Presentation to Rugby Clinical Commissioning Group by the Warwickshire Observatory

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

3. No, not this

5. A Profile of Rugby? The Dahlgren and Whitehead schema of factors that influence health.

9. Demographics A growing and ageing population…

10. Demographics A growing and ageing population…

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. Demographics Ethnicity… Non-white population = 9%

15. Deprivation Newbold Benn Brownsover New Bilton Hillmorton Bilton

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. 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. 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’

20. Economy & Education Double dip recession…?

21. Economy & Education Widening inequalities…

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

25. Community Safety

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. 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. 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. Mosaic

34. Mosaic

35. Mosaic Mosaic Profile: Rugby v Warwickshire

38. Alcohol Continued increases in admissions…

40. Mental Health Increasing future demand…

41. Teenage Conceptions -> Statistically significantly better than England average A mixed picture…