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  • Mildenhall and Brandon INT: place-based needs assessment (2019)

    Public Health Suffolk Page 1 of 97

  • Mildenhall and Brandon INT: place-based needs assessment (2019)

    Public Health Suffolk Page 2 of 97

    Contents Executive summary .................................................................................................................................. 4

    Demographics ..................................................................................................................................... 4

    Wider determinants of health ............................................................................................................. 4

    Primary care ........................................................................................................................................ 5

    Hospital admissions ............................................................................................................................. 5

    Children and young people ................................................................................................................. 6

    Older people’s health and wellbeing ................................................................................................... 6

    Overview of Mildenhall and Brandon INT’s data ................................................................................. 6

    Introduction: Place-based needs assessments ......................................................................................... 9

    Geographies ........................................................................................................................................ 9

    Forecasts ....................................................................................................................................... 11

    Population estimates including US military ................................................................................... 11

    Rounding and disclosure ............................................................................................................... 11

    Confidence intervals ...................................................................................................................... 12

    Significance .................................................................................................................................... 12

    Demographics: Mildenhall and Brandon INT .......................................................................................... 14

    Population ......................................................................................................................................... 15

    Population pyramids Mildenhall and Brandon INT ........................................................................ 15

    Projected population change 2017 to 2028 ...................................................................................... 17

    English as a second language ............................................................................................................ 18

    People with learning disabilities in Mildenhall and Brandon ............................................................. 18

    Wider determinants of health ................................................................................................................ 20

    Wider determinants of health: deprivation and population ............................................................. 20

    Mosaic ............................................................................................................................................... 25

    Wider Determinants: Housing waiting list ......................................................................................... 26

    Wider determinants of health: Homelessness .................................................................................. 27

    Reasons for homelessness ................................................................................................................ 28

    Wider determinants of health: Crime ............................................................................................... 29

    Wider determinants of health: Access to dental care ....................................................................... 30

    Wider determinants of health: Employment and the economy ........................................................ 30

    Wider Determinants: Children and young people ............................................................................. 33

    Primary care: GP QOF indicators ............................................................................................................ 37

    GP key health indicators .................................................................................................................... 37

    What is QOF data? ............................................................................................................................ 37

    Cardiovascular health needs ............................................................................................................. 40

  • Mildenhall and Brandon INT: place-based needs assessment (2019)

    Public Health Suffolk Page 3 of 97

    Respiratory-based health needs ........................................................................................................ 47

    Lifestyle-based health needs ............................................................................................................. 50

    High dependency and long-term conditions ..................................................................................... 53

    Mental Health ................................................................................................................................... 63

    Hospital admissions ............................................................................................................................... 70

    Top 5 emergency hospital admissions in Mildenhall and Brandon INT area by age group ............... 70

    Top 5 Elective Hospital Admissions in Mildenhall and Brandon INT Area by age group .................... 72

    Children and young people’s health ....................................................................................................... 75

    Breastfeeding and Early Years ........................................................................................................... 75

    Young People ..................................................................................................................................... 78

    The National Child Measurement Programme .................................................................................. 78

    Older People’s Health and Wellbeing ..................................................................................................... 81

    Frailty................................................................................................................................................. 81

    End-of-life care .................................................................................................................................. 84

    References: ............................................................................................................................................ 87

    Appendix 1: The Indices of Deprivation, 2015 ........................................................................................ 92

    Income deprivation domain .......................................................................................................... 92

    Employment deprivation domain .................................................................................................. 92

    Education, skills and training deprivation domain ......................................................................... 92

    Health deprivation and disability domain ...................................................................................... 92

    Crime domain ................................................................................................................................ 93

    Barriers to housing and services domain ....................................................................................... 93

    Living environment deprivation domain........................................................................................ 93

    Income deprivation affecting children index ................................................................................. 93

    Appendix 2: Full segmentation data table for the INT, CCG and Suffolk ................................................. 94

    Appendix 3: QOF exception rates ........................................................................................................... 95

    Quality outcome framework: exception rates ................................................................................... 95

    Exception reporting ........................................................................................................................... 95

    Appendix 4: GP practice overview, including GP practice age profiles .................................................... 96

    Appendix 5: The electronic frailty index (eFI) ......................................................................................... 97

  • Mildenhall and Br

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