–Locality working

Locality working - white

Locality Working

Locality data dashboard

Locality profiles

For many years locality profiles have been developed by a variety of organisations.

The impact of these reports has been variable. In part because of the lack of local ownership of the data, differences in interpretation of what the data means and therefore what should be the priorities for action, plus the limited focus on effective action across local organisations and communities.

However, with the advent of the system wide Sustainability & Transformation Plan [STP] and related developments e.g. Accountable Care Systems [ACS] we need to ensure locally appropriate intelligence across all aspects of our work.

The basis for the current work on the STP is the Five Year Forward View which defined three gaps for a system response to address, namely the:

  • Health & Wellbeing gap
  • Care & Quality gap and the
  • Finance gap

 

The Dorset STP by way of response to this, outlines five programmes:

  1. Prevention at Scale [PAS]
  2. Integrated Community & Primary Care Services
  3. One Acute Network
  4. Workforce and Learning
  5. Digital transformation

As part of the Prevention at Scale programme, we have presented information on population health for each of the 13 localities to support them with the development of their locality transformation plans.

Select a locality below:

Bournemouth Central

Bournemouth Central is an urban area. It has practices that cover a younger population, with most of the population falling between the ages of 15-44 years. Despite this there is a high proportion of pensioners living alone, with many residing in the more deprived areas of the locality. The population benefits from low levels of unemployment, lower than average levels of income deprivation and overall levels of child poverty are below the England average.

Bournemouth Central locality profile

Bournemouth Central

Bournemouth East

Bournemouth East locality has practices that cover a diverse population, including some neighbourhoods classified as among the most deprived anywhere in the South West of England. The locality also has practices that serve a more affluent and older population, especially towards the east of the area.
There are several challenges that contribute to the longer term development of health problems in the locality, including poor housing, overcrowding and a higher proportion of people living with limiting long term illness or disability.

The west of the locality has had many Houses of Multiple Occupation developed over the past twenty to thirty years, at the lowest end of the housing market. This has meant the area is one of the more affordable places for people to live who have long standing health issues, including addiction and mental health conditions. In some cases, this makes provision of primary care services more challenging. In addition, the area has a higher proportion of families and workers employed in the service industry who may not have English as their first language, which also raises access issues at times.

For practices with an older average population, based in the East of the locality, the provision of primary and community services to the frail and elderly population is an important issue. The area has a higher rate of hip fractures compared with England, so understanding how best to provide prevention oriented support in advance of these acute events, working with partners, will be important.

As many of these challenges are complex and interdependent, the Council and stakeholders established a regeneration partnership board to look at increasing the impact of work to tackle housing, education, crime, employment, environment and health issues. The Boscombe Health Theme Group has existed for the past four years as a sub-group to help drive improvements in health and wellbeing in the area. The Boscombe Commitment 2015 document provides further details on the identified actions being carried out to reduce the gap in health and wellbeing in the area.

Bournemouth East locality profile

Bournemouth East

Bournemouth North

The Bournemouth North Locality comprises six electoral wards with a varied population of approximately 61,000 residents, ranging from areas with a high density of students and young people (Winton East, Wallisdown and Winton West), to wards with a more settled, older population – a significant proportion of whom are living on lower incomes (Kinson North, Kinson South). The West Howe area covers parts of these two wards, and is a focus for major regeneration efforts, led by Bournemouth Council. The future provision of services to this population is a key consideration, including primary care and community services, and potential for integration with Council services such as social care.

A strategic assessment undertaken in 2013 to support the regeneration work identified three main challenges, including:

  • tackling the low level of qualifications, unemployment, and encouraging healthier lifestyles;
  • improving community facilities, community safety and increasing access to local activities;
  • and improving money management, access to advice and fuel poverty.

Talbot and Branksome Woods, and Redhill and Northbourne are the two final wards, comprising mainly established, larger family homes.

There are eight general practices belonging to the locality. The practices generally fall into two categories of demographics – those with high proportions of students and young people registered with them (Alma Road, Talbot Medical Centre, Village Surgery) and the remainder having a population profile consistent with that found for Bournemouth as a whole. This means relatively fewer children and young people, and greater proportions of people in their 40s, 50s and 60s.

Bournemouth North locality profile

Bournemouth North

Christchurch

Christchurch locality has practices that cover a diverse population including some rural areas such as

Burton and Hurn and other more urban neighbourhoods such as Fairmile, Purewell as well as the town centre areas. The population has many positive aspects to support health and wellbeing, including good quality natural environments, levels of child development above the England average and low levels of older people living in deprivation.

Christchurch locality profile

For the latest presentation on the Christchurch locality, please view the slides Christchurch presentation – February 2018.

Christchurch

East Dorset

East Dorset has practices that cover a population varied in age, residing in very rural areas, but also medium size market towns.  The area and population has many positive aspects to support health and wellbeing, including; good quality natural environments; new housing developments and high levels of employment.

East Dorset locality profile

For the latest presentation on the East Dorset locality, please view the slides East Dorset presentation – February 2018.

East Dorset

Mid Dorset

Mid Dorset locality has a high proportion of older people compared to both national and Dorset averages. It is largely rural with population density at its highest around the county town of Dorchester, which is where indicators for the locality mostly perform least desirably. The population has many positive aspects to support health and wellbeing, including better than the national average for children in poverty, pensioners living alone, child development at age 5, achievement of A*- C GCSE grades and unemployment.

Mid Dorset locality profile

For the latest presentation on the Mid Dorset locality, please view the slides Mid Dorset presentation – February 2018.

Mid Dorset

North Dorset

North Dorset locality has practices that cover a diverse population, including very rural areas and medium size market towns. The population has many positive aspects to support health and wellbeing, including good quality natural environments, general high level of income and good quality primary care.

North Dorset locality profile

For the latest presentation on the North Dorset locality, please view the slides North Dorset presentation – February 2018.

North Dorset

Poole Bay

Poole Bay locality is largely urban with practices that cover a diverse population. There are a mix of neighbourhoods including those among the most affluent and most deprived in Dorset. Some of the highest levels of child poverty and income deprivation in Dorset are seen in Alderney and Newtown. There is a higher proportion of older people aged 65 and over living in Poole Bay compared to the national average. There is also a neighbourhood within the north of the locality that is home to a large settled Gypsy and Traveller community.

The population has many positive aspects to support health and wellbeing, including good quality green spaces and coastal environments and generally a high level of income.

Poole Bay locality profile

Poole Bay

Poole Central

Poole Central locality has practices that cover a largely urban population with some rurality to the West of the locality area.  The population has many positive aspects to support health and wellbeing, including access to good quality natural environments, good levels of child development and low employment.

Poole Central locality profile

Poole Central

Poole North

Poole North locality has four practices that cover a population with higher numbers of older people, serving a largely urban area.  The population has many positive aspects to support health and wellbeing, being, on average, one of the least deprived localities locally and nationally, with low levels of unemployment.

Poole North locality profile

Poole North

Purbeck

Purbeck locality has practices that cover rural areas, villages and small to medium sized market towns. The population has many positive aspects to support health and wellbeing, including abundant natural environments and generally a high level of income.

Purbeck locality profile

For the latest presentation on the Purbeck locality, please view the slides Purbeck presentation – February 2018.

Purbeck

West Dorset

West Dorset locality has practices that cover a diverse population, including very rural areas, market and county towns as well as coastal regions.  The population has many positive aspects to support health and wellbeing, including good quality natural environments, low levels of unemployment and generally a high level of income.  Around a quarter of the population are over 65 years of age; the England average being lower.

West Dorset locality profile

For the latest presentation on the West Dorset locality, please view the slides West Dorset presentation – February 2018.

West Dorset

Weymouth & Portland

The locality has practices that cover a diverse population, covering coastal areas as well as Weymouth as a large town.  The area is a popular tourist resort with the population benefiting from good quality natural environments. Generally, as a whole the locality compares well with England. This does however mask the variation in health outcomes in the area. It also tends to do less well on a number of health and social care markers when compared to other parts of Dorset.

Weymouth & Portland locality profile

For the latest presentation on the Weymouth and Portland locality, please view the slides Weymouth & Portland presentation – February 2018.

Weymouth & Portland

Search Public Health Dorset

Connect with us