Tiverton - Devon Health and Wellbeing

Joint Strategic Needs Assessment Town
Profile 2013-14
Tiverton
v2.1 October 2013
Page 1
Executive Summary
This executive summary shows the main findings of this document in one place (excluding mortality and admissions
spine chart data). It highlights rates that are statistically higher or lower than the Devon rate.
► The population of Tiverton is predicted to increase by 3344 people between 2011 and 2026, a rise of 8.9%.
► Based on the 2011 census, the prevalence of the BME population in Tiverton is 1.4% compared to 2.7% in Devon
overall.
Statistically Lower Rate
Rate Not Statistically Different
Section / Data
Birth Rate
Life Expectancy
Children In Need
Statements
SEN
Children &
School Action+
Youth Offending
Young
5 GCSEs A-C
People
Ethnicity
English Not First Language
Living in care homes
Aged 65+
Community based care
Assessments
Learning
Living in care homes
Disabilities
Community based care
Living in care homes
Mental Health
Community based care
Condition
Assessments
Adults
Living in care homes
Physical
Community based care
Disabilities
Assessments
Carer Assessments and Reviews
Carers receiving Self-Directed Support
Domestic Violence
Crime
Drug
Alcohol
All Elective
Hospital
All Emergency
Admissions
Alcohol Related
Statistically Higher Rate
Rate
65.2 births per 1,000 females aged 15 to 44
81.4 years
324 per 10,000 population aged under 18
3.6% of school pupils
6.7% of school pupils
7.8 per 1,000 children aged 10-17
59.2% of DCC school pupils
5.7% of school pupils
4.1% of school pupils
9.8 DASR per 1,000 population aged 65+
40.6 DASR per 1,000 population aged 65+
44 DASR per 1,000 population aged 65+
0.1 DASR per 1,000 population aged 18 to 64
5.8 DASR per 1,000 population aged 18 to 64
0 per 1000 population aged 18 to 64
5 DASR per 1,000 population aged 18 to 64
1.6 DASR per 1,000 population aged 18 to 64
0 DASR per 1,000 population aged 18 to 64
4.6 DASR per 1,000 population aged 18 to 64
3.2 DASR per 1,000 population aged 18 to 64
0.72 DASR per 1,000 population aged 18+
17.9 DASR per 1,000 population aged 18+
12.4 per 1,000 population aged 18+
1.7 per 1,000 population aged 18+
4.9 per 1,000 population aged 18+
4872 per 100,000 population
2176 per 100,000 population
1228 per 100,000 population
Produced by:
Matt Edmunds, Senior Public Health Information Analyst
Acknowledgements:
Simon Chant, Public Health Specialist (Intelligence)
Melanie Burke, Senior Management Information Officer
Louise Hann, Management Information Team
Kirsty Priestley, Senior Public Health Information Analyst
Gemma Hobson, Senior Public Health Information Analyst
Shaun Carter, Corporate Projects Officer
Lesley Gibbings, Policy Performance & Review Officer (Torbay)
Carla Calzavacca, Assistant Management Information Officer
statistically higher
not statistically different
not statistically different
not statistically different
not statistically different
statistically higher
not statistically different
statistically lower
not statistically different
statistically lower
statistically lower
statistically lower
statistically lower
statistically higher
statistically lower
statistically lower
statistically lower
statistically lower
not statistically different
not statistically different
not statistically different
not statistically different
not statistically different
not statistically different
Statistically Higher
Statistically
Lower
statistically lower
Page 2
Contents
1. Introduction
3
2. Population
4
2.1 Current Population
2.2 Population Projections
2.3 Black and Minority Ethnic
4
5
6
3. Deprivation
7
4. Birth Rate
8
5. Life Expectancy
8
6. Mortality
9
7. Children and Young People
7.1 Children in Need
7.2 Special Educational Needs
7.3 Youth Offending
7.4 GCSE Performance
7.5 Ethnicity in schools
7.6 English as an Additional Language
7.7 Teen Conceptions
8. Adults
8.1 Older People Aged 65 and Over
8.2 Adults with Learning Disabilities
8.3 Adults with Mental Health Conditions
8.4 Adults with Physical Disabilities
8.5 Carers
8.6 Personalisation
8.7 Crime
8.8 Smoking
9. Hospital Activity
9.1 Elective Admissions
9.2 Emergency Admissions
9.3 Alcohol Related Admissions
10
10
11
12
13
13
14
15
16
17
20
22
24
26
28
30
31
31
32
33
Page 3
1. Introduction
This is the Devon Joint Strategic Needs Assessment Health Profile for Tiverton.
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. This 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 Tiverton, information has been provided for the other Towns, and for Devon as a whole so
that Tiverton can be compared to these other areas.
Data for this report was gathered and collated by the Devon Public Health Intelligence team and the Devon Social Care
Commissioning Management Information team.
A glossary is available providing detailed definitions and background information for the measures in this report:
http://www.devonhealthandwellbeing.org.uk/wp-content/uploads/2011/03/Glossary.pdf
Figure 1: Detailed Map of the Tiverton Locality area.
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 Public Health
Intelligence Team at [email protected].
Page 4
2. Population
2.1 Current Population
A population pyramid for Tiverton can be seen below. As a comparison, the Devon population pyramid is shown by the
black lines.
F
M
Age Group
Female
Male
Total
0 to 4
1010
1046
2056
5 to 9
1082
1129
2211
10 to 14
1118
1172
2290
15 to 19
1095
1242
2337
20 to 24
876
970
1846
25 to 29
955
1004
1959
30 to 34
1007
955
1962
35 to 39
1059
1041
2100
40 to 44
1322
1362
2684
45 to 49
1437
1406
2843
50 to 54
1333
1340
2673
55 to 59
1320
1235
2555
60 to 64
1344
1271
2615
65 to 69
1351
1297
2648
70 to 74
1001
961
1962
75 to 79
806
718
1524
80 to 84
642
498
1140
85+
715
419
1134
Total
19473
19066
38539
Figure 2: Tiverton population size by age group and gender (June 2012) Data Source: Patient
and Practitioner Services Agency
Town
85+
80 to 84
75 to 79
70 to 74
65 to 69
60 to 64
55 to 59
50 to 54
45 to 49
40 to 44
35 to 39
30 to 34
25 to 29
20 to 24
15 to 19
10 to 14
5 to 9
0 to 4
1.9
1.7
2.1
2.6
3.5
3.5
3.4
3.5
3.7
3.4
2.7
2.6
2.5
2.3
2.8
2.9
2.8
2.6
7
5
3
1
Devon
1.1
1.3
1.9
2.5
3.4
3.3
3.2
3.5
3.6
3.5
2.7
2.5
2.6
2.5
3.2
3.0
2.9
2.7
2
4
6
Figure 3: Tiverton population pyramid (showing % of total population) compared to Devon (June 2012) Data Source:
Patient and Practitioner Services Agency
Page 5
2. Population
2.2 Population Projections
The population of Tiverton is predicted to increase by 3344 people between 2011 and 2026, a rise of 8.9%. Over the
same time period:
- the total number in the 0-19 age band is predicted to decrease by 185 people, a fall of 2.1%.
- the total number in the 20-44 age band is predicted to increase by 318 people, a rise of 4.3%.
- the total number in the 45-64 age band is predicted to decrease by 215 people, a fall of 1.6%.
- the total number in the 65-84 age band is predicted to increase by 2703 people, a rise of 39.8%.
- the total number in the 85+ age band is predicted to increase by 722 people, a rise of 64.9%.
45000
40000
Age 85+
Age 80-84
35000
Age 75-79
Age 70-74
30000
Age 65-69
Age 60-64
25000
Age 40-59
Age 25-39
20000
Age 20-24
Age 15-19
15000
Age 10-14
Age 5-9
10000
Age 0-4
5000
0
2001
2006
2011
2016
2021
2026
Figure 4: Tiverton population projection by age group. Data source: Jan 2010 DCC population
projections
Year
0-4
5-9 10-14 15-19 20-24 25-39 40-59 60-64 65-69 70-74 75-79 80-84
2001
2012
2083
2114
2025
1402
6183
9370
2038
1772
1408
959
1680
2006
2092
2001
2239
2187
1656
5846 10218 2522
1941
1522
1086
1666
2011
2237
1965
2123
2353
1831
5536 10555 3071
2268
1547
1157
1821
2016
2186
2066
2067
2197
1929
5586 10642 2913
2773
2131
1714
1214
2021
2151
2015
2161
2130
1748
5913 10349 3115
2628
2024
1380
2620
2026
2134
1998
2124
2238
1677
6008
9941
3470
2828
2507
1662
2499
Figure 5: Tiverton population projection by age group. Data source: Jan 2010 DCC population projections
85+
Total
901
942
1114
1301
1514
1836
33946
35917
37577
38718
39747
40921
Page 6
2. Population
2.3 Black and Minority Ethnic
A breakdown of Tiverton and Devon population data by ethnicity is shown below:
Tiverton
0.6%
0.1%
0.6%
0.1%
98.6%
Ethnicity
Asian/Asian_British
Black/African/Caribbean/Black_British
Mixed/multiple_ethnic_groups
Other_ethnic_group
White
Devon
1.3%
0.2%
0.9%
0.3%
97.3%
Figure 6: Ethnic breakdown of Tiverton and Devon Populations - Data Source: 2011 Census
The graph below shows the ethnicity breakdown for all the Towns in Devon. It can be seen that Exeter has by far the
highest proportion of minority groups, who account for 7.7% of the overall population.
Asian/Asian_British
Black/African/Caribbean/Black_British
Mixed/multiple_ethnic_groups
Other_ethnic_group
8%
7%
6%
5%
4%
3%
2%
Figure 7: Graph showing BME prevalence in Devon (2011) Data Source: 2011 Census
Totnes
Tiverton
Teignmouth
Tavistock
South Molton
Sidmouth
Seaton
Ottery St Mary
Okehampton
Newton Abbot
Moretonhampstead
Lynton and Lynmouth
Kingsbridge
Ivybridge
Ilfracombe
Honiton
Holsworthy
Great Torrington
Exmouth
Exeter
Dawlish
Dartmouth
Cullompton
Crediton
Braunton
Bideford/Northam
Barnstaple
0%
Axminster
1%
10.9
11.0
11.2
12.4
13.4
14.2
14.8
15.1
15.4
15.6
15.7
15.9
16.6
16.6
16.7
17.5
17.8
18.4
18.6
18.8
18.9
19.2
19.4
19.8
20.1
20.1
22.1
27.1
Braunton
Ottery St Mary
Sidmouth
Moretonhampstead
Seaton
Cullompton
Exmouth
Newton Abbot
Tavistock
Axminster
Kingsbridge
Dartmouth
Honiton
Crediton
Totnes
Lynton and Lynmouth
Great Torrington
Okehampton
Exeter
Teignmouth
South Molton
Ashburton/Buckfastleigh
Tiverton
Holsworthy
Barnstaple
Dawlish
Bideford/Northam
Ilfracombe
0
10.8
5
Ivybridge
Page 7
3. Deprivation
The map below shows levels of deprivation by LSOA in Tiverton (using national deprivation quintile). The graph shows
the estimated 2010 IMD score by town (estimated using apportionment from LSOA).
Figure 8: Map showing deprivation by LSOA. Data Source: IMD 2010
30
25
Town
20
Tiverton
Devon
15
17.0
10
Figure 9: The graph shows the estimated 2010 IMD score by Devon town. Data Source: IMD 2010
Page 8
4. 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). Between 2009 and 2011 the birth rate in Devon has increased by 3.7%. The graph
shows that in Tiverton the birth rate per 1,000 women aged 15 to 44 is 65.2, compared to a rate of 57.1 per 1000 for
Devon. The rate for Tiverton is statistically higher than the Devon rate.
90
Town
80
Tiverton
Significant
Devon
70
60
50
40
30
71.2
65.8
83.2
Braunton
Ilfracombe
Bideford/Northam
65.2
Tiverton
63.7
Dartmouth
59.8
Barnstaple
63.2
59.5
Great Torrington
Crediton
59.2
Seaton
62.1
58.3
Okehampton
Cullompton
58.2
Ashburton/Buckfastleigh
62.1
57.8
Kingsbridge
Dawlish
57.5
Exmouth
62.0
56.9
Ivybridge
Honiton
56.4
South Molton
51.3
Ottery St Mary
55.1
50.3
Totnes
Newton Abbot
49.8
Exeter
53.4
49.2
Axminster
Teignmouth
48.3
Holsworthy
51.9
47.7
Tavistock
Lynton and Lynmouth
43.6
Moretonhampstead
0
41.0
10
Sidmouth
20
Figure 10: Devon Market Town birth rate per 1000 females aged 15-44, (2011). 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
5. Life Expectancy
The graph below shows that the average life expectancy at birth for the population of Tiverton is 82.1 years compared to
82.1 years for Devon overall. Life expectancy at birth for Tiverton is not statistically different to the Devon rate. The
average life expectancy in Devon is higher than the national average of 80.2 years.
85
Town
84
Tiverton
Significant
Devon
83
82
81
80
79
81.2
81.2
81.3
81.5
81.6
81.9
81.9
82.0
82.0
82.0
82.0
82.0
82.1
82.1
82.2
82.3
82.3
82.4
82.5
82.6
82.6
82.8
82.8
82.9
82.9
83.7
83.9
84.4
Bideford/Northam
Holsworthy
Barnstaple
Exeter
Axminster
South Molton
Totnes
Braunton
Newton Abbot
Tavistock
Ashburton/Buckfastleigh
Ivybridge
Tiverton
Cullompton
Crediton
Honiton
Dartmouth
Seaton
Exmouth
Teignmouth
Okehampton
Lynton and Lynmouth
Moretonhampstead
Great Torrington
Kingsbridge
Ottery St Mary
Sidmouth
75
Dawlish
76
80.2
77
Ilfracombe
78
Figure 11: Devon Market Town life expectancy (2007-11). 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
Page 9
6. Mortality
A further indicator of the health of an area is the death (mortality) rate. Mortality rates per 100,000 population
(standardised for age and sex) for 19 causes of death have been calculated at Town and Devon level (using deaths
registered between 2007 and 2011). The spine chart below compares these rates, and shows whether there is a
statistically significant difference between the Town and Devon rate.
Mortality Data
Devon
Town
Worst
All
477.8
477.9
558.3
384.7
Male
559.2
584.2
660.7
421.0
Female
409.5
389.0
490.6
340.5
All (U75)
214.7
214.2
267.4
135.7
Male (U75)
260.1
269.5
339.7
135.7
Female (U75)
171.0
159.5
214.1
121.3
Cancer
153.9
162.8
172.9
128.3
Cancer (U75)
93.2
97.3
108.6
56.6
Circulatory Disease
148.3
140.6
207.2
108.0
Circulatory Disease
(U75)
50.6
44.0
70.7
29.4
CHD
69.5
70.6
112.4
44.6
CHD (U75)
29.3
29.5
45.4
12.8
Stroke
40.6
37.5
60.5
27.7
Stroke (U75)
8.6
6.1
16.7
0.0
Smoking
85.3
84.3
99.4
73.2
Suicide*
7.0
5.5
11.4
4.2
Accidental Injury
14.8
13.8
28.1
6.6
Alcohol
6.6
5.9
11.9
1.2
Drugs
4.7
5.1
8.8
0.0
Figure 12: Standardised mortality rates for Tiverton
compared to Devon (2007-11) Data source:MORTALITY
DATASET
* Including "Injury Undetermined"
Devon Range
Best
Page 10
7. Children and Young People
7.1 Children in Need
Children in Need covers all children who are known to children’s social care services, even if no further action is taken.
This includes children in care and children who are the subject of a child protection plan. As at 31st March 2013 there
were 4,649 Children in Need in Devon, including 446 Children with a Child Protection Plan, an increase of 9.6% from the
previous year (407 children) and 693 Children in Care, a decrease of 3.1% from the previous year (711 children). Children
in care are amongst the most vulnerable in our society. They have often experienced abuse, neglect or trauma. They
often require support from a range of agencies.
DCC had 711 children in care on 31st March 2012, a 28% increase in numbers since 31st March 2008. Nationally the
numbers of children in care have also risen, but only by 13% over the same time frame. Despite this rise the rate of
children in care in Devon was 51 per 10,000 under 18 population, lower than the England average rate of 59 per 10,000,
and in line with its statistical neighbour’s rate of 50 per 10,000.
Devon continues to have a population of children in care that is older than the national average. Following the
Southwark Judgement, which required local authorities to accommodate homeless young people assessed to be in
need, Devon saw a doubling of the number of 16-17 year olds in care; there were 220 16-17 year olds in care in 2012, up
from 112 in 2008. By contrast England only saw an increase of 12% in the 16-17 year old age group. The figures
demonstrate that the Southwark Judgement has had a far greater impact on children in care numbers locally than for
England as a whole .
600
Town
500
Tiverton
Significant
Devon
400
300
103
142
142
145
166
173
179
188
219
221
229
246
251
254
257
263
266
268
301
302
307
309
324
324
327
329
369
464
Ivybridge
Braunton
Ottery St Mary
Tavistock
Kingsbridge
Totnes
Dawlish
Seaton
South Molton
Great Torrington
Dartmouth
Cullompton
Axminster
Ashburton/Buckfastleigh
Holsworthy
Okehampton
Newton Abbot
Bideford/Northam
Ilfracombe
Crediton
Honiton
Barnstaple
Tiverton
Teignmouth
Sidmouth
Exmouth
Exeter
0
Lynton and Lynmouth
100
Moretonhampstead
200
Figure 13: Children in Need as a rate per 10,000 under 18 population as at 31st March 2013 - Data Source: Care First
(DfE Children in Need Census 2012-13)
Page 11
7. Children and Young People
7.1 Special Educational Needs
In January 2012, 1,618,340 pupils across all schools in England had special educational needs (SEN), with 226,125 pupils
having statements (2.8% of all pupils) . This percentage has remained unchanged in recent years. The graphs below
illustrate the percentage of young people in Devon supported at School Action Plus and with a Statement (location
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.
Statements
The graph below shows that the percentage of pupils living in Tiverton who have a statement is 3.6%, compared to 3.5%
for Devon overall. The rate for Tiverton is not statistically different to the Devon rate.
5.6
4.9
Dawlish
Ashburton/Buckfastleigh
4.6
Dartmouth
4.6
3.8
Teignmouth
Great Torrington
3.6
Exeter
4.3
3.6
Barnstaple
3.5
Tiverton
4.1
3.5
Newton Abbot
South Molton
3.5
Honiton
3.9
3.5
Exmouth
Bideford/Northam
3.5
3.3
Ilfracombe
Crediton
3.2
Okehampton
Devon
Axminster
3.1
Braunton
2.9
3.0
2.8
Holsworthy
Cullompton
2.8
Tavistock
3.0
2.8
Ivybridge
Moretonhampstead
2.7
Sidmouth
Significant
3.0
2.3
Seaton
Kingsbridge
Tiverton
Totnes
2.0
Ottery St Mary
Town
Lynton and Lynmouth
8
7
6
5
4
3
2
1
0
Figure 14: School SEN Statements - Data Source: DfE School Census (Jan 2013)
School Action Plus
The graph below shows that the percentage of pupils supported at School Action Plus living in Tiverton is 6.7%,
compared to 6% for Devon overall. The rate for Tiverton is not statistically different to the Devon rate.
12
Town
10
Tiverton
Significant
Devon
8
6
3.1
4.0
4.2
4.3
4.5
4.6
4.7
4.8
4.8
5.1
5.5
5.6
5.6
5.7
5.9
5.9
6.1
6.3
6.5
6.5
6.6
6.7
6.7
6.7
6.9
7.2
7.4
7.8
8.5
Newton Abbot
Axminster
Braunton
Honiton
Cullompton
Lynton and Lynmouth
Ashburton/Buckfastleigh
Exmouth
Tavistock
Totnes
Sidmouth
Ottery St Mary
Dawlish
Okehampton
Teignmouth
Crediton
Barnstaple
Bideford/Northam
Moretonhampstead
Tiverton
Great Torrington
Ilfracombe
Holsworthy
Dartmouth
Exeter
Ivybridge
South Molton
0
Seaton
2
Kingsbridge
4
Figure 15: School SEN action+ - Data Source: DfE School Census (Jan 2013)
Page 12
7. Children and Young People
7.2 Youth Offending
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. 550 young people offended in 2012-13,
which equates to 3.3 offences per 1,000 population aged 10 to 17. Of these, 335 were first time offenders and 215 were
repeat offenders.
The total number of young people aged 10-17 years who offended in Devon has fallen by 42% between 2010-11 and
2012-13. The most significant single offence in 2012/13 in terms of volume was Assault by Beating (127), Criminal
Damage (99) and Possession of Cannabis (89). These three offences accounted for 32% of all offences committed in the
year.
Whilst we continue to see significant reductions in both the total number of young people on youth offending caseloads
and the number of first time entrants into the criminal justice system we are seeing proportionately more of the cases
being complex in nature, with multiple needs e.g. known behavioural conditions, complex Speech, Language &
Communication Needs, Children in Care and children assessed with high levels vulnerability and/or risk of harm to
others.
In 2012/13, of those young people assessed by Devon YOS, 31% were assessed as having a medium or high level of
vulnerability, 26% were assessed as having potential to cause risk of harm to others, 12% were Looked After Children or
Care Leavers (or had been at some stage), 28% were accommodated by Voluntary Agreement and 17% were subject to
a Child Protection Plan (or had been at some stage).
The graph below shows that the rate of Youth Offending Team clients in the Tiverton Locality is 7.8 per 1,000 children
aged 10-17 compared to 3.3 per 1,000 for Devon overall.
18
Town
Tiverton
Significant
Devon
16
14
12
10
8
6
5.4
5.4
5.6
6.1
7.1
7.8
8.0
8.4
9.0
9.9
9.9
Okehampton
Totnes
Newton Abbot
Dawlish
Tiverton
Holsworthy
South Molton
Braunton
Lynton and Lynmouth
Exmouth
15.7
5.3
Sidmouth
Ashburton/Buckfastleig
h
Ilfracombe
5.2
Crediton
13.7
5.1
Moretonhampstead
Dartmouth
4.9
Teignmouth
13.5
3.9
Tavistock
Bideford/Northam
3.9
11.9
3.8
Honiton
Great Torrington
3.8
Cullompton
11.7
3.0
Kingsbridge
Barnstaple
2.6
Ottery St Mary
11.1
1.1
Ivybridge
Exeter
0.9
0
Seaton
2
Axminster
4
Figure 16: Number of Youth offending Team Clients per 1,000 population (10-17 years), 2012-13 - Data Source: Devon
Youth Offending Team
Page 13
7. Children and Young People
7.3 GCSE Performance
Key Stage 4 results have maintained the performance achieved in 2011 for 2012 (58.5% gaining 5 A*C including English
and Maths), showing an improvement of nearly 4% on 2010. This exceeds the south west average by 1% but is just
under 1% below the national average. Girls are still outperforming boys with 64.5% to 53% gaining 5 A*C (inc. E&M).
15.5% of students achieved the English Baccalaureate measure, in comparison to the national figure of 18.3%.
The Local Authority continues to focus on “Closing the Gap” initiatives to ensure that outcomes for the most vulnerable
pupils across Devon improve in line with local and national expectations. The local authority is a champion of vulnerable
children and young people and maintains a strategic overview of education progress for all students whatever statefunded school or setting they attend.
The graph shows that of those living in Tiverton, the percentage of Devon County Council school children attaining five
or more GCSE grades A-C is 59.2%. The rate for Tiverton is not statistically different to the Devon rate.
90
Town
80
Tiverton
Significant
Devon
70
60
50
40
30
44.4
46.8
47.5
50.4
51.3
51.3
54.8
55.0
55.2
56.5
56.9
57.6
58.9
59.2
59.7
60.1
60.5
61.4
62.1
62.5
62.7
65.8
67.1
68.1
68.7
69.3
69.4
73.3
Lynton and Lynmouth
Dartmouth
Ashburton/Buckfastleigh
Barnstaple
Bideford/Northam
Great Torrington
Exmouth
Braunton
Honiton
Holsworthy
Teignmouth
Newton Abbot
Exeter
Tiverton
South Molton
Crediton
Dawlish
Tavistock
Axminster
Moretonhampstead
Sidmouth
Okehampton
Seaton
Ivybridge
Cullompton
Ottery St Mary
Totnes
Kingsbridge
0
37.3
10
Ilfracombe
20
Figure 17: Percentage of children attaining five or more GCSE grades A*-C (including English and Maths) 2012 - Data
Source: Devon LDP and Strategic Commissioning - Children
Page 14
7. Children and Young People
7.4 Pupil Ethnicity
In 2013 there were 6,352 pupils from a minority ethnic background in Devon schools (6,199 of which were resident in
Devon). This represents 6.7% of the total maintained school population, an increase of around 1.5% since 2011. 61
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 (928) and White Western European (632). The graph
shows that in Tiverton, the percentage of pupils from a black or minority ethnic background is 5.7%. The rate for
Tiverton is statistically lower than the Devon rate.
13.3
Exeter
10.2
Dartmouth
9.5
Totnes
8.1
Crediton
7.3
Sidmouth
7.0
6.7
Teignmouth
Cullompton
6.5
Okehampton
6.8
6.4
Exmouth
Seaton
6.3
Kingsbridge
6.8
6.3
Ivybridge
Moretonhampstead
6.0
5.3
Newton Abbot
5.9
5.3
Ottery St Mary
Braunton
5.2
Ilfracombe
5.7
5.2
Tavistock
Axminster
5.1
South Molton
5.7
5.0
Great Torrington
Lynton and Lynmouth
4.9
Bideford/Northam
5.5
4.9
Honiton
Devon
Tiverton
4.6
Ashburton/Buckfastleigh
Significant
Barnstaple
4.4
Dawlish
Tiverton
3.0
Town
Holsworthy
16
14
12
10
8
6
4
2
0
Figure 18: Percentage of pupils from a black or minority ethnic background - Source: DfE School Census (Jan 2013), DCC
IDS and Strategic Commissioning – Children
7.5 English as an Additional Language
In 2013 there were 2,633 pupils speaking English as an Additional Language in Devon schools (2,586 of which were
resident in Devon). This represents 2.8% of the total maintained school population, this has remained fairly constant
from the 2.9% in 2011. There are over 100 different languages spoken by children and young people in Devon schools,
the largest minority languages in 2013 being Polish (491), Arabic (144) and German (135). The graph shows that in
Tiverton the percentage of pupils whose first language is not English is 4.1%. The rate for Tiverton is not statistically
different to the Devon rate.
1.5
1.5
1.7
1.7
2.0
2.2
2.2
2.3
2.5
2.7
2.8
2.9
3.0
3.2
3.3
3.3
3.4
3.7
3.7
3.9
4.1
4.1
4.5
5.2
5.2
6.3
9.6
Bideford/Northam
Kingsbridge
Ottery St Mary
Braunton
Ivybridge
South Molton
Tavistock
Honiton
Teignmouth
Ashburton/Buckfastleigh
Okehampton
Totnes
Sidmouth
Axminster
Great Torrington
Lynton and Lynmouth
Crediton
Newton Abbot
Barnstaple
Cullompton
Seaton
Tiverton
Dawlish
Moretonhampstead
Exmouth
Dartmouth
Exeter
Devon
1.3
Significant
Ilfracombe
Tiverton
0.9
Town
Holsworthy
10
9
8
7
6
5
4
3
2
1
0
Figure 19: Percentage of pupils whose first language is not English - Source: DfE School Census (Jan 2013), DCC IDS and
Strategic Commissioning - Children
Page 15
7. Children and Young People
7.6 Teen Conceptions
Figure 20: Inset map for teen conception rate in the Tiverton
Locality.
The table below shows how the teen conception
rates for wards in Tiverton compare to the Devon
rate of 28.6 per 1,000 female population aged 1517.
No. wards with a significantly higher rate
No. wards with a higher rate
No. of wards where numbers were
No. wards with a lower rate
No. wards with a significantly lower rate
0
3
0
1
0
No wards have a rate that was significantly higer
or lower than the Devon rate.
Figure 21: Map showing teen conception rate by Devon Ward - Data Source: ONS Ward under-18 conception data 200911
Page 16
8. Adults
The Adults section is divided into information relating to five main population groups:
- Older People Aged 65 and Over
- People with a Learning Disability Aged 18-64
- People with a Mental Health Condition Aged 18-64
- People with a Physical Disability Aged 18-64
- Carers
A range of adult social care information is provided, which includes a comparison of the rates for the Town on the
following topic areas:
People receiving an assessment
Social care assessments are carried out for new service users, i.e. they are not receiving a social care service at the time
of the assessment. We have a duty to assess people who either appear to have an illness or to be disabled, and who may
benefit from care services. Carers also have a right to an assessment where they are substantial and regular carers. The
assessment is carried out by Care Direct and uses national guidelines from the Department of Health; Fair Access to Care
Services (FACS) to assess people’s needs. The assessment gathers information about a person’s situation, needs, and
difficulties – and identifies the impact of those needs on the individual’s safety or independence. This assessment helps
us to decide whether the level of need qualifies for a service. This information includes all those new clients assessed
during the 12 month period April 2012 to March 2013.
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:-
http://www.devon.gov.uk/index/socialcarehealth/sc-partnerships/providerengagement/market-position-statement.htm
People receiving residential/ nursing care
This information relates to people receiving residential or nursing care at any point during the year April 2012 to March
2013, where the care was commissioned or provided by Devon Adult and Community Services (therefore excludes
privately arranged and self funded care).
People receiving community based care
This information relates to people receiving community based social care at any point during the year April 2012 to
March 2013, 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.
Page 17
8. Adults
8.1 Older People Aged 65 and Over
In 2012 there were an estimated 176,600 people aged 65+ in Devon. It is predicted that this will increase to 212,000 by
2021, representing a 25% increase (2011 to 2021). It is predicted that the most significant increases in population will be
in the 70-74 and 75-79 age bands up to 2021, with percentage increases of 45% and 37% respectively.
Of the 176,600 population aged 65+ for 2012, it is estimated that:
- 73,277 of those will have a limiting long-term illness (41% of population 65+)
- 65,225 people aged 65+ are predicted to live alone (23,300 aged 65-74 and 41,925 aged 75+)
- 60,035 will be unable to manage at least one self-care activity on their own
- 72,937 will be unable to manage at least one domestic task* on their own
*(tasks include household shopping, washing and drying dishes, cleaning windows inside, jobs involving climbing, using
a vacuum cleaner to clean floors, washing clothing by hand, opening screw tops, dealing with personal affairs, doing
practical activities)
Data Source: CSED www.poppi.org.uk v8.0 Crown copyright 2012
The following section provides information relating to the social care services and support provided to the 65+
population of the Tiverton Locality.
Client Assessments
In Tiverton 44 people per 1,000 population received a new client assessment, compared to 49.2 per 1,000 in Devon
overall.
Page 18
8. Adults
8.1 Older People Aged 65 and Over
Residential/ nursing care
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 DASR of the 65+ population in Tiverton who received residential or nursing care
services during the year April 2012 to March 2013 was 9.8 per 1,000 population aged 65+ compared to 14.1 for Devon
overall.
30
Town
Tiverton
Significant
Devon
25
20
15
30.1
Ilfracombe
22.1
Dawlish
21.3
Tavistock
19.3
18.6
Lynton and Lynmouth
17.8
Teignmouth
Ashburton/Buckfastleig
h
16.7
16.2
South Molton
Newton Abbot
15.9
Exmouth
16.4
15.2
Exeter
Holsworthy
15.1
Great Torrington
16.4
14.6
Cullompton
Seaton
14.6
Bideford/Northam
10.9
Honiton
13.9
9.8
Tiverton
Crediton
9.4
Okehampton
13.8
9.1
Moretonhampstead
Barnstaple
8.6
Ottery St Mary
13.6
7.8
Axminster
Braunton
7.6
Totnes
13.2
6.6
Dartmouth
Ivybridge
5.4
Sidmouth
0
5.1
5
Kingsbridge
10
Figure 22: DASR of the population aged 65+ receiving ACS provided-commissioned residential-nursing care (2012-13) Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2012-13)
Community-based Care
The graph below shows that the DASR per 1,000 population aged 65+ in Tiverton who received community based care
is 40.6 compared to 54.4 for Devon overall. The rate for the Tiverton Locality is statistically lower than the Devon rate.
34.6
38.9
40.1
40.6
43.7
44.3
48.3
48.5
48.8
50.9
52.4
53.6
54.1
54.9
56.1
56.5
56.7
58.0
58.2
59.0
59.8
60.1
60.8
61.4
64.2
65.4
73.1
Axminster
Lynton and Lynmouth
Seaton
Tiverton
Cullompton
Dartmouth
Exmouth
Ottery St Mary
Holsworthy
Kingsbridge
Crediton
Ivybridge
Tavistock
Honiton
Totnes
Ilfracombe
Great Torrington
Okehampton
Newton Abbot
Teignmouth
Braunton
Dawlish
Ashburton/Buckfastleigh
Bideford/Northam
Exeter
South Molton
Barnstaple
Devon
33.7
Significant
Sidmouth
Tiverton
32.7
Town
Moretonhampstead
90
80
70
60
50
40
30
20
10
0
Figure 23: DASR of the population aged 65+ receiving ACS provided-commissioned community based care (2012-13) Data Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2012-13).
Page 19
8. Adults
8.1 Older People Aged 65 and Over
Older People 65+ with Mental Health Conditions
The most common functional mental health problem in older people is depression. Depression affects proportionately
more older people than any other demographic group. This is 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.
The Older People Mental Health category also includes dementia – an organic illness which describes a set of symptoms
that include loss of memory, mood changes, and problems with communication and reasoning. There are many types
of dementia. The most common are Alzheimer's disease and vascular dementia. Dementia is progressive, which means
the symptoms will gradually get worse. Older people with dementia usually continue to live at home with support, but
may benefit from specialist accommodation, including extra care housing. Of the 12,976 people predicted to be
suffering from dementia in Devon (2012), 37% (4,848) of these were recorded on the Devon GP Dementia Register. As
part of the Devon Dementia Joint Commissioning Strategy, improvements in the identification and recording of people
with dementia are underway and are regularly monitored.
Further information around mental health in older people can be found in the Devon OPMH Town profiles:
http://www.devonhealthandwellbeing.org.uk/jsna/profiles/town/opmh/
[i] POPPI v8 Crown Copyright 2012. The most recent relevant source of UK data is Dementia UK: A report into the
prevalence and cost of dementia prepared by the Personal Social Services Research Unit (PSSRU) at the London School
of Economics and the Institute of Psychiatry at King's College London, for the Alzheimer's Society, 2007. The prevalence
rates have been applied to ONS population projections of the 65 and over population to give estimated numbers of
people predicted to have dementia to 2020. To calculate the prevalence rates for the 90+ population, rates from the
research for the 90-94 and 95+ age groups have been applied to the England population 2006 to calculate the numbers
in each age group, the sum of these groups is then expressed as a percentage of the total 90+ population to establish
the predicted prevalence of the 90+ population as a whole.
Page 20
8. Adults
8.2 Adults with Learning Disabilities
A person with a learning disability is usually defined as having:- A significantly reduced ability to understand new or
complex information, to learn new skills (impaired intelligence) with a reduced ability to cope independently (impaired
social functioning) which started before adulthood, with a lasting effect on development.
However this definition focuses heavily on highlighting the additional needs of adults with a learning disability, drawing
attention away from the fact that they are people with the same rights and responsibilities within society as all other
adults. This has led to adults with learning disabilities not having their talents recognised and they are now an
undervalued and therefore disadvantaged group of people within our society. This change in emphasis has been led by
the government through the white paper Valuing People (2001)[i] and the refresh Valuing People Now (2009).
Based on Projecting Adult Needs and Service Information (PANSI) estimates, in 2012, 10,522 people in Devon aged 1864 were predicted to have a learning disability (baseline estimate). Of these, 2360 are predicted to be moderate or
servere, 272 to have Down's Syndrome and 196 to display 'challenging behaviour'. Of those with a learning difficulty
829 are predicted to be living with a parent.
The Devon Learning Disability Health Needs Assessment 2008 states that factors which also lead to an increase in the
number of people with a learning disability include:
- 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
- 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.)
- 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
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.
Further information on adults with learning disabilities can be found in the Learning Disabilities Needs Assessments,
found on the Devon Health and Wellbeing Website:
http://www.devonhealthandwellbeing.org.uk/library/needs-assessments/
Page 21
8. Adults
8.2 Adults with Learning Disabilities
Residential/ nursing care
The DASR per 100,000 population aged 18 to 64 in Tiverton with learning difficulties who received residential or nursing
care services during the year April 2012 to March 2013 was 10.2 compared to 74.5 for Devon overall.
Community-based Care
The graph below shows that the DASR per 1,000 population aged 18 to 64 in Tiverton with learning difficulties who are
receiving ACS provided-commissioned community-based care is 5.8 compared to 3.6 for Devon overall. The rate for
Tiverton is statistically higher than the Devon rate.
10.0
9.0
Town
Tiverton
Significant
Devon
8.0
7.0
6.0
5.0
4.0
3.0
1.7
1.8
1.9
2.1
2.2
2.5
2.7
2.7
2.7
3.0
3.1
3.1
3.1
3.2
3.2
3.8
4.0
4.0
4.0
4.0
4.2
4.3
4.9
5.8
5.8
6.7
6.8
7.0
Axminster
Great Torrington
Dartmouth
Seaton
Braunton
Ashburton/Buckfastleigh
Exeter
Ivybridge
Moretonhampstead
Holsworthy
Ilfracombe
Sidmouth
Newton Abbot
South Molton
Barnstaple
Cullompton
Exmouth
Totnes
Crediton
Tavistock
Okehampton
Teignmouth
Ottery St Mary
Tiverton
Bideford/Northam
Honiton
Dawlish
Kingsbridge
0.0
0.0
1.0
Lynton and Lynmouth
2.0
Figure 24: DASR of the population aged 18-64 with a learning disability receiving ACS provided-commissioned
community based care (rate per 1,000, 2012-13) - Data Source: CareFirst (Referrals, Assessments & Packages of Care
Statutory Return 2012-13)
Page 22
8. Adults
8.3 Adults with Mental Health Conditions
There are many ways that mental health can be defined. The World Health Organisation defines mental health as:
‘Mental health is not just the absence of mental disorder. It is defined as a state of well-being in which every individual
realises his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is
able to make a contribution to her or his community.’
Ensuring our population experiences good mental health is important for a wide range of reasons. Good mental health
is vital to ensuring good physical health. It is also important for ensuring the development and maintenance of family
relationships and friendships, our education, training and ability to fulfil our potential in employment. As it impacts on
all aspects of people’s lives, it is therefore the responsibility of not only the individual, but also families, friends,
employers and the wider community to enable people to develop and importantly maintain good mental health.
Based on Projecting Adult Needs and Service Information (PANSI) estimates, in Devon in 2012:
- 70,257 people aged 18-64 predicted to have a common mental disorder1
- 1,967 people aged 18-64 predicted to have a borderline personality disorder2
- 1,503 people aged 18-64 predicted to have an antisocial personality disorder3
- 1,746 people aged 18-64 predicted to have psychotic disorder4
- 31,321 people aged 18-64 predicted to have two or more psychiatric disorders
PANSI data are based on the report Adult psychiatric morbidity in England, 2007: Results of a household survey,
published by the Health and Social Care Information Centre in 2009.
Further information about mental health in Devon can be found in the 2013 Mental Health Needs Assessment, available
on the Devon Health and Wellbeing website:
http://www.devonhealthandwellbeing.org.uk/library/needs-assessments
1
Common mental disorders (CMDs) are mental conditions that cause marked emotional distress and interfere with daily function,
but do not usually affect insight or cognition. They comprise different types of depression and anxiety, and include obsessive
compulsive disorder. The report found that 19.7% of women and 12.5% of men surveyed met the diagnostic criteria for at least
one CMD.
2
Personality disorders are longstanding, ingrained distortions of personality that interfere with the ability to make and sustain
relationships. Antisocial personality disorder (ASPD) and borderline personality disorder (BPD) are two types with particular
public and mental health policy relevance.
ASPD is characterised by disregard for and violation of the rights of others. People with ASPD have a pattern of aggressive and
irresponsible behaviour which emerges in childhood or early adolescence. They account for a disproportionately large
proportion of crime and violence committed. ASPD was present in 0.3% of adults aged 18 or over (0.6% of men and 0.1% of
women).
3
4
Psychoses are disorders that produce disturbances in thinking and perception severe enough to distort perception of reality. The
main types are schizophrenia and affective psychosis, such as bi-polar disorder. The overall prevalence of psychotic disorder was
found to be 0.4% (0.3% of men, 0.5% of women). In both men and women the highest prevalence was observed in those aged
35 to 44 years (0.7% and 1.1% respectively). The age standardised prevalence of psychotic disorder was significantly higher
among black men (3.1%) than men from other ethnic groups (0.2%of white men, no cases observed among men in the South
Asian or ‘other’ ethnic group). There was no significant variation by ethnicity among women.
Page 23
8. Adults
8.3 Adults with Mental Health Conditions
Adults aged 18 to 64 with Mental Health Conditions
Assessments
The DASR per 1,000 population aged 18 to 64 in Tiverton with a mental health condition who received a new client
assessment is 1.6 compared to 3.1 in Devon overall.
Residential/ nursing care
The DASR per 1,000 population aged 18 to 64 in Tiverton with a mental health condition who are receiving ACS
provided/commissioned residential-nursing care is 0 compared to 0.2 in Devon overall.
Community-based Care
The graph below shows that the DASR per 1,000 population aged 18 to 64 in Tiverton with a mental health condition
who are receiving ACS provided/commissioned community based care is 5 compared to 7.9 for Devon overall.
20
Town
18
Tiverton
Significant
Devon
16
14
12
10
8
6
5.9
6.2
6.5
7.1
7.8
8.2
8.2
8.5
8.7
9.6
9.8
Seaton
Totnes
Exmouth
Dawlish
Honiton
Kingsbridge
Lynton and Lynmouth
Crediton
Okehampton
Exeter
South Molton
14.9
5.4
Ivybridge
13.7
5.2
Axminster
Ilfracombe
5.2
Braunton
13.1
5.0
Barnstaple
4.6
Tiverton
12.2
4.3
Sidmouth
Tavistock
3.9
Teignmouth
Bideford/Northam
3.8
Cullompton
11.9
3.7
Ashburton/Buckfastleigh
Holsworthy
3.5
Dartmouth
10.4
3.4
Newton Abbot
Great Torrington
3.2
0
Moretonhampstead
2
Ottery St Mary
4
Figure 25: DASR of the population aged 18-64 with a mental health condition receiving ACS provided/commissioned
community based care (rate per 1,000, 2012-13) - Data Source: CareFirst (Referrals, Assessments & Packages of Care
Statutory Return 2012-13).
Page 24
8. Adults
8.4 Adults with Physical Disabilities
Based on Projecting Adult Needs and Service Information (PANSI) estimates, in Devon in 2012:
- 36,433 people aged 18 to 64 had a moderate physical disability. It is predicted that this number will increase by
1.7% (to 37,055) by 2020.
- 11,196 people aged 18 to 64 had a severe physical disability. It is predicted that this number will increase by 2.6%
(to 11,500) by 2020.
- Over half (54%) of those with a severe physical disability (6,009 out of 11,196) were aged 55 to 64
- 19,453 people aged 18 to 64 have a moderate or severe hearing impairment (with an additional 180 having a
profound hearing impairment). It is predicted that this number will increase by 3.6% (to 20,169) by 2020.
The NHS Information Centre statutory returns Registered Blind and Partially Sighted, and People Registered Deaf or
Hard of Hearing indicate that in Devon:
- 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)
- 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.
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
The following section provides information relating to the social care services and support provided to the 18-64
population of Tiverton with a physical disability.
Assessments
The DASR per 1,000 population aged 18 to 64 in Tiverton with a physical disability who received a new client
assessment is 3.2 compared to 3.5 in Devon overall.
Residential/ nursing care
The DASR per 1,000 population aged 18 to 64 in Tiverton with a physical disability who are receiving ACS
provided/commissioned residential-nursing is 0 compared to 0.3 in Devon overall.
Page 25
8. Adults
8.4 Adults with Physical Disabilities
Community-based Care
The graph below shows that the DASR per 1,000 population aged 18 to 64 in Tiverton with a physical disability who are
receiving ACS provided/commissioned community-based care is is 4.6 compared to 5 for Devon overall. The rate for
Tiverton is not statistically different to the Devon rate.
7
Town
6
Tiverton
Significant
Devon
5
4
3
2.5
3.3
3.4
3.4
3.4
3.6
3.6
3.7
3.7
4.1
4.2
4.3
4.4
4.5
4.5
4.6
4.7
4.7
4.7
5.2
5.2
5.3
5.5
5.5
5.7
5.9
6.1
6.6
Moretonhampstead
Cullompton
Axminster
Teignmouth
Great Torrington
Sidmouth
Seaton
Crediton
Kingsbridge
Okehampton
Ottery St Mary
Holsworthy
Ivybridge
Dartmouth
Newton Abbot
Tiverton
Ilfracombe
Braunton
Ashburton/Buckfastleigh
Honiton
Exmouth
South Molton
Bideford/Northam
Dawlish
Barnstaple
Totnes
Tavistock
Exeter
0
1.6
1
Lynton and Lynmouth
2
Figure 26: DASR of the population aged 18-64 with a physical disability receiving ACS provided/commissioned
community based care (rate per 1,000, 2012-13) - Data Source: CareFirst (Referrals, Assessments & Packages of Care
Statutory Return 2012-13).
Page 26
8. Adults
8.5 Carers
Carer assessments and reviews
The graph below shows that the DASR adult carers aged 18+ receiving an assessment or review in the Tiverton Locality is
0.72 DASR per 1,000 population aged 18+ compared to 0.68 for Devon overall. The rate for Tiverton is not statistically
different to the Devon rate.
Town
1.4
Tiverton
Significant
Devon
1.2
1.0
0.8
0.6
0.13
0.20
0.28
0.28
0.34
0.42
0.42
0.42
0.52
0.53
0.54
0.55
0.56
0.56
0.72
0.74
0.76
0.77
0.77
0.83
0.83
0.88
0.89
1.03
1.15
1.17
1.25
1.37
1.38
Ivybridge
Moretonhampstead
Axminster
Cullompton
Totnes
Teignmouth
Dawlish
Sidmouth
Seaton
Ottery St Mary
Exeter
Honiton
Tiverton
Tavistock
Holsworthy
Newton Abbot
Okehampton
Barnstaple
Exmouth
Crediton
South Molton
Ashburton/Buckfastl
eigh
Bideford/Northam
Braunton
Ilfracombe
Lynton and
Lynmouth
Great Torrington
0.0
Kingsbridge
0.2
Dartmouth
0.4
Figure 27: DASR of the population aged 18+ receiving a carers assessment or review (rate per 1,000, 2012-13) - Data
Source: CareFirst (Referrals, Assessments & Packages of Care Statutory Return 2012-13)
User/Carer Feedback (Social Care)
In 2012-13 two social care user experience surveys were run, the Adult Social Care Survey (ASCS) and the Carers Survey.
The ASCS has been run annually since 2010-11 and is in its third year of existence, the survey sample is made up of
service users known to councils who have received social services. A total of 1,032 questionnaires were posted to
service users over 18 from all client groups and receiving any type of service and 390 responses were received (37.8%
response rate). The Carers Survey was run nationally for the first time following a successful pilot in 2009-10 and is a
random sample of carers who have been assessed or reviewed by councils in the previous 12 months. A total of 1,000
questionnaires were posted to carers aged over 18 and 612 responses were received (61.2% response rate).
The results of both surveys 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 both surveys. This
can be found on the Devon Health and Wellbeing Website:
http://www.devonhealthandwellbeing.org.uk/
Page 27
8. Adults
8.6 Personalisation
Adult Social Care Self-directed Support
Devon County Council remains committed to the personalisation agenda, enabling people to be more in control of the
services they receive. Self-directed support in the form of a Personal Budget is money that is allocated by Devon County
Council to an individual to arrange their own care and support, following an assessment or review of their needs. A
person can, if they wish, have some or all of this money paid directly to them as a Direct Payment. A person may be
asked to pay a contribution towards the cost, based on an assessment of their financial circumstances. A Personal
Budget enables a person to achieve greater choice and control over their care and support, together with increased
awareness of its financial value. Research has indicated that personal budgets have a positive effect in terms of impact
on wellbeing, increased choice and control, cost implications and improving outcomes.
The graph below shows that the DASR adults and carers aged 18+ receiving self directed support in the Tiverton Locality
is 17.9 DASR per 1,000 population aged 18+ compared to 18.3 for Devon overall. The rate for Tiverton is not statistically
different to the Devon rate.
30
Town
Tiverton
Significant
Devon
25
20
15
10.9
13.8
13.9
14.9
15.2
15.4
15.5
15.8
16.3
16.7
17.3
17.9
18.2
18.9
18.9
19.0
19.1
19.4
19.6
20.2
20.3
20.4
20.5
20.5
21.4
21.7
23.7
25.5
Lynton and Lynmouth
Holsworthy
Axminster
Cullompton
Ivybridge
Great Torrington
Ottery St Mary
Ilfracombe
Exeter
Crediton
Sidmouth
Tiverton
Dartmouth
Okehampton
Totnes
Barnstaple
Ashburton/Buckfastleigh
Braunton
Tavistock
Bideford/Northam
Newton Abbot
Seaton
Kingsbridge
Exmouth
Honiton
South Molton
Teignmouth
Dawlish
0
10.9
5
Moretonhampstead
10
Figure 28: Proportion of the population aged 18+ receiving self-directed support (2012-13) – Data Source: Care First
(Referrals, Assessments & Packages of Care Statutory Return 2012-13)
Page 28
8. Adults
8.7 Crime
This section provides information on domestic violence cases and drug and alcohol related crime. All rates have been
calculated per 1,000 adult (18+) population. The below table and graphs compare the rates for the Tiverton area to the
Devon rate and other town areas. Please note that due to local recording inconsistencies, recent and accurate alcohol
and drug related crime data is not available and these sections use the same data as in the previous version of the
profile.
Crime
Tiverton Rate
Devon Rate
Domestic Violence
12.4
10.6
Drug Related
1.7
1.9
Alcohol Related
4.9
5.7
Figure 29: Crime rates for Tiverton per 1,000 population aged 18+. - Data Source: Various
Statistical Significance
statistically higher
not statistically different
not statistically different
Domestic Violence Cases
The Home Office estimates that 7% of women and 5% of men have been victims of domestic violence in the past year,
with around 75% of these 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 crude rate of reported cases of domestic violence in Tiverton is 12.4 per 1,000
population aged 18+ compared to 10.6 for Devon overall. The rate for Tiverton is statistically higher than the Devon
rate.
20
Town
Tiverton
Significant
Devon
18
16
14
12
10
8
6
13.9
15.4
Exeter
Ilfracombe
9.5
Holsworthy
13.8
8.8
Cullompton
Teignmouth
8.5
Tavistock
13.7
8.4
South Molton
Barnstaple
8.3
Okehampton
12.4
8.2
Axminster
Tiverton
8.0
Honiton
12.4
7.9
Sidmouth
Bideford/Northam
7.6
Lynton and Lynmouth
11.4
7.5
Great Torrington
Newton Abbot
7.5
Braunton
10.9
7.2
Totnes
Exmouth
7.0
Dartmouth
10.5
6.6
Crediton
Ashburton/Buckfastleigh
6.2
Ivybridge
10.3
5.4
Kingsbridge
Dawlish
4.8
Ottery St Mary
10.1
4.8
0
Moretonhampstead
2
Seaton
4
Figure 30: Number of domestic violence cases per 1,000 population aged 18+ (2012-13) - Data Source: Crime in England
and Wales, Home Office
Page 29
8. Adults
8.7 Crime
Drug Related Crime
The graph below shows that the number of annual drug related crimes in the Tiverton Locality is 1.7 per 1,000
population aged 18+ compared to 1.9 for Devon overall. The rate for Tiverton is not statistically different to the Devon
rate.
Ottery St Mary
Moretonhampstead
Lynton and Lynmouth
0.8
0.6
Ashburton/Buckfastleigh
Braunton
Tavistock
0.9
Axminster
0.9
Ivybridge
1.5
Exmouth
1.0
1.5
Sidmouth
Holsworthy
1.6
Dartmouth
1.1
1.7
Tiverton
South Molton
1.8
Dawlish
1.1
1.9
Totnes
Cullompton
1.9
Bideford/Northam
1.2
1.9
Seaton
Newton Abbot
2.3
1.2
2.5
Honiton
Crediton
2.7
Exeter
1.4
3.3
Ilfracombe
Okehampton
3.3
Great Torrington
Devon
1.4
4.7
Significant
Teignmouth
Tiverton
Barnstaple
Town
Kingsbridge
5.0
4.5
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
Figure 31: Number of drug related crimes per 1,000 population aged 18+ (2008-09 to 2009-10) - Data Source: Devon and
Cornwall Constabulary Crime Data
Alcohol Related Crimes
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 rate of annual alcohol related crimes in the Tiverton Locality is 4.9 per 1,000 population
aged 18+ compared to 5.7 for Devon overall.The rate for Tiverton is not statistically different to the Devon rate.
14
Town
12
Tiverton
Significant
Devon
10
8
6
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
Exmouth
Teignmouth
Bideford/Northam
Dawlish
Dartmouth
Newton Abbot
Tiverton
South Molton
Totnes
Okehampton
Honiton
Braunton
Seaton
Kingsbridge
Cullompton
Great Torrington
Tavistock
Sidmouth
Crediton
Ashburton/Buckfastleigh
Axminster
Ivybridge
Holsworthy
Ottery St Mary
Moretonhampstead
8.7
Ilfracombe
Lynton and Lynmouth
8.7
Exeter
0
Barnstaple
2
11.0
4
Figure 32: Number of alcohol related crimes per 1,000 population aged 18+ (2008-09 to 2009-10) - Data Source: Devon
and Cornwall Constabulary Crime Data
Page 30
8. Adults
8.8 Smoking
Current smoking rates in England are 20.0% generally
and 30.3% for routine and manual groups (R/M). For
Devon the most recent estimated smoking rate is
20.2% . However, in the South West smoking rates for
R/M groups are 30.2%. Although Devon overall has
tobacco use comparable to 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 10 women smoke in pregnancy (9.8%).
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
Figure 33: Inset map for the Tiverton Locality.
inequalities.
Figure 34: Modelled Medium Super Output Area Smoking prevalence in Devon (2003-05) - Data Source:Healthy Lifestyle
Behaviours, Model Based Estimates
Page 31
9. Hospital Activity
9.1 Elective Admissions
An elective hospital admission is usually a planned procedure that has been booked either by the GP and the patient, or
the patient has been on a waiting list. Elective admissions account for around 50 per cent of admitted hospital activity in
the UK, with emergencies accounting for 35 per cent and maternity the other 15 per cent. The vast majority (just over
80 per cent) of elective admissions are day cases, where a patient is admitted to hospital, has surgery and is discharged
on the same day, without having to stay overnight. Elective hospital admissions are often used as an indicator of
hospital performance.
The spine chart below shows the Directly Age Standardised Rate (DASR) of elective admissions for a number of
healthcare conditions (calculated using ICD10 codes), some for all ages, some for those aged under 75 for years 20072011. The coloured circle shows the performance of this Town, the dark grey band shows the range of the middle 50%
of Towns, and the light grey bar shows the range between the highest and lowest admission rates.
Admission Data
Devon
Town
Highest
All
4481
4871
4930
135.00
3527
Male
4307
4654
4827
125.00
3466
Female
4691
5138
5199
115.00
3635
All (U75)
3982
4326
4380
105.00
3145
Male (U75)
3690
3969
4160
95.00
2939
Female (U75)
4271
4694
4779
85.00
3358
Cancer
892.4
1029.2
1325.1
75.00
543.4
Cancer (U75)
771.7
896.8
1115.6
65.00
449.8
Circulatory Disease
212.4
209.2
316.6
Circulatory Disease
(U75)
175.4
170.0
264.6
CHD
48.6
46.8
69.0
CHD (U75)
39.8
38.3
63.4
Stroke
3.2
3.3
15.4
Stroke (U75)
2.4
2.2
11.0
Figure 35: Directly age standardised rate of elective
admissions per 100,000 population (2007-11) - Data
Source: Secondary Uses Service Commissioning Dataset
Devon Range
55.00
45.00
35.00
25.00
15.00
5.00
Lowest
154.6
129.2
28.4
23.2
0.0
0.0
Page 32
9. Hospital Activity
9.2 Emergency Admissions
Emergency admissions are admissions that are not predicted and happen at short notice because of an urgent clinical
need. They represent around 65 per cent of hospital bed days in England. Avoiding emergency hospital admissions is a
major concern for the National Health Service (NHS), not only because of the high and rising unit costs of emergency
admission compared with other forms of care, but also because of the disruption it causes to elective health care.
The spine chart below shows the Directly Age Standardised Rate (DASR) of emergency admissions for a number of
healthcare conditions (calculated using ICD10 codes), some for all ages, some for those aged under 75. The coloured
circle shows the performance of this Town, the dark grey band shows the range of the middle 50% of Towns, and the
light grey bar shows the range between the highest and lowest admission rates.
Admission Data
Devon
Town
Highest
All
2421.1
2176.4
2936.1
Male
2458.9
2320.7
2957.9
Female
2403.2
2060.7
2936.8
All (U75)
2048.2
1828.6
2518.1
Male (U75)
2031.7
1888.1
2498.2
Female (U75)
2066.1
1770.1
2545.6
Cancer
55.6
56.0
88.5
Cancer (U75)
43.3
41.1
82.8
Circulatory Disease
180.2
147.1
265.0
Circulatory Disease
(U75)
117.0
95.7
173.0
CHD
53.1
50.1
93.2
35.00
22.3
CHD (U75)
36.8
35.4
75.0
25.00
16.3
Stroke
32.8
29.1
54.9
15.00
22.0
Stroke (U75)
17.3
15.7
30.6
5.00
Figure 36: Directly age standardised rate of emergency
admissions per 100,000 population (2007-11) - Data
Source: Secondary Uses Service Commissioning Dataset
Devon Range
135.00
125.00
115.00
105.00
95.00
85.00
75.00
65.00
55.00
45.00
Lowest
1753.7
1605.3
1909.4
1411.7
1307.2
1534.7
38.8
23.8
122.1
77.9
9.3
Page 33
9. Hospital Activity
9.3 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.
The graph below shows that the directly age standardised rate of alcohol related hospital admissions per 100,000
population in Tiverton is 1229 compared to 1514 per 100,000 population for Devon overall.
3000
Significant
Town
Tiverton
Devon
2500
2000
1500
1229
1307
1339
1346
1397
1440
1440
1457
1485
1492
1540
1543
1560
1597
1632
1650
1673
1700
1754
2067
2133
2236
2253
Tiverton
Exmouth
Sidmouth
Dartmouth
Newton Abbot
Honiton
Exeter
Holsworthy
Braunton
Ashburton/Buckfastleigh
Dawlish
Totnes
Ivybridge
Tavistock
Teignmouth
Kingsbridge
Great Torrington
South Molton
Ilfracombe
Barnstaple
Bideford/Northam
Lynton and Lynmouth
1195
Seaton
Okehampton
1189
970
Cullompton
922
Axminster
1018
573
Crediton
0
Moretonhampstead
500
Ottery St Mary
1000
Figure 37: Directly age standardised rate of alcohol related admissions per 100,000 population (2008-12) - Data
Source: Secondary Uses Service Commissioning Dataset