September 2012 Essex Local Authority Portraits a product of the Essex Joint Strategic Needs Assessment (JSNA) Rochford District Local Profile Rochford covers an area of 65 square miles and is predominantly rural in its character. It has miles of coastline as well as vast areas of countryside. The small outlying villages and towns offer both rural and semi-rural living. These are still within easy reach of the main centres Contains Ordnance Survey data and the mainline railway. Recreation © Crown copyright and database right 2010 facilities include 3 golf courses, sports centres, open countryside, foot and bridle paths, the sea wall and woodland areas. Within Rochford there are many listed buildings and these include Rochford Hall, a Norman Castle and Rayleigh Windmill. Despite these cultural historic buildings there have still been modern enhancements, such as the recently completed improvements to Rochford Market Square. There is a wide variety of housing in the area ranging from stylish properties to historic listed buildings in conservation areas. Also in the area there are excellent sheltered housing schemes for the elderly. Population Local Authority Rochford Essex 2014 20-64 0-19 Projected population by Essex local authority by selected age bands (1,000s) 65+ 0-19 2035 20-64 65+ 2014 % 65+ 2035 % 65+ % change 18.9 46.7 18.8 20.2 46.3 27.7 22.3% 29.4% 7.1% 331.0 808.3 286.7 371.9 845.5 443.0 20.1% 26.7% 6.6% The Rochford district is projected to increase from 84,500 people to 94,200 by 2035. The number of residents living in the district who are aged 65 and over is expected to increase from 18,800 people to 27,700. This takes the proportion of people in this age bracket from 22.3% to 29.4% by 2035. This is a 7.1% increase. 2035 0-19 21.5% 65+ 29.4% The proportion of people in Rochford aged 65+ is expected to rise to 29.4% by 2035 65+ 22.3% 0-19 22.4% 20-64 49.1% 20-64 55.3% 2014 Lifestyles 14.2% of Rochford district adults are smokers (Essex Highest: 24% Harlow, Essex lowest: 8% Brentwood). This is lower than the national average (19%). This increases to 17.8% in the routine and manual groups of the district (Essex highest: Maldon 37.8%, Essex lowest: Uttlesford 6%). In 2012/13 430 people per 100,000 in the Rochford district were admitted to hospital with alcohol related conditions. (Essex highest: Harlow 730 per 100,000, Essex lowest: Brentwood 367/100,000). This is lower than the national average (637/100,000). The actual number of alcohol related admissions have recently decreased with 406 admissions in 2011/12 to 372 in 2012/13. 71.3% of adults in the Rochford district are classified as overweight or obese, this is the third highest proportion out of all the Essex districts (Essex highest: Castle point 73%, Essex lowest: 62% Chelmsford). This is above the national average (64%). 28.6% of 10/11 year old children were overweight or obese in the district in 2012/13 (National average: 33%, Essex highest: 34% Harlow, Essex lowest: 28% Brentwood). 20.6% of Rochford district adults are doing enough physical activity to benefit their health, this is the highest percentage out of all the Essex districts (National average: 17%, Essex highest: 20.6% Rochford, Essex lowest: 15% Braintree). 36.9% adults in the Rochford district take part in organised sports (Essex highest: 44% Chelmsford, Essex lowest 21% Tendring). Physical activity is undertaken as part of a club membership for around 20.8% of the district’s adults (Essex highest: 30% Brentwood, Essex lowest: Tendring 16%). 80% of the Rochford district is classified as green space (Essex highest: 93% Uttlesford, Essex lowest: 51% Castle Point). Health h1,260 people aged over 65 People aged 65+ Estimated to have Dementia in Rochford are thought to This figure is estimated to rise to 2,270 by 2030. The rising number of people with dementia will impact on future housing stock where consideration needs to be given to the availability of supported and sheltered housing and for care homes. 5,000 Number of people have dementia 4,000 3,000 2,000 2030 1,000 2014 0 In 2010-12 147 Rochford district residents died prematurely from cardiovascular diseases, this is 62 people per 100,000 of the population. (National average: 81/100,000, Essex highest: Harlow 87/100,000, Essex lowest, Castle Point 55/100,000). In 2012/13 105 Rochford district residents aged 65+ were admitted to hospital for hip fractures, this is 576 per 100,000 of the over 65 population. This is similar to the national average. (National average 568/100,000, Essex Highest 723/100,000 Harlow, Essex lowest: 544/100,000 Uttlesford). In 2012/13 there were 4,408 QOF-recorded cases of diabetes. This is estimated to be 5.96% of the Rochford district population who are registered with GP practices. This has increased by 533 cases since 2010/11. (National Average: 6.01%, Essex highest: 7.78% Tendring, Essex lowest: 4.78: Brentwood). Count Value Under 75 mortality rate: Cardiovascular 147 62/100,000 Recorded Diabetes 4,408 5.96% Hip fractures in people aged 65 & over 105 576/100,000 England - Range The latest survey of Essex residents estimates: 3% of the Rochford district rates their general health as bad or very bad, this is the joint lowest in Essex. (Essex highest: 13% Tendring, Essex lowest: 3% Rochford & Chelmsford). Children & Young People The wellbeing of children and young people can be affected by many factors. Children and young people in care are among the most socially excluded children in England. There are significant inequalities in health and social outcomes compared with all children, these contribute to poor health and social exclusion of care leavers later in life. There is also evidence that childhood poverty leads to premature mortality and poor health outcomes for adults. Projected children & young people population by selected age bands: Local Authority 2014 0-4 5-10 11-15 16-17 Rochford 4,370 5,590 4,810 2035 2020 0-4 5-10 11-15 16-17 2,240 4,420 5,960 5,090 0-4 5-10 11-15 16-17 1,950 4,420 6,070 5,540 2,260 As at 31st March 2014 there were 21 children in care placed in the Rochford district1. 3 Children with a Rochford postcode had a Child Protection Plan in place. 147 children in Rochford receive social care support. From April 1st – June 30th 2014, Maldon had 10 families commenced on a Family solutions episode, this is 3.5% of all episodes in Essex. Families in need of help, work voluntarily with Family solutions for up to 12 months to identify their own solutions to their problems. 10.8% of dependent children & young people aged under 20 in the Rochford district live in relative poverty. This is lower than the national average. (England average: 20.1%, Essex highest 24.4% Tendring, Essex lowest: 8.1% Uttlesford). In 2012 12.7% of children in Rochford lived in non-working households, this is less than the national average (14.9%). (Essex highest: 24.3% Tendring, Essex lowest: 7.1% Chelmsford). Research evidence suggests that teenage mothers are less likely to finish their education, are more likely to bring up their child alone and in poverty and have a higher risk of poor mental health than older mothers. The number of teenage conceptions (women aged under 18) was 24 in the Rochford district, this equates to 15 conceptions per 1,000 women aged under 18 (Essex highest: 37/1000 Harlow, Essex lowest: 10/1,000 Uttlesford), in 2012. This is lower than the national average (28/1,000). 22.1% 15-24 year olds in Rochford were tested for Chlamydia, 7% of tests were positive. Essex. (Essex highest percentage of positive tests: 9.7% in Harlow, Essex lowest: 6.3% in Colchester). 1 Children in care data taken from operational reporting extracted from ICS Protocol at the year end. According to the 2014 School, Health and Education Unit (SHEU) survey: Primary pupils in Rochford scored their overall averages. wellbeing as 14 out of 20, similar to Essex Secondary pupils in Rochford scored their overall wellbeing as 13.2 out of 20, similar to Essex averages. 35.8% of secondary school pupils said there was not enough to do in the Rochford local area. Percentage of secondary school pupils who say there is not enough to do in their local area 80.00% 60.00% 58.60% 38.40% 35.80% 40.00% 18.60% 20.00% 0.00% Tendring (Essex Highest) Rochford Epping forest (Essex lowest) Essex Education The general level of educational attainment within a population is closely associated with the overall health of that population. The long-term demographic and health problems for a child born into a family with traditionally low standards of educational attainment may be severe, affecting health choice behaviour and service provision uptake into adulthood. The factors associated with low achievement are levels of parental unemployment, single parent households, having parents with low educational qualifications, being persistent truants and eligibility for free school meals. Young people with no qualifications are more likely to not be in education, employment or training post 16. 8% of primary pupils and 7% of secondary pupils in the Rochford district were eligible for free school meals. (Essex highest: 21% primary & 16% secondary Tendring, Essex lowest: 6% primary In 2013 Uttlesford & 5% secondary Brentwood). 60.0 In 2013 56.4% of pupils in 50.0 Rochford achieved a good level of development at the end of the 40.0 Early Years Foundation Stage. 30.0 This drops to 39.5% for pupils who 56% 57% Rochford Uttlesford (highest in Essex) 38% 20.0 10.0 are eligible for free school meals. 0.0 Harlow (lowest in Essex) In 2012/13 60.6% of Rochford secondary school pupils achieved five or more GCSEs at grades A*-C including English & Maths, this similar to the national average (60.8%). (Essex highest: 69.8% Brentwood, Essex lowest: Braintree 52.3%). In 2014 57.1% of children in Rochford attended a good or outstanding school, this is the joint lowest in Essex (Essex Highest: 93.3% Brentwood, Essex lowest 57.1% Rochford & Tendring). 5% of half days in state funded secondary schools in the district were missed in 2012/13 due to authorised & unauthorised absences. (National average 5.3%). 3.9% of these absences are persistent absentees. Young people who attend school regularly are more likely to get the most they can out of their time at school, and are therefore more likely to achieve their potential, and less likely to take part in anti-social or criminal behaviour. Reducing truancy and exclusion levels are therefore important. According to the latest SHEU survey: 54.7% of secondary pupils in Rochford say they enjoy school most or all of the time. (Essex highest: 68.4% Brentwood Essex lowest: 45.3% Harlow). Just over 3 out of 10 60% secondary pupils in Rochford would like to go to university when they leave school (Essex highest: 70.8% Epping Forest, Essex lowest: 35% Castle Point). (31%) of secondary school pupils in Rochford say they have sometimes felt afraid to go to school because of bullying. This is the highest percentage of pupils out of all the districts in Essex. (Essex highest: 31% Rochford, Essex lowest: 13.3% Brentwood). NEET From November 2013 - January 2014, 3.5% of young people (16-18) in Rochford were not in education, employment or training NEET. This is lower than the national average (5.3%) (Essex highest: 6.8% Tendring, Essex lowest: 3.1% Uttlesford). Adult qualifications Population Aged 16-64 with No Qualifications 20.00% 15.00% 10.00% 5.00% 0.00% In 2013, 9.6% of the adult population of Rochford had no qualifications. Those with no qualifications are more at risk of not being in paid work and of receiving lower rates of pay. Employment Health and employment are intimately linked, and long term unemployment can have a negative effect on health and wellbeing. Unemployment leads to loss of income, which affects standards of living. The longterm effects can include depression and anxiety, a loss of identity and reduced perceptions of self-worth. In addition, work can play an important role in social networks and the complex interactions between the individual and society, as work is an integral part of modern day social networking. Unemployment Rate (16+) 9.00% 8.00% 7.00% Percentage 6.00% 5.00% 4.00% 3.00% 2.00% 1.00% 0.00% Apr 2009 - Mar 2010 Apr 2010 - Mar 2011 Rochford In 2013/14 the unemployment Apr 2011 - Mar 2012 Essex Apr 2012 - Mar 2013 Apr 2013 - Mar 2014 Great Britain rate in over 16 year olds in Rochford was estimated to be 4.7%, this is less than the England average of 7.2%. The highest in Essex was Tendring with 8% and the lowest was Uttlesford with 3%. Unemployment rates in Rochford have decreased by 0.8% since 2009/10. Inequalities Health inequalities are differences in health outcomes between different population groups. To improve health and reduce inequalities, we need to consider all the factors that influence health, these are known as the wider determinants of health. This ‘tartan rug’ table shows for each Middle Super Output Area (MSOA) in the local authority the value for each key indicator and whether it is significantly different from the England average. Percentage of population aged 65 years and over Income Deprivation Child Poverty Older people deprivation GCSE achievement (5 A*Unemployment C incl. Eng & Maths) Adult obesity Adult Binge Drinking England 16.9 14.7 21.8 18.1 58.8 3.8 24.4 20.1 Essex CC 19.2 15.5 16.5 14.9 59.8 3.0 24.2 19.4 Rochford CD 21.2 8.2 10.3 12.8 66.6 2.2 25.4 18.6 Rochford 001 28.5 7.8 8.8 12.9 57.8 2.1 27.9 18.6 Rochford 002 20.9 6.5 7.4 11.1 65.0 1.8 25.9 18.0 Rochford 003 22.7 5.9 6.1 10.6 81.5 1.8 25.7 17.1 Rochford 004 17.6 18.4 26.7 22.3 51.9 3.6 24.3 19.9 Rochford 005 22.5 4.6 5.2 8.1 76.1 1.6 24.8 16.9 Rochford 006 13.8 9.2 11.5 16.2 73.5 2.5 26.7 21.5 Rochford 007 20.0 10.8 14.7 16.2 67.1 2.7 26.4 18.0 Rochford 008 23.7 8.7 9.1 14.8 58.8 2.4 23.2 17.9 Rochford 009 23.0 5.1 6.8 8.2 68.3 1.8 24.3 17.9 Rochford 010 18.4 9.7 12.9 15.0 51.8 2.4 24.9 21.7 Note that some of this data may differ from those presented earlier in the report due to varying data sources. (It may not be the most recent sources as it is broken down by MOSA). Key: significantly worse than England (higher for population indicators) significantly better than England (lower for population indicators) not significantly different Middle Super Output Area (MSOA) Rochford 004 has significantly worse outcomes for a number of the indicators listed in the table. The chart also demonstrates that most MOSA’s in Rochford have a higher than average over 65 population. Life expectancy & Causes of death (per 100,000 population) Life Expectancy for males Life Expectancy for females Deaths all ages, Deaths under 75, all causes all causes Deaths under 75, Deaths under 75, Deaths under 75, Deaths all ages, all circulatory all coronary heart all cancer stroke disease disease Deaths all ages, all respiratory disease England 78.9 82.8 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Essex CC 79.8 83.3 95.3 89.3 84.7 96.1 81.5 89.5 93.2 Rochford CD 80.9 84.3 88.7 77.2 70.9 88.5 66.0 81.7 81.4 Rochford 001 82.4 84.1 80.2 79.9 58.3 102.9 44.4 69.7 57.9 Rochford 002 83.6 86.7 72.8 68.3 59.6 73.1 48.3 60.9 80.9 Rochford 003 82.6 88.1 71.9 66.6 72.4 85.4 73.6 69.3 65.6 Rochford 004 77.9 79.8 125.0 96.4 86.1 65.7 87.5 140.7 154.6 Rochford 005 81.4 81.3 105.6 66.1 56.5 81.8 56.4 70.3 97.5 Rochford 006 79.6 84.4 96.3 76.5 73.8 88.4 63.6 88.6 82.6 Rochford 007 79.5 83.7 98.1 97.4 88.0 112.2 46.7 111.8 79.0 Rochford 008 79.6 83.6 95.3 87.1 90.2 86.9 84.0 99.0 83.8 Rochford 009 82.7 88.7 68.1 64.7 49.7 84.7 62.7 26.5 51.6 Rochford 010 78.6 83.8 98.3 92.5 88.1 101.6 97.0 99.8 91.1 The health of people in Rochford is generally better than or similar to the England average. Life expectancy for men and women in the Rochford district is significantly better than the national average. . Contains Ordnance Survey data © Crown copyright and database right 2010 ONS, Super Output Area Boundaries. Crown copyright 2004. Crown copyright material is reproduced with the permission of the Controller of HMSO. C2008001229 Transport Transport impacts on the health of a population via a number of factors including injuries, physical activity undertaken, air pollution and access to services. The last of these involves people traveling for basic necessities such as work, education, healthcare and purchasing food. The affordability and accessibility of driving a car has increased over the past 30 years and this has heavily influenced planning decisions to be car focussed. However, there is still a significant proportion of the population without car access whom are reliant on public transport, cycling and walking. Average minimum travel time to reach the nearest key services1 by public transport/walking (minutes) Essex At 16 minutes the Rochford district has the joint 3rd shortest average travel time by 17 Harlow & Brentwood (Least time) 12 public transport or walking to reach key services. Rochford 16 Tendring (Most Time) 25 0 10 20 30 1 An average of the minimum travel times to Employment centres, Primary schools, Secondary schools, Further Education, GPs, Hospitals and Food stores Around a 1/5 of those on job seekers allowance in the district are unable to access employment centres by public transport or walking. This may present barriers to future employment opportunities for those without access to a car. Latest data from the Essex County Council Tracker survey shows that in Rochford around 65% of residents are satisfied with their local bus service and less than half, 53% were satisfied with their local transport information, this is the highest out of all Essex districts. Housing The relationship between housing and health is a recognised association but a complex one. A number of elements in and around the home can impact on health and wellbeing and will be influenced by other determinants such as education, employment and infrastructure. Specific housing related issues affecting health are indoor pollutants, cold and damp, housing design, overcrowding, accessibility, neighbourhood safety, social cohesion and housing availability. Percentage of households fuel poor by lower super output area (2012). 6.5% of the Rochford district households were deemed fuel poor (based on the "Low income, high cost" methodology) in 2012. This is less than the national average (10.4%). (Essex highest: Uttlesford 9.4%, Essex lowest: Basildon 6.1%). From 2011 - 2012 there were 28 excess winter deaths in the Rochford area. This is around 11.7% additional deaths, this is lower than the national average (16.1%) and the lowest out of all Essex districts (Essex highest: 33.8% Braintree, Essex lowest: 11.73% Rochford). In 2012/13, 1.61 per 1,000 households were homeless or in priority need in the Rochford district. (National average: 2.37/1,000, Essex highest: 3.75/1,000 Harlow, Essex lowest: 0.64/1,000 Tendring & Maldon). At 7.9%, Rochford has the fourth highest proportion of housing association (Essex highest: 16.3% Braintree, Essex lowest: 1.4% Castle Point). stock in Essex Rochford District Summary Rochford has a higher population of over 65’s. The proportion of the population who are over 65 is expected to increase to over 33% Rochford has a high percentage of residents who are classified as overweight or obese, so reducing these levels and increasing physical activity is extremely important in this area. The percentages of Children living in poverty and nonworking households are lower than the national averages. The ageing population will increase the pressure on Health and social care. Rochford performs similar to England averages on several of the education measures. However has the joint lowest percentage of pupils attending a good or outstanding school. Rochford has the highest satisfaction levels in Essex for local transport. However, there were still only just over half of residents saying they were satisfied with local transport information. Rochford has the third lowest percentage of households deemed fuel poor in Essex. Unemployment rates in Rochford are less than the national average. The health of people in Rochford is generally better than or similar to the England average. However MOSA 004 performs significanlty worse on a number of outcomes. Rochford has the lowest rates of excess winter deaths in Essex. Some questions for commissioners to consider: Promoting healthier lifestyles How to reduce obesity problems? How to promote and encourage physical activity & use of green space in Rochford? Reducing inequalities How to target the most deprived areas in Rochford with the worst outcomes? How to ensure people have access to information on services in their locality? How to ensure that some of the most vulnerable populations in the district are able to access key services and are satisfied with their local transport? How to increase the number of pupils attending good or outstanding schools? Increasing Wellbeing How to prevent the prevalence of diabetes increasing? What are the health and social care implications for an ageing population? As the aging population increases, how to support older people with their housing needs whilst keeping them independent? essex shaping the future Insight of essex Essex Insight is the neighbourhood information system and data observatory for Essex. The latest data releases along with a wide range of other topic area datasets are or soon will be available on the website. Bookmark it now as your one stop shop for data on Essex www.essexinsight.org.uk This profile was designed and produced by Insight & analysis County Hall, Chelmsford, Essex
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