Our population

Demographics

The CCG is coterminous with the boroughs of Basildon (pop. 180,500 in 2015) and Brentwood (pop. 75,600 in 2015) and has a GP-registered population of approximately 280,000.

There are 39 GP practices in the Basildon and Brentwood CCG area. Pitsea and Laindon are more deprived areas with a great deal of regeneration planned which can support health and care integration.

By 2037, the overall population will have grown by 18%, with those aged over 65 years growing by 61%, primarily following new housing developments. The working age population, under the age of 45 years, will shrink whilst there will be a sizeable increase in the younger age group (0-14yrs).

Basildon is the fourth most ethnically diverse district in Essex with Brentwood being fifth most ethnically diverse in Essex.
Brentwood is relatively more affluent whilst Basildon has very large disadvantaged communities. There is at least a 1-year difference in life expectancy between the two boroughs and a 7 to 8 years difference within the boroughs.

Healthy Lives

Overall the health of people living in Brentwood is better than England’s average, whereas that of the residents of Basildon shows some marked variations for example adult obesity and smoking related deaths. The local health-related priorities agreed by the district-level Health and Wellbeing Board are:

Basildon Health and Wellbeing Board

[1] Reduce smoking prevalence
[2] Reduce obesity prevalence
[3] Reduce health inequalities and tackling poverty

Brentwood Health and Wellbeing Board

[1] Improve health of older people
[2] Increase vaccination coverage
[3] Reduce obesity prevalence (CVD risk)

Population Health Status

There is a pronounced level of premature mortality with cancer and circulatory diseases being the greatest burden. The inequality in health is highlighted by the difference in mortality rate in cancer between Pitsea North West in Basildon which is more than twice that of Tipp Cross in Brentwood. The overall mortality rate shows a marked inequality between the two boroughs and compared to the national position for Basildon.

BBCCG has the highest proportion of people living with a common mental health condition compared to similar CCGs. The prevalence of depression has increased and although the level of referrals to psychological therapies (IAPT) is increasing, there is an inequality in access/use by BME communities.

It is estimated that 10% of local residents are acting as unpaid carers and many will experience changing health and housing needs. Around 6% of older people live alone in Essex and it is now estimated that 60% of them could develop dementia and more likely to enter into residential / nursing care. In addition, more people are living with long term conditions who need to be better supported to self-care and reduce their dependency on public sector services.

Some key areas of focus are listed below

Smoking

Whilst smoking mortality is lower than the national average in Brentwood (221 per 100,000), it is significantly higher in Basildon (322 per 100,000). This is reflected in the smoking prevalence where Brentwood has a lower proportion of the adult population smoking than the national average, with Basildon having a similar level to England.

Obesity & Weight Management

Basildon (30.2%) has a greater percentage of adults that are classified as obese or excess weight compared to the regional and national average, in sharp contrast with Brentwood (18.6%). In regards to children, the rate of obesity is higher in Basildon than Brentwood with both tracking the general upward trend in the past few years but levelling off now. There is over 10% decrease in children with ‘healthy weight’ between Reception year and Year 6 cohorts.

Physical Activity

Levels of physical activity in adults are higher in Brentwood (62%) than in Basildon (55%) with Brentwood being significantly higher than national average.

Alcohol Misuse

Excessive drinking is fuelling an increase in alcohol-related hospital admissions although both Basildon (532 per 100,000) and Brentwood (392 per 100,000) are better than the national average.

Dementia & Mental Health and Wellbeing

Dementia can affect people of any age, but is most common in older people and in women. Given the growth in our ageing population, this will be a big challenge to the health and care system. It is estimated that the prevalence in Essex is around 72 per 1,000 of older people – Brentwood (76 per 1,000); Basildon (70 per 1,000). This is likely to double by 2030 and will have an impact on their carers, who may be elderly and frail and at risk of poor health.

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