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Specifics of KIRKLEES Population Size [January 2010]

420,000 estimate

Key Issues

Within Kirklees there are 6183 people diagnosed with COPD (QOF 2009) responsible for 806 emergency admissions per year. Those at risk of future hospital admission with COPD live mostly in social housing and have, or have had, industrial or semi-skilled jobs, uncertain employment, low levels of disposable income and considerable health problems. (Invisible lives report BLF 2007) Older people are living in crowded apartments in high-density and low-rise social housing and many are in poor health from work in heavy industry. Older couples live mostly in small towns, and now own houses once rented from the council Families with school age children, living in very large social housing estates on the outskirts of provincial cities People with respiratory illness in Kirklees are highly likely to be physically inactive. 1 in 3 with a Long Term Condition are sufficiently inactive to benefit health Smoking is still too high in this group of people who have predominately smoking related COPD, and 1 in 5 people with asthma smoke (JSNA 2009) People with COPD are 6 times likely to feel isolated all / most of the time and are far less likely to be employed, permanently sick and tend to be poorer 1:3 people with COPD are highly likely to be affected by depression and anxiety and in Kirklees 1 in 8 adults are carers (provide unpaid care for someone who is limited in their daily activities) and have high levels of anxiety re their caring function Locality picture Huddersfield and Dewsbury central have the highest incidence of respiratory illness. In Dewsbury and Huddersfield north 1 in 3 adults have a long term limiting illness Low income is more significant in Batley and Dewsbury – linked to poorer health behaviour – tobacco and physical activity. Unhealthy behaviours, smoking, and inactivity needs to be addressed across all localities however. Dewsbury has the highest levels of adults smokers and the highest rates of those not taking physical activity. More people with respiratory illness feel lonely / isolated which is more significant in Dewsbury and Huddersfield South with Dewsbury nearly 1:10 Variation in quality of care provision for people with Respiratory illness needs to be addressed across all localities especially amongst respiratory people who are housebound and/or at the end of life 6