby </li></ul><ul><li>Warwickshire = 59%, England = 55% </li></ul><ul><li>Significant variations… </li></ul><ul><ul><li>Dunchurch Community Forum area = 80% </li></ul></ul><ul><ul><li>Brownsover, Benn & Newbold Community Forum area = 48% </li></ul></ul><ul><ul><li>Below average performance for looked after children, some ethnic groups and children claiming free school meals </li></ul></ul>
  24. 24. Community Safety <ul><li>Four consecutive years of reductions in recorded crime </li></ul>- 2% 5,865 6,000 All Crime - 2% 1,022 1,038 Criminal Damage - 3% 718 743 Vehicle Crime + 20% 440 366 Domestic Burglary - 19% 1,079 1,326 Violent Crime % Change Nov 10 – Oct 11 Nov 09 – Oct 10
  25. 25. Community Safety
  26. 26. Community Safety <ul><li>Good news on violent crime… </li></ul><ul><li>Down 19% over last twelve months </li></ul><ul><li>Rugby is the only district/borough to see a reduction </li></ul><ul><li>More importantly the 'serious violent' element is down 18% </li></ul><ul><ul><li>(Nov 09 to Oct 10 - 550 vs Nov 10 to Oct 11 - 449) </li></ul></ul>
  27. 27. Community Safety <ul><li>Bad news on domestic burglary… </li></ul><ul><li>up 25% across the county </li></ul><ul><li>up 19% in Rugby Borough </li></ul><ul><li>Being targeted both at county level (Burglary Gold Group - led by Police) and at a local level by the Community Safety Partnership </li></ul>
  28. 28. Mosaic <ul><li>Household classification system </li></ul><ul><li>15 Groups and 69 Types </li></ul><ul><li>Uses demographic information and data on economic status, health, lifestyles, attitudes, interests and other themes </li></ul><ul><li>Also provides information preferred methods of accessing information </li></ul>
  29. 29. Mosaic <ul><li>Helps understand diversity and need </li></ul><ul><li>Target resources </li></ul><ul><li>Identify most effective communication and engagement channels </li></ul>
  30. 30. Mosaic A Residents of isolated rural communities B Residents of small and mid-sized towns with strong local roots C Wealthy people living in the most sought after neighbourhoods D Successful professionals living in suburban or semi-rural homes E Middle income families living in moderate suburban semis F Couples with young children in comfortable modern housing G Young, well-educated city dwellers H Couples and young singles in small modern starter homes I Lower income workers in urban terraces in often diverse areas J Owner occupiers in older-style housing in ex-industrial areas K Residents with sufficient incomes in right-to-buy social houses L Active elderly people living in pleasant retirement locations M Elderly people reliant on state support N Young people renting flats in high density social housing O Families in low-rise social housing with high levels of benefit need Groups
  31. 31. Mosaic A Residents of isolated rural communities B Residents of small and mid-sized towns with strong local roots C Wealthy people living in the most sought after neighbourhoods D Successful professionals living in suburban or semi-rural homes E Middle income families living in moderate suburban semis F Couples with young children in comfortable modern housing G Young, well-educated city dwellers H Couples and young singles in small modern starter homes I Lower income workers in urban terraces in often diverse areas J Owner occupiers in older-style housing in ex-industrial areas K Residents with sufficient incomes in right-to-buy social houses L Active elderly people living in pleasant retirement locations M Elderly people reliant on state support N Young people renting flats in high density social housing O Families in low-rise social housing with high levels of benefit need Groups & Types A01 - Rural families with high incomes, often from city jobs A02 - Retirees electing to settle in environmentally attractive localities A03 - Remote communities with poor access to public and commercial services A04 - Villagers with few well paid alternatives to agricultural employment
  32. 32. Mosaic A Residents of isolated rural communities B Residents of small and mid-sized towns with strong local roots C Wealthy people living in the most sought after neighbourhoods D Successful professionals living in suburban or semi-rural homes E Middle income families living in moderate suburban semis F Couples with young children in comfortable modern housing G Young, well-educated city dwellers H Couples and young singles in small modern starter homes I Lower income workers in urban terraces in often diverse areas J Owner occupiers in older-style housing in ex-industrial areas K Residents with sufficient incomes in right-to-buy social houses L Active elderly people living in pleasant retirement locations M Elderly people reliant on state support N Young people renting flats in high density social housing O Families in low-rise social housing with high levels of benefit need Groups & Types A01 - Rural families with high incomes, often from city jobs A02 - Retirees electing to settle in environmentally attractive localities A03 - Remote communities with poor access to public and commercial services A04 - Villagers with few well paid alternatives to agricultural employment
  33. 33. Mosaic
  34. 34. Mosaic
  35. 35. Mosaic Mosaic Profile: Rugby v Warwickshire
  36. 36. Mosaic <ul><li>Nearly 900 variables </li></ul><ul><li>For example, teenage pregnancy </li></ul><ul><ul><li>‘ Average’ Group O teenager seven times more likely to become pregnant than an ‘average’ Group C teenager </li></ul></ul><ul><li>For example, liver disease </li></ul><ul><ul><li>Group N residents three times more at risk than Group D household </li></ul></ul>
  37. 37. Obesity <ul><li>Children </li></ul><ul><li>Obese Children (Year 6) = 15.6% </li></ul><ul><li>-> Statistically significantly better than England average </li></ul><ul><li>Physically active children = 51.8% </li></ul><ul><li>-> Statistically significantly worse than England average </li></ul><ul><li>Adults </li></ul><ul><li>Obese Adults - Rugby = 24.9% (18,660 adults) </li></ul><ul><li>Obese Adults - Warwickshire = 25.0% (109,260) </li></ul>Key lifestyle issue…
  38. 38. Alcohol Continued increases in admissions…
  39. 39. Smoking <ul><li>Prevalence – 23.5% of adults </li></ul><ul><li>Smoking related deaths – 177 per 100,000 population aged 35+ </li></ul><ul><ul><li>-> Statistically significantly better than England average of 216 per 100,000 </li></ul></ul><ul><li>Still largest preventable cause of mortality </li></ul>Still a key public health issue…
  40. 40. Mental Health Increasing future demand…
  41. 41. Teenage Conceptions -> Statistically significantly better than England average A mixed picture…
  42. 42. <ul><li>Purpose </li></ul><ul><li>To identify current and future health & wellbeing needs </li></ul><ul><li>To establish a shared, evidence-based consensus on key local priorities </li></ul><ul><li>To form a core element in the commissioning cycle </li></ul>
  43. 43. <ul><li>Children </li></ul><ul><ul><li>Educational Attainment </li></ul></ul><ul><ul><li>Looked After Children </li></ul></ul><ul><li>Lifestyle & Reducing Inequalities </li></ul><ul><li>Vulnerable Communities </li></ul><ul><ul><li>Disability </li></ul></ul><ul><ul><li>Safeguarding </li></ul></ul><ul><li>Long-Term Conditions </li></ul><ul><li>Mental Wellbeing </li></ul><ul><li>Ageing </li></ul><ul><ul><li>Dementia </li></ul></ul><ul><ul><li>Ageing & Frailty </li></ul></ul>Children/Young People Older People General Population Warwickshire JSNA Theme Summaries - 2011
  44. 44. Further information <ul><li>Gareth Wrench 01926 413753 </li></ul><ul><li>[email_address] </li></ul><ul><li>Spencer Payne 01926 412469 </li></ul><ul><li>[email_address] </li></ul><ul><li>http://warksobservatory.wordpress.com </li></ul><ul><li>http://www.warwickshireobservatory.org.uk / </li></ul><ul><li>Any questions? </li></ul>

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