Challenges for consideration The overarching challenge is to identify and reduce health inequalities. The deprivation and population pyramids specifically highlight the following aspects: •• An ageing population unevenly distributed throughout Wiltshire and across the deprivation quintiles. •• There are gender differences in distribution of deprivation in community areas.
Demographics - resources •• •• •• •• ••
2011 Census: www.ons.gov.uk/ons/guide-method/census/2011/index.html 2011 Census information for Wiltshire: www.intelligencenetwork.org.uk/population-and-census 2012 mid-year population estimates: tinyurl.com/wjsahw1401 2011 Census based interim population projections (up to 2021): tinyurl.com/hwjsa191 Trend-based estimates of population in Wiltshire and Community Areas for 2001 and 2009 and projections up to 2026: Report: tinyurl.com/wjsahw100, Data: tinyurl.com/wjsahw101 •• National General Practice Profiles: http://fingertips.phe.org.uk/profile/general-practice/data •• Equality in Wiltshire: A Statistical Profile tinyurl.com/wjsahw102
Demographics - Outcome Frameworks summary The following indicators from the Public Health Outcomes Framework; the NHS Outcomes Framework and the Adult Social Care Outcomes Framework have been selected as the ones most relevant to this section. Framework
Reference
Indicator
Public Health Public Health / NHS Public Health Public Health Public Health NHS NHS Adult Social Care
2.24 / 4.14 4.1 / 1.6a 4.3 4.13 4.16 2 2.6 1.A
Adult Social Care
2.A
Adult Social Care
2.B
Injuries due to falls in over 65s / Hip fractures in over 65s Infant mortality Mortality from causes considered preventable Health-related quality of life for older people Diagnosis rate for people with dementia Health-related quality of life for people with long-term conditions Enhancing quality of life for people with dementia Social care-related quality of life Permanent admissions to residential and nursing care homes, per 100,000 population Proportion of older people who were still at home 91 days after discharge from hospital into reablement / rehabilitation services
Wiltshire JSA for Health and Wellbeing
13