axminster - devon health and wellbeing · in axminster, the proportion of the population from a bme...

v1.1 November 2011

Joint Strategic Needs Assessment

Market Town Profile 2010-11

Axminster

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48.9 females per 1000 aged 15 to 44 not statistically different

81.5 years not statistically different

Statements 2.6% of school pupils not statistically different

School Action+ 6.3% of school pupils not statistically different

6.8 per 1,000 children aged 10-17 not statistically different

66.7% of DCC school pupils not statistically different

4.4% of school pupils not statistically different

1.7% of school pupils statistically lower

Living in care homes 16 per 1000 population aged 65+ not statistically different

Community based care 21.9 per 1000 population aged 65+ not statistically different

Targeted support services 24.4 per 1000 population aged 65+ not statistically different

Assessments 56.7 per 1000 population aged 65+not statistically different

Reviews 37.6 per 1000 population aged 65+ statistically lower

Living in care homes 2 per 1000 population aged 18 to 64 statistically higher

Community based care 2.8 per 1000 population aged 18-64 not statistically different

Targeted support services 0 per 1000 population aged 18-64 statistically lower

Assessments 0.5 per 1000 population aged 18+ not statistically different

Reviews 1.6 per 1000 population aged 18+ not statistically different

Living in care homes 0 per 1000 population aged 18 to 64 not statistically different

Community based care 1.3 per 1000 population aged 18 to 64 not statistically different

Targeted support services 0 per 1000 population aged 18 to 64 statistically lower

Assessments 2.3 per 1000 population aged 18 to 64 not statistically different

Reviews 3.5 per 100,000 population aged 18 to 64 not statistically different

Living in care homes 0 per 1000 population aged 18 to 64 statistically lower

Community based care 4.5 per 1000 population aged 65+ not statistically different

Targeted support services 3.1 per 1000 population aged 18-64 statistically higher

Assessments 18.9 per 1000 population aged 18-64 not statistically different

Reviews 10.4 per 1000 population aged 18-64 statistically lower

15.2 per 1000 population aged 18+ not statistically different

Domestic Violence 8.7 per 1000 population aged 18+ statistically lower

Drug 0.9 per 100,000 population aged 18+ statistically lower

Alcohol 2.4 per 1000 population aged 18+ statistically lower

884 DASR per 100,000 population statistically lower

237 DASR per 100,000 population statistically lower

170 DASR per 100,000 population statistically higher

63.8 DASR per 100,000 population statistically lower

1114 DASR per 100,000 population significantly lower

Hospital

Activity

Outpatient Attendances

Elective Admissions

Accident and Emergency Attendances

Emergency Admissions

Alcohol Related Admissions

Youth Offending

Carer Assessments and Reviews

GCSE Performance

Ethnicity

First Language

Mental Health

Condition

Physical

Disabilities

Learning

Disabilities

Executive Summary

Adults

Children &

Young

People

Crime

Aged 65+

SEN

In Axminster, the proportion of the population from a BME background is 0.4%, compared to a rate of 1.1% for

Devon. (Based on the 2001 Census).

Rate

Birth Rate

Within Axminster there are 2 wards with an under 18 conception rate higher than the Devon average and no

wards with a rate lower than the Devon average. There are no wards in Axminster with a significantly higher or

lower rate than the NHS Devon average.

Section / Data

This executive summary highlights the main findings of this document in one place. Datasets for which a statistical test

could be conducted are shown in the table below. Where statistical tests were not appropriate, summary statements

are included below:

The population of Axminster is predicted to increase by 1976 people between 2011 and 2026, a rise of 13.9%.

Life Expectancy

Statistically Higher RateStatistically Lower Rate Rate Not Statistically Different

1. Introduction 3

2. Population 4

2.1 Current Population 4

2.2 Population Projections 5

2.3 Black and Minority Ethnic 6

3. Birth Rate 7

4. Life Expectancy 7

5. Mortality 8

6. Children and Young People 9

6.1 Special Educational Needs 9

6.2 Youth Offending 10

6.3 GCSE Performance 11

6.4 Ethnicity in schools 12

6.5 English as an Additional Language 12

6.6 Teen Conceptions 13

7. Adults 14

7.1 Older People Aged 65 and Over 15

7.2 Adults with Learning Disabilities 18

7.3 Adults with Mental Health Conditions 21

7.4 Adults with Physical Disabilities 25 7.5 Carers Services/Support and User/Carer Feedback 28

7.6 Crime 30

7.7 Smoking 32

8. Hospital Activity 33

8.1 Outpatient Attendances 33

8.2 Accident and Emergency Attendances 33

8.3 Elective Admissions 34

8.4 Emergency Admissions 34

8.5 Alcohol Related Admissions 35

Contents

Figure 1: Detailed Map of Axminster.

Any feedback or questions concerning the information in this report would be gratefully received. We would be keen to

receive feedback on whether you recognise the community as described in the profile, if you feel there is any key

information missing or there are any local priorities or issues you wish to identify. Please email the NHS Devon Public

Health Intelligence Team at [email protected].

This is the Devon Joint Strategic Needs Assessment for the Axminster area, which also encompasses surrounding rural

parishes.

The aim of the Joint Strategic Needs Assessment is to collaboratively identify current and future health and well being

needs and inform future service planning and delivery. The profile contains a range of socio-demographic and health

related data, which together provide a detailed assessment of current need and service activity at a local level. In

addition to data relating to Axminster, information has been provided for the other market towns, and for Devon as a

whole so that Axminster can be compared to these other areas.

Data for this report was gathered and collated by the NHS Devon Information Teams, and the Devon County Council

Adult and Community Service and Children and Young Peoples Service and Strategic Intelligence teams.

A glossary will be made available providing detailed definitions and background information for the measures in this

report. At the back of this report there is an appendix of references to other documents providing more detailed

information on the topic areas covered in this profile.

1. Introduction

0-4 246 258

5-9 326 320

10-14 360 380

15-19 348 390

20-24 246 306

25-29 289 304

30-34 243 284

35-39 361 326

40-44 460 480

45-49 487 443

50-54 460 431

55-59 523 489

60-64 662 601

65-69 554 573

70-74 449 429

75-79 365 344

80-84 356 249

85+ 356 219

Total 7091 6826

Figure 3: Axminster population pyramid compared to Devon (June 2010) Data Source: Patient and Practitioner Services

Agency

Age Group Female Male

Figure 2: Axminster population size by age group and gender (June

2010) Data Source: Patient and Practitioner Services Agency

A population pyramid for Axminster can be seen below. As a comparison, the Devon population pyramid is shown by the

black lines.

2. Population

2.1 Current Population

1.8

2.3

2.6

2.5

1.8

2.1

1.7

2.6

3.3

3.5

3.3

3.8

4.8

4.0

3.2

2.6

2.6

1.9

2.3

2.7

2.8

2.2

2.2

2.0

2.3

3.4

3.2

3.1

3.5

4.3

4.1

3.1

2.5

1.8

1.6

2.6

6 4 2 0 2 4 6

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+

Axminster Devon

the total number in the 20-44 age band is predicted to increase by 60 people, a rise of 2.7%.

- the total number in the 45-64 age band is predicted to increase by 194 people, a rise of 3.7%.

- the total number in the 65-84 age band is predicted to increase by 1170 people, a rise of 34%.

- the total number in the 85+ age band is predicted to increase by 397 people, a rise of 55.8%.

Year 0-4 5-9 10-14 15-19 20-24 25-39 40-59 60-64 65-69 75-79 80-84

2001 439 585 633 604 425 1685 3433 930 824 784 548

2006 433 572 693 699 526 1583 3702 1145 918 781 630

2011 511 603 708 702 637 1634 3903 1378 1083 781 649

2016 518 660 708 684 599 1704 4034 1250 1277 893 667

2021 526 665 768 688 583 1780 4082 1312 1190 1047 796

2026 519 659 762 737 584 1748 4049 1427 1253 1232 940

85+

Figure 4: Axminster population projection by age group. Data source: Jan 2010 DCC population

projections

1188

1074

569 12322

Total

865

70-74

Figure 5: Axminster population projection by age group. Data source: Jan 2010 DCC population projections

14230

602 13094809

The population of Axminster is predicted to increase by 1976 people between 2011 and 2026, a rise of 13.9%. Over the

same time period:

- the total number in the 0-19 age band is predicted to increase by 154 people, a rise of 6.1%.

803

712

1276

930

914

1109 16206

14870

15628

2. Population

2.2 Population Projections

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

2001 2006 2011 2016 2021 2026

Age 85+

Age 80-84

Age 75-79

Age 70-74

Age 65-69

Age 60-64

Age 40-59

Age 25-39

Age 20-24

Age 15-19

Age 10-14

Age 5-9

Age 0-4

2.3 Black and Minority Ethnic

Figure 6: Map of BME prevalence in Devon (2001) Data Source: 2001 Census

Until the release of the 2011 census data, there is very little up to date information relating to the proportion of people

from a black or minority ethnic background. The map below, which is based on data from the 2001 census, shows that in

Axminster the proportion of the population from a BME background is 0.4%, compared to a rate of 1.1% for Devon.

More up to date information relating to the prevalence of the BME population in schools (see Section 6.4) suggests that

since 2001 there may have been around a five fold increase in BME over the past 10 years.

2. Population

Figure 8: Devon market town life expectancy (2005-09). Data source: Public Health Mortality Files, Office for National

Statistics, Adapted from data from the Office for National Statistics licensed under the Open Government Licence v.1.0

3. Birth Rate

Birth rates are calculated using the number of births registered annually and are usually expressed as a rate per 1000

population (females aged 15 to 44). Over the last 5 years the birth rate in Devon has increased by 8.2%. The graph shows

that in Axminster the birth rate per 1000 women aged 15 to 44 is 48.9, compared to a rate of 52.8 per 1000 for Devon.

The rate for Axminster is not statistically different to the Devon rate.

Figure 7: Devon market town birth rate per 1000 females aged 15-44, (2006-10). Data Source: Public Health Birth Files,

Adapted from data from the Office for National Statistics licensed under the Open Government Licence v.1.0, © Crown

Copyright 2011

4. Life Expectancy

The average life expectancy for the population of Axminster is 81.5 years. This is 0.1 years shorter than the Devon

average(81.6), which is not a statistically significant difference. The average life expectancy in Devon is higher than the

national average of 80.2 years.

83.4

83.2

82.9

82.5

82.4

82.4

82.2

82.1

82.0

81.9

81.9

81.9

81.6

81.6

81.6

81.6

81.5

81.5

81.5

81.5

81.5

81.4

81.3

81.2

81.1

81.1

81.0

80.7

79.8

78

79

80

81

82

83

84

85

86

Ottery St Mary

Moretonhampstead

Sidmouth

Okehampton

Kingsbridge

Great Torrington

Ashburton/Buckfastleigh

Teignmouth

Seaton

Cullompton

Dartmouth

Crediton

Tiverton

Newton Abbot

Tavistock

Exmouth

Braunton

Lynton and Lynmouth

Ivybridge

Honiton

Axminster

Totnes

South Molton

Dawlish

Barnstaple

Exeter

Holsworthy

Bideford/Northam

Ilfracombe

Market Town Axminster Significant Devon

63.1

62.3

60.9

60.2

58.0

57.8

57.6

57.0

56.1

55.7

55.6

54.8

54.6

53.8

53.7

51.7

51.4

50.6

50.3

50.3

49.4

49.2

48.9

47.8

47.3

45.6

43.9

40.1

36.2

0

10

20

30

40

50

60

70

80

Braunton

Tiverton

Ilfracombe

Bideford/Northam

Cullompton

Crediton

Okehampton

Barnstaple

South Molton

Teignmouth

Honiton


Newton Abbot

Tavistock

Great Torrington

Dawlish

Exmouth

Moretonhampstead

Ivybridge

Dartmouth

Holsworthy

Ottery St Mary

Axminster

Exeter

Kingsbridge

Seaton

Totnes

Sidmouth

Lynton and Lynmouth


* Including "Injury Undetermined"

Stroke (U75)

Smoking 82.1 77.8

Figure 9: Standardised mortality rates for Axminster

compared to Devon (2005-09) Data source:MORTALITY

DATASET

19.7

Circulatory Disease

402.9418.2

164.6

Circulatory Disease

(U75)

484.3

All 493.8 497.8

Mortality Data

586.6

78.8

102.7

A further indicator of the health of an area is the death (mortality) rate. Mortality rates (standardised for age and sex)

for 19 causes of death have been calculated at a market town Devon level (using deaths registered between 2005 and

2009). The spine chart below compares these rates, and shows whether there is a statistically significant difference

between the market town and Devon rate.

Male

Female 362.8

224.5

Market

Town

291.7 357.2

164.5 181.3

152.3 202.7Female (U75) 176.7

15.913.2

80.1

162.8 233.4151.5

6.3

43.1 55.3

56.2

431.3

486.9

Male (U75) 274.1

All (U75)

Cancer 157.0

Cancer (U75) 96.7

Devon Range

221.8

106.0

131.2

599.4 681.7

Worst

569.8

Devon

5. Mortality

26.5 47.2

67.7

98.2

31.1

41.4

46.1

97.2

Best

116.3

221.1 275.8

110.5

Suicide*

CHD (U75)

Stroke 44.0

32.4

8.2

10.2

CHD 66.6

11.7

Accidental Injury 15.3 20.0

Alcohol 6.0 6.9

25.2

Drugs 3.1 1.8 9.4

29.4

4.8

2.2

19.9

7.0

1.3

0.0

67.2

Figure 10: School SEN Statements - Data Source: DfE School Census (Jan 2011)

Figure 11: School SEN action+ - Data Source: DfE School Census (Jan 2011)

The graph below shows that the percentage of pupils supported at School Action Plus living in in Axminster is 6.3%,

compared to 6.7% for Devon overall. The rate for Axminster is not statistically different to the Devon rate.

School Action Plus

6. Children and Young People

6.1 Special Educational Needs

The graph below shows that the percentage of pupils living in in Axminster who have a statement is 2.6%, compared to

3.4% for Devon overall. The rate for Axminster is not statistically different to the Devon rate.

Statements

In 2011, the number of pupils with additional needs (i.e. Statements, School Action Plus and School Action combined) in

England was 1.67 million, around 21% of pupils. In Devon the percentage is currently 23% (2011). The graphs below

illustrate the percentage of young people supported at School Action Plus and with a Statement based on their home

address. Other pupils who need additional support are provided with this within their school as part of core provision.

Where there are significant variations it reflects the level of support needed within the community. It is the aim of the

authority to enable children with special educational needs to access services and provision within their local

communities wherever possible. Some children with complex needs will require access to specialist support in

additionally resourced provision or special schools.

5.2

4.7

4.6

4.4

4.3

4.1

4.0

4.0

3.7

3.5

3.5

3.4

3.4

3.3

3.2

3.2

3.2

3.1

3.0

3.0

2.9

2.9

2.9

2.9

2.8

2.6

2.6

2.6

2.1

0

1

2

3

4

5

6

7

8

9

Dartmouth

South M

olton


Lynton and Lynmouth

Teignmouth

Great Torrington

Barnstaple

Dawlish

Bideford/Northam

Honiton

Ilfracombe

Exeter

Newton Abbot

Tiverton

Sidmouth

Exmouth

Moretonhampstead

Totnes

Crediton

Braunton

Holsworthy

Okehampton

Kingsbridge

Cullompton

Ivybridge

Axminster

Tavistock

Seaton

Ottery St Mary


10.5

9.9

8.3

8.1

7.8

7.7

7.3

7.2

7.1

6.8

6.7

6.5

6.3

6.3

6.1

6.1

5.9

5.8

5.7

5.5

5.4

5.4

5.3

4.9

4.8

4.4

4.2

4.1

3.9

0

2

4

6

8

10

12

14

Okehampton

Sidmouth

Bideford/Northam

Exeter

Barnstaple

Tiverton

Great Torrington

Dartmouth

South Molton

Ilfracombe

Cullompton

Seaton

Holsworthy

Axminster

Kingsbridge

Teignmouth

Totnes

Crediton

Dawlish

Exmouth

Braunton

Tavistock

Ivybridge


Newton Abbot

Moretonhampstead

Honiton

Ottery St Mary

Lynton and Lynmouth


Within Devon, such small numbers of First Time Entrants (FTEs) can cause significant statistical variations from one year

to the next, particularly in the smaller towns and communities. In general, around two thirds of FTEs do not reoffend,

but the pattern of those who re-offend more persistently (Persistent Youth Offenders - PYOs) is even more liable to

fluctuation outside of the four largest communities (Barnstaple, Exeter, Exmouth and Newton Abbot). Preventative

work by the Youth Offending Service and Children's Trust is increasingly focused, therefore, on the towns where there is

a longer term pattern of FTEs and PYOs above the Devon average.

Figure 12: Number of Youth offending Team Clients per 1,000 population (10-17 years), 2009 - Data Source: Devon

Youth Offending Team 2009

The graph below shows that the rate of Youth Offending Team clients in Axminster is 6.8 per 1,000 children aged 10-17

compared to 13.2 per 1,000 for Devon overall.

The principle aim of the Youth Justice System is to prevent offending by children and young people aged 10-17. The life

chances of young people who receive a criminal conviction are adversely affected in both the short and long term.

Evidence suggests that preventing the onset of offending and persistent re-offending will improve outcomes for those

children and young people, their families and communities.

The level of offending by children and young people is relatively low in Devon. 938 young people offended in 2010-11,

which equates to 9.8 offences per 1000 population aged 10 to 17. Of these, 491 were first time offenders, 326 were

repeat offenders and 121 were persistent offenders.

The total number of young people aged 10-17 years who offended in Devon has fallen by 31% between 2008-9 and

2009-10 and the overall number of offences committed has fallen by 33% within the same period. The highest number

of offences committed in 2010-11 was violence against the person (23%), theft & handling (17%) and criminal damage

(13%) whereas drug related offences have increased most significantly from 107 offences in 2008-9 to 141 in 2010-11 (32%).


6.2 Youth Offending

21.5

20.1

19.3

17.5

16.9

16.1

15.4

15.0

14.0

13.2

12.7

12.3

12.2

11.4

10.1

8.8

8.8

8.7

8.6

7.9

7.0

6.8

5.7

5.6

5.5

5.2

0

5

10

15

20

25

30

Bideford/Northam

Barnstaple

Teignmouth

Totnes

Exmouth

Exeter

Ilfracombe

Seaton

Newton Abbot

Honiton


Sidmouth

Dawlish

Tiverton

Ivybridge

Okehampton

Great Torrington

Cullompton

Crediton

South M

olton

Kingsbridge

Axminster

Braunton

Holsworthy

Ottery St Mary

Tavistock

Dartmouth

Lynton and Lynmouth

Moretonhampstead


The graph shows that of those living in Axminster , the percentage of Devon County Council school children attaining

five or more GCSE grades A-C is 66.7%. The rate for Axminster is not statistically different to the Devon rate.

Key Stage 4 results improved again in 2010 (54.7% gaining 5 A*C including English and Maths), showing an improvement

of nearly 3% on 2009, exceeding the national average by 1.7%. Girls are still outperforming boys with 60.4% to 49.1%

gaining 5 A*C (inc. E&M). 14.4% of students achieved the new recently introduced English Baccalaureate measure, in

comparison to the national figure of 15.1%.

The Local Authority has established a ‘Closing the Gap’ Programme to improve the attainment of the lowest 20% of

achievers, raising their attainment closer to the Devon average. Particular focus areas will be boys, those eligible for

Free School Meals, Special Educational Needs status and Children in Care. There is also a ‘Raising the Bar’ programme to

stretch the most able, but Devon's children are already above the national average in this context.

Figure 13: Percentage of children attaining five or more GCSE grades A-C, 2010 - Data Source: Devon LDP and Strategic

Commissioning - Children


6.3 GCSE Performance

73.0

71.9

69.1

66.7

64.9

64.7

62.4

61.4

60.9

60.6

59.5

57.9

57.0

56.3

54.8

54.6

53.8

53.4

53.2

51.6

50.0

50.0

49.2

46.4

44.6

41.3

41.1

40.6

36.7

0

10

20

30

40

50

60

70

80

90

Ottery St Mary

Seaton

Sidmouth

Axminster

Ivybridge

Cullompton

Okehampton

Totnes

Kingsbridge

Exmouth

South M

olton

Honiton

Braunton

Teignmouth

Crediton

Newton Abbot

Holsworthy

Great Torrington

Tiverton

Exeter

Dawlish

Lynton and Lynmouth

Dartmouth

Tavistock

Barnstaple


Ilfracombe

Bideford/Northam

Moretonhampstead


Figure 15: Percentage of pupils whose first language is not English - Source: DfE School Census 20/01/2011, DCC IDS and

Strategic Commissioning - Children

In 2011 there were 2,579 pupils speaking English as an Additional Language in Devon schools (2,551 of which were

resident in Devon). This represents 2.9% of the total maintained school population, an increase of around 50% in the

last 3 years (much of this increase is likely to be due to improved recording). There are around 100 different languages

spoken by children and young people in Devon schools, the largest minority languages in 2011 being Polish (381) and

Arabic (139) and 90+ speaking German, Bengali and Malayalam. The graph shows that in Axminster the percentage of

pupils whose first language is not English is 1.7%. The rate for Axminster is statistically lower than the Devon rate.

6.5 English as an Additional Language


Figure 14: Graph of Ethnicity and First Language - Source: DfE School Census 20/01/2011, DCC IDS and Strategic

Commissioning – Children

In 2011 there were 4,663 pupils from a minority ethnic background in Devon schools (4,580 of which were resident in

Devon). This represents 5.2% of the total maintained school population, an increase of around 5% in the last 3 years.

Over 40 schools now have more than 10% of their roll recorded as BME. However, in contrast, there are still a few

schools with no BME pupils. The largest numbers are White Eastern European (637) and White Western European (555).

The graph shows that in Axminster the percentage of pupils from a black or minority ethnic background is 4.4%. The rate

for Axminster is not statistically different to the Devon rate.

6.4 Ethnicity

9.7

7.5

6.9

6.4

5.9

5.8

5.6

5.5

5.1

5.1

4.8

4.8

4.5

4.4

4.4

4.3

4.2

4.1

3.9

3.9

3.9

3.7

3.7

3.5

3.4

3.3

2.9

2.2

2.1

0

2

4

6

8

10

12

Exeter

Totnes

Crediton

Ivybridge

Seaton

Dartmouth

Sidmouth

Kingsbridge

Teignmouth

Exmouth

Lynton and Lynmouth

Braunton

Honiton

Cullompton

Axminster


Moretonhampstead

Barnstaple

Ilfracombe

South M

olton

Tiverton

Dawlish

Okehampton

Newton Abbot

Ottery St Mary

Bideford/Northam

Tavistock

Great Torrington

Holsworthy


5.9

5.8

4.6

3.6

3.3

3.2

3.1

3.0

3.0

2.8

2.8

2.4

2.1

2.1

2.0

2.0

1.9

1.7

1.7

1.7

1.7

1.6

1.6

1.2

1.2

1.2

1.0

0.9

0.9

0

1

2

3

4

5

6

7

8

Exeter

Crediton

Cullompton

Barnstaple

Tavistock

Seaton

Lynton and Lynmouth

Moretonhampstead

Ivybridge

Sidmouth

Exmouth


Tiverton

Dartmouth

Braunton

Totnes

South M

olton

Teignmouth

Axminster

Dawlish

Honiton

Okehampton

Newton Abbot

Kingsbridge

Ilfracombe

Ottery St Mary

Great Torrington

Holsworthy

Bideford/Northam


Within Axminster there are 2 wards with an under 18

conception rate higher than the Devon average and no

wards with a rate lower than the Devon average. There

are no wards in Axminster with a significantly higher or

lower rate than the NHS Devon average.

Figure 16: Inset map for teen conception rate in

Axminster.


6.6 Teen Conceptions

Figure 17: Map showing teen conception rate by Devon

Ward - Data Source: ONS Ward under-18 conception

data 2006-08

The Adults section is divided into information relating to four main population groups:

- Older People Aged 65 and Over

- People with a Learning Disability Aged 18-64

- People with a Mental Health Condition

- People with a Physical Disability Aged 18-64

People receiving residential/ nursing care

People receiving community based care

People receiving targeted support services

People receiving an assessment

People receiving a review

This information relates to people receiving community based social care at any point during the year April 2010 to

March 2011, where the care was commissioned or provided by Devon Adult and Community Services. These services

include day care, home care, meals, direct payments, professional support and equipment /minor adaptations.

http://www.devon.gov.uk/index/socialcarehealth/sc-partnerships/providerengagement/market-position-statement.htm

7. Adults

For each of these groups, a range of adult social care information is provided, which includes a comparison of the rates

for the market town on the following topic areas:

This information relates to people receiving residential or nursing care at any point during the year April 2010 to March

2011, where the care was commissioned or provided by Devon Adult and Community Services (therefore excludes

privately arranged and self funded care).

A Devon-wide social care demand analysis has been completed as part of an adult social care Market Position Statement,

and this is a source of further detailed analysis of the social care needs of the people of Devon and can be viewed via the

following web link:-

This information relates to people receiving housing related support at any point during the year April 2010 to March

2011. These services are specifically aimed at helping people to establish independence in their own homes. Examples of

housing related support include helping people to manage their money, apply for benefits, keep their home secure and

access other services.

Social care assessments are carried out for new clients, i.e. they are not receiving a social care service at the time of the

assessment. This information includes all those new clients assessed during the 12 month period April 2010 to March

2011.

Reviews of current needs are carried out for existing adult social care services users. This information counts all those

existing clients who have had a review completed in the 12 month period from April 2010 to March 2011.

Of the 168,500 population aged 65+ for 2010, it is estimated that:

- 70,248 of those will have a limiting long-term illness (42% of population 65+)

- 25,279 will have a limiting long-term illness and will also be living alone (73% will be aged 75+)

- 62,927 people aged 65+ are predicted to live alone (21,600 aged 65-74 and 41,327 aged 75+)

- 28,341 will be living alone without transport

- 70,543 will be unable to manage at least one domestic task on their own

- 57,978 will be unable to manage at least one self-care activity on their own

- 32,155 will be unable to manage at least one mobility activity on their own

- The above levels of need are predicted to increase by 66% by 2030

Data Source: CSED www.poppi.org.uk version 5.0. Crown copyright 2010

Please refer to section 7.3 for information regarding Dementia.

In 2010 there were an estimated 168,500 older people 65+ in Devon. It is predicted that this will increase to 264,400 by

2030, representing a 57% increase (2010 to 2030). It is predicted that the most significant increases in population will be

in the 80-84 and 85+ age bands up to 2020, with percentage increases of 83% and 104% respectively. Please refer to

page 5 for market town specific population projections.

The following section provides information relating to the social care services and support provided to the 65+

population ofAxminster.

Since 2008/09 there has been an overall decline in the total number of people placed in care homes as the Council with

its NHS partners has pursued its stated aim of supporting people to remain in their own homes wherever possible and

appropriate.

The graph below shows that the proportion of the 65+ population of in Axminster who received residential or nursing

care services during the year April 2010 to March 2011 was 16 per 1000 population aged 65+ compared to 21.1 for

Devon overall. The rate for Axminster is not statistically different to the Devon rate.

Figure 18: Proportion of population aged 65+ receiving ACS provided-commissioned residential-nursing care (2010-11) -

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).

Residential/ nursing care

7. Adults

7.1 Older People Aged 65 and Over

39.3

34.2

34.1

32.6

32.6

29.1

28.9

26.7

24.7

23.3

21.5

20.6

20.1

20.0

19.8

18.8

18.4

17.6

17.1

16.9

16.0

15.9

13.2

12.4

12.3

11.4

11.0

10.9

10.4

0

10

20

30

40

50

60

Dawlish

Ilfracombe

Lynton and Lynmouth

Teignmouth


Seaton

Tavistock

Exmouth

Newton Abbot

Exeter

Moretonhampstead

Holsworthy

Bideford/Northam

Ivybridge

South Molton

Crediton

Barnstaple

Great Torrington

Cullompton

Braunton

Axminster

Honiton

Totnes

Okehampton

Tiverton

Ottery St Mary

Dartmouth

Sidmouth

Kingsbridge


The graph below shows that the proportion of 65+ population of Axminster who received targeted support services is

24.4 per 1000 population aged 65+ compared to 28.9 for Devon overall. The rate for Axminster is not statistically

different to the Devon rate.

The graph below shows that the proportion of 65+ population of Axminster who received community based care is 21.9

per 1000 population aged 65+ compared to 20.8 for Devon overall. The rate for Axminster is not statistically different to

the Devon rate.

Targeted Support Services

Figure 20: Proportion of population aged 65+ receiving housing related support (2010-11)- Data Source: CareSupport

7. Adults


Community-based Care

Figure 19: Proportion of population aged 65+ receiving ACS provided-commissioned community based care (2010-11)-

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).

46.3

44.0

41.9

37.6

34.0

33.7

33.7

33.1

32.0

31.1

31.0

31.0

30.8

30.5

28.8

28.5

27.0

25.5

24.4

21.9

20.0

19.5

19.4

19.2

17.5

15.9

14.3

14.0

10.3

0

10

20

30

40

50

60

Barnstaple

Totnes

Bideford/Northam

South M

olton

Crediton

Kingsbridge

Ilfracombe

Dawlish

Cullompton

Exmouth

Braunton

Ivybridge

Tiverton


Dartmouth

Exeter

Newton Abbot

Holsworthy

Axminster

Great Torrington

Tavistock

Lynton and Lynmouth

Teignmouth

Seaton

Sidmouth

Okehampton

Moretonhampstead

Honiton

Ottery St Mary


29.0

26.6

26.1

24.9

24.8

24.6

24.5

24.2

24.0

23.4

23.3

22.6

22.4

22.1

22.1

21.9

21.2

21.1

20.9

19.8

17.6

17.4

17.3

16.9

16.8

16.4

15.2

15.2

15.1

0

5

10

15

20

25

30

35

Seaton

Dawlish

Kingsbridge

Sidmouth

Dartmouth

Braunton

Teignmouth

Bideford/Northam

South M

olton

Barnstaple

Exmouth

Newton Abbot

Tavistock

Honiton

Great Torrington

Axminster


Ilfracombe

Totnes

Okehampton

Exeter

Crediton

Ottery St Mary

Ivybridge

Holsworthy

Moretonhampstead

Cullompton

Tiverton

Lynton and Lynmouth


Figure 22: Proportion of population aged 65+ receiving a review during the year per 1000 population (2010-11)- Data

Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

The graph below shows that the proportion of the 65+ population receiving a social care assessment (new clients) in

Axminster is 56.7 per 1000 population aged 65+ compared to 59.1 for Devon overall. The rate for Axminster is not

statistically different to the Devon rate.

Reviews

The graph below shows that the proportion of adults (existing clients) receiving a review in Axminster is 37.6 per 1000

population aged 65+ compared to 54.1 for Devon overall. The rate for Axminster is statistically lower than the Devon

rate.

Figure 21: Proportion of population aged 65+ receiving assessments during the year per 1000 population (2010-11)-

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

7. Adults


Assessments

73

69

69

68

65

64

64

62

62

62

62

60

59

59

58

57

57

56

55

54

54

51

50

49

48

47

43

42

39

0

10

20

30

40

50

60

70

80

90

Braunton

Teignmouth

Barnstaple

Exeter


Ilfracombe

Dawlish

Newton Abbot

Bideford/Northam

Seaton

Dartmouth

Tavistock

Great Torrington

Totnes

Exmouth

Moretonhampstead

Axminster

South M

olton

Honiton

Sidmouth

Kingsbridge

Okehampton

Ivybridge

Tiverton

Holsworthy

Crediton

Cullompton

Ottery St Mary

Lynton and Lynmouth


70

68

66

65

63

63

63

59

59

59

55

54

53

52

52

51

51

50

49

49

46

46

44

44

43

41

38

36

35

0

10

20

30

40

50

60

70

80

90

Ilfracombe

Barnstaple

Dawlish


Bideford/Northam

Exeter

South M

olton

Teignmouth

Newton Abbot

Great Torrington

Braunton

Lynton and Lynmouth

Crediton

Tavistock

Ivybridge

Cullompton

Exmouth

Kingsbridge

Holsworthy

Totnes

Seaton

Moretonhampstead

Dartmouth

Honiton

Okehampton

Tiverton

Axminster

Sidmouth

Ottery St Mary


-

- a rise in the reported number of school age children with autistic spectrum disorder

- greater incidence of learning disability in some BME groups of South Asian origin

The graph below shows that the proportion of adults with learning disabilities living in a care home in Axminster who

received residential or nursing care services during the year April 2010 to March 2011 was 2 per 1000 population aged

18 to 64 compared to 0.9 for Devon overall. The rate for Axminster is statistically higher than the Devon rate.

Figure 23: Number of people aged 18-64 with learning disabilities receiving residential/nursing care per 1000 population

aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

7. Adults

7.2 Adults with Learning Disabilities

10,752 people in Devon aged 18-64 are predicted to have a learning disability (baseline estimate). Based on population

projections, this number will increase by 4% to 11,199 by 2030. Data Source: CSED www.pansi.org.uk version 4.0.

Of the 10,752 baseline estimate for 2010, 2,409 people are predicted to have a severe or moderate learning disability.

Severe learning disability is relatively evenly spread in the population, but mild to moderate learning disability is linked

to poverty and rates are higher in deprived and urban areas.

The Devon Learning Disability Health Needs Assessment 2008 states that other factors which also lead to an increase in

the number of people with a learning disability include:

more children and young people with complex and multiple disabilities surviving into adulthood – this raises

important issues for “Transitions Planning” (on average 35 children and young people with either a severe or

profound multiple learning disability in Devon will transfer to adult learning disability services each year for the

next four years.)

longer life expectancy (especially for people with down's syndrome), with the number of adults over 60 with

learning disabilities expected to increase by 36% between 2001 and 2021

4,426 people in Devon aged 18-64 are predicted to have autistic spectrum disorders. Data Source: CSED

www.pansi.org.uk version 4.0.


The following section provides information relating to the social care services and support provided to the 18-64

population of Axminster with a learning disability.

It has also been estimated that 110 service users in Devon are living with carers over 70 years of age and this figure is

likely to grow as people with learning disabilities and their carers live longer.

4.1

3.0

2.3

2.1

2.0

1.9

1.6

0.0

0.0

0.0

0.0

0.0

0.0

0.7

0.5

0.5

0.0

0.0

0

1

2

3

4

5

6

Dawlish


Tavistock

Crediton

Axminster

Exmouth

Bideford/Northam

Okehampton

Teignmouth

South M

olton

Totnes

Cullompton

Newton Abbot

Exeter

Tiverton

Barnstaple

Great Torrington

Moretonhampstead

Braunton

Dartmouth

Holsworthy

Honiton

Ilfracombe

Ivybridge

Kingsbridge

Lynton and Lynmouth

Ottery St Mary

Seaton

Sidmouth


Figure 24: Number of people with learning disabilities aged 18-64 receiving community based care per 1000 population

aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)


The proportion of adults aged 18-64 with learning disabilities receiving targeted support services in Axminster is not

available, as the data at this geographical level had to be suppressed due to small numbers. Whilst the rate for

Axminster cannot be shown, it can be said that it is statistically lower than the Devon rate.

Figure 25: Number of people with learning disabilities aged 18-64 receiving targeted support services per 1000

population aged 18-64 (2010-11) - Data Source: CareSupport

7. Adults



The graph below shows that the proportion of adults aged 18-64 with learning disabilities receiving community based

care in Axminster is 2.8 per 1000 population aged 18-64 compared to 2.9 for Devon overall. The rate for Axminster is not


6.0

5.4

4.7

4.4

4.1

3.7

3.6

3.3

3.2

3.1

3.0

2.9

2.9

2.8

2.8

2.6

2.6

2.5

2.5

2.5

2.5

2.1

1.8

1.6

1.5

1.4

1.1

0.0

0

1

2

3

4

5

6

7

8

9

Kingsbridge

Honiton

Dawlish

Tavistock

Tiverton

Totnes

Bideford/Northam

Ilfracombe

Ottery St Mary

Crediton

Okehampton

Teignmouth

Exmouth

South M

olton

Axminster

Exeter


Cullompton

Sidmouth

Newton Abbot

Barnstaple

Ivybridge

Great Torrington

Holsworthy

Dartmouth

Seaton

Braunton

Lynton and Lynmouth

Moretonhampstead


4.0

2.1

1.2

1.2

1.1

1.1

1.0

1.0

1.0

1.0

1.0

1.0

0.9

0.9

0.9

0.8

0.6

0.4

0.0

0

1

2

3

4

5

6

Kingsbridge

Honiton

Totnes

Newton Abbot

Tiverton

Tavistock

Cullompton

Ottery St Mary

South M

olton

Dawlish

Great Torrington

Crediton

Barnstaple

Exmouth

Exeter

Okehampton

Ivybridge

Bideford/Northam

Dartmouth

Lynton and Lynmouth


Axminster

Braunton

Holsworthy

Ilfracombe

Moretonhampstead

Seaton

Sidmouth

Teignmouth


The graph below shows that the proportion of adults with learning disabilities receiving a review in Axminster is 1.6 per

1000 population aged 18+ compared to 1.6 for Devon overall. The rate for Axminster is not statistically different to the

Devon rate.

Figure 26: Proportion of population with learning disabilities receiving assessments during the year per 1000 population

(2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Assessments

The graph below shows that the proportion of adults with learning disabilities receiving an assessment in Axminster is

0.5 per 1000 population aged 18+ compared to 0.3 for Devon overall. The rate for Axminster is not statistically different

to the Devon rate.

Figure 27: Proportion of population with learning disabilities receiving a review during the year per 1000 population

(2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Reviews

7. Adults


0.6

0.5

0.5

0.5

0.5

0.4

0.4

0.4

0.4

0.3

0.3

0.3

0.0

0.0

0.0

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

Teignmouth

Totnes

Axminster

Okehampton

Tavistock

Newton Abbot

Bideford/Northam

Exeter

Crediton

Cullompton

Barnstaple

Exmouth

Braunton

Lynton and Lynmouth

Seaton


Dartmouth

Dawlish

Great Torrington

Holsworthy

Honiton

Ilfracombe

Ivybridge

Kingsbridge

Moretonhampstead

Ottery St Mary

Sidmouth

South M

olton

Tiverton


2.8

2.5

2.5

2.5

2.2

2.1

2.0

2.0

2.0

1.9

1.9

1.9

1.6

1.6

1.5

1.3

1.1

1.1

1.0

1.0

0.9

0.8

0.8

0.8

0.7

0.6

0.5

0.0

0

1

1

2

2

3

3

4

4

Crediton

Okehampton

Bideford/Northam

Tiverton

Dawlish

Kingsbridge

Honiton

Tavistock


Totnes

Cullompton

Exmouth

Axminster

South M

olton

Exeter

Newton Abbot

Ilfracombe

Teignmouth

Barnstaple

Braunton

Ottery St Mary

Seaton

Holsworthy

Dartmouth

Great Torrington

Ivybridge

Sidmouth

Moretonhampstead

Lynton and Lynmouth


71,733 People aged 18-64 predicted to have a common mental disorder

- 2,006 People aged 18-64 predicted to have a borderline personality disorder

- 1,550 People aged 18-64 predicted to have an antisocial personality disorder

- 1,783 People aged 18-64 predicted to have psychotic disorder

Data Source: CSED www.pansi.org.uk version 4.0. Crown copyright 2010

Incapacity Claimant Benefit

The graph below shows that the number of adults in Axminster receiving an Incapacity Benefit / Severe Disablement

Allowance as of February 2011 was 12.2 per 1000 adults of working age compared to 19.9 for Devon overall. The rate for

Axminster is statistically lower than the Devon rate.

Figure 28: Incapacity Benefit / Severe Disablement Allowance Claimants at February 2011 - Data Source: DWP

Information Directorate

Data Source: Devon Public Health, Devon Town Benefits Summary May 2007 (Mental Health Needs Assesment)

It is predicted that 221 people aged between 30 and 64 in Devon have early onset dementia of which 58% are male. This

is predicted to rise by 6% to 235 by 2030. Early onset dementia is most prevalent in the 50-59 age band for both men

and women.

The association between rates of mental illness and certain population characteristics – notably poverty, unemployment

and social isolation – is well established. This association is evidenced when analysing Incapacity Benefit (mental health

reasons) claimant rates by Devon town (2007 rates), where we see that Ilfracombe has the highest claimant rate,

followed by Dawlish and then Bideford & Northam. All three rank in the top five most deprived towns in Devon.

15,095 people in Devon aged 18-64 are predicted to be dependent on drugs in 2010, with 66% of these being male. This

is predicted to rise by 4% to 15,713 by 2030.

26,616 people in Devon age 18-64 are predicted to have alcohol dependence in 2010, with 72% of these being male.

This is predicted to rise by 4% to 27,759 by 2030.

The following shows the 2010 estimates for people predicted to have various mental health conditions living in Devon:

It is predicted that these figures will rise by 3% by 2030, with the exception of antisocial personality disorder which is

predicted to increase by 5%.

7. Adults

7.3 Adults with Mental Health Conditions

34.9

32.9

32.0

26.5

26.0

24.7

23.1

21.3

20.4

19.9

19.1

18.3

18.0

18.0

17.7

17.0

17.0

16.7

16.5

15.9

14.9

14.7

14.5

14.1

12.4

12.2

10.8

9.2

6.6

0

5

10

15

20

25

30

35

40

45

Ilfracombe

Dawlish

Bideford/Northam

Totnes

Teignmouth

Barnstaple


Tavistock

Exeter

Exmouth

South M

olton

Holsworthy

Dartmouth

Tiverton

Great Torrington

Kingsbridge

Honiton

Newton Abbot

Seaton

Crediton

Cullompton

Sidmouth

Okehampton

Ivybridge

Lynton and Lynmouth

Axminster

Ottery St Mary

Braunton

Moretonhampstead


Figure 29: Number of people aged 18-64 with a mental health condition receiving residential/nursing care per 1000

population aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return

2010-11)

Older People 65+ with Mental Health Conditions


population of Axminster with a mental health condition.

7. Adults



The graph below shows that the proportion of adults aged 18 -64 with a mental health condition living in a care home

in Axminster who received residential or nursing care services during the year April 2010 to March 2011 was 0 per 1000

population aged 18 to 64 compared to 0.2 for Devon overall. The rate for Axminster is not statistically different to the

Devon rate.

Older people with dementia usually continue to live at home with support, but may benefit from specialist

accommodation, including extra care housing. There were an estimated 12,561 people suffering from Dementia in

Devon in 2010, this is predicted to rise significantly to 23,076 by 2026 (a rise of 84% in 16 years).

The most common mental health problems in older people are depression and dementia. Depression affects

proportionately more older people than any other demographic group, because older people face more events and

situations that may trigger depression: physical illness, debilitating physical conditions, bereavement, poverty and

isolation. The majority of people who have depression make a full recovery after appropriate treatment, and older

people are just as responsive to treatment as younger people. Communities and support services can help older people

address some of the causes of depression such as social isolation, financial problems, or difficulties with their

accommodation.

0.9

0.8

0.4

0.2

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

1.6

1.8

2.0

Dawlish

Bideford/Northam

Exeter

Barnstaple


Axminster

Dartmouth

Great Torrington

Honiton

Ivybridge

Lynton and Lynmouth

Moretonhampstead

Ottery St Mary

Seaton

Sidmouth

South M

olton

Braunton

Crediton

Cullompton

Exmouth

Holsworthy

Ilfracombe

Kingsbridge

Newton Abbot

Okehampton

Tavistock

Teignmouth

Tiverton

Totnes


Figure 31: Number of people aged 18-64 with a mental health condition receiving targeted support services per 1000


Figure 30: Number of people aged 18-64 with a mental health condition receiving community based care per 1000

population aged 18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return

2010-11).



The proportion of adults aged 18-64 with a mental health condition receiving targeted support services in Axminster is

not available, as the data at this geographical level had to be suppressed due to small numbers. Whilst the rate for

Axminster cannot be shown, it can be said that it is statistically lower than the Devon rate.

7. Adults


The graph below shows that the proportion of adults aged 18-64 with a mental health condition receiving community

based care in Axminster is 1.3 per 1000 population aged 18 to 64 compared to 0.7 for Devon overall. The rate for

Axminster is not statistically different to the Devon rate.

1.8

1.4

1.3

1.3

1.3

1.1

1.0

1.0

0.9

0.9

0.7

0.7

0.6

0.6

0.5

0.5

0.4

0.4

0.3

0.0

0

1

1

2

2

3

3

Bideford/Northam

Great Torrington

Honiton

Axminster

Sidmouth

Dawlish

Ottery St Mary

Holsworthy

Barnstaple

Exmouth

Kingsbridge

Exeter

Cullompton

Ilfracombe

Tiverton

Tavistock

Okehampton

Newton Abbot

Ivybridge


Braunton

Crediton

Dartmouth

Lynton and Lynmouth

Moretonhampstead

Seaton

South M

olton

Teignmouth

Totnes


0.7

0.6

0.6

0.5

0.4

0.2

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.2

0.4

0.6

0.8

1.0

1.2

1.4

Exmouth

Bideford/Northam

Barnstaple

Exeter

Tavistock

Newton Abbot

Braunton

Cullompton

Dawlish

Great Torrington

Lynton and Lynmouth

Moretonhampstead

Seaton


Axminster

Crediton

Dartmouth

Holsworthy

Honiton

Ilfracombe

Ivybridge

Kingsbridge

Okehampton

Ottery St Mary

Sidmouth

South Molton

Teignmouth

Tiverton

Totnes


Figure 33: Proportion of population with a mental health condition receiving a review during the year per 1000

population (2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

The graph below shows that the proportion of adults with a mental health condition receiving a review in Axminster is

3.5 per 100,000 population aged 18 to 64 compared to 2.4 for Devon overall. The rate for Axminster is not statistically


Figure 32: Proportion of population with a mental health condition receiving assessments during the year per 1000

population (2010-11)- Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

Reviews

Assessments

The graph below shows that the proportion of adults with a mental health condition receiving an assessment in

Axminster is 2.3 per 1000 population aged 18 to 64 compared to 1.6 for Devon overall. The rate for Axminster is not


7. Adults


3.0

2.9

2.7

2.4

2.3

2.1

1.9

1.9

1.9

1.9

1.7

1.7

1.7

1.7

1.6

1.5

1.4

1.4

1.3

1.3

1.3

1.2

1.2

1.1

0.9

0.9

0.9

0

1

1

2

2

3

3

4

4

5

Seaton

Braunton

Ilfracombe

Teignmouth

Axminster

Sidmouth

Newton Abbot

Great Torrington

Dartmouth

Barnstaple

Holsworthy

Tavistock

Exmouth

Dawlish

Honiton

South Molton

Totnes

Bideford/Northam

Kingsbridge

Ottery St Mary

Exeter

Okehampton


Tiverton

Ivybridge

Cullompton

Crediton

Lynton and Lynmouth

Moretonhampstead


4.7

3.9

3.6

3.5

3.3

3.2

3.0

2.5

2.5

2.4

2.3

2.3

2.3

2.3

2.2

2.1

2.1

2.0

1.9

1.9

1.8

1.8

1.6

1.6

1.6

1.5

1.3

1.2

0

1

2

3

4

5

6

7

Teignmouth

Dawlish

Great Torrington

Axminster

Newton Abbot

Seaton

Ilfracombe

Exeter

Tavistock

Kingsbridge

Exmouth


Holsworthy

Braunton

Crediton

Barnstaple

South Molton

Moretonhampstead

Bideford/Northam

Dartmouth

Ivybridge

Honiton

Sidmouth

Ottery St Mary

Okehampton

Totnes

Cullompton

Tiverton

Lynton and Lynmouth


For Devon, during 2010, it is predicted that:-

-

-

-

- 830 people aged 18-64 were registered blind or partially sighted (March 2011)

- 3,745 people across all age groups (0+) were registered blind or partially sighted (March 2011)

- 280 people aged 18-64 were registered as deaf (March 2010)

Number of people aged 18-64 with physical disabilities receiving residential/nursing care per 1000 population aged 18-

64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

There are known to be more people in Devon who have a visual impairment who are not registered.

Data Source: NHS IC Registered Blind and Partially Sighted Statutory Return 2010/11, Tables B1 and PS1


population of Axminster with a physical disability.

The proportion of adults aged 18-64 with physical disabilities in Axminster is not available, as the data at this

geographical level had to be suppressed due to small numbers. Whilst the rate for Axminster cannot be shown, it can be

said that it is statistically lower than the Devon rate.


Of the 48,996 people predicted to have a moderate or serious physical disability, 23,045 (47%) are estimated to

require personal care. This is anticipated to increase by 5.8% to 24,371 by 2025. Data Source: CSED

www.pansi.org.uk version 4.0. Crown copyright 2010

20,053 people aged 18-64 living in Devon during 2010 had a moderate or severe hearing impairment. It is

predicted that this number will increase by 5% (to 21,022) by 2030.

The NHS Information Centre statutory returns Registered Blind and Partially Sighted, and People Registered Deaf or

Hard of Hearing indicate that in Devon:

7. Adults

7.4 Adults with Physical Disabilities

48,996 people aged 18-64 had a moderate or serious physical disability (46% of whom are aged 55-64 years). It is

predicted that this number will increase by 4% (to 51,089) by 2030. Of the 48,996, 24% (11,579 people) are

predicted to have a serious physical disability.

1.4

0.8

0.6

0.6

0.5

0.3

0.3

0.3

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0.0

0

1

1

2

2

3

3

Braunton

Ilfracombe

Tavistock

Okehampton

Crediton

Newton Abbot

Ivybridge

Exeter


Dartmouth

Great Torrington

Lynton and Lynmouth

Moretonhampstead

Ottery St Mary

Sidmouth

Axminster

Barnstaple

Bideford/Northam

Cullompton

Dawlish

Exmouth

Holsworthy

Honiton

Kingsbridge

Seaton

South Molton

Teignmouth

Tiverton

Totnes


Figure 36: Number of people with physical disabilities aged 18-64 receiving targeted support services per 1000


The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving targeted support

services in Axminster is 3.1 per 1000 population aged 18-64 compared to 1.6 for Devon overall. The rate for Axminster is

statistically higher than the Devon rate.



Figure 35: Number of people 18-64 with physical disabilities receiving community based care per 1000 population aged

18-64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).


7. Adults

The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving community based

care in Axminster is 4.5 per 1000 population aged 65+ compared to 5.5 for Devon overall. The rate for Axminster is not


7.6

7.3

7.1

6.5

6.4

6.4

6.3

6.2

5.9

5.8

5.6

5.5

5.5

5.1

5.0

4.9

4.9

4.7

4.6

4.5

4.5

4.4

4.4

4.3

3.8

3.8

3.6

3.4

2.7

0

2

4

6

8

10

12

Dawlish

Tavistock

Ilfracombe

Bideford/Northam

Barnstaple

Totnes

Honiton

Exmouth

Exeter

Dartmouth

Seaton

Sidmouth

South Molton

Tiverton


Braunton

Kingsbridge

Newton Abbot

Teignmouth

Holsworthy

Axminster

Crediton

Okehampton

Ivybridge

Lynton and Lynmouth

Cullompton

Great Torrington

Ottery St Mary

Moretonhampstead


3.7

3.4

3.1

2.7

2.3

2.2

2.2

1.9

1.7

1.6

1.6

1.5

1.5

1.4

1.3

1.3

1.2

1.2

1.1

0.0

1.0

2.0

3.0

4.0

5.0

6.0

Exmouth

Sidmouth

Axminster

Tiverton

South M

olton

Dawlish

Honiton


Bideford/Northam

Barnstaple

Seaton

Braunton

Dartmouth

Kingsbridge

Newton Abbot

Exeter

Great Torrington

Ilfracombe

Holsworthy

Cullompton

Crediton

Totnes

Teignmouth

Okehampton

Tavistock

Ivybridge

Lynton and Lynmouth

Moretonhampstead

Ottery St Mary


Figure 38: Number of people with physical disabilities aged 18-64 receiving a review per 1000 population aged 18-64

(2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving an assessment in

Axminster is 18.9 per 1000 population aged 18-64 compared to 17.3 for Devon overall. The rate for Axminster is not


Reviews

The graph below shows that the proportion of adults aged 18-64 with physical disabilities receiving a review in

Axminster is 10.4 per 1000 population aged 18-64 compared to 14 for Devon overall. The rate for Axminster is

statistically lower than the Devon rate.


7. Adults

Figure 37: Number of people with physical disabilities aged 18-64 receiving an assessment per 1000 population aged 18-

64 (2010-11) - Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11).

Assessments

18.9

18.0

17.8

17.7

17.0

17.0

17.0

16.1

16.0

15.8

15.8

15.5

15.4

14.4

14.0

13.8

13.5

13.3

13.3

12.7

12.5

12.3

12.2

12.1

11.4

11.3

11.1

10.4

0

5

10

15

20

25

Dawlish

South M

olton

Bideford/Northam

Seaton

Barnstaple

Braunton

Ilfracombe

Sidmouth

Lynton and Lynmouth

Exmouth

Kingsbridge


Teignmouth

Tavistock

Dartmouth

Great Torrington

Honiton

Newton Abbot

Holsworthy

Crediton

Cullompton

Totnes

Ivybridge

Exeter

Tiverton

Moretonhampstead

Okehampton

Axminster

Ottery St Mary


24.6

23.0

22.2

22.2

21.4

21.0

19.6

19.6

19.3

19.2

19.0

18.9

17.6

17.5

17.4

17.4

17.1

16.8

16.8

15.8

15.4

15.3

14.8

13.9

13.8

13.7

13.3

11.7

10.5

0

5

10

15

20

25

30

Seaton

Sidmouth

Dawlish

Teignmouth

Braunton

Dartmouth

Exmouth

Bideford/Northam

Tavistock

Barnstaple

Kingsbridge

Axminster

South Molton

Totnes


Ilfracombe

Newton Abbot

Great Torrington

Honiton

Okehampton

Exeter

Moretonhampstead

Tiverton

Holsworthy

Crediton

Ivybridge

Ottery St Mary

Cullompton

Lynton and Lynmouth


Evidence shows that, of those for whom carers provide support:

- 62% have a physical disability

- 6% experience mental ill health, including dementia

-

- 14% are older person with age-related care needs

Data Source: http://www.devon.gov.uk/devon_carers_strategy_finaldrafttargetted_consultation_sept_2009.pdf

The Carers Health Needs Assessment 2008 indicates the impact of caring on carers’ health:

-

- 39% of carers reported an impact on their physical and mental health

- 20% reported feeling tired or had a general feeling of stress

- 17% felt short tempered

- 14% reported feeling depressed or experienced disturbed sleep

14,400 (20%) of carers provide more than 50 hours of care and support per week. Across the county the numbers vary

with the highest proportion in several of the North Devon towns and the coastal areas of East Devon – those areas with

a higher older-age population.

The Devon Carers Health Needs Assessment 2008 indicates that more than 72,400 people (of all ages) in Devon have a

caring role (Census 2001 figures), 12% (approximately 8,700) of whom were aged 65 years and older, with 6,300 or 9%

aged 75 years of age or over. The Census 2001 indicates that in Devon there are just over 2,000 young carers aged up to

19 years (less than 3% of carers of all ages), although it is believed that there are significantly more. Roughly half of

young carers – 1,084 – are aged below 16 years of age. Of the 8,700 carers in Devon aged 65+, 2,884 are providing

unpaid care to a partner, family member or other person, but consider themselves to be in poor health. Data Source:

Census 2001

18% have both a mental and physical disability – which could include learning disability, or dependence on drugs or

alcohol

47% of elderly carers report a limiting long-term illness compared to 41% of people the same age in the general

population

7. Adults

7.5 Carers Services/Support and User/Carer Feedback

If Devon is to achieve its ambition of increasing by 10% the number of people with moderate to severe dementia who

are helped to remain at home by 2013, a range of support services for carers will be essential. The rising prevalence of

chronic illness and the commitment to support people to stay in the community through self-care, choice and

personalised care planning will have an impact on both current and future carers. Source: Devon Carers Health Needs

Assessment, Devon Carers Strategy

Figure 39: Number of people receiving an assessment or review from a carer per 1000 population aged 18+ (2010-11) -

Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2010-11)

User/Carer Feedback (Social Care)

7. Adults

7.5 Carers Services/Support and User/Carer Feedback

Carer assessments and reviews

The graph below shows that the proportion of adult carers aged 18+ receiving an assessment or review in Axminster is

15.2 per 1000 population aged 18+ compared to 14.9 for Devon overall. The rate for Axminster is not statistically


The statutory Adult Social Care Survey (ASCS) was undertaken for the first time in February 2011. 1099 questionnaires

were posted to clients over 18 from all client groups and receiving any type of service and 454 responses were received.

The results of the survey have been analysed in terms of positive responses as a percentage of all responses to each

question (i.e. Q. Which of the following statements best describes how much control you have over your daily life? A. I

have as much control over my daily life as I want; I have adequate control over my daily life).

Due to the volume of survey responses received, it is not feasible to analyse the results at a Devon Town level. However

a District analysis is available in the JSNA District Profiles, which shows the results for a selection of key questions from

the survey. This can be found on the Devon Health and Wellbeing Website:

http://www.devonhealthandwellbeing.org.uk/

27

24

21

21

20

20

19

19

19

18

16

15

15

15

15

14

14

14

13

12

12

12

11

11

10

10

10

10

10

0

5

10

15

20

25

30

35


Honiton

Barnstaple

Dartmouth

Ottery St Mary

Sidmouth

Seaton

Ilfracombe

Newton Abbot

Teignmouth

Totnes

Braunton

Axminster

Bideford/Northam

Dawlish

Exmouth

Holsworthy

South Molton

Exeter

Cullompton

Great Torrington

Kingsbridge

Tavistock

Crediton

Ivybridge

Tiverton

Okehampton

Lynton and Lynmouth

Moretonhampstead


Crime Axminster Rate Devon Rate Statistical Significance

Domestic Violence 8.7 14.1 statistically lower

Drug Related 0.9 1.9 statistically lower

Alcohol Related 2.4 5.7 statistically lower

Figure 42: Number of domestic violence cases per 1000 population aged 18+ (2010-11) - Data Source: Crime in England

and Wales, Home Office

The Home Office estimates that 7% of women and 5% of men will be have been victims of domestic violence in the past

year, with around 75% being repeat victims. The majority of these people will not have reported the incident to the

police and as such the figures below are an underestimate of the issue.

The graph below shows that the number of reported cases of domestic voilence in Axminster is 8.7 per 1000 population

aged 18+ compared to 14.1 for Devon overall. The rate for Axminster is statistically lower than the Devon rate.

Domestic Violence Cases

7. Adults

Figure 41: Crime rates for Axminster per 1000 population aged 18+. - Data Source: Various

This section provides information on domestic violence cases and drug and alcohol related crime. All rates have been

calculated per 100,000 adult (18+) population. The below table and graphs compare the rates for the Axminster area to

the Devon rate and other market town areas.

7.6 Crime

22.2

20.4

18.6

16.9

16.7

15.9

15.4

14.7

14.6

14.2

12.2

12.1

11.3

11.3

11.1

10.5

10.5

9.8

9.7

9.7

9.3

9.0

8.7

8.2

7.6

7.4

6.4

6.3

3.7

0

5

10

15

20

25

Barnstaple

Ilfracombe

Exeter

Teignmouth

Bideford/Northam

Exmouth

Dawlish

Newton Abbot

Tiverton


Honiton

Crediton

South Molton

Cullompton

Braunton

Seaton

Ivybridge

Dartmouth

Totnes

Tavistock

Holsworthy

Sidmouth

Axminster

Okehampton

Ottery St Mary

Moretonhampstead

Kingsbridge

Great Torrington

Lynton and Lynmouth


Figure 43: Number of drug related crimes per 1000 population aged 18+ (2008-09 to 2009-10) - Data Source: Devon and

Cornwall Constabulary Crime Data

The graph below shows that the number of annual drug related crimes in Axminster is 0.9 per 100,000 population aged

18+ compared to 1.9 for Devon overall. The rate for Axminster is statistically lower than the Devon rate.

Drug Related Crime

Figure 44: Number of alcohol related crimes per 1000 population aged 18+ (2008-09 to 2009-10) - Data Source: Devon

and Cornwall Constabulary Crime Data

For the purpose of this profile, the number of alcohol related crimes has been defined as the number of times an

individual has been charged with either VV4 - violence in the vicinity of a licensed premises, VV5 - violence under the

influence of an intoxicating substance, or a combination of these two.

The graph below shows that the number of annual alcohol related crimes in Axminster is 2.4 per 1000 population aged

18+ compared to 5.7 for Devon overall.

Alcohol Related Crimes

7. Adults

7.6 Crime

4.7

3.3

3.3

2.7

2.5

2.3

1.9

1.9

1.9

1.8

1.7

1.6

1.5

1.5

1.4

1.4

1.2

1.2

1.1

1.1

1.0

0.9

0.9

0.8

0.6

0

1

2

3

4

5

6

Barnstaple

Teignmouth

Great Torrington

Ilfracombe

Exeter

Honiton

Seaton

Bideford/Northam

Totnes

Dawlish

Tiverton

Dartmouth

Sidmouth

Exmouth

Kingsbridge

Okehampton

Crediton

Newton Abbot

Cullompton

South M

olton

Holsworthy

Ivybridge

Axminster

Tavistock

Braunton


Lynton and Lynmouth

Moretonhampstead

Ottery St Mary


11.0

8.7

8.7

7.8

7.7

6.1

6.0

5.9

5.2

4.9

4.7

4.0

3.7

3.7

3.7

3.6

3.5

3.3

3.2

3.1

2.8

2.8

2.7

2.4

2.4

2.2

2.0

0

2

4

6

8

10

12

14

Barnstaple

Exeter

Ilfracombe

Exmouth

Teignmouth

Bideford/Northam

Dawlish

Dartmouth

Newton Abbot

Tiverton

South M

olton

Totnes

Okehampton

Honiton

Braunton

Seaton

Kingsbridge

Cullompton

Great Torrington

Tavistock

Sidmouth

Crediton


Axminster

Ivybridge

Holsworthy

Ottery St Mary

Lynton and Lynmouth

Moretonhampstead


Figure 45: Inset map for Axminster

Current smoking rates in England are 21% generally

and 26% for routine and manual groups (R/M). For

Devon the most recent estimated smoking rate is

18.5% . However, in the South West smoking rates

for R/M groups are 25%. Although Devon overall has

tobacco use lower than the national average, there

are 76/201 wards where tobacco attributable

mortality is higher than expected and three regions

(Exeter, North Devon and Torridge) where the

indirectly standardised mortality ratio is higher than

expected This indicates that there are pockets where

there is a strong need for tobacco control work. In

Devon around 1 in 8 women smoke in pregnancy

(12%). Although this is better than the national

average, the impact is startling. Smoking during

pregnancy is estimated to contribute to 40% of all

infant deaths. Highest smoking rates are in the

deprived populations and is the leading factor in

increased health inequalities.

Figure 46: Modelled Medium Super Output Area Smoking prevalence in Devon (2003-05) - Data Source:Healthy

Lifestyle Behaviours, Model Based Estimates

7. Adults

7.7 Smoking

The graph below shows that in Axminster the directly age standardised rate of outpatient attendances is is 884 per

1,000, compared to a rate of 1131 per 1,000 for Devon. The rate for Axminster is statistically lower than the Devon

rate.

Figure 48: Directly age standardised rate of accident and emergency attendances per 100,000 population (2011) - Data

Source: Secondary Uses Service Commissioning Dataset

Figure 47: Directly age standardised rate of outpatient attendances per 100,000 population (2011) - Data Source:

Secondary Uses Service Commissioning Dataset

The graph below shows that in Axminster the directly age standardised rate of accident and emergency attendances is

is 237 per 1,000, compared to a rate of 342 per 1,000 for Devon. The rate for Axminster is statistically lower than the

Devon rate.

8.2 Accident and Emergency Attendances

8.1 Outpatient Attendances

8. Hospital Activity831

884

931

934

948

960

1000

1001

1005

1011

1013

1018

1024

1024

1039

1068

1072

1078

1083

1156

1174

1180

1372

1378

1411

1411

1467

1567

1627

0

200

400

600

800

1000

1200

1400

1600

1800

Moretonhampstead

Axminster

Seaton

Okehampton

Ottery St Mary

Cullompton

Exmouth

Sidmouth

Ivybridge

Kingsbridge


Honiton

Tiverton

Totnes

Crediton

Exeter

Tavistock

Dartmouth

Dawlish

Newton Abbot

Teignmouth

Lynton and Lynmouth

Holsworthy

Ilfracombe

South Molton

Great Torrington

Braunton

Barnstaple

Bideford/Northam

DASR Axminster Significant Difference Devon

136

147

182

212

235

237

241

242

253

253

263

275

293

307

310

318

327

356

389

394

399

419

419

428

446

446

460

466

617

0

100

200

300

400

500

600

700

Kingsbridge

Tavistock

Ivybridge

Moretonhampstead

Great Torrington

Axminster

Braunton

South Molton

Holsworthy

Seaton

Sidmouth

Crediton

Barnstaple

Ottery St Mary

Okehampton

Cullompton

Lynton and Lynmouth

Exeter

Bideford/Northam

Totnes

Ilfracombe


Newton Abbot

Dawlish

Dartmouth

Tiverton

Teignmouth

Exmouth

Honiton


The graph below shows that in Axminster the rate of emergency admissions is is 170 per 100,000, compared to a rate of

155 per 100,000 for Devon. The rate for Axminster is statistically higher than the Devon rate.

Figure 49: Directly age standardised rate of elective admissions per 100,000 population (2011) - Data Source: Secondary

Uses Service Commissioning Dataset

Figure 50: Directly age standardised rate of emergency admissions per 100,000 population (2011) - Data Source:

Secondary Uses Service Commissioning Dataset

The graph below shows that in Axminster the rate of emergency admissions is is 63.8 per 100,000, compared to a rate

of 69.1 per 100,000 for Devon. The rate for Axminster is statistically lower than the Devon rate.

8.4 Emergency Admissions

8. Hospital Activity

8.3 Elective Admissions

94

102

103

105

112

116

121

125

126

126

127

127

129

130

133

139

141

152

159

164

167

170

175

177

178

181

181

183

187

0

50

100

150

200

Ivybridge


Kingsbridge

Lynton and Lynmouth

Tavistock

Totnes

Holsworthy

Dartmouth

Newton Abbot

Great Torrington

Teignmouth

South Molton

Bideford/Northam

Ilfracombe

Braunton

Barnstaple

Ottery St Mary

Seaton

Crediton

Okehampton

Sidmouth

Axminster

Honiton

Tiverton

Cullompton

Exeter

Dawlish

Moretonhampstead

Exmouth


51

54

60

60

61

62

63

63

63

63

64

64

64

64

66

67

68

68

69

70

70

71

72

72

74

76

76

78

81

0

10

20

30

40

50

60

70

80

90

100

Moretonhampstead

Sidmouth

Totnes

Ottery St Mary

Okehampton

Tiverton

Seaton

Kingsbridge

Braunton

Holsworthy

Dartmouth

Axminster

Dawlish

Lynton and Lynmouth

Crediton

Exmouth

Cullompton

Teignmouth

Great Torrington

Ivybridge

South M

olton


Bideford/Northam

Ilfracombe

Honiton

Exeter

Newton Abbot

Tavistock

Barnstaple


The graph below shows that in Axminster the directly age standardised rate of alcohol related admissions is is 1114

per 100,000, compared to a rate of 1387 per 100,000 for Devon. The rate for Axminster is significantly lower than

the Devon rate.

Figure 51: Directly age standardised rate of alcohol related admissions per 100,000 population (2008-10) - Data

Source: Secondary Uses Service Commissioning Dataset

8. Hospital Activity

8.5 Alcohol Related Admissions

Alcohol-Related admissions include those where acute, chronic and mental conditions are known to relate either

fully or partially to alcohol use. Further details on how these figures are derived can be found in the glossary.

940.7

996.6

1030.1

1072.5

1113.6

1146.9

1152.5

1197.2

1234.5

1251.6

1282.5

1311.1

1312.6

1314.0

1315.5

1317.0

1374.2

1382.8

1420.2

1424.2

1431.7

1450.7

1493.9

1497.9

1506.3

1660.5

1670.8

1707.6

1845.4

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Moretonhampstead

Ottery St Mary

Sidmouth

Crediton

Axminster

Tiverton

Okehampton

Holsworthy

Ivybridge

Cullompton

Dartmouth

Kingsbridge

Braunton

Totnes

Exmouth

Lynton and Lynmouth

Honiton

Seaton

South M

olton


Great Torrington

Newton Abbot

Tavistock

Exeter

Dawlish

Bideford/Northam

Barnstaple

Teignmouth

Ilfracombe

DASR per 100,000 Axminster Significant Difference Devon

axminster - devon health and wellbeing · in axminster, the proportion of the population from a bme...

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