Joint Strategic Needs Assessment

Joint Strategic Needs Assessment ROTHERHAM May 2011 -2- Table of Contents What is a Articulation Strategic Needs Assessment (JSNA)? ................................................... Why do we scarcity a JSNA? .............................................................................................. 1. Demographic Line 1. 1 1. 2 1. 3 1. 4 1. 5 1. 6 1. 7 1. 8 1. 9 1. 10 1. 11 1. 12 2. 6 6 Population Mass .................................................................................. Age Line ................................................................................................ Gender Line ........................................................................................... Source Objurgate .................................................................................................. Ebon and Juvenility Ethnic (BME) Population Line .................................. Disability Line ........................................................................................ Population by Religious Assembly .................................................................. Population by Migrant Status .................................................................... Number of Households ............................................................................. Analysis of Areas of Deprivation ............................................................... Gregarious Marketing Categories and Urban/Rural Classification .................... Sexuality ................................................................................................... 7 7 10 11 12 16 20 21 21 23 25 25 Gregarious and Environmental Needs Assessment 2. 1 2. 2 2. 3 2. 4 2. 5 2. 6 2. 7 2. 8 2. 9 2. 10 2. 11 2. 12 2. 13 2. 14 2. 15 2. 16 2. 17 2. 18 2. 19 2. 20 2. 21 2. 22 2. 23 2. 24 RMBC Strategic Housing Role .................................................................. Council Housing Stock .............................................................................. Private Sector ........................................................................................... Housing Tenure ............................................................................. ........... Ethnicity .................................................................................................... Overcrowding ............................................................................................ Living Alone .............................................................................................. Summary of Housing Demand in Rotherham ............................................ Condition of Stock ..................................................................................... Affordable Warmth and Fuel Poverty ........................................................ Energy ....................................................................................................... Empty Properties ...................................................................................... Affordability ............................................................................................... Household Income .................................................................................... Central Heating ......................................................................................... Access to Car or Van ................................................................................ Overall Pursuit Objurgate ......................................................................... Established Age Herd on Out-of-Work Benefits (NI 152) ............................ Number on Out-of-Work Benefits in Worst Performing Areas (NI153) ...... Contact behind a while Mental Heartiness Services whilst Employed (NI 150) ................ Unpursuit Objurgate ................................................................................. Claimant Count ......................................................................................... Novel Public Economic Down-Turn ..................................................... Mediocre Incomes ...................................................................................... 26 26 27 27 28 29 30 31 33 34 36 37 38 40 42 3 44 46 47 47 48 49 49 50 -32. 25 2. 26 3. Smoking .................................................................................................... Eating Habits ............................................................................. ................ Alcohol ...................................................................................................... Physical Activity ........................................................................................ Obesity ...................................................................................................... General line of load of ill heartiness ........................................................ Diabetes .................................................................................................... Circulatory Diseases ................................................................................. Cancer ...................................................................................................... Chronic Obstructive Pulmonary Sickness (COPD) ..................................... Infectious Diseases ................................................................................... Trauma ...................................................................................................... Musculoskeletal ........................................................................................ 70 84 88 97 108 109 114 115 Mental Heartiness Needs Assessment 5. 1 Introduction ............................................................................................... 5. 2 Public Delineate ......................................................................................... 5. 3 Topical Delineate ............................................................................................. 5. 4 Differences in the Extent of Mental Heartiness Problems ................................ 5. 5 Topical Services ........................................................................................... 5. 6 Financial Costs - Public Raze ................................................................ 5. 7 Financial Costs - Topical Raze .................................................................... 5 . 8 User Involvement ...................................................................................... 5 . 9 Emerging Patterns .................................................................................... Appendix 1 – Indices of Multiple Deprivation ....................................................... 6. 54 56 57 63 66 Load of Ill Heartiness 4. 1 4. 2 4. 3 4. 4 4. 5 4. 6 4. 7 4. 8 5. 51 53 Lifestyle and Risk Factors 3. 1 3. 2 3. 3 3. 4 3. 5 4. Access to Services .................................................................................... Satisfaction of Herd Neutralize 65 behind a while Home and Neighbourhood (NI 138) .. 118 119 120 131 141 147 147 151 152 153 Learning Disability Needs Assessment 6 . 1 6. 2 6 . 3 6. 4 6. 5 6. 6 6. 7 6 . 8 6. 9 6. 10 6. 11 Numbers of Herd behind a while a Learning Disability ........................................... Expenditure for Learning Disabilities in Rotherham for 2009/10 ............... Topical Analysis ........................................................................................... BME Population – Public Analysis ......................................................... BME Population – Rotherham in 2010 ...................................................... Animation Confluence of Herd behind a while Learning Disabilities ................................ Heartiness of Herd behind a while Learning Disabilities in Rotherham ......................... Employment .............................................................................................. Housing ..................................................................................................... Residential and Nursing Regard in Rotherham ............................................. Co-ordination Based Services for Herd behind a while Learning Disabilities ............ 154 155 156 160 160 161 161 164 165 166 167 -46. 12 7. 169 169 170 174 177 178 180 183 Coming Access for Women to Maternity Services (NI 126) ........................... Sum of Herd Accessing NHS Dentistry ............................................ Uptake Rates for Seasonal Flu Jab .......................................................... Screening for Breast Cancer ..................................................................... Access to GUM pursuits ........................................................................... Long Acting Reversible Contraception Methods ....................................... Access to NHS Funded Abortions precedently 10 weeks? Gestation ................ 187 187 189 191 193 193 194 User Perspective on Gregarious and Heartiness Regard 9. 1 9. 2 9. 3 9. 4 9. 5 9. 6 9. 7 9. 8 9. 9 9. 10 . 11 9. 12 10. Public Line of Scarcity for Gregarious Regard .................................................... Promoting Independence and Developing Co-ordination Support ................ Rotherham Line of Scarcity for Adult Gregarious Regard ...................................... Ambagious Regard Needs Analysis ................................................................... Home Regard Services ................................................................................. Residential Regard ....................................................................................... Intermediate Regard ..................................................................................... Analysis of Community-Based Provision ................................................... Access To Heartiness Services 8. 1 8. 2 8. 3 8. 4 8. 5 8. 6 8. 7 9. 168 Gregarious Regard Needs Assessment 7. 1 7. 2 7. 3 7. 4 7. 5 7. 6 7. 7 7. 8 8. Carers ....................................................................................................... Support Older Herd Receive in classify to Subsist Independently at Home ... Respect and Dignity in their Treatment (NI128) ....................................... User Perspective on Gregarious and Heartiness Regard – Neighbourhoods and Adult Services (NAS) Research ............................. Patient Survey Programme Findings for Topical Institutions Patient Survey of Topical Co-ordination Mental Heartiness Services ..................... Patient Survey of Topical Co-ordination Heartiness Services ................................. Patient Survey of Topical In-Patient Services – RFT .................................... Patient Survey on Access to Primary Regard ................................................ Patient Survey on Choice to Primary Regard ................................................. Ebon Juvenility Ethnic (BME) Mental Heartiness Consultation Event ................. Consultation behind a while Focus Groups and Individual Interviews ........................ Consultation at Fair? s Fayre ...................................................................... 198 198 198 207 208 209 210 211 213 213 213 219 End and Childish People’s Needs Assessment 10. 1 10. 2 10. 3 10. 4 10. 5 10. 6 Public Heartiness .......................................................................................... Proportion of End in Poverty .............................................................. Custom of Breast Feeding at 6 to 8 Weeks from Source ......................... Teenage Pregnancy (Under 18 and Inferior 16 Conception objurgates) ............. Obesity disrunning Primary School Age End in Reception Year and Year 6 ........................................................................................................ Infant Mortality .......................................................................................... 221 222 223 225 227 229 -510. 10. 8 10. 9 10. 10 Uptake of Chlamydia Screening in Inferior 25s .......................................... Percentage DMFT in 5 Year Olds ............................................................. End Killed or Seriously Injured on Roads (herd inferior 16 years) .. Adjustment of End who Complete Immunisation by Recommended Ages .......................................................................................................... 10. 11 Parental Experience of Services for Disabled End ............................. 11. 229 229 230 233 234 Area Assembly Needs Line 11. 1 11. 2 11. 3 11. 4 11. 5 11. 6 11. 7 Rother Valley South .................................................................................. Rother Valley West ................................................................................... Rotherham North ...................................................................................... Rotherham South ...................................................................................... Wentworth North ....................................................................................... Wentworth South ...................................................................................... Wentworth Valley ...................................................................................... 244 247 249 251 254 256 258 Glossary ........................................................................................................................ 261 -6- What is a Articulation Strategic Needs Assessment (JSNA)? The Articulation Strategic Needs Assessment (JSNA) establishes the running and herebehind heartiness and gregarious regard scarcitys of a population, regulative to betterd outcomes and contractions in heartiness inequalities. The JSNA educates the priorities and targets set by Topical Area Agreements, regulative to agreed commissioning priorities that obtain better outcomes and impair heartiness inequalities throughout the Borough. The JSNA marks the notoriousing of a regularity which obtain educate pursuit reconfiguration, commissioning and decommissioning of pursuits. The JSNA obtain evolve neutralize the herebehind months and years as the demographic and heartiness line of the population transmutes. Knowledge collected in the Articulation Strategic Needs Assessment obtain be used to invent a scarcitys line for Rotherham. It obtain be used to target resources at those in most scarcity. Why do we scarcity a JSNA? Gone 1 April, 2008, Topical Authorities and Primary Regard Trusts are inferior a statutory part inferior the Topical Government and Public Involvement in Heartiness Act to fruit a Articulation Strategic Needs Assessment (JSNA). The Operating Framework for the NHS in England 2008/2009 refers to the concern of the JSNA in educateing PCT Operational Plans. The JSNA inferiorpins a sum of the World Class Commissioning competencies. The JSNA forms the reason of the new part to join. This articulation-interest part involves a order of statutory and non-statutory partners, educateing commissioning and the bud of embezzle, sustainable and cogent pursuits. Articulation Strategic Needs Assessment Core Dataset This instrument amply complies behind a while the Department of Health’s JSNA Core Dataset, published on 1st August, 2008. It focuses on heartiness and gregarious regard scarcitys, breach these down to Area Assembly raze so a cheerful inferiorstanding of these scarcitys can be boundical for articulation commissioning purposes. -7- 1. Demographic Line 1. 1 Population Numbers Rotherham is one of lewd metropolitan boroughs in South Yorkshire, crust an area of 118 neutralize miles behind a while a population of 253,900 (2009). The population of Rotherham has been elevation by 1. 0% (2,600) gone 2004 and 1. 8% (4,500) gone 2002. Population propulsions recommend that the population of Rotherham obtain extension by 5. 1% to 266,900 by 2020 and by 9. 8% to 278,900 by 2030. The contemplated extension is the fruit of elevation animation confluence, cosmical extension (past sources than deaths) and absenteeism into the Borough. The Borough is separated into 21 defends, assemblyed into 7 Area Assemblies as follows: Rother Valley South – Dinnington, Anston & Woodsetts and Wales Rother Valley West – Brinsworth & Catcliffe, Holderness and Rother Vale Rotherham North – Rotherham West, Keppel and Wingfield Rotherham South – Boston Castle, Rotherham East and Sitpolite Wentworth North – W ath, Swinton and Hoober Wentworth South – Rawmarsh, Silverwood and Valley Wentworth Valley. – Wickersley, Hellaby and Maltby Environing half of the population subsists in and encircling the main modish area of Rotherham town. The discord subsists in associate towns such as Wath, Dinnington and Maltby and in arcadian areas1. Rotherham comprises a irrelative and vibrant combine of herd, cultures and communities. It is made up of a mix of modish areas and rura l villages, interspersed behind a while enlightened areas of notorious empireside. Environing 70% of the Borough area is arcadian, but it is polite united to all areas of the empire by its vicinity to the motorway network and intercity rebuke networks. Rotherham? s oral steel and coal industries bear enlightenedly absorbed way to new industries in an management which grew rapidly in the 1995 – 2005 bound. 1. 2 Age Line There are restly 197,500 adults runningly buttress in Rotherham (2009). 7,800 herd are ancient 60 and neutralize (22. 8%), 102,800 are ancient 30 to 59 years (40. 5%) and 37,000 are ancient 18 to 29 years (14. 6%). In individualization, there are 56,400 (22. 1%) end ancient 0 to 17 years. The age line of the Borough population is shown in Likeness 1. 1. Rotherham has past herd ancient neutralize 50 (1 in 3 herd) than herd inferior 16 (1 in 5 herd). Rotherham has 90,200 herd ancient 50 or neutralize which equates to 35. 5% of the whole population and this adjustment is elevation. 1 RMBC 2007 Area Assembly Profiles (www. rotherham. gov. uk) -8Distribution of Older People Figure 1. 1: Age Line of Rotherham Rotherham 60 and neutralize 22. 8% 30 to 59 40. 5% 18 to 29 14. 6% 5 to 17 0 to 4 0. 0% 16. 1% 6. 0% 5. 0% 10. 0% 15. 0% 20. 0% 25. 0% 30. 0% 35. 0% 40. 0% 45. 0% Rotherham Source: Mid Year Estimates 2009 The most symbolical demographic transmute occurring in Rotherham is the development in the sum of older herd which is shown in Figure1. 2. The sum of herd neutralize 65 obtain extension by past than a half by 2028, from 4 1,500 to 61,400. The sum of herd neutralize 85 obtain restly embrace (+96%) from 5,000 to 9,800 by 2028. Although herd obtain guard to abide heartinessy for longer than they do now, the elevation sums of older herd obtain bear greater implications for heartiness and adult gregarious regard pursuits, educateal regard and all pursuits used by older herd. Likeness 1. 2: Contemplated Development in the neutralize 65 population from 2008 to 2028 18,000 16,000 2008 2028 Population 14,000 12,000 10,000 8,000 6,000 4,000 2,000 0 65 to 69 Source: 2008 Population Projections 70 to 74 75 to 79 80 to 84 85 and neutralize -9Figure 1. 3: Contemplated Development in neutralize 65 population from 2008 to 2028 Population ancient 65+ 65 60 Thousands 55 50 45 40 20 08 20 09 20 10 0 11 20 12 20 13 20 14 20 15 20 16 20 17 20 18 20 19 20 20 20 21 20 22 20 23 20 24 20 25 20 26 20 27 20 28 35 Source: 2008 Population Projections The sum of herd ancient 65+ is contemplated to extension at a firm objurgate neutralize the direct twenty years. The sum is contemplated to extension by 48% from 41,500 to 61,400. Likeness 1. 4: Contemplated Development in neutralize 85 population from 2008 to 2028 Population ancient 85+ 10. 0 9. 0 Thousands 8. 0 7. 0 6. 0 5. 0 20 08 20 09 20 10 20 11 20 12 20 13 20 14 20 15 20 16 20 17 20 18 20 19 20 20 20 21 20 22 20 23 20 24 20 25 20 26 20 27 20 28 4. 0 Source: 2008 Population Projections The firm extension in the 65+ population hides a plenteous faster flow in the population ancient 85+ which is contemplated to extension by 96% unformed 2008 and 2028. The objurgate of extension is contemplated to flow behind 2014, peaking unformed 2020 and 2025 when there obtain be 29% development neutralize 5 years. - 10 1. 3 Gender Line In Rotherham, there are 129,400 (51%) feminines and 124,400 (49%) males, which is very concordant to the public mediocre. The age and gender disposal of Rotherham? s population is concordant to the public line, although Rotherham has a subordinately inferior adjustment of branchish adults (20-34). Figure 1. 3 shows the age and gender texture of Rotherham compared to England and Wales in 2009. Office of Public Statistics truths illustrates that up to the age of 72 years the sum of males and feminines are fairly resembling. From the age of 73 years the adjustment of feminines to males extensions symbolically2. 2. 9% of the feminine population are neutralize 85 years compared to 1. 4% for men. There are 3. 7 women for entirety man ancient neutralize 90 years. The elevation population imneutralize unformed males and feminines as old age progresses fruits from women? s preferable animation confluence. 2% of the complete population are of established age, of these 51. 1% are inferior 40 years of age. Likeness 1. 5 to-boot shows a relatively low adjustment of herd ancient 30-34 years which ruminates the low source objurgates from the mid to advanced 1970s. Likewise, the elevated adjustment ancient 40-45 ruminates elevated source objurgates in the coming 1960s. Likeness 1. 5: Age and gender line Broken down by percentage of male/feminine population Rotherham 9. 0% 8. 0% 7. 0% 6. 0% 5. 0% Males 4. 0% Females 3. 0% 2. 0% 1. 0% 0. 0% 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 to to to to to to to to to to to to to to to to to to + 9 14 19 24 29 34 39 44 49 54 59 64 69 74 79 84 89 Age Assembly Source: Mid Year Estimates 2009 2 Office of Public Statistics 2009 Subsist Births - 11 England and Wales 9. 0% 8. 0% 7. 0% 6. 0% 5. 0% Males 4. 0% Females 3. 0% 2. 0% 1. 0% 0. 0% 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 to to to to to to to to to to to to to to to to to to + 4 9 14 19 24 29 34 39 44 49 54 59 64 69 74 79 84 89 Age Assembly Source: Mid Year Estimates 2009 1. 4 Source Objurgate The source objurgate in Rotherham has been steadily increasing gone 2002 (Figure 1. 6). Subsist sources diminishd from neutralize 3,700 in 1991 to 2,730 in 2001. Since then the sums of sources has extensiond each year to 3,300 in 2008 precedently dropping subordinately in 2009 to 3,200. There has been an mediocre extension of environing 60 subsist sources each year neutralize the terminal view years. This extension in source objurgate ruminates concordant extensions publicly. Likeness 1. 6: Sum of Births in Rotherham unformed 1959 to 2009 Source: Office of Public Statistics 2998, Subsist Births The Whole Fertility Objurgate (TFR) for 2009 shows an mediocre of 1. 96 end per dame in England and Wales. This represents a inferior diminish in fertility from 1. 97 end in 2008. This is the primitive annual diminish gone 2001 when the TFR cut to 1. 63 from 1. 65 in 2000. The TFR for 2009 is quiet comparably elevated. In 2008 the TFR was at its elevatedest summit in 35 years. The contingent - 12 Public Fertility Objurgate (GFR) for 2009 was 63. 7 subsist sources per 1,000 women ancient 15-44, a diminish compared behind a while 63. 8 in 2008. In 2009, there were diminishs in fertility objurgates for women ancient inferior 30 and extensions for women ancient 35 and neutralize, compared behind a while 2008; fertility objurgates for women ancient 30–34 abideed unnatural. The enlightenedst percentage diminish (2. 7 per cent) occurred disrunning women ancient inferior 20. For this age assembly the fertility objurgate cut from 26 subsist sources per thousand women ancient inferior 20 in 2008 to 25. 3 in 2009. The standardised mediocre (mean) age of women giving source extensiond subordinately to 29. 4 in 2009 from 29. 3 in 2008. The likeness for 2009 is the elevatedest on archives. The sex affinity at source for 2007 was 1,052 subsist males per 1,000 subsist feminines born. There was a continued flow in the adjustment of sources to mothers born delayout the UK: 24. 7 per cent in 2009 compared behind a while 24. 1 per cent in 2008. In 1999, 14. 3 per cent of sources were to non-UK born mothers. 1. 5 Ebon and Juvenility Ethnic (BME) Population Line Rotherham? Ebon and Juvenility Ethnic (BME) population is relatively inferior but has been beseeming and beherebehind increasingly irrelative. Rotherham MBC estimates that there are 19,000 herd from BME communities in 2009 which equates to 7. 5% of the topical population (5. 6% are non-white), behind a while 92. 5% from the Clear British population3. By similitude in 2001, 4. 1% of the population were from BME communities, recommending that the sum of BME residents has restly embraced neutralize the terminal view years. BME residents are fairly evenly separated unformed those born in the UK and those born away, the cessation nature past mitigated to bear scant English talk skills. Figure 1. 7: Contemplated BME Population Development in Rotherham unformed 2005 and 2030 Source: BME Heartiness Needs Assessment 2008, Ebon a nd Juvenility Ethnic Populations in Rotherham (page 12) In 2006, Yorkshire Futures fruitd population propulsions by ethnic assembly. Likeness 1. 7 illustrates the propulsion for Rotherham which recommends a 61% extension in the non-White population unformed 2005 and 2030. Of the whole of 3 Rotherham MBC Population Estimates by Ethic Assembly 2009 - 13 17,600 non-clear residents contemplated for 2030, environing 11,400 would be Asians. However, the truth that Rotherham? BME population past than embraced in the 13 year bound 1991-2004, and that non-clear residents already sum environing 14,000 recommends that this propulsion may inferiorestimate the mitigated objurgate of development. Imabsenteeism and cosmical extension mediums that Rotherham? s ebon and juvenility ethnic population has continued to beseem in novel years, reaching 19,000 herd. The clear juvenility population (amply European) was estimated to bear a population of environing 3,000 in 2004, elevation to 4,000 in 2006 and an estimated at 5,000 in 2009. Most juvenility ethnic assemblys bear branchish populations, notably the Kashmiri and Pakistani. There is a beseeming adulterated or dual entailment population, the greaterity of who are end and branchish herd. The Irish co-ordination is an exclusion, nature plenteous older than mediocre. Likeness 1. 8: BME Population Breakdown in Rotherham – Mid-Year Estimates 2009 Source: Rotherham MBC Population Estimates by Ethnic Assembly 2009 The enlightenedst BME co-ordination is that from Pakistan and Kashmir which constitutes 3. 0% of the neutralizeall population, preferable than the mediocre of 1. 5% in England and Wales. The Kashmiri and Pakistani co-ordination is polite boundical in Rotherham aftercited primal absenteeism in the 1960s and 1970s. There are to-boot plenteous inferiorer boundical communities such as Chinese, Indian and Irish. The fastest beseeming population is the Ebon African co-ordination and other new communities, including migrant workers from Eastern Europe, bear to-boot fixed in Rotherham which now has a Roma co-ordination of encircling 2,000 herd. - 14 Likeness 1. 9: Sum of Herd in each Ethnic Assembly in Rotherham in 2009 Ethnic Assembly Clear British Clear Irish Clear Other Clear and Ebon Caribbean Clear and Ebon African Clear and Asian Other Adulterated Indian Pakistani Bangladeshi Other Asian Ebon Caribbean Ebon African Ebon Other Chinese Other Ethnic No. of Herd 234,900 1,100 3,900 400 100 700 400 700 7,600 100 700 200 1,500 200 600 800 Source: Rotherham MBC Population Estimates by Ethnic Assembly 2009 Likeness 1. 9 shows the breakdown of the sums of herd from each BME co-ordination who are buttress in Rotherham. The enlightenedst sum of herd who are from juvenility ethnic assemblys are those from the Pakistani (and Kashmiri) co-ordination (7,600) which equates to 40% of the BME population in Rotherham. 3,900 herd (20. 5%) are from the Clear Other ethnic assembly which encloses EU migrant workers from other European countries such as Poland and Slovakia. Further absenteeism from European countries may fruit in continued development in the years forward. Likeness 1. 10: Gender by Ethnic Derivation of all Ethnic Groups in Rotherham in 2008 Source: BME Heartiness Needs Assessment 2008, Ebon and Juvenility Ethnic Populations in Rotherham, p13 Likeness 1. 10 provides a gender breakdown athwart all BME communities. It shows that clear juvenility ethnic communities, Indian and Ebon assemblys bear a enlightenedr sum of men in dissimilarity to women. Herd from Pakistani/Kashmiri derivation bear a concordant gender neutralize to the Clear British population, whilst the Chinese co-ordination has a preferable adjustment of women. The preferable adjustment of men discurrentst undeniable BME assemblys in - 15 Rotherham is mitigated to ruminate economic absenteeism behind a while men melting to Rotherham to perceive pursuit. This tend is past symbolical discurrentst past novel migrant assemblys where two thirds are frequently male. Likeness 1. 11: Population Texture of Irrelative Ethnic Groups in Rotherham 2009 Ethnic Assembly Whole Sum 1,600 7,600 800 600 800 234,900 700 1,900 3,900 1,100 253,900 Adulterated Pakistani Other Asian Chinese Other W hite British Indian Ebon W hite Other W hite Irish All Herd % Population ancient 0-15 0. 39% 1. 18% 0. 08% 0. 04% . 12% 16. 86% 0. 04% 0. 16% 0. 47% 0. 04% 19. 38% % Population ancient 16+ 0. 28% 1. 81% 0. 24% 0. 20% 0. 20% 75. 62% 0. 24% 0. 59% 1. 06% 0. 39% 80. 62% Source: Rotherham MBC Population Estimates by Ethnic Assembly 2009 Likeness 1. 11 provides an instinct into the end to adults for each of Rotherham? s BME population. Some BME communities bear a symbolically branchisher age line than the public population of the Borough. The percentage of the Pakistani co-ordination inferior 15 years (1. 18%) is encircling 60% of the adult population whole and the Adulterated co-ordination bear past end than adults. This ruminates a symbolically preferable source objurgate for the Pakistani and Adulterated ethnic assemblys. There is a big discord in the Clear British co-ordination where the adults outsum the 0-15 population by restly 5 to 1. In dissimilarity, the Adulterated and Pakistani ethnic assemblys bear a plenteous inferiorer adjustment of their population ancient 65 and neutralize (near than one seventh of the public population). The enlightenedst non-White British co-ordination is Pakistani behind a while an estimated 550 elders (55 years of age+)4. BME communities bear a branchisher age line compared to the public population. The branch population of Rotherham is far past ethnically irrelative than that of the older population. Likeness 1. 12: Percentage of BME learners in each Area Assembly in Rotherham 60. 0% BME Pupils 50. 0% 40. 0% 30. 0% 20. 0% 10. 0% W es ot t he rh am N or R th ot he rh am So ut W h en tw or th N or W th en tw or th So W ut h en tw or th Va ll e y R ot he rV R R ot he rh Va lle y al le y So ut h 0. 0% Source: PLASC Facts 2010 4 Rotherham State of the Borough 2008 A Statistical Portrait, p14 - 16 Likeness 1. 12 provides a breakdown of the BME learners by Area Assembly in 2010. This shows that 52% of BME learners subsist in Rotherham South. The disposal of learners shows a concordant archetype to the disposal of BME residents in the 2001 Census, 4,809 of who subsistd in the Rotherham South, 48% of the Borough? s BME population. Merely three defends – Rotherham East, Rotherham West and Boston Castle – had symbolical juvenility ethnic populations in 2001, behind a while 61% of Rotherham? s non-clear population and 77% of the Pakistani and Kashmiri population. Facts on learner ethnicity shows that increasing sums of BME families subsist in Sitpolite defend. Rotherham North had the relieve enlightenedst BME population behind a while 1,746 herd (17%) in 2001. In similitude, there were 562 herd (6%) buttress in Wentworth North which had the inferiorest BME population5. Within Rotherham South, BME communities are specially fast in Eastwood, Ferham, Masbrough, Wellgate and Broom Valle y which are amply denied areas rest to the town centre. These are the derivational subsidence areas for the Kashmiri and Pakistani co-ordination. Gone 2001, there has been some motion of Pakistani and Kashmiri families to submodish areas in Broom. 1. 6 Disability Line Sensory Languor – Blind/Partially Sighted In 2008 there were 152,980 herd in England and Wales recorded unseeing. This is a disregard extension of 525 herd (0. 3%) from March 2006. There were 10,300 new registrations in 2008, a sink of 5% compared to 20066. There were restly 156,285 herd in England recorded as exactingly sighted, an extension of 1,085 herd gone 2006. There were restly 13,200 new registrations in 2008, a sink of 8% compared to 20067. The regulative principle of certifications for unseeingness is deterioration of the macula and subsequent pole (57. 2%) which enlightenedly comprises Age-related Muscular Deterioration (AMD). This is the regulative principle of unseeingness discurrentst older herd, in detail for the age assembly 75 years and neutralize. Other beggarly principles of certification are glaucoma (10. 9%), diabetic retinopathy (5. 9%), optic atrophy (3. 1%), ancestral retinal disorders (2. 8%) and cerebrovascular sickness/accidents (2. 5%)8. Beggarly principles of certification disrunning exactingly sighted herd are: deterioration of the macula and subsequent pole (56%), glaucoma (10. 2%), diabetic retinopathy (7. 4%), cerebrovascular sickness (4. 9%), ancestral retinal disorders (2%), optic atrophy (1. 9%), myopia (1. 9%) and retinal vascular occlusions (2%)8. Likeness 1. 13 provides a public breakdown by age of the sum of herd on the unseeing and exactingly unseeing records. Census 2001 BME Population Public Statistics 2006 Registered Unseeing and Hardly Sighted, p(i) 7 Public Statistics 2008 Council Tables – Unseeing and Hardly Sighted, pPS1 8 Public Medical Heartiness 2009 Research and Development, Regulative Causes of Hebetude 6 - 17 Likeness 1. 13: % of Herd on Unseeing or Hardly Sighted (P/S) Record by Age Assembly in England 1994-2008 Category 1994 1997 2000 2003 2006 2008 0-4 Unseeing P/S 0 1 1 1 0 0 0 0 0 0 1 0 5-17 Unseeing P/S 2 2 2 2 2 2 2 3 2 3 3 3 18-49 Unseeing P/S 10 10 10 10 10 9 11 10 12 10 13 11 50-64 Unseeing P/S 8 8 8 8 8 8 9 8 10 9 10 9 65-74 Unseeing P/S 11 12 10 12 10 11 10 11 0 10 10 10 75 and Neutralize Unseeing P/S 68 68 69 68 69 69 67 68 66 68 64 68 Source: Public Statistics 2008, Council Tables - Unseeing and Hardly Sighted, p6 Nationally the adjustment of branchish herd recorded unseeing is increasing, in detail in the 18-49 age order. The sum of unseeing herd ancient 75 and neutralize is sinking, behind a while a 5% contraction in the terminal ten years from 69% to 64%. However, the topical delineate is irrelative to the public one. In Rotherham there were 860 herd on the unseeing record in 2008, a contraction of 325 herd gone 2006. This contraction may be due to novel truths purification of the topical record. There are a whole of 1,365 herd who are on the exactingly sighted record, a diminish of 95 herd gone 20069. Knowledge for this record is obtained by the collection of SSDA902 receipts by all Councils behind a while Adult Gregarious Services Responsibilities (CASSRs) on an annual reason to hold the sum of herd who are unseeing or exactingly sighted inferior Section 29 of the Public Assistance Act, 1948. Likeness 1. 14: Sum of herd recorded unseeing/hardly sighted by age assembly in Rotherham in 2008 Unseeing Hardly Sighted 3% 4% 13% 11% 0-18 years 10% 11% 18-49 years 50-64 years 65-74 years 63% 10% 64% 1% 75 and neutralize Source: Public Statistics 2008, Council Tables - Unseeing and Hardly Sighted, pB1 Likeness 1. 14 provides an age line of those who are recorded unseeing or exactingly sighted in Rotherham. Closely 63% of unseeing/hardly sighted herd in Rotherham are neutralize 75 years of age. There has been an extension in the sum of herd recorded unseeing in the 65 to 74 age assembly. There has to-boot been a contraction in the sum of herd recorded unseeing unformed 18 and 49 years and 75 and neutralize. In 2008 there were 95 new registrations for unseeing herd compared to 85 new registrations in 2006. Of these 16% were unformed 50 and 64 years, 11% unformed 65 and 74 years and 63% who are 75 years and neutralize. There has been a enlightenedr extension in the sum of new registrations by herd unformed 50 and 64 years10. 9 Public Statistics (2007), Disinclined and Exacting of Hearing, pPS1 Public Statistics 2007, Disinclined and Exacting of Hearing, pB2 10 - 18 Likeness 1. 15 shows the predicted herebehind custom objurgates of herd behind a while a grave visual languor who obtain exact acceleration behind a while daily activities. These custom objurgates bear been partial from ONS population propulsions. Likeness 1. 15: No. f herd contemplated to bear a grave visual languor and requiring acceleration behind a while daily buttress in Rotherham. 2010-2030 25 20 18 - 2 4 ye a rs 15 2 5 - 3 4 ye a rs 10 3 5 - 4 4 ye a rs 4 5 - 5 4 ye a rs 5 0 2010 2015 2020 2025 2030 Source: PANSI 2008, Herd predicted to bear a grave visual languor contemplated to 2025 Projecting Adult Needs and Pursuit Knowledge System (PANSI) predicts that there are 102 herd behind a while a grave visual languor in Rotherham who exact acceleration behind a while daily activities. It is predicted that this obtain reluctantly extension neutralize the direct 17 years, in detail in the age assemblys 55 -64 age assembly. Deaf or Exacting of Hearing There are restly 9 darling herd who are disinclined or exacting of hearing in England. Encircling 688,000 herd are severely or profoundly disinclined 11. Past than 50% of herd neutralize the age of 60 years bear some step of hearing forfeiture, but merely one in three older herd has an hearing aid12. The beggarlyest principle of hearing forfeiture is ageing and three quarters of herd who are disinclined are ancient neutralize 60. Past men beseem exacting of hearing than women. Disrunning herd neutralize the age of 80 years there are past women than men who are disinclined or exacting of hearing. This is amply attributable to the enlightenedr population of women in this age order. Beggarly principles of disinclinedness in adults and older herd enclose; presbyacusis (age-related hearing forfeiture notorious as imbecile disinclinedness), side-effects of medication, ringing neuroma and Meniere's sickness. Com mon principles of disinclinedness in end enclose ancestral stipulations, contamination during pregnancy, meningitis, source deterioration and glue ear. In 2007 there were 54,500 herd in England on the record of disinclined herd. Unformed March 2004 and March 2007 the sum of herd on the record has abideed constant13. However, during this selfselfsame bound the sum of disinclined herd on the age line of those on the record has transmuted symbolically14. There are restly 164,600 herd in England on the record of exacting of hearing. This is an extension of encircling 5,600 (4%) gone March 2004 and an extension of 73% gone March 1992. The enlightened extension from 1992 could be exactingly attributed to betterd systems of educateation hold or a deficiency to displace old registrations15. 11 RNID 2008, www. rnid. org. uk Public Medical Heartiness 2008, Research and Development, Regulative Causes of Hebetude Public Statistics 2007, Disinclined and Exacting of Hearing, p(iii) 4 Office of Public Statistics 2004, Religion in Rotherham, p(iii) 15 Public Statistics 2007, Disinclined and Exacting of Hearing, p3 12 13 - 19 Likeness 1. 16 provides a breakdown of the sum recorded as disinclined and exacting of hearing by age assembly. Likeness 1. 16: Age line of herd recorded as disinclined or exacting of hearing (HofH) in England from 1992 to 2007 Category Sum of Herd 1992 1995 1998 2001 2004 2007 % of Herd 1992 1995 1998 2001 2004 2007 All Ages Disinclined H of H Inferior 18 Disinclined H of H 18-64 Disinclined H of H 65-74 Disinclined H of H 75 or neutralize Disinclined H of H 41,800 45,500 50,100 50,300 55,000 54,500 95,300 125,900 139,500 44,600 158,900 164,600 3,800 4,400 4,200 4,000 4,100 3,400 2,100 3,500 2,800 2,900 3,000 4,100 24,200 26,000 27,100 27,200 29,200 28,700 16,000 21,900 25,100 25,400 29,800 30,500 4,900 5,000 5,800 6,400 8,300 6,400 18,400 23,800 22,300 24,700 24,400 23,100 8,900 10,100 13,000 12,600 13,400 16,000 58,800 76,700 89,300 91,300 101,700 106,900 100 100 100 100 100 100 100 100 100 100 100 100 9 10 8 8 7 6 2 3 2 2 2 2 58 57 54 54 53 53 17 17 18 18 19 19 12 11 12 13 15 12 19 19 16 17 15 14 21 22 26 25 24 29 62 61 64 63 64 65 Source: Public Statistics 2007, Disinclined and Exacting of Hearing, p3 In 2007 past than half (52. %) of those on the disinclined record were established age adults (18-64 years). The elevatedest impingement of hearing forfeiture occurred in the older age assemblys, specially those neutralize 75 years16. In Rotherham there are runningly 280 herd on the disinclined record. 66% are in the age order 18 to 64 years, 13. 4% overhead the public mediocre. There are runningly 15 end (5%) on the record17. The elevated sum of branchisher herd on the record recommends inferior-reporting in the older age assemblys. There are a whole of 980 herd on the exacting of hearing record. Closely two thirds (62%) are in the age assemblys 75 years and neutralize18. This is upright inferior the public mediocre of 64. 9%. Likeness 1. 16 provides a topical age line of those who are recorded disinclined or exacting of hearing. Knowledge for this record is obtained by the collection of SSDA910 receipts by all Councils behind a while Adult Gregarious Services Responsibilities (CASSRs) on an annual reason to hold the sum of herd who are disinclined or exacting of hearing inferior Section 29 of the Public Assistance Act, 1948. Likeness 1. 17: Sum of herd recorded disinclined/exacting of hearing by age assembly in Rotherham in 2008 Disinclined 18% Hardly Sighted 2% 5% 19% 0-18 years 18-64 years