The document summarizes data from the English Indices of Deprivation 2007 which shows:
1) Barnet has become more deprived compared to other local authorities, now ranking in the top third most deprived and having six areas in the top 10% most deprived nationally.
2) Burnt Oak and Colindale remain the most deprived wards in Barnet.
3) Deprivation levels correlate with locations of social housing and mortality rates increase with higher deprivation levels.
New Brunswick, New Jersey is home to Rutgers University and Johnson & Johnson world headquarters. It has a population of 51,579 and unemployment rate of 8.4%. Major employers include Rutgers University, St. Peter's Hospital, and Johnson & Johnson. The largest employment sectors are trade, transportation & utilities and professional & business services. New Brunswick has a diverse population and is known as the "Health Care City" due to its large healthcare industry presence.
The Stoughton Area School District is facing a cumulative budget shortfall of $8.4 million over the next four years due to rising costs and restricted funding. It is asking voters to approve two referendum questions in April 2010 - the first to exceed its revenue limit by a total of $3.9 million over four years to fund operations, and the second to issue $7.25 million in bonds to fund maintenance projects. If approved, the estimated tax impact would be an increase of $3.25-4.17 per week for a home valued between $175,000-225,000. The district has already cut $1 million in spending and 68 positions to address its financial problems.
The document is a letter from Edison Electric Institute to the Secretary of Energy outlining the electric power industry's voluntary commitment to reduce greenhouse gas intensity. It proposes that the industry will work to reduce carbon intensity equivalent to 3-5% over the next decade through individual company actions and coordinated initiatives. These would include expanding natural gas, nuclear and renewable energy as well as energy efficiency and carbon sequestration projects. The letter requests government policy support to enable these reductions.
The document provides an overview of the city of Hoboken, New Jersey. It summarizes that Hoboken has a population of 41,015, unemployment rate of 5.5%, and is home to Stevens Institute of Technology. The largest industries are trade, transportation, and utilities, employing 24% of the workforce. Over half of residents have a bachelor's degree or higher.
The document provides information about a seminar on sensory deprivation presented by Mrs. Parmass. The objective of the seminar was to help students gain knowledge about sensory deprivation and how to apply it in nursing practice. The seminar covered topics like the nature of sensory stimulation, normal sensory perception, factors that influence sensory deprivation, effects of sensory deprivation, signs of altered sensory perception, and the nurse's role in caring for patients experiencing sensory deprivation.
Sexually transmitted infections are rising nationally and in Barnet. Chlamydia remains the most commonly diagnosed STI locally. Rates are highest in younger age groups and men who have sex with men. Diagnoses of genital herpes and syphilis are also increasing. The true local incidence of STIs is difficult to determine from clinic data alone.
HIV diagnoses have risen steadily in Barnet since 2002. It most commonly affects people from Black African and Caribbean ethnic groups. However, unlike other areas, heterosexual transmission is becoming more prominent than transmission among men who have sex with men.
Teenage pregnancy rates in Barnet are lower than the national and London averages. However, rates had
Sexually transmitted infections are rising nationally and in Barnet. Chlamydia remains the most commonly diagnosed STI, while rates are highest in younger people and men who have sex with men. Diagnoses of genital herpes and syphilis are also increasing. The true local incidence of STIs is difficult to determine from clinic-based data. Rates of HIV infection have been rising steadily in Barnet since 2002, particularly in the Black African community. The teenage pregnancy rate in Barnet is lower than the national average but was previously rising; it has now decreased since 2004 but remains an area of focus.
The document discusses alcohol and drug use in Barnet and its impact on health services. It finds that alcohol-related ambulance calls have increased 33% and that young male heavy drinkers are six times more likely to be in an accident than moderate drinkers. A needs assessment found improvements in harm reduction services but that current services do not meet the needs of those under 25. The barriers to drug treatment included a lack of childcare and accessibility issues. Users suggested improving family support and childcare. Key priorities for 2009/10 were established to address these gaps and barriers through initiatives like peer education and expanding accommodation options.
New Brunswick, New Jersey is home to Rutgers University and Johnson & Johnson world headquarters. It has a population of 51,579 and unemployment rate of 8.4%. Major employers include Rutgers University, St. Peter's Hospital, and Johnson & Johnson. The largest employment sectors are trade, transportation & utilities and professional & business services. New Brunswick has a diverse population and is known as the "Health Care City" due to its large healthcare industry presence.
The Stoughton Area School District is facing a cumulative budget shortfall of $8.4 million over the next four years due to rising costs and restricted funding. It is asking voters to approve two referendum questions in April 2010 - the first to exceed its revenue limit by a total of $3.9 million over four years to fund operations, and the second to issue $7.25 million in bonds to fund maintenance projects. If approved, the estimated tax impact would be an increase of $3.25-4.17 per week for a home valued between $175,000-225,000. The district has already cut $1 million in spending and 68 positions to address its financial problems.
The document is a letter from Edison Electric Institute to the Secretary of Energy outlining the electric power industry's voluntary commitment to reduce greenhouse gas intensity. It proposes that the industry will work to reduce carbon intensity equivalent to 3-5% over the next decade through individual company actions and coordinated initiatives. These would include expanding natural gas, nuclear and renewable energy as well as energy efficiency and carbon sequestration projects. The letter requests government policy support to enable these reductions.
The document provides an overview of the city of Hoboken, New Jersey. It summarizes that Hoboken has a population of 41,015, unemployment rate of 5.5%, and is home to Stevens Institute of Technology. The largest industries are trade, transportation, and utilities, employing 24% of the workforce. Over half of residents have a bachelor's degree or higher.
The document provides information about a seminar on sensory deprivation presented by Mrs. Parmass. The objective of the seminar was to help students gain knowledge about sensory deprivation and how to apply it in nursing practice. The seminar covered topics like the nature of sensory stimulation, normal sensory perception, factors that influence sensory deprivation, effects of sensory deprivation, signs of altered sensory perception, and the nurse's role in caring for patients experiencing sensory deprivation.
Sexually transmitted infections are rising nationally and in Barnet. Chlamydia remains the most commonly diagnosed STI locally. Rates are highest in younger age groups and men who have sex with men. Diagnoses of genital herpes and syphilis are also increasing. The true local incidence of STIs is difficult to determine from clinic data alone.
HIV diagnoses have risen steadily in Barnet since 2002. It most commonly affects people from Black African and Caribbean ethnic groups. However, unlike other areas, heterosexual transmission is becoming more prominent than transmission among men who have sex with men.
Teenage pregnancy rates in Barnet are lower than the national and London averages. However, rates had
Sexually transmitted infections are rising nationally and in Barnet. Chlamydia remains the most commonly diagnosed STI, while rates are highest in younger people and men who have sex with men. Diagnoses of genital herpes and syphilis are also increasing. The true local incidence of STIs is difficult to determine from clinic-based data. Rates of HIV infection have been rising steadily in Barnet since 2002, particularly in the Black African community. The teenage pregnancy rate in Barnet is lower than the national average but was previously rising; it has now decreased since 2004 but remains an area of focus.
The document discusses alcohol and drug use in Barnet and its impact on health services. It finds that alcohol-related ambulance calls have increased 33% and that young male heavy drinkers are six times more likely to be in an accident than moderate drinkers. A needs assessment found improvements in harm reduction services but that current services do not meet the needs of those under 25. The barriers to drug treatment included a lack of childcare and accessibility issues. Users suggested improving family support and childcare. Key priorities for 2009/10 were established to address these gaps and barriers through initiatives like peer education and expanding accommodation options.
This document discusses prioritization of cases within English law regarding health services. It outlines a few key principles:
1) Resources are limited, so giving disproportionate resources to one person means those resources cannot help others who may benefit more. This makes prioritizing equitable.
2) Courts have acknowledged health authorities must make difficult choices to allocate limited budgets to maximize benefits for the most patients.
3) When determining priorities and funding treatments, health authorities can consider factors like treatment effectiveness, illness seriousness, and costs to provide treatment. They may prioritize life-threatening illnesses over less severe ones.
This document discusses cancers in Barnet and the UK. It covers several key points:
1) Cancer is the second leading cause of death in Barnet and the UK. There are many types of cancer that impact different organs. Lung, colon/rectum, breast and prostate cancers cause the most deaths in Barnet based on 2004-2007 data.
2) Risk factors for cancer include tobacco use, alcohol intake, diet, obesity and family history. Screening programs have helped reduce cancer mortality through earlier detection.
3) The document examines relationships between cancer rates and socioeconomic factors like deprivation. Lung cancer deaths are higher in more deprived areas while trends for breast and colorectal cancers are less
This document discusses ways to improve the reputation of a web authoring team by providing great service. It suggests:
1) Ensuring training properly prepares authors to use content management systems and understand workflows and guidelines. This includes candidate vetting, testing authors' knowledge, and follow up support.
2) Frequently communicating with authors through meetings, emails, and making guidelines and policies easy to find. This helps authors understand processes and where to go for help.
3) When reviewing content for approval, judges should consider the tone of the request and use discretion to accommodate important stakeholders while maintaining consistency. Turnaround times should also be monitored to provide speedy service.
The Invaluable Contribution Of Informal Carers To Meet NeedsJulie Pal
Women are more likely to be informal carers than men. Many carers are over 60 years old and provide over 50 hours of care per week. Carers often suffer from physical injuries and stress-related illnesses. In the borough of Barnet, almost 10% of the population are carers, with over 2,000 being over 75 years old and nearly 5,000 providing over 50 hours of care per week. Support for carers needs to be improved and made more culturally sensitive to reach diverse communities and hidden carers. As more people receive care at home, the role of informal carers will continue to increase pressure on families.
The document summarizes the results of a survey of 1000 residents in Barnet, UK that was conducted to understand residents' perceptions of health and healthcare services. Some key findings from the survey include:
- 35-44 year olds were most likely to rate their health as good, while 18-24 year olds were least likely.
- Respondents of white ethnicity were more likely than non-white respondents to rate their health as good.
- Satisfaction with healthcare services, including GPs, was generally higher among white respondents, older respondents, and those in lower socioeconomic groups, while satisfaction was lower among ethnic minorities, younger people, and those in higher socioeconomic groups.
Social Care And Support Services In BarnetJulie Pal
1) Referrals and assessments for adult social services in Barnet have generally increased over the past 5 years, though there was a decrease in 2007/08. There has been greater reliance on voluntary services to provide low-level support.
2) There is uncertainty around how well "low to moderate needs" are being met and how much unmet need exists. More data is needed on outcomes for individuals with unmet needs and how this could impact future demand.
3) Referrals have increased from healthcare as hospital stays have shortened, increasing demand for intermediate care services to facilitate discharge. Prevention efforts targeting falls and upstream interventions are important to reduce future health and social care needs.
Smoking is the most important preventable risk factor for death from cancer and cardiovascular disease. Even in London boroughs with relatively low smoking rates, such as Barnet at 17.9%, tens of thousands of residents still smoke. Smoking causes nearly 440 deaths per year in Barnet alone from smoking-related diseases. Smoking damages nearly every part of the body by reducing blood flow and leads to many serious conditions such as heart disease, COPD, and several types of cancer. Exposure to secondhand smoke also harms non-smokers.
COPD is a significant health risk in the UK, affecting over 900,000 diagnosed people. Rates are higher among men but are becoming more equal as smoking rates among women increase. Death from COPD typically occurs in later life, between ages 40-90, with a 30-50 year lag between starting smoking and death. While men have reduced smoking more over time, women's rates remained high until the 1970s, so more women may die from COPD in the coming years. Respiratory disease is linked to deprivation, with higher hospitalization rates in more deprived areas where smoking is also more common. Reducing smoking, influenza vaccination, and pulmonary rehabilitation are key to reducing respiratory disease burden.
Disabled people in Barnet experience poorer life outcomes than non-disabled people. There are over 13,000 households that require support for physical disabilities and over 1,800 people require daily living assistance for neurological conditions. Barnet has adopted a social model of disability that focuses on inclusion, rights, choice and access to mainstream services rather than specialized care. Key priorities include increasing individualized budgets and partnerships with housing agencies. Barnet is also working to improve rehabilitation access and increase community-based therapy and vocational support.
Current pressures on hospital services include a focus on prevention over cure, ensuring resources achieve the best outcomes. Acute activity has often exceeded funding growth, exacerbated by 18-week target investments and increased referrals due to shorter waits. Evidence shows many emergency department visits and admissions could be avoided with proactive community care for long-term illnesses. Changes to doctor working hours require an unrealistic number of new hires to maintain service levels at two local hospitals, and regulations threaten accident and emergency and maternity/pediatric services. Specialized hospital treatment is best provided in specialist centers for serious illnesses.
The document discusses personal dignity, respect, abuse, and neglect of vulnerable adults receiving social care services. It notes that abuse negatively impacts health and independence. The local authority is responsible for establishing a multi-agency partnership to lead on safeguarding adults and ensure they can live free from abuse. In 2007/08 there were 258 safeguarding referrals in Barnet, coming mostly from health services. Referral rates in Barnet have been lower than expected but are increasing with improved safeguarding arrangements.
Barnet has a population of around 2,400 people who die each year, with most preferring to die at home but still passing away in hospitals. When end of life care is unavailable in the community, patients are more likely to be admitted to hospitals, with 11% of emergency admissions and 21% of bed days due to patients in their last year of life. While some progress has been made, only 16% of Barnet deaths occurred at home compared to the national average of 19%. Palliative care services in Barnet provide high quality care but are fragmented and uncoordinated between different providers. Feedback confirms the experience can be inconsistent and rely on patients advocating for themselves.
1) The 80+ population in the borough is projected to rise 13% over the next decade, with particularly large increases expected in the 90+ age group (46% rise) and 40-54 age group (25% rise).
2) Differences in projected population changes are explained by variations in birth rates during wartime periods and pandemics when different age groups were born.
3) Targeted outreach can help older people claim additional benefits to reduce issues like depression, poor nutrition, and social isolation often linked to low income.
Obesity rates have been rising nationally, with over 40% of men and 30% of women overweight or obese by 2002. If current trends continue, there will be over 12 million obese adults and 1 million obese children by 2010. Obesity increases the risk of diseases like diabetes, heart disease, and some cancers. Childhood obesity is also rising, and is difficult to address as children depend on adults to guide healthy eating and exercise. Targets aim to reduce the annual rise in childhood obesity rates. Key actions needed include expanding family services, targeting at-risk groups, and establishing referral systems for healthcare professionals.
Methicillin Resistant Staphylococcus Aureus (MRSA) is a type of staph bacteria that is resistant to certain antibiotics. MRSA can cause infections in wounds, ulcers, intravenous lines, lungs, and the bloodstream. The Healthcare Commission assesses UK hospitals on infection control standards including MRSA rates. Data on three London hospitals from 2005-2008 shows declining MRSA infection numbers, with rates dropping below targets over time at two hospitals and reaching zero at one hospital by 2007-2008.
Immunisation is one of the most effective ways to improve public health next to clean drinking water. While smallpox has been eradicated through immunization, other infectious diseases remain threats. The only way to protect against avoidable death and complications from diseases is through high immunization rates in the population. Barnet faces the risk of a measles epidemic as immunization rates, particularly for MMR, have fallen below the required safety levels. Key activities to increase rates include improving record accuracy, strengthening reminder systems, providing immunizations in various community locations, and promoting immunization through community leaders and education.
Risk factors for mental illness include socioeconomic disadvantage, homelessness, unemployment, poor education, minority status, and being a lone or teenage parent. The number of people with mental illness in Barnet is expected to rise 11% by 2025, with levels differing between localities. People with mental illness are less likely to be employed and financially independent, and those who do work face discrimination from employers and higher risks of losing their jobs. Poor mental and physical health are linked, as people with mental illnesses like schizophrenia face higher mortality rates from various health conditions. Addressing the social determinants of mental health like poverty, housing, and lifestyle factors can help improve outcomes.
Various social and demographic factors can influence mental illness, including deprivation, unemployment, and ethnicity. An estimated 16,573 adults in Barnet have mixed anxiety and depressive disorder, while 10,457 have generalized anxiety disorder. Death rates from mental disorders in Barnet are relatively low, but the number of people with dementia is expected to increase significantly in coming years due to an aging population. Risk factors for mental illness like smoking are more prevalent in those with mental health problems, contributing to higher rates of physical illness and early death.
The document discusses maternity services in Barnet and highlights that: (1) there will be a rising number of live births in Barnet over the next five years, placing increasing demand on maternity services; (2) more women over 30 are having babies and are at higher risk for delivery complications; and (3) while breastfeeding rates are initially high, they drop significantly by 6-8 weeks.
Over a five year period from 2003-2008, gross spending on adult social services in Barnet increased 25% (over £22 million), which exceeded inflation levels and reflected the council's priority to support the vulnerable. The actual increase in demand for social care services was 32.5% over the same period. This increased spending was partially due to more community care packages and higher costs for meeting complex community needs, influenced further by personalization trends. Future projections estimate adult social care costs will be £43 million more over the next 10 years if patterns remain unchanged, but maintaining this increase will be unsustainable given economic and demographic challenges.
This document discusses prioritization of cases within English law regarding health services. It outlines a few key principles:
1) Resources are limited, so giving disproportionate resources to one person means those resources cannot help others who may benefit more. This makes prioritizing equitable.
2) Courts have acknowledged health authorities must make difficult choices to allocate limited budgets to maximize benefits for the most patients.
3) When determining priorities and funding treatments, health authorities can consider factors like treatment effectiveness, illness seriousness, and costs to provide treatment. They may prioritize life-threatening illnesses over less severe ones.
This document discusses cancers in Barnet and the UK. It covers several key points:
1) Cancer is the second leading cause of death in Barnet and the UK. There are many types of cancer that impact different organs. Lung, colon/rectum, breast and prostate cancers cause the most deaths in Barnet based on 2004-2007 data.
2) Risk factors for cancer include tobacco use, alcohol intake, diet, obesity and family history. Screening programs have helped reduce cancer mortality through earlier detection.
3) The document examines relationships between cancer rates and socioeconomic factors like deprivation. Lung cancer deaths are higher in more deprived areas while trends for breast and colorectal cancers are less
This document discusses ways to improve the reputation of a web authoring team by providing great service. It suggests:
1) Ensuring training properly prepares authors to use content management systems and understand workflows and guidelines. This includes candidate vetting, testing authors' knowledge, and follow up support.
2) Frequently communicating with authors through meetings, emails, and making guidelines and policies easy to find. This helps authors understand processes and where to go for help.
3) When reviewing content for approval, judges should consider the tone of the request and use discretion to accommodate important stakeholders while maintaining consistency. Turnaround times should also be monitored to provide speedy service.
The Invaluable Contribution Of Informal Carers To Meet NeedsJulie Pal
Women are more likely to be informal carers than men. Many carers are over 60 years old and provide over 50 hours of care per week. Carers often suffer from physical injuries and stress-related illnesses. In the borough of Barnet, almost 10% of the population are carers, with over 2,000 being over 75 years old and nearly 5,000 providing over 50 hours of care per week. Support for carers needs to be improved and made more culturally sensitive to reach diverse communities and hidden carers. As more people receive care at home, the role of informal carers will continue to increase pressure on families.
The document summarizes the results of a survey of 1000 residents in Barnet, UK that was conducted to understand residents' perceptions of health and healthcare services. Some key findings from the survey include:
- 35-44 year olds were most likely to rate their health as good, while 18-24 year olds were least likely.
- Respondents of white ethnicity were more likely than non-white respondents to rate their health as good.
- Satisfaction with healthcare services, including GPs, was generally higher among white respondents, older respondents, and those in lower socioeconomic groups, while satisfaction was lower among ethnic minorities, younger people, and those in higher socioeconomic groups.
Social Care And Support Services In BarnetJulie Pal
1) Referrals and assessments for adult social services in Barnet have generally increased over the past 5 years, though there was a decrease in 2007/08. There has been greater reliance on voluntary services to provide low-level support.
2) There is uncertainty around how well "low to moderate needs" are being met and how much unmet need exists. More data is needed on outcomes for individuals with unmet needs and how this could impact future demand.
3) Referrals have increased from healthcare as hospital stays have shortened, increasing demand for intermediate care services to facilitate discharge. Prevention efforts targeting falls and upstream interventions are important to reduce future health and social care needs.
Smoking is the most important preventable risk factor for death from cancer and cardiovascular disease. Even in London boroughs with relatively low smoking rates, such as Barnet at 17.9%, tens of thousands of residents still smoke. Smoking causes nearly 440 deaths per year in Barnet alone from smoking-related diseases. Smoking damages nearly every part of the body by reducing blood flow and leads to many serious conditions such as heart disease, COPD, and several types of cancer. Exposure to secondhand smoke also harms non-smokers.
COPD is a significant health risk in the UK, affecting over 900,000 diagnosed people. Rates are higher among men but are becoming more equal as smoking rates among women increase. Death from COPD typically occurs in later life, between ages 40-90, with a 30-50 year lag between starting smoking and death. While men have reduced smoking more over time, women's rates remained high until the 1970s, so more women may die from COPD in the coming years. Respiratory disease is linked to deprivation, with higher hospitalization rates in more deprived areas where smoking is also more common. Reducing smoking, influenza vaccination, and pulmonary rehabilitation are key to reducing respiratory disease burden.
Disabled people in Barnet experience poorer life outcomes than non-disabled people. There are over 13,000 households that require support for physical disabilities and over 1,800 people require daily living assistance for neurological conditions. Barnet has adopted a social model of disability that focuses on inclusion, rights, choice and access to mainstream services rather than specialized care. Key priorities include increasing individualized budgets and partnerships with housing agencies. Barnet is also working to improve rehabilitation access and increase community-based therapy and vocational support.
Current pressures on hospital services include a focus on prevention over cure, ensuring resources achieve the best outcomes. Acute activity has often exceeded funding growth, exacerbated by 18-week target investments and increased referrals due to shorter waits. Evidence shows many emergency department visits and admissions could be avoided with proactive community care for long-term illnesses. Changes to doctor working hours require an unrealistic number of new hires to maintain service levels at two local hospitals, and regulations threaten accident and emergency and maternity/pediatric services. Specialized hospital treatment is best provided in specialist centers for serious illnesses.
The document discusses personal dignity, respect, abuse, and neglect of vulnerable adults receiving social care services. It notes that abuse negatively impacts health and independence. The local authority is responsible for establishing a multi-agency partnership to lead on safeguarding adults and ensure they can live free from abuse. In 2007/08 there were 258 safeguarding referrals in Barnet, coming mostly from health services. Referral rates in Barnet have been lower than expected but are increasing with improved safeguarding arrangements.
Barnet has a population of around 2,400 people who die each year, with most preferring to die at home but still passing away in hospitals. When end of life care is unavailable in the community, patients are more likely to be admitted to hospitals, with 11% of emergency admissions and 21% of bed days due to patients in their last year of life. While some progress has been made, only 16% of Barnet deaths occurred at home compared to the national average of 19%. Palliative care services in Barnet provide high quality care but are fragmented and uncoordinated between different providers. Feedback confirms the experience can be inconsistent and rely on patients advocating for themselves.
1) The 80+ population in the borough is projected to rise 13% over the next decade, with particularly large increases expected in the 90+ age group (46% rise) and 40-54 age group (25% rise).
2) Differences in projected population changes are explained by variations in birth rates during wartime periods and pandemics when different age groups were born.
3) Targeted outreach can help older people claim additional benefits to reduce issues like depression, poor nutrition, and social isolation often linked to low income.
Obesity rates have been rising nationally, with over 40% of men and 30% of women overweight or obese by 2002. If current trends continue, there will be over 12 million obese adults and 1 million obese children by 2010. Obesity increases the risk of diseases like diabetes, heart disease, and some cancers. Childhood obesity is also rising, and is difficult to address as children depend on adults to guide healthy eating and exercise. Targets aim to reduce the annual rise in childhood obesity rates. Key actions needed include expanding family services, targeting at-risk groups, and establishing referral systems for healthcare professionals.
Methicillin Resistant Staphylococcus Aureus (MRSA) is a type of staph bacteria that is resistant to certain antibiotics. MRSA can cause infections in wounds, ulcers, intravenous lines, lungs, and the bloodstream. The Healthcare Commission assesses UK hospitals on infection control standards including MRSA rates. Data on three London hospitals from 2005-2008 shows declining MRSA infection numbers, with rates dropping below targets over time at two hospitals and reaching zero at one hospital by 2007-2008.
Immunisation is one of the most effective ways to improve public health next to clean drinking water. While smallpox has been eradicated through immunization, other infectious diseases remain threats. The only way to protect against avoidable death and complications from diseases is through high immunization rates in the population. Barnet faces the risk of a measles epidemic as immunization rates, particularly for MMR, have fallen below the required safety levels. Key activities to increase rates include improving record accuracy, strengthening reminder systems, providing immunizations in various community locations, and promoting immunization through community leaders and education.
Risk factors for mental illness include socioeconomic disadvantage, homelessness, unemployment, poor education, minority status, and being a lone or teenage parent. The number of people with mental illness in Barnet is expected to rise 11% by 2025, with levels differing between localities. People with mental illness are less likely to be employed and financially independent, and those who do work face discrimination from employers and higher risks of losing their jobs. Poor mental and physical health are linked, as people with mental illnesses like schizophrenia face higher mortality rates from various health conditions. Addressing the social determinants of mental health like poverty, housing, and lifestyle factors can help improve outcomes.
Various social and demographic factors can influence mental illness, including deprivation, unemployment, and ethnicity. An estimated 16,573 adults in Barnet have mixed anxiety and depressive disorder, while 10,457 have generalized anxiety disorder. Death rates from mental disorders in Barnet are relatively low, but the number of people with dementia is expected to increase significantly in coming years due to an aging population. Risk factors for mental illness like smoking are more prevalent in those with mental health problems, contributing to higher rates of physical illness and early death.
The document discusses maternity services in Barnet and highlights that: (1) there will be a rising number of live births in Barnet over the next five years, placing increasing demand on maternity services; (2) more women over 30 are having babies and are at higher risk for delivery complications; and (3) while breastfeeding rates are initially high, they drop significantly by 6-8 weeks.
Over a five year period from 2003-2008, gross spending on adult social services in Barnet increased 25% (over £22 million), which exceeded inflation levels and reflected the council's priority to support the vulnerable. The actual increase in demand for social care services was 32.5% over the same period. This increased spending was partially due to more community care packages and higher costs for meeting complex community needs, influenced further by personalization trends. Future projections estimate adult social care costs will be £43 million more over the next 10 years if patterns remain unchanged, but maintaining this increase will be unsustainable given economic and demographic challenges.
1. Deprivation
The updated version of the English Indices of Deprivation 20071, reveals the following:
• Barnet is more deprived in relation to other local authority areas than it was in 2004 and
is now close to the top third of most deprived authorities in the country
• Barnet now has six Local Super Output Areas within the 10% most deprived nationally.
Within London, Barnet ranks below the middle point, close to the bottom third of least
deprived boroughs
• Barnet’s rank on most types of deprivation has risen with the exception of the
‘education, skills and training’ domain which shows an improvement
• Burnt Oak and Colindale remain the most deprived wards in Barnet by a significant
margin, as was the case in 2004
There is a linear relationship between poor health and deprivation which is compounded by age
as summarized in Graph 2.
Source: Office for National Statistics data
Graph 2: The relationship between death rates in people aged under 75 years and
deprivation levels at an electoral ward level.
1300
Standardised all-cause mortality in people
1200
aged under 75 years per 100,000
1100
1000
900
800
700
600
500
400
10 15 20 25 30 35
Index of Multiple Deprivation (2007)
Interrogating this data further at Super Output Areas (SOA) reveals a patchwork of deprivation
which correlates to the location of social housing stock in the borough. Though there are
1
Published by the Department for Communities and Local Government
2. difficulties in comparing data between different years because of the changes in methodology
and calculation, but this is a national phenomenon, not exclusive to Barnet.
Index of Multiple Deprivation
The Index of Multiple Deprivation uses a number of data sources with key measurements from
the Census; educational data; road traffic accidents; modelling to estimate ‘difficulty of access
to owner-occupation; measures of the proportion of households for whom a decision has been
made on applications for homeless provision assistance; and health data including GP
prescribing data, hospital episode statistics, and average distance from a GP surgery.
The calculations from 2004 to 2007 reveals that Barnet has become more deprived’.
Map 2: Relative deprivation levels in Barnet at census SOA area level
Source: Office for National Statistics data
High Barnet
Underhill
Oakley East
Barnet
Brunswick
Park
Totteridge
Hale
Edgware
Mill Hill Coppetts
West Woodhouse
Finchley
Burnt
Oak Finchley
East
Church
Finchley
End
Colindale
Hendon
Garden Index of Multiple
West Suburb Deprivation (2007)
Hendon
Very high
Golders
High
Childs
Green
Hill Moderate
Low
Very low
The new figures show Barnet to be more deprived than in 2004 in relation to other boroughs in both
London and England. This worsening is the largest such change nationally. Of 354 English local
authorities, Barnet now ranks the 128th most deprived (65 more so than in 2004) and 21 st out of the 33
London boroughs, three places worse than in 2004 (1 = most deprived). Barnet is thus more deprived
than most local authorities in England but less deprived than most London ones.
Table 1 shows the relative changes that occurred in the main measures of deprivation in Barnet
between 2004 and 2007.
3. Table 1 : Average ranks in different deprivations measures at SOA level
Average rank of Barnet’s
superoutput areas Change:
IMD measure (out of 32,482 nationally) 2004 to 2007
NOTE 1 = most deprived
2004 2007*
Barriers to housing and services (wider) [including the
proportion of households for whom a decision has been made on 4,916 1,012 3,904
applications for homeless provision assistance]
Living environment (outdoors) [incl. air quality, road traffic
7,963 7,449 514
collisions]
Crime [burglary, violence, theft, criminal damage] 15,075 12,959 2,116
Income [recipients of means-tested benefits] 16,127 15,021 1,106
Living environment (indoors) [incl. social & private housing in
16,566 16,319 247
poor condition, houses without central heating]
Employment [Jobseekers Allowance and Incapacity Benefits
20,461 18,741 1,720
claimants, New Deal Scheme participants]
Barriers to housing and services (geographical) [incl. distance
19,217 18,787 430
from services, e.g. GP surgery, post office]
Health and disability [incl. hospital statistics.] 23,767 23,193 573
Education (skills) [proportion of working-age adults with no or
26,684 26,703 + 19
low qualifications]
Education (children and young people) [incl. Key Stage scores
23,419 31,350 + 7,931
and staying-on rates]
Average rank (out of 32,284) 18,755 14,610 4,145
Where the ranking for 2007 has become smaller this reflects a worsening of the position, i.e. a move towards higher
deprivation.
The data in Table 6 suggest that, over the last three years, deprivation in Barnet has increased
especially, albeit not to a great extent, in terms of more applications for homeless provision, an increase
in crime and fewer people being in employment. On the other hand, educational achievements have
improved by a relatively large amount.
These changes, which affect a number of SOA areas rather than the whole borough, are unlikely to be
especially significant in terms of the need for future health and social care services unless there are
further changes in the same direction.