1. Surrey Downs CCG Health Profile 2015

2. Health Profile Summary Population – current, projected & specific groups Wider determinants Health behaviours Disease prevalence Multi-morbidity Life expectancy Healthy life expectancy Health inequalities Conclusions

3. Mid 2013 Estimate of Population by 5 year age group and gender

4. Population projection 2015 to2025

5. Non-white ethnic group percentages

6. Religion and belief

7. Specific population groups People with a physical disability 26,029 adults of working age with a serious or moderate physical disability or personal care disability People with a learning disability 4,031 adults (aged 16 -64) are estimated to have a learning disability Learning disabilities in adults aged 65 and over is predicted to increase from 1,203 to 1,457 from 2015 to 2025 an increase of 21%

8. Specific population groups People with mental health conditions Around 115 people in Surrey Downs report a long term mental health problem 13,564 people are diagnosed with depression (QOF) 2,071 with psychotic illness Carers The 2011 Census shows that there are around 28,000 people in Surrey Downs CCG who provide unpaid care

9. Specific population groups LGBT Between 11,000 and 16,000 people identifying as LGBT Armed forces, veterans and military families Approximately 600 of armed forces in Surrey are living in communal establishments, mainly in Pirbright Barracks Further 659 members of the armed forces living in the community, possibly with families Adult social care 4,771 adults were receiving personal support in May 2015. Over third of these are 85 years or older, but nearly a quarter were young adults aged 18 to 54.

10. Births and deaths Around 3,094 births each year and it is likely that mothers give birth at an older age than nationally Higher rate of births among traveller communities with associated poorer maternal and infant health outcomes There were 12,258 deaths between 2008 and 2012 Considerable variation between CCG wards driven by differences in deprivation but also in concentration of care homes

11. Wider determinants of health

12. Overall local deprivation by LSOA (10 is most deprived)

13. Fuel poverty

14. Access to GP

15. Social isolation among the older population

16. Health behaviours

17. Alcohol Increasing risk, higher risk and binge drinking rates for Surrey adult population (16+)

18. Hospital admission for alcohol-specific conditions

19. Emergency hospital admission for alcohol related liver disease

20. Smoking prevalence estimates by ward

21. Percentage of children aged 10-11 classified as having excess weight by ward

22. Physical activity Percentage of active adults (achieving at least 150 minutes of physical activity per week)

23. Child Immunisation

24. Seasonal influenza vaccine uptake

25. Disease prevalence, incidence and mortality

26. Dental health

27. Hypertension

28. Diabetes

29. Coronary Heart Disease Emergency hospital admissions ratio by ward

30. Coronary Heart Disease Standardised mortality ratio by ward

31. Stroke Stroke emergency hospital admissions ratio by ward

32. Stroke Standardised mortality ratio for deaths from stroke by ward

33. Atrial fibrillation

34. Cancer Standardised mortality ratio for deaths from all cancer by ward

35. Respiratory disease COPD emergency hospital admissions ratio by ward

36. Respiratory disease Standardised mortality ratio for all respiratory disease by ward

37. Osteoporosis Emergency hospital admissions ratio for hip fracture in those 65 and over by ward

38. Dementia

39. Depression

40. Psychotic disorders

41. Complex patients with multiple co- morbidities

42. Life Expectancies, Potential Years of Life Lost and Health Inequalities

43. Life expectancy Life expectancy at birth for men by ward

44. Life expectancy Life expectancy at birth for women by ward

45. Life expectancy Life expectancy at age 65 for men and women

46. Healthy Life expectancy Healthy life expectancy at birth for men and women

47. Healthy Life expectancy Healthy life expectancy at age 65 for men and women

48. Potential Years of Life Lost All conditions considered amenable to healthcare

49. Potential Years of Life Lost Specific conditions considered amenable to healthcare

50. Health Inequalities due to Deprivation Percentage contribution of causes of death to the life expectancy gap in men

51. Health Inequalities due to Deprivation Percentage contribution of cause of death to life expectancy gap in women

52. Health inequalities due to serious mental illness